Abstract
Socioeconomic status (SES) is a complex phenomenon that is predicted by a broad spectrum of variables and is often conceptualized as a combination of financial, occupational, and educational influences. SES is associated with symptoms of depression and depression-related personality traits. Many studies have focused on the relationship between SES and depression symptoms in clinical subjects; however, there are few studies of the neural basis of the relationship between SES and depression-related personality traits in nonclinical subjects. Thus, in the present study, we studied the neural basis of the relationship between SES and depression-related traits. The first step was to use voxel-based morphometry (VBM) to investigate the neuroanatomical basis underlying family SES in a large sample of healthy subjects. We found a significant negative correlation between family SES and the medial prefrontal cortex (mPFC) that extending to the anterior cingulate cortex (ACC). Then, the mediation analysis revealed that the correlation between family SES, especially family income, and depression-related traits were mediated by the region of the mPFC that extending to the ACC volume. These findings suggest that the family income may play more important role in driving depression-related traits than that of parental education. They also suggest that the mPFC extension to the ACC may play an important role in the correlation between familial SES, especially with respect to family income and the depression-related traits.
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Introduction
The socioeconomic status (SES) and education, two important environmental variables, are used as predictors of people’s health outcomes, mortality, social skills and cognitive abilities (Brito & Noble, 2014; Marioni et al., 2014). SES not only plays a role in epidemiological parlance that could be partially genetic in origin but also has a potentially important role as a moderator of genetic influences on intelligence(Marioni et al., 2014). SES is a complex phenomenon and is a multidimensional construct, combining objective factors such as an individual’s (or parent’s) education, occupation, and income (Adler et al., 1994; Dubow, Huesmann, Boxer, Pulkkinen, & Kokko, 2006). Higher SES families can afford to provide their children an array of services, goods, parental actions, and social connections that potentially benefit them. Many lower SES children lack access to the same resources and experiences, thus putting them at risk for developmental problems, such as worse physical and psychological health and impaired cognitive and emotional development (Bradley & Corwyn, 2002; Brooks-Gunn & Duncan, 1997; Hackman, Farah, & Meaney, 2010; McLoyd, 1998). Growing evidence suggests that exposure to lower SES could increase the risk for mental illnesses, such as depression and anxiety disorders, throughout life (Adler et al., 1994; Marmot, Kogevinas, & Elston, 1987). SES-related mental health disparities have become an increasingly important and visible part of the public health landscape (Zimmerman & Katon, 2005). For example, many researchers have focused on the relationship of SES disparities with depression, and their work indicates that SES is associated with depressive symptoms and a greater likelihood of depression (Goodman, 1999; Goodman, Slap, & Huang, 2003; McLoyd, 1997; Tracy, Zimmerman, Galea, McCauley, & Stoep, 2008).
Neuroticism, a personality dimension characterized by a general tendency to experience negative emotion, has been suggested to be a predisposing factor to clinical depression (Flett, Hewitt, Endler, & Bagby, 1995; Sen et al., 2003). It is also associated with the severity of patients’ current depressive symptoms and with the vulnerability to depression within nonclinical groups (Saklofske, Kelly, & Janzen, 1995). The depression-related trait of the neuroticism scale (N3) was used to measure normal individual differences in the tendency to experience a depressive affect (Huprich, 2000), and it has been positively associated with depressive symptoms (Chioqueta & Stiles, 2005). Contrary to the vast amount of neuroimaging studies on SES and depression symptoms in clinical subjects, few studies have examined the neural basis of the relationship between SES and depression-related personality traits in nonclinical subjects. Thus, in present study we focus on the neural basis of the relationship between SES and depression-related traits.
With the development of cognitive neuroscience, more and more researchers have focused on the relationship between SES and the development of brain structures. For example, Gianaros and his colleagues found that subjective social status was significantly associated with reduced gray matter volume in the perigenual area of the anterior cingulate cortex (pACC), which is involved in experiencing emotions and regulating behavioral and physiological reactivity to stress (Gianaros et al., 2007). In addition, some researchers have found significant positive correlations between family income and hippocampal size, with children and adolescents from lower SES families having smaller hippocampal volumes (Hanson, Chandra, Wolfe, & Pollak, 2011; Luby et al., 2013; Noble, Houston, Kan, & Sowell, 2012) and smaller amygdala volumes (Luby et al., 2013). Moreover, educational studies indicate that there is a significant association between right hippocampal, amygdala volumes and paternal education levels (Hanson et al., 2011; Robert & House, 2000). A recent study examined a sample of 283 healthy children to investigate the relationship between SES and prefrontal cortical thickness, and they found that parental education significantly predicted cortical thickness in the right anterior cingulate gyrus and left superior frontal gyrus (Lawson, Duda, Avants, Wu, & Farah, 2013). In summary, SES is associated with the development of brain structures that play an important role in emotion, such as the hippocampus, anterior cingulate cortex, and amygdala.
