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Walter G. Wasser

Fatherhood Alters Men’s Brains

Darby Saxbe presents compelling findings from her 2022 study that highlight the physical effects of paternity on the brain in today’s New York Times. The study’s use of MRI scans to detect changes in brain structure has revealed a significant loss of grey matter volume, providing new insights into the neurological impacts of these conditions, particularly those associated with fatherhood and motherhood. Notably, this article was likely published since this Sunday was Father’s Day in the USA, which adds special significance.

Saxbe’s research stands out for its rigorous methodology and the startling clarity of its results. Grey matter, which plays a crucial role in processing information in the brain, is shown to diminish in volume under specific circumstances. This loss can have profound implications for cognitive function, affecting memory, decision-making, and emotional regulation.

Recent studies have provided insights into brain gray matter (GM) changes during pregnancy and fatherhood. In mothers, pregnancy is associated with significant reductions in GM volume, particularly in regions involved in social cognition. These changes are thought to facilitate maternal attachment and adaptation to motherhood. A study by Hoekzema et al. demonstrated that these GM reductions are consistent and can last for at least two years postpartum, suggesting long-term neuroplastic changes​ ​. Another study by Paternina-Die et al. confirmed dynamic cortical volume decreases during pregnancy, which attenuate postpartum, with variations depending on brain network and childbirth type​​.

In fathers, similar GM volume reductions have been observed. Saxbe and Martínez-García found that first-time fathers experience significant cortical GM volume reductions from the prenatal period to six months postpartum. These reductions were associated with stronger prenatal and postpartum bonding, lower parenting stress, and increased time spent with the infant. However, larger GM volume reductions also correlated with higher levels of postpartum depression, anxiety, and psychological distress​​. Additionally, prenatal prolactin levels in fathers were linked to greater GM volume reductions in specific brain regions, suggesting hormonal influences on brain remodeling during the transition to fatherhood​​.

MRI brain scans have revealed significant changes in gray matter volume associated with childbirth. Multiple studies have documented these changes, indicating a reduction in gray matter volume in specific brain regions during the postpartum period. A study by Chechko et al. found that primiparous and multiparous women exhibited decreases in gray matter volume in the bilateral hippocampus/amygdala, orbitofrontal/subgenual prefrontal area, right superior temporal gyrus, insula, and cerebellum within 1-4 days postpartum. These changes were not correlated with the quality of mother-infant attachment.

Carmona et al. demonstrated that pregnancy leads to long-lasting reductions in cerebral gray matter volume, with similar morphometric changes observed during adolescence. These reductions included decreases in cortical thickness, surface area, local gyrification index, sulcal depth, and sulcal length, as well as increases in sulcal width.

Nehls et al. reported that the first 6 postpartum weeks are characterized by significant restructuring in gray matter volume, particularly in the amygdala/hippocampus, prefrontal/subgenual cortex, and insula. These changes persisted up to 12 weeks postpartum, indicating that the maternal brain does not fully revert to pre-pregnancy physiology within this period.

Hoekzema et al. provided evidence that pregnancy induces substantial and selective reductions in gray matter volume in regions associated with social cognition. These changes were consistent and persisted for at least two years postpartum, suggesting an adaptive process for motherhood​.

Gray matter (GM) loss in parents, particularly in regions involved in social cognition during pregnancy and fatherhood, has significant implications for their long-term social and emotional behavior. In mothers, GM volume reductions in regions such as the medial prefrontal cortex and superior temporal sulcus are associated with enhanced maternal attachment and caregiving behaviors, suggesting an adaptive process that supports the transition to motherhood​​. These changes are thought to facilitate social bonding and emotional responsiveness to the infant, which are crucial for effective parenting. However, the persistence of these changes for at least two years postpartum indicates long-term neuroplasticity, which may also influence social cognition and emotional regulation beyond the immediate postpartum period.

For fathers, GM volume reductions have been linked to both positive and negative outcomes. Larger GM volume reductions are associated with stronger prenatal and postpartum bonding, lower parenting stress, and increased time spent with the infant, indicating enhanced parental engagement​​. However, these reductions are also correlated with higher levels of postpartum depression, anxiety, and psychological distress, suggesting a potential mental health risk​​. This duality highlights the complexity of GM changes, where they may support parenting behaviors but also predispose to emotional and psychological challenges.

Overall, GM loss in regions involved in social cognition during the transition to parenthood appears to enhance social and emotional behaviors necessary for effective parenting. However, the associated mental health risks underscore the need for monitoring and supporting parents’ psychological well-being to mitigate potential adverse effects. Further research is needed to fully understand the long-term cognitive and emotional implications of these neuroanatomical changes.

References:

Saxbe, D.  “Fatherhod transforms men’s brains.” The New York Times.International Edition. 2024, June 17. 

About the Author
The author is a specialist in nephrology and internal medicine and lives with his wife and family in Jerusalem.