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Published in: Archives of Women's Mental Health 2/2012

Open Access 01-04-2012 | Original Article

Decreased startle modulation during anticipation in the postpartum period in comparison to late pregnancy

Authors: Charlotte Hellgren, Elin Bannbers, Helena Åkerud, Victoria Risbrough, Inger Sundström Poromaa

Published in: Archives of Women's Mental Health | Issue 2/2012

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Abstract

Knowledge about healthy women’s psychophysiological adaptations during the large neuroendocrine changes of pregnancy and childbirth is essential in order to understand why these events have the potential to disrupt mental health in vulnerable individuals. This study aimed to compare startle response modulation, an objective psychophysiological measure demonstrated to be influenced by anxiety and depression, longitudinally across late pregnancy and the postpartum period. The acoustic startle response modulation was assessed during anticipation of affective images and during image viewing in 31 healthy women during gestational weeks 36–39 and again at 4 to 6 weeks postpartum. No startle modulation by affective images was observed at either time point. Significant modulation during anticipation stimuli was found at pregnancy assessment but was reduced in the postpartum period. The women rated the unpleasant images more negative and more arousing and the pleasant images more positive at the postpartum assessment. Self-reported anxiety and depressive symptoms did not change between assessments. The observed postpartum decrease in modulation of startle by anticipation suggests a relatively deactivated defense system in the postpartum period.
Literature
go back to reference Altemus M, Redwine LS, Leong YM, Frye CA, Porges SW, Carter CS (2001) Responses to laboratory psychosocial stress in postpartum women. Psychosom Med 63:814–821PubMed Altemus M, Redwine LS, Leong YM, Frye CA, Porges SW, Carter CS (2001) Responses to laboratory psychosocial stress in postpartum women. Psychosom Med 63:814–821PubMed
go back to reference Aupperle RL, Ravindran L, Tankersley D, Flagan T, Stein NR, Simmons AN, Stein MB, Paulus MP (2011) Pregabalin influences insula and amygdala activation during anticipation of emotional images. Neuropsychopharmacology 36:1466–1477PubMedCrossRef Aupperle RL, Ravindran L, Tankersley D, Flagan T, Stein NR, Simmons AN, Stein MB, Paulus MP (2011) Pregabalin influences insula and amygdala activation during anticipation of emotional images. Neuropsychopharmacology 36:1466–1477PubMedCrossRef
go back to reference Baas JM, Mol N, Kenemans JL, Prinssen EP, Niklson I, Xia-Chen C, Broeyer F, van Gerven J (2009) Validating a human model for anxiety using startle potentiated by cue and context: the effects of alprazolam, pregabalin, and diphenhydramine. Psychopharmacology (Berl) 205:73–84CrossRef Baas JM, Mol N, Kenemans JL, Prinssen EP, Niklson I, Xia-Chen C, Broeyer F, van Gerven J (2009) Validating a human model for anxiety using startle potentiated by cue and context: the effects of alprazolam, pregabalin, and diphenhydramine. Psychopharmacology (Berl) 205:73–84CrossRef
go back to reference Bailara KM, Henry C, Lestage J, Launay JM, Parrot F, Swendsen J, Sutter AL, Roux D, Dallay D, Demotes-Mainard J (2006) Decreased brain tryptophan availability as a partial determinant of post-partum blues. Psychoneuroendocrinology 31:407–413PubMedCrossRef Bailara KM, Henry C, Lestage J, Launay JM, Parrot F, Swendsen J, Sutter AL, Roux D, Dallay D, Demotes-Mainard J (2006) Decreased brain tryptophan availability as a partial determinant of post-partum blues. Psychoneuroendocrinology 31:407–413PubMedCrossRef