Interindividual differences are not limited to explaining the neural basis of performance differences between individual participants, but they can be used to reveal the neural circuitry associated with a particular cognitive function (Kanai & Rees, 2011). There has been a rapid increase in the number of studies examining interindividual differences in human behavior and their association with structural features of the brain (Fleming, Weil, Nagy, Dolan, & Rees, 2010; Tomassini et al., 2011; Washburn, Smith, & Taglialatela, 2005). Measures of brain structures can be viewed as mediators between SES and cognition or as outcome variables in their own right (Brito & Noble, 2014). In the current study, we investigated the neural bias of family SES and depression-related traits from the perspective of interindividual differences in healthy subjects. First, we used voxel-based morphometry (VBM) on structural magnetic resonance images to identify the relationship between family SES and the volume of brain regions on a whole-brain level. Second, we used mediation analysis to examine whether the specific regional gray matter volume (rGMV) mediated the relationship between depression-related traits and family SES. Based on the previous neuroscience findings on SES (Gianaros et al., 2008; Otero, 1997; Raizada, Richards, Meltzoff, & Kuhl, 2008; Tomarken, Dichter, Garber, & Simien, 2004), we hypothesized that family SES might affect the rGMV of prefrontal cortex (PFC) regions linked to cognitive–emotional functions (Kim & Hamann, 2007; Lane et al., 1998; Phan et al., 2004), as well as ACC, hippocampus or amygdala, which play important roles in regulation of cognitive and emotional behavior (Bush, Luu, & Posner, 2000; Devinsky, Morrell, & Vogt, 1995; Posner, 1995). In addition, we hypothesized that there are some rGMV, and especially the regions related to family SES would mediate the relationship between depression-related traits and family SES.
Method
Participants
A total of 253 right-handed, healthy volunteers (150 women and 103 men; mean age = 19.96 years, SD = 1.35 years, range 18–27 years) participated in the study as part of our ongoing project to examine the associations between brain imaging, creativity, and mental health. All participants were university students or graduated students from the local community of Southwest University, China. Participants were screened for past history of mental illnesses and neurological disorders by a self-report questionnaire before the scanning. The participants who had a history of psychiatric or neurological disorders, had received mental health treatment, or had taken psychiatric medications were excluded. All participants provided written informed consent prior to the study. The Brain Imaging Center Institutional Review Board of Southwest China University approved this study and the experiment procedure, which was in accordance with the standards of the Declaration of Helsinki (1991).
Study measures
Family annual income
Data were collected using discrete variables: (1) annual income < RMB 5,000; (2) annual income RMB 5,000–15000; (3) annual income RMB 15,001–30,000; (4) annual income RMB 30,001–50,000; (5) annual income RMB 50,001–100,000; (6) annual income > RMB 100,000. The values 1–6 were used in subsequent regression analyzes (Takeuchi et al., 2014).
The educational qualification of both parents
There were five options: (1) elementary school graduate or below; (2) junior high school graduate; (3) high school graduate; (4) university graduate; (5) above university graduate; and each choice was converted into the number of years according to the Chinese education system: (1) 6 years; (2) 9 years; (3) 12 years; (4) 16 years; (5) 19 years. The average of the converted values for each parent was used in the analyses (Takeuchi et al., 2014).
Family socioeconomic status (SES)
We computed a composite indicator of family SES by averaging the standardized (z score) values of the two index variables: educational qualifications and family annual income for each participant (Gianaros et al., 2007; Manuck et al., 2005; K. A. Matthews, Flory, Muldoon, & Manuck, 2000).
Parental subjective social status rating by participants
Ratings of subjective social status were derived from the MacArthur Scale of Subjective Social Status (Adler, Epel, Castellazzo, & Ickovics, 2000; Gianaros et al., 2007). For this 9-point scale, participants were provided with an image of a “social ladder” and were asked to place an check mark on the rung corresponding to their parental standing or ranking in relation to other individuals in China according to income, education, and occupational prestige. Previous studies have suggested the measure of the subjective SES has adequate test–retest reliability (r = .62, p < .01; Operario, Adler, & Williams, 2004). The average of the converted values for each parent was used in the analyses.
