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Maternal Trauma and Related Psychopathology: Consequences to Parental Brain Functioning Associated with Caregiving

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Motherhood in the Face of Trauma

Abstract

The chapter takes as its departure point the Winnicottian notion of “Good-enough mothering” as being tied to the capacity of the primary caregiver to engage in mutual emotion regulation during sensitive periods of early development. Maternal experience of interpersonal violence and related psychopathology (i.e. posttraumatic stress disorder) through associated emotional dysregulation and activation of traumatic memory traces even by routine mother–infant interactions (i.e. interactions such as separations involving child helplessness) perturbs this mutual regulation. Original research from the Geneva Early Childhood Stress Project is described to support that both neural activity and epigenetics of stress-linked genes are promising as (1) important markers of these hypothesized mechanisms and (2) useful measures of the effectiveness of targeted parent–child interventions. The role of individual differences played by possible endophenotypes in the intergenerational transmission of trauma and associated psychopathology, as for example that noted for mothers with prominent dissociative symptoms, is discussed with its clinical implications.

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Notes

  1. 1.

    The National Center for Competence in Research-The Synaptic Basis of Mental Disorders (NCCR-SYNAPSY; http://www.nccr-synapsy.ch).

References

  • Barrett J, Fleming AS (2011) Annual research review: all mothers are not created equal: neural and psychobiological perspectives on mothering and the importance of individual differences. J Child Psychol Psychiatry 52(4):368–397

    Article  PubMed  Google Scholar 

  • Bremner JD (2002) Neuroimaging studies in post-traumatic stress disorder. Curr Psychiatry Rep 4:254–263

    Article  PubMed  Google Scholar 

  • Cisler JM, Sigel BA, Kramer TL, Smitherman S, Vanderzee K, Pemberton J, Kilts CD (2015) Amygdala response predicts trajectory of symptom reduction during trauma-focused cognitive-behavioral therapy among adolescent girls with PTSD. J Psychiatr Res 71:33–40

    Article  PubMed  PubMed Central  Google Scholar 

  • Fonzo GA, Simmons AN, Thorp SR, Norman SB, Paulus MP, Stein MB (2010) Exaggerated and disconnected insular-Amygdalar blood oxygenation level-dependent response to threat-related emotional faces in women with intimate-partner violence posttraumatic stress disorder. Biol Psychiatry 68(5):433–441

    Article  PubMed  PubMed Central  Google Scholar 

  • Frewen PA, Lanius RA, Dozois DJ, Neufeld RW, Pain C, Hopper JW, Densmore M, Stevens TK (2008) Clinical and neural correlates of alexithymia in posttraumatic stress disorder. J Abnorm Psychol 117:171–181

    Article  PubMed  Google Scholar 

  • Frewen PA, Brown MF, Steuwe C, Lanius RA (2015) Latent profile analysis and principal axis factoring of the DSM-5 dissociative subtype. Eur J Psychotraumatol 6:26406

    Article  PubMed  Google Scholar 

  • Grecucci A, Giorgetta C, Bonini N, Sanfey AG (2013) Reappraising social emotions: the role of inferior frontal gyrus, temporo-parietal junction and insula in interpersonal emotion regulation. Front Hum Neurosci 7:523

    Article  PubMed  PubMed Central  Google Scholar 

  • Kim P, Leckman JF, Mayes LC, Feldman R, Wang X, Swain JE (2010) The plasticity of human maternal brain: longitudinal changes in brain anatomy during the early postpartum period. Behav Neurosci 124:695–700

    Article  PubMed  PubMed Central  Google Scholar 

  • Liberzon I, Sripada CS (2008) The functional neuroanatomy of PTSD: a critical review. Prog Brain Res 167:151–169

    Article  PubMed  Google Scholar 

  • Liberzon I, King AP, Britton JC, Phan KL, Abelson JL, Taylor SF (2007) Paralimbic and medial prefrontal cortical involvement in neuroendocrine responses to traumatic stimuli. Am J Psychiatry 164:1250–1258

    Article  PubMed  Google Scholar 

  • Moser DA, Aue T, Wang Z, Rusconi Serpa S, Favez N, Peterson BS, Schechter DS (2013) Limbic brain responses in mothers with post-traumatic stress disorder and comorbid dissociation to video clips of their children. Stress 16:493–502

    Article  PubMed  Google Scholar 

  • Moser DA, Aue T, Suardi F, Kutlikova H, Cordero MI, Rossignol AS, Favez N, Rusconi Serpa S, Schechter DS (2015a) Violence-related PTSD and neural activation when seeing emotionally charged male-female interactions. Soc Cogn Affect Neurosci 10:645–653

    Article  PubMed  Google Scholar 

  • Moser DA, Aue T, Suardi F, Manini A, Sancho Rossignol A, Cordero MI, Merminod G, Ansermet F, Rusconi Serpa S, Favez N, Schechter DS (2015b) The relation of general socio-emotional processing to parenting specific behavior: a study of mothers with and without posttraumatic stress disorder. Front Psychol 6:1575