go back to reference Bannbers E, Kask K, Wikström J, Risbrough V, Sundström-Poromaa I (2011) Patients with premenstrual dysphoric disorder have increased startle modulation during anticipation in the late luteal phase period in comparison to control subjects. Psychoneuroendocrinology 36:1184–1192PubMedCrossRef Bannbers E, Kask K, Wikström J, Risbrough V, Sundström-Poromaa I (2011) Patients with premenstrual dysphoric disorder have increased startle modulation during anticipation in the late luteal phase period in comparison to control subjects. Psychoneuroendocrinology 36:1184–1192PubMedCrossRef
go back to reference Bessinger RC, McMurray RG, Hackney AC (2002) Substrate utilization and hormonal responses to moderate intensity exercise during pregnancy and after delivery. Am J Obstet Gynecol 186:757–764PubMedCrossRef Bessinger RC, McMurray RG, Hackney AC (2002) Substrate utilization and hormonal responses to moderate intensity exercise during pregnancy and after delivery. Am J Obstet Gynecol 186:757–764PubMedCrossRef
go back to reference Bixo M, Andersson A, Winblad B, Purdy RH, Bäckström T (1997) Progesterone, 5alpha-pregnane-3,20-dione and 3alpha-hydroxy-5alpha-pregnane-20-one in specific regions of the human female brain in different endocrine states. Brain Res 764:173–178PubMedCrossRef Bixo M, Andersson A, Winblad B, Purdy RH, Bäckström T (1997) Progesterone, 5alpha-pregnane-3,20-dione and 3alpha-hydroxy-5alpha-pregnane-20-one in specific regions of the human female brain in different endocrine states. Brain Res 764:173–178PubMedCrossRef
go back to reference Blumenthal TD, Cuthbert BN, Filion DL, Hackley S, Lipp OV, van Boxtel A (2005) Committee report: guidelines for human startle eyeblink electromyographic studies. Psychophysiology 42:1–15PubMedCrossRef Blumenthal TD, Cuthbert BN, Filion DL, Hackley S, Lipp OV, van Boxtel A (2005) Committee report: guidelines for human startle eyeblink electromyographic studies. Psychophysiology 42:1–15PubMedCrossRef
go back to reference Bradley MM, Cuthbert BN, Lang PJ (1993) Pictures as prepulse: attention and emotion in startle modification. Psychophysiology 30:541–545PubMedCrossRef Bradley MM, Cuthbert BN, Lang PJ (1993) Pictures as prepulse: attention and emotion in startle modification. Psychophysiology 30:541–545PubMedCrossRef
go back to reference Buchanan TW, Brechtel A, Sollers JJ, Lovallo WR (2001) Exogenous cortisol exerts effects on the startle reflex independent of emotional modulation. Pharmacol Biochem Behav 68:203–210PubMedCrossRef Buchanan TW, Brechtel A, Sollers JJ, Lovallo WR (2001) Exogenous cortisol exerts effects on the startle reflex independent of emotional modulation. Pharmacol Biochem Behav 68:203–210PubMedCrossRef
go back to reference Cox JL, Holden JM, Sagovsky R (1987) Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry 150:782–786PubMedCrossRef Cox JL, Holden JM, Sagovsky R (1987) Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry 150:782–786PubMedCrossRef
go back to reference Cuthbert BN, Bradley MM, Lang PJ (1996) Probing picture perception: activation and emotion. Psychophysiology 33:103–111PubMedCrossRef Cuthbert BN, Bradley MM, Lang PJ (1996) Probing picture perception: activation and emotion. Psychophysiology 33:103–111PubMedCrossRef
go back to reference Davis M, Falls WA, Campeau S, Kim M (1993) Fear-potentiated startle: a neural and pharmacological analysis. Behav Brain Res 58:175–198PubMedCrossRef Davis M, Falls WA, Campeau S, Kim M (1993) Fear-potentiated startle: a neural and pharmacological analysis. Behav Brain Res 58:175–198PubMedCrossRef
go back to reference Davis M, Antoniadis EA, Amaral DG, Winslow JT (2008) Acoustic startle reflex in rhesus monkeys: a review. Rev Neurosci 19:171–185PubMedCrossRef Davis M, Antoniadis EA, Amaral DG, Winslow JT (2008) Acoustic startle reflex in rhesus monkeys: a review. Rev Neurosci 19:171–185PubMedCrossRef