Measuring the level of depression-related personality traits
Family SES affects personality development and significantly associated with the big five personality traits (Cheng & Furnham, 2014). In the study, personality traits were assessed using the revised Neuroticism-Extraversion-Openness Personality Inventory (NEO-PI-R; Costa & McCrae, 1992b). The NEO-PI-R consists of 240 items and is based on a five-factor model of personality. All these factors are divided into six subscales. The subscales of neuroticism are Anxiety, Hostility, Depression, Self-Consciousness, Impulsiveness and Vulnerability (D. Wei et al., 2014). Previous studies have shown that the NEO-PI-R has good reliability and validity(Costa & McCrae, 1992a; McCrae, 2011). In our study, we mainly focused on depression-related traits of the neuroticism (N3) dimension, based on the a priori hypothesis predicting a relationship between depression-related traits and family SES (Goodman et al., 2003; Tracy et al., 2008). The N3 consists of eight items, including two reverse-scored items to reduce the effects of acquiescence. The items are answered on a 5-point Likert scale, ranging from strongly disagree to strongly agree. The N3 is usually used as a measure of depression-related traits (Bienvenu et al., 2004; Terracciano et al., 2010; Vossen, van Os, Hermens, & Lousberg, 2006).
Assessment of general intelligence
To examine intellectual ability, participants completed the Combined Raven’s Test (CRT), which is a recognized intelligence test with a high degree of reliability and validity (Tang et al., 2012). The reliability coefficient was 0.92 (Ming, 1989). The CRT included the Raven’s standard progressive matrix (C, D, E sets) and Raven’s colored progressive matrix (A, AB, B sets), consisting of 72 items revised by the Psychology Department of East China Normal University in 1989. The score of this test (the number of correct answers given in 40 minutes) was used as a psychometric index of individual intelligence. In line with standard practice, the current study focused on the total score of the test (Jaeggi, Buschkuehl, Jonides, & Perrig, 2008; Takeuchi et al., 2011).
MRI data acquisition
A 3.0-T Siemens Trio MRI scanner (Siemens Medical, Erlangen, Germany) was used to obtain MR images. A magnetization-prepared rapid gradient echo (MPRAGE) sequence was used to acquire high-resolution T1-weighted anatomical images (repetition time = 1,900 ms, echo time = 2.52 ms, inversion time = 900 ms, flip angle = 9 degrees, resolution matrix = 256 × 256, slices = 176, thickness = 1.0 mm, voxel size = 1 × 1 × 1 mm3).
Preprocessing of structural data
The MR images were processed using SPM8 (Wellcome Department of Cognitive Neurology, London, UK) implemented in MATLAB 7.8 (MathWorks Inc., Natick, MA, USA). First, each MRI image was displayed in SPM8 to filtrate gross anatomical abnormalities. For more accurate image registration, the reorientation of the images was manually fixed to the anterior commissure. Then, we used the new segmentation feature in SPM8 to segment the images into six tissues: gray matter, white matter, cerebrospinal fluid, the skull, soft tissue outside the brain, and air and other material outside of the head. Subsequently, we performed diffeomorphic anatomical registration through exponentiated Lie (DARTEL) algebra in SPM8 for registration, normalization, and modulation (Ashburner, 2007). The DARTEL registration involves first computing the specific template using the average tissue probability maps from all the participants, followed by warping each participant’s segmented maps into the specific template. To improve the alignment and achieve a more accurate intersubject registration, the procedure was repeated until a best study-specific template was generated. To ensure conservation of regional differences in the absolute amounts of GM, the image intensity of each voxel was modulated by the Jacobian determinants. The registered images were transformed to Montreal Neurological Institute (MNI) space. Finally, the normalized modulated images (GM images) were smoothed with a 10-mm full-width-at-half maximum Gaussian kernel to increase the signal-to-noise ratio.
