Theory of mind during pregnancy and postpartum: A systematic review.

Autor: van 't Hof SR; Hoekzema Laboratory, Department of Psychiatry, Amsterdam Neuroscience, Amsterdam Reproduction and Development, Amsterdam University Medical Center (UMC), location University of Amsterdam, Amsterdam, The Netherlands., Straathof M; Hoekzema Laboratory, Department of Psychiatry, Amsterdam Neuroscience, Amsterdam Reproduction and Development, Amsterdam University Medical Center (UMC), location University of Amsterdam, Amsterdam, The Netherlands., Spalek K; Hoekzema Laboratory, Department of Psychiatry, Amsterdam Neuroscience, Amsterdam Reproduction and Development, Amsterdam University Medical Center (UMC), location University of Amsterdam, Amsterdam, The Netherlands., Hoekzema E; Hoekzema Laboratory, Department of Psychiatry, Amsterdam Neuroscience, Amsterdam Reproduction and Development, Amsterdam University Medical Center (UMC), location University of Amsterdam, Amsterdam, The Netherlands.
Jazyk: angličtina
Zdroj: Journal of neuroendocrinology [J Neuroendocrinol] 2023 Jul; Vol. 35 (7), pp. e13266. Date of Electronic Publication: 2023 Apr 24.
DOI: 10.1111/jne.13266
Abstrakt: Pregnancy is associated with prominent structural changes in brain areas involved in Theory of Mind (ToM), pointing to the possibility of modifications in ToM-related behavior and brain responses in parents. We performed a systematic review screening for studies that examined ToM in pregnant and/or early postpartum parents. The evaluation of the included 12 studies allowed us to construct an overview of ToM changes during pregnancy and postpartum as well as other associated factors, such as oxytocin, mental health, and parental behavior. Four studies examined ToM changes by comparing pregnant/early postpartum parents with nulliparous parents or prepregnancy measures. They reported no differences between groups measured with a self-report questionnaire but found group differences using an experimental approach. The results from the summarized studies further suggest a mediatory role of oxytocin between ToM and certain parental behavior. In addition, while no link between postpartum depression and ToM was observed, findings do point to an association between depressive and remote maternal behavior and anxious attachment style and ToM abilities in pregnant participants. Research findings regarding the interaction of ToM with both parity and maternal attachment to the fetus are ambivalent. Overall, research on this topic is scarce, limiting our ability to draw firm conclusions and stressing the need for further research on this topic. This review presents an overview of research findings on ToM and associated factors in pregnancy and the postpartum period and discusses directions for future research.
(© 2023 The Authors. Journal of Neuroendocrinology published by John Wiley & Sons Ltd on behalf of British Society for Neuroendocrinology.)
Databáze: MEDLINE
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