Salivary cortisol response to infant distress in pregnant women with depressive symptoms

The Hypothalamic-Pituitary-Adrenal (HPA) axis has been proposed as a potential underlying biological mechanism linking prenatal depression with adverse offspring outcomes. However, it is unknown whether the reactivity of this system to stress is altered in pregnant women experiencing depression. The...

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Published in:Archives of women's mental health 2015-04, Vol.18 (2), p.247-253
Main Authors: Murphy, Susannah E., Braithwaite, Elizabeth C., Hubbard, Isabelle, Williams, Kate V., Tindall, Elizabeth, Holmes, Emily A., Ramchandani, Paul G.
Format: Article
Language:English
Subjects:
Adult
Affect
Anxiety
Anxiety - blood
Anxiety - psychology
Case-Control Studies
Complications and side effects
Cortisol
Demographic aspects
Depression
Depression - blood
Depression - psychology
Depression, Mental
Endocrine system
Female
Fetus
Fetuses
Gestation
Growth
HPA axis
Humans
Hydrocortisone
Hydrocortisone - blood
Hypothalamic-pituitary-adrenal axis
Hypothalamo-Hypophyseal System - physiopathology
Hypothalamus
Infant
Medicin och hälsovetenskap
Medicine
Medicine & Public Health
Mental depression
Mood
Original
Original Article
Pituitary
Pituitary-Adrenal System - physiopathology
Pregnancy
Pregnancy - psychology
Pregnant women
Prenatal depression
Psychiatry
Psychological aspects
Psychotherapy
Risk factors
Saliva - chemistry
Saliva - metabolism
Stress
Stress (Psychology)
Stress, Psychological - blood
Stress, Psychological - complications
Womens health
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description The Hypothalamic-Pituitary-Adrenal (HPA) axis has been proposed as a potential underlying biological mechanism linking prenatal depression with adverse offspring outcomes. However, it is unknown whether the reactivity of this system to stress is altered in pregnant women experiencing depression. The objective of this study was to investigate whether salivary cortisol response to a distressed infant film is enhanced in pregnant women with symptoms of depression compared with non-depressed controls. Salivary cortisol and subjective mood responses to the film were measured in 53 primiparous women, between 11 and 18 weeks gestation. Both groups showed similar increases in state anxiety in response to the film, but there was a significantly increased cortisol response in women experiencing symptoms of depression. Depression during pregnancy is associated with increased reactivity of the HPA axis. This is consistent with altered HPA axis functioning being a key mechanism by which prenatal mood disturbance can impact upon fetal development.
doi_str_mv 10.1007/s00737-014-0473-0
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subjects Adult
Affect
Anxiety
Anxiety - blood
Anxiety - psychology
Case-Control Studies
Complications and side effects
Cortisol
Demographic aspects
Depression
Depression - blood
Depression - psychology
Depression, Mental
Endocrine system
Female
Fetus
Fetuses
Gestation
Growth
HPA axis
Humans
Hydrocortisone
Hydrocortisone - blood
Hypothalamic-pituitary-adrenal axis
Hypothalamo-Hypophyseal System - physiopathology
Hypothalamus
Infant
Medicin och hälsovetenskap
Medicine
Medicine & Public Health
Mental depression
Mood
Original
Original Article
Pituitary
Pituitary-Adrenal System - physiopathology
Pregnancy
Pregnancy - psychology
Pregnant women
Prenatal depression
Psychiatry
Psychological aspects
Psychotherapy
Risk factors
Saliva - chemistry
Saliva - metabolism
Stress
Stress (Psychology)
Stress, Psychological - blood
Stress, Psychological - complications
Womens health
title Salivary cortisol response to infant distress in pregnant women with depressive symptoms
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