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童年贫困与成人情绪调节神经回路的招募

Childhood poverty and recruitment of adult emotion regulatory neurocircuitry.

作者信息

Liberzon Israel, Ma Sean T, Okada Go, Ho S Shaun, Swain James E, Evans Gary W

机构信息

Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA, Ann Arbor Veterans Administration Medical Center, Ann Arbor, MI, USA,

Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA.

出版信息

Soc Cogn Affect Neurosci. 2015 Nov;10(11):1596-606. doi: 10.1093/scan/nsv045. Epub 2015 May 4.

Abstract

One in five American children grows up in poverty. Childhood poverty has far-reaching adverse impacts on cognitive, social and emotional development. Altered development of neurocircuits, subserving emotion regulation, is one possible pathway for childhood poverty's ill effects. Children exposed to poverty were followed into young adulthood and then studied using functional brain imaging with an implicit emotion regulation task focused. Implicit emotion regulation involved attention shifting and appraisal components. Early poverty reduced left dorsolateral prefrontal cortex recruitment in the context of emotional regulation. Furthermore, this emotion regulation associated brain activation mediated the effects of poverty on adult task performance. Moreover, childhood poverty also predicted enhanced insula and reduced hippocampal activation, following exposure to acute stress. These results demonstrate that childhood poverty can alter adult emotion regulation neurocircuitry, revealing specific brain mechanisms that may underlie long-term effects of social inequalities on health. The role of poverty-related emotion regulatory neurocircuitry appears to be particularly salient during stressful conditions.

摘要

五分之一的美国儿童在贫困中长大。童年贫困对认知、社交和情感发展有着深远的不利影响。神经回路发育的改变,服务于情绪调节,是童年贫困产生不良影响的一种可能途径。对暴露于贫困环境中的儿童进行追踪研究,直至他们步入青年期,然后使用功能性脑成像技术进行研究,重点关注一项内隐情绪调节任务。内隐情绪调节涉及注意力转移和评估成分。在情绪调节的背景下,早期贫困减少了左侧背外侧前额叶皮层的激活。此外,这种与情绪调节相关的大脑激活介导了贫困对成人任务表现的影响。此外,童年贫困还预示着在暴露于急性应激后,脑岛激活增强而海马体激活减少。这些结果表明,童年贫困会改变成人的情绪调节神经回路,揭示了社会不平等对健康产生长期影响可能潜在的特定脑机制。与贫困相关的情绪调节神经回路的作用在压力条件下似乎尤为突出。

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