Statistical analyses
Statistical analyses of the brain imaging data were performed using SPM8. In the whole-brain analysis, multiple regression analysis was used to explore the association between GMV and individual differences in family SES. The family SES was used as the variable of interest. Total brain GMV, age, and sex were entered as covariates of no interest to control for the possible effects of these variables. In another whole-brain analysis, multiple regression analysis was used to explore the association between GMV and individual differences in parents’ subjective SES rating by participants. The subjective parental SES was used as the variable of interest. Total brain GMV, age, and sex were entered as covariates of no interest to control for their possible effects. We also applied explicit masking using the population-specific masking toolbox in SPM8 to restrict the search volume to gray matter and white matter. This approach was used instead of absolute or relative threshold masking to reduce the risk of false negatives caused by overly restrictive masking, in which potentially interesting voxels are excluded from the statistical analysis (Ridgway et al., 2009). For all analyses, the cluster-level statistical threshold was set at p < .05 and corrected using nonstationary cluster correction (Hayasaka, Phan, Liberzon, Worsley, & Nichols, 2004) with an underlying voxel level of p < .001.
Mediation analysis
To test whether the regional GMV could explain the relationship between young adults’ depression-related traits and family SES, we performed a mediation analysis. A mediating variable (M) is a variable that is part of the causal pathway by which an independent variable (X) affects a dependent variable (Y). Mediation analyzes were conducted using the indirect macro designed for SPSS (Preacher & Hayes, 2008). In this study, X is the family SES, Y is the N3 measured by NEO-PI-R, and M is the GMV of regions associated with family SES and family income, which were extracted from our own correct result. First, we saved our corrected result of the cluster of the significant cluster (mPFC extending to the ACC) correlated with the composite SES and income as ROI separately, then we extracted the two separate ROI signals (the volume of this ROI) from each participant using SPM8 toolbox. Age, sex, and the total GMV of individual brains were used as covariates in the model. This macro uses bootstrapped sampling to estimate the indirect mediation effect. In this analysis, 2,000 bootstrapped samples were drawn, and bias corrected 95 % bootstrap confidence intervals (CI) were reported. CI that do not include zero indicate a significant indirect effect of the independent variable on the dependent variable through the mediators (Preacher & Hayes, 2008).
Results
Sample descriptive statistics
The averaged standardized (z score) values of the two index variables educational qualification of subjects’ parents and annual family income for each participant was used as an index of family SES. Higher z scores indicated higher family SES. Table 1 lists the characteristics of demographics of the total sample. As indicated in Table 1, SES was negatively correlated with N3 (r = -.181, p = .004), indicating that the participants from higher SES families have lower rates of depression. When we use educational qualification of subjects’ parents and annual family income as separate index of family SES, the result showed that family incomes were negatively correlated with N3 (r = -.178, p = .004), but subjects’ parental educational qualifications were marginally significantly negatively correlated with N3 (r = -.120, p = .056). The results of this study may show that family income is more important in driving depression-related traits than are parental educational qualifications. In addition, the results showed that SES was positively correlated with General intelligence (r = .223, p < .001), indicating that SES may be associated with General intelligence. Moreover, when we tested the relationship between SES and total brain volume and total gray volume, the results showed that SES had no significant correlation with total brain volume (r = -.085, p = .178) and total gray volume (r = -.088, p = .163); when we also test the relationship between parental education and family income, the results showed that years of education correlated with family income positively (r = .403, p < .001). In the present study, the distribution of the N3 is a similarly normal distribution (see Fig. 1).
Correlation between participants’ GMV and their family SES
After we entered age, sex, and global volumes of gray matter as covariates and family SES as an interest covariate into the regression model, a multiple regression analysis revealed that family SES was significantly and negatively correlated with GMV in a cluster that mainly included areas in the mPFC extending to the ACC (x = 0, y = 49, z = 14, cluster size = 3,230 voxels, t = -4.60, p < .05, corrected; see Fig. 2A). We also examined the association between participants’ rGMV and their family SES and tested whether these associations differed between sexes. The analysis of the interaction between sex and family SES on rGMV did not reveal any significant results.
To test whether the parental subjective social status rating by participants affected participants’ brain structure, we entered age, sex, and global volumes of gray matter as covariates and parents’ subjective social status rating by participants as an interest covariate into the regression model. A multiple regression analysis revealed that no brain cluster was significantly correlated with parents’ subjective social status rating by participants. To control for parental subjective social status affect, in the multiple regression model we entered age, sex, global volumes of gray matter, and parents’ subjective social status rating by participants as covariates and family SES as interest covariate into the regression model. The multiple regression analysis revealed that family SES was significantly and negatively correlated with GMV in a cluster that mainly included areas in the mPFC extending to the ACC (x = 2, y = 48, z = 15, cluster size = 3,183 voxels, t = -4.62; p < .05, corrected; see Fig. 2B).
