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Using functional magnetic resonance imaging (fMRI), we have developed an evolutionarily conserved maternal behavior neurocircuit (MBN) model to study human maternal care versus defensive\/aggressive behaviors critical to mother\u2013child bonding. The anterior cingulate gyrus (ACC) is not only involved in the MBN for mother\u2013child bonding and attachment, but also part of an opioid sensitive \u201cpain\u2010matrix\u201d. The literature suggests that prescription opioids produce physical and emotional \u201canalgesic\u201d effects by disrupting specific resting\u2010state functional connectivity (rs\u2010FC) of ACC to regions related to MBN. Thus, in this longitudinal study, we report findings of overlapping MBN and pain matrix circuits, for mothers with chronic exposure of BT\/OUD. A total of 32 mothers were studied with 6 min rs\u2010FC at 1 month (T1) and 4 months postpartum (T2), including seven on BT\/OUD and 25 non\u2010BT\/OUD mothers as a comparison group. We analyzed rs\u2010FC between the insula, putamen, and the dorsal anterior cingulate cortex (DACC) and rostral ACC (RACC), as the regions of interest that mediate opioid analgesia. BT\/OUD mothers, as compared to non\u2010BT\/OUD mothers, showed less left insula\u2010RACC rs\u2010FC but greater right putamen\u2010DACC rs\u2010FC at T1, with these between\u2010group differences diminished at T2. Some of these rs\u2010FC results were correlated with the scores of postpartum parental bonding questionnaire. We found time\u2010by\u2010treatment interaction effects on DACC and RACC\u2010dependent rs\u2010FC, potentially identifying brain mechanisms for beneficial effects of BT, normalizing dysfunction of maternal brain and behavior over the first four months postpartum. This study complements recent studies to ascertain how BT\/OUD affects maternal behaviors, mother\u2013child bonding, and intersubjectivity and reveals potential MBN\/pain\u2010matrix targets for novel interventions.<\/jats:p>","DOI":"10.1111\/jne.13316","type":"journal-article","created":{"date-parts":[[2023,6,24]],"date-time":"2023-06-24T05:15:45Z","timestamp":1687583745000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Brain circuits for maternal sensitivity and pain involving anterior cingulate cortex among mothers receiving buprenorphine treatment for opioid use disorder"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8440-0658","authenticated-orcid":false,"given":"James E.","family":"Swain","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Behavioral Health Renaissance School Of Medicine at Stony Brook University  Stony Brook New York USA"},{"name":"Department of Psychology, Program in Public Health Renaissance School of Medicine at Stony Brook University  Stony Brook New York USA"},{"name":"Department of Obstetrics Gynecology and Reproductive Medicine, Program in Public Health, Renaissance School of Medicine at Stony Brook University  Stony Brook New York USA"},{"name":"Department of Psychiatry University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2617-1628","authenticated-orcid":false,"given":"S. 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