Brown Berron, Nguyen Lynn T, Morales Isaac, Cardinale Elise M, Tseng Wan-Ling, McKay Cameron C, Kircanski Katharina, Brotman Melissa A, Pine Daniel S, Leibenluft Ellen, Linke Julia O
National Institute of Mental Health, National Institutes of Health, Bethesda, Maryland.
The Catholic University of America, Washington, DC.
J Am Acad Child Adolesc Psychiatry. 2025 Apr;64(4):463-474. doi: 10.1016/j.jaac.2024.05.011. Epub 2024 May 17.
Neighborhoods provide essential resources (eg, education, safe housing, green space) that influence neurodevelopment and mental health. However, we need a clearer understanding of the mechanisms mediating these relationships. Limited access to neighborhood resources may hinder youths from achieving their goals and, over time, shape their behavioral and neurobiological response to negatively biased environments blocking goals and rewards.
To test this hypothesis, 211 youths (aged ∼13.0 years, 48% boys, 62% identifying as White, 75% with a psychiatric disorder diagnosis) performed a task during functional magnetic resonance imaging. Initially, rewards depended on performance (unbiased condition); but later, rewards were randomly withheld under the pretense that youths did not perform adequately (negatively biased condition), a manipulation that elicits frustration, sadness, and a broad response in neural networks. We investigated associations between the Childhood Opportunity Index (COI), which quantifies access to youth-relevant neighborhood features in 1 metric, and the multimodal response to the negatively biased condition, controlling for age, sex, medication, and psychopathology.
Youths from less-resourced neighborhoods responded with less anger (p < .001, marginal R = 0.42) and more sadness (p < .001, marginal R = 0.46) to the negatively biased condition than youths from well-resourced neighborhoods. On the neurobiological level, lower COI scores were associated with a more localized processing mode (p = .039, marginal R = 0.076), reduced connectivity between the somatic-motor-salience and the control network (p = .041, marginal R = 0.040), and fewer provincial hubs in the somatic-motor-salience, control, and default mode networks (all p < .05).
The present study adds to a growing literature documenting how inequity may affect the brain and emotions in youths. Future work should test whether findings generalize to more diverse samples and should explore effects on neurodevelopmental trajectories and emerging mood disorders during adolescence.
A growing body of literature suggests that access to resources at the neighborhood level affects the neurodevelopment and mental health of youth. This study explores how access to neighborhood resources shapes the behavioral and neurobiological responses to negatively biased environments in youth. During brain imaging, 211 youth participated in a task where rewards were randomly withheld under the pretense that the youth performed poorly, an "unfair" intervention that elicits frustration. The authors found that youth from less-resourced neighborhoods exhibited less anger and more sadness in response to the unfair condition compared to youth from well-resourced neighborhoods. Limited access to neighborhood resources was also associated with reduced connectivity between the control and motor brain networks. These findings suggest that neighborhood inequity may impact the neurodevelopment and mental health of youth.
DIVERSITY & INCLUSION STATEMENT: One or more of the authors of this paper self-identifies as a member of one or more historically underrepresented racial and/or ethnic groups in science. One or more of the authors of this paper self-identifies as a member of one or more historically underrepresented sexual and/or gender groups in science. One or more of the authors of this paper received support from a program designed to increase minority representation in science. We actively worked to promote sex and gender balance in our author group. We actively worked to promote inclusion of historically underrepresented racial and/or ethnic groups in science in our author group.
社区提供影响神经发育和心理健康的重要资源(如教育、安全住房、绿地)。然而,我们需要更清楚地了解介导这些关系的机制。社区资源获取受限可能会阻碍青少年实现目标,并随着时间的推移,塑造他们对阻碍目标和奖励的负面偏见环境的行为和神经生物学反应。
为了验证这一假设,211名青少年(年龄约13.0岁,48%为男孩,62%为白人,75%有精神疾病诊断)在功能磁共振成像期间执行一项任务。最初,奖励取决于表现(无偏见条件);但后来,奖励被随机扣留,借口是青少年表现不佳(负面偏见条件),这种操作会引发挫折感、悲伤情绪,并在神经网络中产生广泛反应。我们研究了儿童机会指数(COI)与对负面偏见条件的多模态反应之间的关联,COI在一个指标中量化了与青少年相关的社区特征的获取情况,并控制了年龄、性别、药物治疗和精神病理学因素。
与资源丰富社区的青少年相比,资源匮乏社区的青少年对负面偏见条件的愤怒反应较少(p <.001,边际R = 0.42),悲伤反应较多(p <.001,边际R = 0.46)。在神经生物学层面,较低的COI分数与更局部化的处理模式相关(p =.039,边际R = 0.076),躯体 - 运动 - 显著性网络与控制网络之间的连接性降低(p =.041,边际R = 0.040),以及在躯体 - 运动 - 显著性、控制和默认模式网络中省级枢纽较少(所有p <.05)。
本研究为越来越多记录不平等如何影响青少年大脑和情绪的文献增添了内容。未来的工作应测试这些发现是否适用于更多样化的样本,并应探索对青少年神经发育轨迹和新兴情绪障碍的影响。
越来越多的文献表明,社区层面的资源获取会影响青少年的神经发育和心理健康。本研究探讨了社区资源获取如何塑造青少年对负面偏见环境的行为和神经生物学反应。在脑部成像过程中,211名青少年参与了一项任务,在该任务中,奖励被随机扣留,借口是青少年表现不佳,这是一种引发挫折感的“不公平”干预。作者发现,与资源丰富社区的青少年相比,资源匮乏社区的青少年对不公平条件的愤怒反应较少,悲伤反应较多。社区资源获取受限还与控制和运动脑网络之间的连接性降低有关。这些发现表明,社区不平等可能会影响青少年的神经发育和心理健康。
本文的一位或多位作者自我认同为科学领域中一个或多个历史上代表性不足的种族和/或族裔群体的成员。本文的一位或多位作者自我认同为科学领域中一个或多个历史上代表性不足的性取向和/或性别群体的成员。本文的一位或多位作者获得了旨在增加科学领域中少数群体代表性的项目的支持。我们积极努力促进作者群体中的性别平衡。我们积极努力促进作者群体中纳入科学领域中历史上代表性不足的种族和/或族裔群体。