go back to reference Dichter GS, Tomarken AJ (2008) The chronometry of affective startle modulation in unipolar depression. J Abnorm Psychol 117:1–15PubMedCrossRef Dichter GS, Tomarken AJ (2008) The chronometry of affective startle modulation in unipolar depression. J Abnorm Psychol 117:1–15PubMedCrossRef
go back to reference Dichter GS, Tomarken AJ, Baucom BR (2002) Startle modulation before, during and after exposure to emotional stimuli. Int J Psychophysiol 43:191–196PubMedCrossRef Dichter GS, Tomarken AJ, Baucom BR (2002) Startle modulation before, during and after exposure to emotional stimuli. Int J Psychophysiol 43:191–196PubMedCrossRef
go back to reference DiPietro JA, Costigan KA, Gurewitsch ED (2005) Maternal psychophysiological change during the second half of gestation. Biol Psychol 69:23–38PubMedCrossRef DiPietro JA, Costigan KA, Gurewitsch ED (2005) Maternal psychophysiological change during the second half of gestation. Biol Psychol 69:23–38PubMedCrossRef
go back to reference Doornbos B, Fekkes D, Tanke MA, de Jonge P, Korf J (2008) Sequential serotonin and noradrenalin associated processes involved in postpartum blues. Prog Neuropsychopharmacol Biol Psychiatry 32:1320–1325PubMedCrossRef Doornbos B, Fekkes D, Tanke MA, de Jonge P, Korf J (2008) Sequential serotonin and noradrenalin associated processes involved in postpartum blues. Prog Neuropsychopharmacol Biol Psychiatry 32:1320–1325PubMedCrossRef
go back to reference Epperson CN, Gueorguieva R, Czarkowski KA, Stiklus S, Sellers E, Krystal JH, Rothman DL, Mason GF (2006) Preliminary evidence of reduced occipital GABA concentrations in puerperal women: a 1H-MRS study. Psychopharmacology (Berl) 186:425–433CrossRef Epperson CN, Gueorguieva R, Czarkowski KA, Stiklus S, Sellers E, Krystal JH, Rothman DL, Mason GF (2006) Preliminary evidence of reduced occipital GABA concentrations in puerperal women: a 1H-MRS study. Psychopharmacology (Berl) 186:425–433CrossRef
go back to reference Grillon C, Baas J (2003) A review of the modulation of the startle reflex by affective states and its application in psychiatry. Clin Neurophysiol 114:1557–1579PubMedCrossRef Grillon C, Baas J (2003) A review of the modulation of the startle reflex by affective states and its application in psychiatry. Clin Neurophysiol 114:1557–1579PubMedCrossRef
go back to reference Grillon C, Ameli R, Goddard A, Woods SW, Davis M (1994) Baseline and fear-potentiated startle in panic disorder patients. Biol Psychiatry 35:431–439PubMedCrossRef Grillon C, Ameli R, Goddard A, Woods SW, Davis M (1994) Baseline and fear-potentiated startle in panic disorder patients. Biol Psychiatry 35:431–439PubMedCrossRef
go back to reference Harmer CJ, Reid CB, Ray MK, Goodwin GM, Cowen PJ (2006) 5HT(3) antagonism abolishes the emotion potentiated startle effect in humans. Psychopharmacology (Berl) 186:18–24CrossRef Harmer CJ, Reid CB, Ray MK, Goodwin GM, Cowen PJ (2006) 5HT(3) antagonism abolishes the emotion potentiated startle effect in humans. Psychopharmacology (Berl) 186:18–24CrossRef
go back to reference Hellgren C, Åkerud H, Jonsson M, Sundström-Poromaa I (2011) Sympathetic reactivity in late pregnancy is related to labour onset in women. Stress 14:627–633PubMed Hellgren C, Åkerud H, Jonsson M, Sundström-Poromaa I (2011) Sympathetic reactivity in late pregnancy is related to labour onset in women. Stress 14:627–633PubMed
go back to reference Kammerer M, Adams D, Castelberg Bv B, Glover V (2002) Pregnant women become insensitive to cold stress. BMC Pregnancy Childbirth 2:8PubMedCrossRef Kammerer M, Adams D, Castelberg Bv B, Glover V (2002) Pregnant women become insensitive to cold stress. BMC Pregnancy Childbirth 2:8PubMedCrossRef
go back to reference Kask K, Bäckström T, Gulinello M, Sundström-Poromaa I (2008) Lower levels of prepulse inhibition of startle response in pregnant women compared to postpartum women. Psychoneuroendocrinology 33:100–107PubMedCrossRef Kask K, Bäckström T, Gulinello M, Sundström-Poromaa I (2008) Lower levels of prepulse inhibition of startle response in pregnant women compared to postpartum women. Psychoneuroendocrinology 33:100–107PubMedCrossRef
