Experiences of Discrimination Are Associated With Greater Resting Amygdala Activity and Functional Connectivity

被引:63
作者
Clark, Uraina S. [1 ]
Miller, Evan R. [1 ]
Hegde, Rachal R. [1 ]
机构
[1] Icahn Sch Med Mt Sinai, Dept Neurol, One Gustave L Levy Pl,Box 1052, New York, NY 10029 USA
基金
美国国家卫生研究院;
关键词
Amygdala; Psychosocial stressors; Social discrimination; Social marginalization; Stress; Thalamus; EARLY-LIFE STRESS; HUMAN-IMMUNODEFICIENCY-VIRUS; PERCEIVED DISCRIMINATION; EVERYDAY DISCRIMINATION; RACIAL-DISCRIMINATION; NETWORK CONNECTIVITY; GLUCOSE-METABOLISM; CHRONIC EXPOSURE; BISEXUAL ADULTS; BRAIN NETWORKS;
D O I
10.1016/j.bpsc.2017.11.011
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
BACKGROUND: Social discrimination, a type of psychological stressor, is associated with poorer physical and mental health outcomes, yet we have little understanding of how discrimination affects neural functions in marginalized populations. By contrast, the effects of psychological stress on neural functions are well documented, with evidence of significant effects on the amygdala-a neural region that is central to psychosocial functions. Accordingly, we conducted an examination of the relation between self-reported discrimination exposure and amygdala activity in a diverse sample of adults. METHODS: Seventy-four adults (43% women; 72% African American; 23% Hispanic; 32% homosexual/bisexual) completed self-report ratings of discrimination exposure. Spontaneous amygdala activity and functional connectivity were assessed during resting-state functional magnetic resonance imaging. RESULTS: Greater discrimination exposure was associated with higher levels of spontaneous amygdala activity. Increases in discrimination were also associated with stronger functional connectivity between the amygdala and several neural regions (e.g., anterior insula, putamen, caudate, anterior cingulate, medial frontal gyrus), with the most robust effects observed in the thalamus. These effects were independent of several demographic (e.g., race, ethnicity, sex) and psychological (e.g., current stress, depression, anxiety) factors. CONCLUSIONS: Collectively, our findings provide the first evidence that social discrimination is independently associated with elevations in intrinsic amygdala activity and functional connectivity, thus revealing clear parallels between the neural substrates of discrimination and psychological stressors of other origins. Such results should spur future investigations of amygdala-based networks as potential etiological factors linking discrimination exposure to adverse physical and mental health outcomes.
引用
收藏
页码:367 / 378
页数:12
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