在模拟消极偏差环境的任务中,邻里资源与青少年对奖励遗漏的反应之间的关系

IF 9.6 1区 医学 Q1 PEDIATRICS Journal of the American Academy of Child and Adolescent Psychiatry Pub Date : 2025-04-01 Epub Date: 2024-05-17 DOI:10.1016/j.jaac.2024.05.011
Berron Brown BS , Lynn T. Nguyen BA , Isaac Morales BA , Elise M. Cardinale PhD , Wan-Ling Tseng PhD , Cameron C. McKay PhD , Katharina Kircanski PhD , Melissa A. Brotman PhD , Daniel S. Pine MD , Ellen Leibenluft MD , Julia O. Linke PhD
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引用次数: 0

摘要

目的社区提供影响神经发育和心理健康的基本资源(如教育、安全住房、绿地)。然而,我们需要更清楚地了解调解这些关系的机制。获得社区资源的机会有限可能会阻碍青少年实现他们的目标,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。方法为了验证这一假设,211名青少年(年龄~ 13.0岁,48%为男孩,62%为白人,75%为精神障碍诊断)在功能磁共振成像期间完成了一项任务。最初,奖励取决于绩效(无偏条件);但后来,在年轻人表现不佳的借口下(负面偏见条件),奖励被随机扣留,这种操纵会引起沮丧、悲伤和神经网络的广泛反应。我们调查了儿童机会指数(COI)与对负偏条件的多模态反应之间的关系,该指数用1个指标量化了与青少年相关的社区特征的获取情况,控制了年龄、性别、药物和精神病理。结果来自资源匮乏社区的青少年的愤怒反应较少(p <;.001,边际R2 = 0.42)和更多的悲伤(p <;.001,边际R2 = 0.46)对负偏倚条件的影响大于资源丰富社区的青少年。在神经生物学水平上,较低的COI分数与更本地化的处理模式相关(p = 0.039,边际R2 = 0.076),躯体运动-显著性和控制网络之间的连接减少(p = 0.041,边际R2 = 0.040),以及躯体运动-显著性、控制和默认模式网络(所有pFWE <;. 05)。目前的研究增加了越来越多的文献记录不平等如何影响年轻人的大脑和情绪。未来的工作应该测试这些发现是否可以推广到更多不同的样本,并应该探索神经发育轨迹和青春期出现的情绪障碍的影响。越来越多的文献表明,社区资源的获取会影响青少年的神经发育和心理健康。本研究探讨了如何获得邻里资源塑造青少年对负面偏见环境的行为和神经生物学反应。在大脑成像过程中,211名年轻人参加了一项任务,在他们表现不佳的借口下,奖励被随机扣留,这种“不公平”的干预引发了挫败感。作者发现,与来自资源丰富社区的年轻人相比,来自资源较少社区的年轻人对不公平的条件表现出较少的愤怒和更多的悲伤。对社区资源的有限访问也与控制和运动脑网络之间的连接减少有关。这些发现表明,邻里不平等可能会影响青少年的神经发育和心理健康。多样性,包含声明本文的一位或多位作者自认为是科学中一个或多个历史上未被充分代表的种族和/或族裔群体的成员。本文的一位或多位作者自认为是科学界一个或多个历史上未被充分代表的性和/或性别群体的成员。本文的一位或多位作者获得了一个旨在增加少数族裔在科学领域代表性的项目的支持。我们积极地在我们的作者群体中促进性别和性别平衡。我们积极努力促进在我们的作者群体中纳入历史上代表性不足的种族和/或民族群体。
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Associations Between Neighborhood Resources and Youths’ Response to Reward Omission in a Task Modeling Negatively Biased Environments

Objective

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.

Method

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.

Results

Youths from less-resourced neighborhoods responded with less anger (p < .001, marginal R2 = 0.42) and more sadness (p < .001, marginal R2 = 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 R2 = 0.076), reduced connectivity between the somatic–motor–salience and the control network (p = .041, marginal R2 = 0.040), and fewer provincial hubs in the somatic–motor–salience, control, and default mode networks (all pFWE < .05).

Conclusion

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.

Plain language summary

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.
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来源期刊
CiteScore
21.00
自引率
1.50%
发文量
1383
审稿时长
53 days
期刊介绍: The Journal of the American Academy of Child & Adolescent Psychiatry (JAACAP) is dedicated to advancing the field of child and adolescent psychiatry through the publication of original research and papers of theoretical, scientific, and clinical significance. Our primary focus is on the mental health of children, adolescents, and families. We welcome unpublished manuscripts that explore various perspectives, ranging from genetic, epidemiological, neurobiological, and psychopathological research, to cognitive, behavioral, psychodynamic, and other psychotherapeutic investigations. We also encourage submissions that delve into parent-child, interpersonal, and family research, as well as clinical and empirical studies conducted in inpatient, outpatient, consultation-liaison, and school-based settings. In addition to publishing research, we aim to promote the well-being of children and families by featuring scholarly papers on topics such as health policy, legislation, advocacy, culture, society, and service provision in relation to mental health. At JAACAP, we strive to foster collaboration and dialogue among researchers, clinicians, and policy-makers in order to enhance our understanding and approach to child and adolescent mental health.
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