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Can we identify biological markers of risk and
resilience related to the intergenerational
transmission of risk?
Andrea Gonzalez
Offord Centre for Child Studies
Department of Psychiatry & Behavioural Neurosciences
(Affifi et al., 2011; Cicchetti & Toth, 2005; Gilbert et al., 2009; Gonzalez, 2013)
Child Outcomes
G1
G2
Macrosystem
Exosystem
Mesosystem
Microsystem
Early Adversity
Mechanism of Transmission
• In animals: proposed mechanisms are
physiological and include changes in:
Hypothalamic-pituitary-adrenal (HPA) function,
serotonergic function and changes in brain
plasticity (Burton et al., 2007; Kaffman & Meaney, 2007;
Maestripieri et al., 2007)
• In humans: proposed mechanisms have
originated from social learning or
attachment and include:
– Observational learning, role-modeling, and transmission
via internal representations (Pullatz et al., 2004; Serbin & Karp,
2004; van IJzendoorn, 1992)
Proposed Model in Humans
Stress System:
the Hypothalamic-Pituitary Adrenal (HPA) axis
Executive Function
Wisconsin Card Sorting Test
Stroop/ Color-Word Inhibition
Set shifting/Cognitive Flexibility
Tower Test
Spatial planning/inhibition
Spatial span/digit span
Maternal early
adversity
HPA function
Executive function
Maternal
sensitivity
0.22** -0.22*
0.22*
-0.33**
*p<.05 **p< .01χ2= 5.53; CFI = .98, RMSEA = .06
Gonzalez et al., 2012 JAACAP
Why does this matter? Transmission
beyond mom...?
 Developing HPA axis is strongly influenced by social
factors throughout infancy
 In high-risk populations evidence of transmission of
HPA activity to offspring:
• Offspring of Holocaust survivors (with parental PTSD)
had significantly lower diurnal cortisol levels (Yehuda et
al., 2006)
• Infants whose mothers developed PTSD after 9/11 had
lower diurnal cortisol levels compared to infants with
mothers without PTSD (Yehuda & Bierer, 2008)
Parenting and Infant Cortisol Reactivity
Atkinson et al., 2013; Psychoneuroendocrinology
Mothers and infants’ baseline cortisol levels were positively
related, r = .53* and their slopes were positively related, r = .60*
Transmission of Executive Function?
3-months:
Maternal
history of
childhood
maltreatment
8-months:
Maternal executive
function and
parenting
18-
months:
Infant
Cognition
3-years:
Child
executive
function
Child cognitive function: 18-months
F(6, 104) = 2.26, p <.05
Child Executive Function: 3 years
Summary
Gonzalez, Atkinson, & Fleming, 2009
Parenting Brain Recruits Multiple Systems
• Adaptive parenting
requires a
constellation of
capacities including
effective stress
regulation, attentional
control, emotion
regulation and
executive function.
Infant cues
EF performance
Early
Adversity
• Recent imaging studies have
implicated these same areas as
vulnerable sites to the effects
of early adversity, including
the DLPFC, ACC, OFC, mPFC,
the hippocampus and the
amygdala (Hart & Rubia, 2012)
Summary
• Early adversity and its impact on biological
systems may mediate or moderate deficits
related to poor parenting and subsequent
offspring outcomes
• Understanding the role that these systems plays
may help in the understanding of the
intergenerational transmission of risk
Intervention Implications
• Psycho-educational
interventions is likely not be
enough to improve parenting
and child outcomes for all
families
• Potential for innovative
interventions to target
underlying neurocognitive
functions and stress system in
parents and associated
competencies in children
• Empirical question whether
interventions should target
these core capabilities explicitly
or implicitly (Shonkoff & Fisher,
2014)
Acknowledgements: Collaborators, Staff,
Students, and Participating Families
• Collaborators
• Harriet MacMillan (McMaster)
• Leslie Atkinson (Ryerson)
• Susan Jack (McMaster)
• Geoff Hall (McMaster)
• Margaret McKinnon (McMaster)
• Christine Wekerle (McMaster)
• Staff/students
• Rebecca Lowe
• Monica Ivan
• Gillian-England Mason
• Samantha Daniels
• All the mothers and infants who participated in the studies

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Wekerle CIHR Team - Can we identify biological markers of risk and resilience related to the intergenerational transmission of risk?