go back to reference Lang PJ, McTeague LM (2009) The anxiety disorder spectrum: fear imagery, physiological reactivity, and differential diagnosis. Anxiety Stress Coping 22:5–25PubMedCrossRef Lang PJ, McTeague LM (2009) The anxiety disorder spectrum: fear imagery, physiological reactivity, and differential diagnosis. Anxiety Stress Coping 22:5–25PubMedCrossRef
go back to reference Lang PJ, Bradley MM, Cuthbert BN (2005) International affective picture system (IAPS): Affective ratings of pictures and instruction manual. Technical Report A-6. University of Florida, Gainesville Lang PJ, Bradley MM, Cuthbert BN (2005) International affective picture system (IAPS): Affective ratings of pictures and instruction manual. Technical Report A-6. University of Florida, Gainesville
go back to reference Larson CL, Ruffalo D, Nietert JY, Davidson RJ (2000) Temporal stability of the emotion-modulated startle response. Psychophysiology 37:92–101PubMedCrossRef Larson CL, Ruffalo D, Nietert JY, Davidson RJ (2000) Temporal stability of the emotion-modulated startle response. Psychophysiology 37:92–101PubMedCrossRef
go back to reference Meinlschmidt G, Martin C, Neumann ID, Heinrichs M (2010) Maternal cortisol in late pregnancy and hypothalamic–pituitary–adrenal reactivity to psychosocial stress postpartum in women. Stress 13:163–171PubMedCrossRef Meinlschmidt G, Martin C, Neumann ID, Heinrichs M (2010) Maternal cortisol in late pregnancy and hypothalamic–pituitary–adrenal reactivity to psychosocial stress postpartum in women. Stress 13:163–171PubMedCrossRef
go back to reference Mneimne M, McDermut W, Powers AS (2008) Affective ratings and startle modulation in people with nonclinical depression. Emotion 8:552–559PubMedCrossRef Mneimne M, McDermut W, Powers AS (2008) Affective ratings and startle modulation in people with nonclinical depression. Emotion 8:552–559PubMedCrossRef
go back to reference Nitschke JB, Larson CL, Smoller MJ, Navin SD, Pederson AJ, Ruffalo D, Mackiewicz KL, Gray SM, Victor E, Davidson RJ (2002) Startle potentiation in aversive anticipation: evidence for state but not trait effects. Psychophysiology 39:254–258PubMedCrossRef Nitschke JB, Larson CL, Smoller MJ, Navin SD, Pederson AJ, Ruffalo D, Mackiewicz KL, Gray SM, Victor E, Davidson RJ (2002) Startle potentiation in aversive anticipation: evidence for state but not trait effects. Psychophysiology 39:254–258PubMedCrossRef
go back to reference Östlund H, Keller E, Hurd YL (2003) Estrogen receptor gene expression in relation to neuropsychiatric disorders. Ann N Y Acad Sci 1007:54–63PubMedCrossRef Östlund H, Keller E, Hurd YL (2003) Estrogen receptor gene expression in relation to neuropsychiatric disorders. Ann N Y Acad Sci 1007:54–63PubMedCrossRef
go back to reference Ray WJ, Molnar C, Aikins D, Yamasaki A, Newman MG, Castonguay L, Borkovec TD (2009) Startle response in generalized anxiety disorder. Depress Anxiety 26:147–154PubMedCrossRef Ray WJ, Molnar C, Aikins D, Yamasaki A, Newman MG, Castonguay L, Borkovec TD (2009) Startle response in generalized anxiety disorder. Depress Anxiety 26:147–154PubMedCrossRef
go back to reference Sabatinelli D, Bradley MM, Lang PJ (2001) Affective startle modulation in anticipation and perception. Psychophysiology 38:719–722PubMedCrossRef Sabatinelli D, Bradley MM, Lang PJ (2001) Affective startle modulation in anticipation and perception. Psychophysiology 38:719–722PubMedCrossRef
go back to reference Sacher J, Wilson AA, Houle S, Rusjan P, Hassan S, Bloomfield PM, Stewart DE, Meyer JH (2010) Elevated brain monoamine oxidase A binding in the early postpartum period. Arch Gen Psychiatry 67:468–474PubMedCrossRef Sacher J, Wilson AA, Houle S, Rusjan P, Hassan S, Bloomfield PM, Stewart DE, Meyer JH (2010) Elevated brain monoamine oxidase A binding in the early postpartum period. Arch Gen Psychiatry 67:468–474PubMedCrossRef