    Article  PubMed  PubMed Central  Google Scholar 

  • Moser DA, Paoloni-Giacobino A, Stenz L, Adouan W, Manini A, Suardi F, Cordero MI, Vital M, Sancho Rossignol A, Rusconi-Serpa S, Ansermet F, Dayer AG, Schechter DS (2015c) BDNF methylation and maternal brain activity in a violence-related sample. PLoS One 10:e0143427

    Article  PubMed  PubMed Central  Google Scholar 

  • Muzik M, Rosenblum KL, Alfafara EA, Schuster MM, Miller NM, Waddell RM, Stanton Kohler E (2015) Mom power: preliminary outcomes of a group intervention to improve mental health and parenting among high-risk mothers. Arch Womens Ment Health 18:507–521

    Article  PubMed  PubMed Central  Google Scholar 

  • Norrholm SD, Jovanovic T, Gerardi M, Breazeale KG, Price M, Davis M, Duncan E, Ressler KJ, Bradley B, Rizzo A, Tuerk PW, Rothbaum BO (2016) Baseline psychophysiological and cortisol reactivity as a predictor of PTSD treatment outcome in virtual reality exposure therapy. Behav Res Ther 82:28–37

    Article  PubMed  PubMed Central  Google Scholar 

  • Perizzolo VC, Puro Gomez BC, Vital M, Arnautovic E, Torrisi R, Manini A, Carpinteiro V, Schneeberger M, Chappuis M, Rusconi Serpa S, Schechter DS (2017) EEG recording during an emotional face matching task in children of mothers with interpersonal violence-related posttraumatic stress disorder. In: Perizzolo VC (ed) Electro-physiological brain correlates of developmental psychopathology and the early adverse experience that poses risk for it. Symposium conducted at the international congress of the European Society for Child and Adolescent Psychiatry, Geneva, Switzerland

    Google Scholar 

  • Roberts S, Keers R, Lester KJ, Coleman JR, Breen G, Arendt K, Blatter-Meunier J, Cooper P, Creswell C, Fjermestad K, Havik OE, Herren C, Hogendoorn SM, Hudson JL, Krause K, Lyneham HJ, Morris T, Nauta M, Rapee RM, Rey Y, Schneider S, Schneider SC, Silverman WK, Thastum M, Thirlwall K, Waite P, Eley TC, Wong CC (2015) HPA axis related genes and response to psychological therapies: genetics and epigenetics. Depress Anxiety 32:861–870

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Rougemont-Bucking A, Linnman C, Zeffiro TA, Zeidan MA, Lebron-Milad K, Rodriguez-Romaguera J, Rauch SL, Pitman RK, Milad MR (2011) Altered processing of contextual information during fear extinction in PTSD: an fMRI study. CNS Neurosci Ther 17:227–236

    Article  PubMed  Google Scholar 

  • Schechter DS, Rusconi-Serpa S (2014) Difficult parents? The challenges of responding to the needs of psychiatrically ill parents in pediatric practice. Rev Med Suisse 9:402–404

    Google Scholar 

  • Schechter DS, Willheim E (2009) Disturbances of attachment and parental psychopathology in early childhood. Child Adolesc Psychiatr Clin N Am 18:665–686

    Article  PubMed  PubMed Central  Google Scholar 

  • Schechter DS, Myers MM, Brunelli SA, Coates SW, Zeanah CH, Davies M, Grienenberger JF, Marshall RD, McCaw JE, Trabka KA, Liebowitz MR (2006) Traumatized mothers can change their minds about their toddlers: understanding how a novel use of videofeedback supports positive change of maternal attributions. Infant Ment Health J 27:429–447

    Article  PubMed  PubMed Central  Google Scholar 

  • Schechter DS, Willheim E, McCaw J, Turner JB, Myers MM, Zeanah CH (2011) The relationship of violent fathers, posttraumatically stressed mothers and symptomatic children in a preschool-age inner-city pediatrics clinic sample. J Interpers Violence 26:3699–3719

    Article  PubMed  Google Scholar 

  • Schechter DS, Moser DA, Wang Z, Marsh R, Hao X, Duan Y, Yu S, Gunter B, Murphy D, McCaw J, Kangarlu A, Willheim E, Myers MM, Hofer MA, Peterson BS (2012) An fMRI study of the brain responses of traumatized mothers to viewing their toddlers during separation and play. Soc Cogn Affect Neurosci 7:969–979

    Article  PubMed  Google Scholar 

  • Schechter DS, Moser DA, Paoloni-Giacobino A, Stenz L, Gex-Fabry M, Aue T, Adouan W, Cordero MI, Suardi F, Manini A, Sancho Rossignol A, Merminod G, Ansermet F, Dayer AG, Rusconi Serpa S (2015a) Methylation of NR3C1 is related to maternal PTSD, parenting stress and maternal medial prefrontal cortical activity in response to child separation among mothers with histories of violence exposure. Front Psychol 6:690

