Perinatal and early childhood biomarkers of psychosocial stress and adverse experiences.

Autor: Barrero-Castillero A; Department of Neonatology, Beth Israel Deaconess Medical Center, Boston, MA, USA. abcastil@bidmc.harvard.edu.; Division of Newborn Medicine, Boston Children's Hospital, Boston, MA, USA. abcastil@bidmc.harvard.edu.; Division of Developmental Medicine, Boston Children's Hospital, Boston, MA, USA. abcastil@bidmc.harvard.edu.; Department of Pediatrics, Harvard Medical School, Boston, MA, USA. abcastil@bidmc.harvard.edu., Pierce LJ; Division of Developmental Medicine, Boston Children's Hospital, Boston, MA, USA.; Department of Pediatrics, Harvard Medical School, Boston, MA, USA.; Department of Psychology, York University, Toronto, ON, USA., Urbina-Johanson SA; Division of Developmental Medicine, Boston Children's Hospital, Boston, MA, USA., Pirazzoli L; Division of Developmental Medicine, Boston Children's Hospital, Boston, MA, USA., Burris HH; Department of Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.; Division of Neonatology, Children's Hospital of Philadelphia, Philadelphia, PA, USA., Nelson CA; Division of Developmental Medicine, Boston Children's Hospital, Boston, MA, USA.; Department of Pediatrics, Harvard Medical School, Boston, MA, USA.; Harvard Graduate School of Education, Boston, MA, USA.
Jazyk: angličtina
Zdroj: Pediatric research [Pediatr Res] 2022 Oct; Vol. 92 (4), pp. 956-965. Date of Electronic Publication: 2022 Jan 28.
DOI: 10.1038/s41390-022-01933-z
Abstrakt: The human brain develops through a complex interplay of genetic and environmental influences. During critical periods of development, experiences shape brain architecture, often with long-lasting effects. If experiences are adverse, the effects may include the risk of mental and physical disease, whereas positive environments may increase the likelihood of healthy outcomes. Understanding how psychosocial stress and adverse experiences are embedded in biological systems and how we can identify markers of risk may lead to discovering new approaches to improve patient care and outcomes. Biomarkers can be used to identify specific intervention targets and at-risk children early when physiological system malleability increases the likelihood of intervention success. However, identifying reliable biomarkers has been challenging, particularly in the perinatal period and the first years of life, including in preterm infants. This review explores the landscape of psychosocial stress and adverse experience biomarkers. We highlight potential benefits and challenges of identifying risk clinically and different sub-signatures of stress, and in their ability to inform targeted interventions. Finally, we propose that the combination of preterm birth and adversity amplifies the risk for abnormal development and calls for a focus on this group of infants within the field of psychosocial stress and adverse experience biomarkers. IMPACT: Reviews the landscape of biomarkers of psychosocial stress and adverse experiences in the perinatal period and early childhood and highlights the potential benefits and challenges of their clinical utility in identifying risk status in children, and in developing targeted interventions. Explores associations between psychosocial stress and adverse experiences in childhood with prematurity and identifies potential areas of assessment and intervention to improve outcomes in this at-risk group.
(© 2022. The Author(s), under exclusive licence to the International Pediatric Research Foundation, Inc.)
Databáze: MEDLINE
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