抑郁症高危和低危青少年的邻里劣势与皮层奖赏处理之间的关系。

IF 2.9 2区 心理学 Q1 PSYCHOLOGY, CLINICAL Research on Child and Adolescent Psychopathology Pub Date : 2024-07-01 Epub Date: 2024-03-19 DOI:10.1007/s10802-024-01180-2
Maria Granros, Katie L Burkhouse, Cope Feurer
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引用次数: 0

摘要

童年时期邻里层面的不利条件是健康的一个决定因素,据推测,这种不利条件会通过神经情感处理(包括奖赏反应能力)的改变而带来精神病理学的风险。然而,很少有研究探讨在社区层面评估的社会经济劣势对奖赏处理的影响,这可能会对有针对性的传播工作产生重要影响。此外,并非所有处于不利社区环境中的青少年都会表现出奖赏反应性的改变,这就需要考虑可能会加剧奖赏反应性减弱风险的因素。本研究考察了青少年邻里劣势的地理编码指数与大脑皮层奖赏反应性之间的关联,并检验了研究结果是否会受到母亲抑郁史的影响。样本包括 137 名为抑郁症代际传播研究而招募的青少年。研究使用地区贫困指数(ADI)来评估邻里关系的不利程度,而奖励积极性(RewP)是一种事件相关电位,它是奖励反应的指标。结果显示,ADI 和母亲抑郁史对青少年 RewP 有明显的交互作用,即邻里劣势越大,奖励反应越低,但这只适用于母亲有抑郁史的青少年。在控制了青少年内化症状和个人层面的社会经济因素后,研究结果保持不变。研究结果表明,对于母亲有抑郁症病史的青少年来说,邻里劣势可能会影响他们的神经奖赏处理,至少部分影响与个人风险因素无关。如果研究结果得到推广,则表明可以在社区层面采取干预措施,以提高奖励反应能力,特别是针对生活在资源匮乏社区且母亲有抑郁症病史的青少年。
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Relations Between Neighborhood Disadvantage and Electrocortical Reward Processing in Youth at High and Low Risk for Depression.

Neighborhood-level disadvantage during childhood is a determinant of health that is hypothesized to confer risk for psychopathology via alterations in neuro-affective processing, including reward responsiveness. However, little research has examined the impact of socioeconomic disadvantage assessed at the community-level on reward processing, which may have important implications for targeted dissemination efforts. Furthermore, not all youth exposed to neighborhood disadvantage may exhibit alterations in reward reactivity, highlighting the need to consider factors that may exacerbate risk for blunted reward reactivity. The current study examined associations between geocoded indices of neighborhood disadvantage and electrocortical reward responsivity in youth and tested whether findings were moderated by maternal history of depression. The sample included 137 youth recruited for studies on the intergenerational transmission of depression. Neighborhood disadvantage was assessed using the Area Deprivation Index (ADI) while the reward positivity (RewP), an event-related potential, indexed reward response. Results revealed a significant interaction between ADI and maternal history of depression on youth RewP, such that greater neighborhood disadvantage was significantly associated with lower reward responsiveness, but only for youth with a maternal history of depression. Results were maintained controlling for youth internalizing symptoms and individual-level socioeconomic factors. Findings suggest that neighborhood disadvantage may impact youth neural reward processing, at least partially independently of individual risk factors, for youth with a maternal history of depression. If replicated, results suggest intervention efforts may be implemented at the community level to enhance reward responsiveness, specifically for youth living in low-resourced neighborhoods with a maternal history of depression.

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来源期刊
Research on Child and Adolescent Psychopathology
Research on Child and Adolescent Psychopathology Psychology-Developmental and Educational Psychology
CiteScore
5.00
自引率
4.00%
发文量
107
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