To test whether family income and parental education levels have different effects on the participants’ brain structure, we entered age, sex, and global volumes of gray matter as covariates and family income and parental education levels as interest covariates into the regression model separately. The multiple regression analysis revealed that family incomes were significantly and negatively correlated with the GMV in a cluster that mainly included areas in the mPFC extending to the ACC (x = 2, y = 46, z = 17, cluster size = 2,965 voxels, t = -4.82; p < .05, corrected; see Fig. 3A). There were no significant results between parental education and subjects’ brain structures within the nonstationary corrections, but when we loosen the correct standards (set the p value to .005 and cluster size to 500), the result showed that parental education levels were significantly and negative correlated with GMV in a cluster that mainly included areas in the mPFC extending to the ACC (x = -6, y = 36, z = 40, cluster size = 709 voxels, t = -3.8; see Fig. 3B). These results show that family income and parental education levels may have similar effects on participants’ brain structure development.
The behavior results showed that family SES related to general intelligence. Thus, to test whether the subjects’ general intelligence affected the results of the above models, we entered age, sex, global volumes of gray matter, and participants’ general intelligence as covariates and family SES, family income, and parental education levels as interest covariates into the regression model separately. The multiple regression analysis revealed that the significant clusters in these models did not change. The results show that family SES was significantly and negative correlated with the GMV in a cluster that mainly included areas in the mPFC extending to the ACC (x = 2, y = 48, z = 15, cluster size = 3,089 voxels, t = -4.60; P < 0.05, corrected; see Fig. 4A), family income was significantly and negative correlated with the GMV in a cluster that mainly included areas in the mPFC extending to the ACC (x = 2, y = 46, z = 17, cluster size = 2,844 voxels, t = -4.73; p < .05, corrected; see Fig. 4B), and parental education levels were negatively correlated with the GMV in a cluster that mainly included areas in the mPFC extending to the ACC (x = -6, y = 36, z = 40, cluster size = 638 voxels, t = -3.6; set the p value to .005 and the cluster size to 500, uncorrected; see Fig. 4C).
Previous studies suggested that SES was associated with the volume of the hippocampus and amygdala. To test whether in our samples the SES was associated with hippocampus and amygdala volumes, we extracted the hippocampal and amygdala volume regions based on the anatomy template (AAL) as regions of interest (ROIs). The results revealed no significant correlation between family SES and hippocampal (for left hippocampal, r = -.070, p = .267; for right hippocampal, r = -.065, p = .305) or amygdala (for left amygdala, r = -.062, p = .326; for right amygdala, r = -.035, p = .578) volume.
Mediation results
Indirect mediation effects can be interpreted as the strength of the relationship between family SES and participants’ depression-related traits when accounting for mediating pathways. Depression-related traits (N3) were negatively associated with family SES (r = -.181, p = .004). Family SES was negatively related to the volume of the mPFC extending to the ACC (r = -.263, p < .001). N3 were positively related to the volume of the mPFC extending to the ACC (r = .263, p < .001). To test the significance of the indirect effect between N3 and family SES, bootstrap resampling was used. The results showed a significant indirect effect (partial mediation effect) between family SES and N3, CI [-0.749, -0.179], through the volume of the mPFC extending to the ACC (see Fig. 5A). Depression-related traits (N3) were negatively associated with family income (r = -.178, p = .004). Family income was negatively related to the volume of the mPFC extending to the ACC (r = -.279, p < .001). N3 were positively related to the volume of mPFC extend to ACC (r = .205, p = .001). To test the significance of the indirect effect between N3 and family income, bootstrap resampling was used. The results showed a significant indirect effect (partially a mediation effect) between family income and N3, CI [-0.526, -0.075], through the volume of the mPFC extending to the ACC (see Fig. 5B).
Discussion
In this study, we investigated the neural basis of the relationship between depression-related traits and family SES in young healthy individuals. The behavioral results showed that family SES, especially family income, was related to young adults’ depression-related traits. In addition, family SES was positive related to young adults’ general intelligence; it is plausible that children from higher SES families have greater opportunities for and support in cognitive engagement and learning than children from more disadvantaged homes (Bradley & Corwyn, 2002; Von Stumm & Plomin, 2015). VBM results showed that family SES and family income were negatively correlated with the rGMV in the mPFC extending to the ACC. In addition, the mediation analysis showed that the volume of the mPFC extending to the ACC mediated the association between the family SES, especially family incomes, and the participants’ depression-related traits. Taken together, our results suggest that the regions of the mPFC extending to the ACC may play an important role in the family SES, especially with regards to family income and depression-related traits. We think it is possible that in these brain regions, associations between parental education and young adults’ brain gray matter volume area and personality may be mediated by the ability of more highly educated parents to earn higher incomes (Noble et al., 2015).
