Neurodevelopment and Psychosis Section, Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
Lifespan Brain Institute, Children's Hospital of Philadelphia and Perleman School of Medicine, University of Pennsylvania, Philadelphia, PA, 19104, USA.
Cereb Cortex. 2023 Feb 7;33(4):1058-1073. doi: 10.1093/cercor/bhac120.
Socioeconomic status (SES) can impact cognitive performance, including working memory (WM). As executive systems that support WM undergo functional neurodevelopment during adolescence, environmental stressors at both individual and community levels may influence cognitive outcomes. Here, we sought to examine how SES at the neighborhood and family level impacts task-related activation of the executive system during adolescence and determine whether this effect mediates the relationship between SES and WM performance. To address these questions, we studied 1,150 youths (age 8-23) that completed a fractal n-back WM task during functional magnetic resonance imaging at 3T as part of the Philadelphia Neurodevelopmental Cohort. We found that both higher neighborhood SES and parental education were associated with greater activation of the executive system to WM load, including the bilateral dorsolateral prefrontal cortex, posterior parietal cortex, and precuneus. The association of neighborhood SES remained significant when controlling for task performance, or related factors like exposure to traumatic events. Furthermore, high-dimensional multivariate mediation analysis identified distinct patterns of brain activity within the executive system that significantly mediated the relationship between measures of SES and task performance. These findings underscore the importance of multilevel environmental factors in shaping executive system function and WM in youth.
社会经济地位(SES)会影响认知表现,包括工作记忆(WM)。由于支持 WM 的执行系统在青少年时期经历功能神经发育,个体和社区层面的环境压力源可能会影响认知结果。在这里,我们试图研究邻里和家庭层面的 SES 如何影响青少年时期执行系统的任务相关激活,并确定这种影响是否调节 SES 和 WM 表现之间的关系。为了解决这些问题,我们研究了 1150 名青少年(年龄 8-23 岁),他们在功能磁共振成像 3T 中完成了分形 n-back WM 任务,作为费城神经发育队列的一部分。我们发现,较高的邻里 SES 和父母教育程度都与执行系统对 WM 负荷的更高激活有关,包括双侧背外侧前额叶皮层、后顶叶皮层和楔前叶。当控制任务表现或创伤事件暴露等相关因素时,邻里 SES 的相关性仍然显著。此外,高维多元中介分析确定了执行系统内的脑活动模式,这些模式显著介导了 SES 和任务表现之间的关系。这些发现强调了多层次环境因素在塑造青少年执行系统功能和 WM 方面的重要性。