go back to reference Sheehan DV, Lecrubier Y, Sheehan KH, Amorim P, Janavs J, Weiller E, Hergueta T, Baker R, Dunbar GC (1998) The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry 59(Suppl 20):22–33, quiz 34–57PubMed Sheehan DV, Lecrubier Y, Sheehan KH, Amorim P, Janavs J, Weiller E, Hergueta T, Baker R, Dunbar GC (1998) The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry 59(Suppl 20):22–33, quiz 34–57PubMed
go back to reference Simmons AN, Strigo I, Matthews SC, Paulus MP, Stein MB (2006) Anticipation of aversive visual stimuli is associated with increased insula activation in anxiety-prone subjects. Biol Psychiatry 60:402–409PubMedCrossRef Simmons AN, Strigo I, Matthews SC, Paulus MP, Stein MB (2006) Anticipation of aversive visual stimuli is associated with increased insula activation in anxiety-prone subjects. Biol Psychiatry 60:402–409PubMedCrossRef
go back to reference Simmons AN, Arce E, Lovero KL, Stein MB, Paulus MP (2009) Subchronic SSRI administration reduces insula response during affective anticipation in healthy volunteers. Int J Neuropsychopharmacol 12:1009–1120PubMedCrossRef Simmons AN, Arce E, Lovero KL, Stein MB, Paulus MP (2009) Subchronic SSRI administration reduces insula response during affective anticipation in healthy volunteers. Int J Neuropsychopharmacol 12:1009–1120PubMedCrossRef
go back to reference Spielberger CD (1983) State-trait anxiety inventory for adults. Sampler set, manual set, scoring key. Consulting Psychologists Press Inc., Palo Alto Spielberger CD (1983) State-trait anxiety inventory for adults. Sampler set, manual set, scoring key. Consulting Psychologists Press Inc., Palo Alto
go back to reference Strigo IA, Simmons AN, Matthews SC, Craig AD, Paulus MP (2008) Association of major depressive disorder with altered functional brain response during anticipation and processing of heat pain. Arch Gen Psychiatry 65:1275–1284PubMedCrossRef Strigo IA, Simmons AN, Matthews SC, Craig AD, Paulus MP (2008) Association of major depressive disorder with altered functional brain response during anticipation and processing of heat pain. Arch Gen Psychiatry 65:1275–1284PubMedCrossRef
go back to reference Svanborg P, Asberg M (1994) A new self-rating scale for depression and anxiety states based on the Comprehensive Psychopathological Rating Scale. Acta Psychiatr Scand 89(1):21–28PubMedCrossRef Svanborg P, Asberg M (1994) A new self-rating scale for depression and anxiety states based on the Comprehensive Psychopathological Rating Scale. Acta Psychiatr Scand 89(1):21–28PubMedCrossRef
go back to reference Vrana SR, Spence EL, Lang PJ (1988) The startle probe response: a new measure of emotion? J Abnorm Psychol 97:487–491PubMedCrossRef Vrana SR, Spence EL, Lang PJ (1988) The startle probe response: a new measure of emotion? J Abnorm Psychol 97:487–491PubMedCrossRef
go back to reference Wirth MM, Meier EA, Fredrickson BL, Schultheiss OC (2007) Relationship between salivary cortisol and progesterone levels in humans. Biol Psychol 74:104–107PubMedCrossRef Wirth MM, Meier EA, Fredrickson BL, Schultheiss OC (2007) Relationship between salivary cortisol and progesterone levels in humans. Biol Psychol 74:104–107PubMedCrossRef
Metadata
Title
Decreased startle modulation during anticipation in the postpartum period in comparison to late pregnancy
Authors
Charlotte Hellgren
Elin Bannbers
Helena Åkerud
Victoria Risbrough
Inger Sundström Poromaa
Publication date
01-04-2012
Publisher
Springer Vienna
Published in
Archives of Women's Mental Health / Issue 2/2012
Print ISSN: 1434-1816
Electronic ISSN: 1435-1102
DOI
https://doi.org/10.1007/s00737-012-0261-7

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