“…found a sex-by-depressive symptom interaction in the middle temporal cortex: female children exposed to maternal PPD had a thinner cortex than males, while a more negative correlation between postpartum EPDS scores and diffusivity was observed in males ( Lebel et al, 2016 ). This finding further highlights sexual dimorphism in brain structures, beyond the dimorphism seen in normative brain development ( Bakker, 2018 , Blakemore et al, 2010 , Lehtola et al, 2019 , Lenroot et al, 2007 ). Evidently, large individual variation exists in responses to stress based upon genetic background ( Rice et al, 2010 ), as well as intrinsic and extrinsic environmental background ( McEwen, 2010 ), which is further modified by hormonal influences, including changes in HPA-axis activity and sex hormone levels.…”