  • 1. Can we identify biological markers of risk and resilience related to the intergenerational transmission of risk? Andrea Gonzalez Offord Centre for Child Studies Department of Psychiatry & Behavioural Neurosciences
  • 2.
  • 3. (Affifi et al., 2011; Cicchetti & Toth, 2005; Gilbert et al., 2009; Gonzalez, 2013) Child Outcomes G1 G2
  • 6. Mechanism of Transmission • In animals: proposed mechanisms are physiological and include changes in: Hypothalamic-pituitary-adrenal (HPA) function, serotonergic function and changes in brain plasticity (Burton et al., 2007; Kaffman & Meaney, 2007; Maestripieri et al., 2007) • In humans: proposed mechanisms have originated from social learning or attachment and include: – Observational learning, role-modeling, and transmission via internal representations (Pullatz et al., 2004; Serbin & Karp, 2004; van IJzendoorn, 1992)
  • 9. Executive Function Wisconsin Card Sorting Test Stroop/ Color-Word Inhibition Set shifting/Cognitive Flexibility Tower Test Spatial planning/inhibition Spatial span/digit span
  • 10. Maternal early adversity HPA function Executive function Maternal sensitivity 0.22** -0.22* 0.22* -0.33** *p<.05 **p< .01χ2= 5.53; CFI = .98, RMSEA = .06 Gonzalez et al., 2012 JAACAP
  • 11. Why does this matter? Transmission beyond mom...?
  • 12.
  • 13.  Developing HPA axis is strongly influenced by social factors throughout infancy  In high-risk populations evidence of transmission of HPA activity to offspring: • Offspring of Holocaust survivors (with parental PTSD) had significantly lower diurnal cortisol levels (Yehuda et al., 2006) • Infants whose mothers developed PTSD after 9/11 had lower diurnal cortisol levels compared to infants with mothers without PTSD (Yehuda & Bierer, 2008)
  • 14. Parenting and Infant Cortisol Reactivity Atkinson et al., 2013; Psychoneuroendocrinology Mothers and infants’ baseline cortisol levels were positively related, r = .53* and their slopes were positively related, r = .60*
  • 15. Transmission of Executive Function? 3-months: Maternal history of childhood maltreatment 8-months: Maternal executive function and parenting 18- months: Infant Cognition 3-years: Child executive function
  • 16. Child cognitive function: 18-months F(6, 104) = 2.26, p <.05
  • 17.
  • 20. Gonzalez, Atkinson, & Fleming, 2009 Parenting Brain Recruits Multiple Systems • Adaptive parenting requires a constellation of capacities including effective stress regulation, attentional control, emotion regulation and executive function. Infant cues EF performance
  • 21. Early Adversity • Recent imaging studies have implicated these same areas as vulnerable sites to the effects of early adversity, including the DLPFC, ACC, OFC, mPFC, the hippocampus and the amygdala (Hart & Rubia, 2012)
  • 22. Summary • Early adversity and its impact on biological systems may mediate or moderate deficits related to poor parenting and subsequent offspring outcomes • Understanding the role that these systems plays may help in the understanding of the intergenerational transmission of risk
  • 23. Intervention Implications • Psycho-educational interventions is likely not be enough to improve parenting and child outcomes for all families • Potential for innovative interventions to target underlying neurocognitive functions and stress system in parents and associated competencies in children • Empirical question whether interventions should target these core capabilities explicitly or implicitly (Shonkoff & Fisher, 2014)
  • 24. Acknowledgements: Collaborators, Staff, Students, and Participating Families • Collaborators • Harriet MacMillan (McMaster) • Leslie Atkinson (Ryerson) • Susan Jack (McMaster) • Geoff Hall (McMaster) • Margaret McKinnon (McMaster) • Christine Wekerle (McMaster) • Staff/students • Rebecca Lowe • Monica Ivan • Gillian-England Mason • Samantha Daniels • All the mothers and infants who participated in the studies