    Article  PubMed  PubMed Central  Google Scholar 

  • Schechter DS, Moser DA, Reliford A, McCaw JE, Coates SW, Turner JB, Serpa SR, Willheim E (2015b) Negative and distorted attributions towards child, self, and primary attachment figure among posttraumatically stressed mothers: what changes with clinician assisted videofeedback exposure sessions (CAVES). Child Psychiatry Hum Dev 46:10–20

    Article  PubMed  PubMed Central  Google Scholar 

  • Schechter DS, Suardi F, Manini A, Cordero MI, Rossignol AS, Merminod G, Gex-Fabry M, Moser DA, Serpa SR (2015c) How do maternal PTSD and alexithymia interact to impact maternal behavior? Child Psychiatry Hum Dev 46:406–417

    Article  PubMed  Google Scholar 

  • Schechter DS, Moser DA, Pointet VC, Aue T, Stenz L, Paoloni-Giacobino A, Adouan W, Manini A, Suardi F, Vital M, Sancho Rossignol A, Cordero MI, Rothenberg M, Ansermet F, Rusconi Serpa S, Dayer AG (2017) The association of serotonin receptor 3A methylation with maternal violence exposure, neural activity, and child aggression. Behav Brain Res 325:268–277

    Article  CAS  PubMed  Google Scholar 

  • Schechter DS, Moser DA, Aue T, Gex-Fabry M, Pointet VC, Cordero MI, Suardi F, Manini A, Vital M, Rossignol AS, Rothenberg M, Dayer AG, Ansermet F, Serpa SR, Seedat S, (2017) Maternal PTSD and corresponding neural activity mediate effects of child exposure to violence on child PTSD symptoms. PLOS ONE 12(8):e0181066

    Google Scholar 

  • Shin LM, Wright CI, Cannistraro PA, Wedig MM, McMullin K, Martis B, MacKlin ML, Lasko NB, Cavanagh SR, Krangel TS, Orr SP, Pitman RK, Whalen PJ, Rauch SL (2005) A functional magnetic resonance imaging study of amygdala and medial prefrontal cortex responses to overtly presented fearful faces in posttraumatic stress disorder. Arch Gen Psychiatry 62:273–281

    Article  PubMed  Google Scholar 

  • Shin LM, Rauch SL, Pitman RK (2006) Amygdala, medial prefrontal cortex, and hippocampal function in PTSD. Ann N Y Acad Sci 1071:67–79

    Article  PubMed  Google Scholar 

  • Swain JE, Perkins SC, Dayton CJ, Finegood ED, Ho SS (2012) Parental brain and socioeconomic epigenetic effects in human development. Behav Brain Sci 35:378–379

    Article  PubMed  PubMed Central  Google Scholar 

  • Swain JE, Ho SS, Rosenblum KL, Morelen D, Dayton CJ, Muzik M (2017) Parent-child intervention decreases stress and increases maternal brain activity and connectivity during own baby-cry: an exploratory study. Dev Psychopathol 29:535–553

    Article  PubMed  Google Scholar 

  • Viinikainen M, Jaaskelainen IP, Alexandrov Y, Balk MH, Autti T, Sams M (2010) Nonlinear relationship between emotional valence and brain activity: evidence of separate negative and positive valence dimensions. Hum Brain Mapp 31:1030–1040

    Article  PubMed  Google Scholar 

  • Walsh E, Carl H, Eisenlohr-Moul T, Minkel J, Crowther A, Moore T, Gibbs D, Petty C, Bizzell J, Smoski MJ, Dichter GS (2016) Attenuation of frontostriatal connectivity during reward processing predicts response to psychotherapy in major depressive disorder. Neuropsychopharmacology 42(4):831–843

    Article  PubMed  Google Scholar 

  • Weingarten CP, Strauman TJ (2015) Neuroimaging for psychotherapy research: current trends. Psychother Res 25:185–213

    Article  PubMed  Google Scholar 

  • Winnicott DW (1953) Symptom tolerance in paediatrics; president’s address. Proc R Soc Med 46:675–684

    CAS  PubMed  PubMed Central  Google Scholar 

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Correspondence to Daniel S. Schechter .

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Perizzolo Pointet, V.C., Moser, D.A., Suardi, F., Rothenberg, M., Serpa, S.R., Schechter, D.S. (2018). Maternal Trauma and Related Psychopathology: Consequences to Parental Brain Functioning Associated with Caregiving. In: Muzik, M., Rosenblum, K. (eds) Motherhood in the Face of Trauma. Integrating Psychiatry and Primary Care. Springer, Cham. https://doi.org/10.1007/978-3-319-65724-0_7

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  • DOI: https://doi.org/10.1007/978-3-319-65724-0_7

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