The association between family SES and rGMV in the mPFC extending to the ACC is consistent with previous studies that reported the role of the PFC extending to the ACC in SES. For instance, Tomarken and his colleagues found a relative left-frontal hypoactivity in lower SES adolescents (Tomarken et al., 2004). Furthermore, a recent study found that family SES significantly predicted cortical thickness in the right anterior cingulate gyrus and left superior frontal gyrus (Lawson et al., 2013). A growing body of evidence suggests that the mPFC plays an important role in emotional processing as well as the up-regulation and down-regulation of emotion (Kim & Hamann, 2007). One important function of the mPFC is the top-down regulation of stress and threat-related responding and coping processes mediated by subcortical limbic areas, including the hippocampus, amygdala, and hypothalamus (Compas, 2006; McEwen & Gianaros, 2010). In addition, recent brain lesion and neuroimaging evidence indicate that the medial prefrontal cortex (mPFC) plays an important role in constraining the HPA axis under stress-related conditions (Diorio, Viau, & Meaney, 1993). Furthermore, recent reports have shown that volumetric changes in the mPFC are related to stress (Carballedo et al., 2012; Perez-Cruz, Simon, Czéh, Flügge, & Fuchs, 2009; Sullivan, 2004).
Most of the work on the prefrontal cortex and stress-related processes in humans, particularly within the context of SES research, has focused on areas of the ACC (McEwen & Gianaros, 2010). Some studies showed that ACC linked to stress-related processes (Lederbogen et al., 2011). These processes include the appraisal of salient environmental and personal events, the experience of emotional states, and the regulation of behavioral and autonomic responses to stressful stimuli (Bush et al., 2000; Paus, 2001; Vogt, 2005). Stress had both direct and indirect effects on mental health (Cohen, Doyle, & Baum, 2006; Cohen et al., 1997; Vitaliano et al., 2002). In addition, a study indicated that the lower subjective social status is related to a smaller volume of the perigenual anterior cingulate cortex (Gianaros et al., 2007), a region that is involved in experiencing emotions and regulating behavioral and physiological reactivity to stress and affective disorders (Ochsner & Gross, 2005; Ressler & Mayberg, 2007). In contrast to a previous study by Brito and Noble (2014), which found that SES was positively correlated with the mPFC/ACC, the result of a negative correlation in the present study might be due to the differences in the sample, especially the age span, different analysis methods and culture. Taken together, these results may suggest that the volumetric changes in the mPFC/ACC associated with family SES may play an important role in emotional regulation.
The results showed that the relationship between family income and depression-related traits was partly mediated by the mPFC extending to ACC volume. Many studies have suggested that increased traits of depression or neuroticism are vulnerability factors for the development of depressive disorders (Boyce, Parker, Barnett, Cooney, & Smith, 1991; Chioqueta & Stiles, 2005). Depressive patients frequently have negative thoughts about themselves, and this tendency is associated with other negative thinking patterns and memory biases. In general, it serves to sustain negative emotional processing (Yoshimura et al., 2010). Moreover, some MRI studies have shown that key areas involved in emotional regulation, such as the cingulate cortex and prefrontal cortex (PFC) may exhibit functional and structural brain anomalies in depressed patients (Amico et al., 2011; Campbell, Marriott, Nahmias, & MacQueen, 2004; S. C. Matthews, Strigo, Simmons, Yang, & Paulus, 2008; Yoshimura et al., 2010). For example, imaging studies of self-referential encoding tasks indicate that the mPFC and the anterior cingulate cortex (ACC) are activated during the processing of emotional information (Fossati et al., 2003; Gusnard, Akbudak, Shulman, & Raichle, 2001; Phan et al., 2004), and activation of the mPFC correlates with BDI scores when depressive patients are engaged in negative self-referential processing (Killgore & Yurgelun-Todd, 2006). In addition, the mPFC and the ACC are part of a default mode network, and several studies have suggested that this default mode network is involved in emotional processing (D’Argembeau et al., 2005; Schneider et al., 2008). Furthermore, some researchers have found abnormal activations of the default mode network in depression during resting state and self-referential processing (Greicius, Supekar, Menon, & Dougherty, 2009; Sheline et al., 2009). These results suggest that the activation in the mPFC/ACC reflects the negative emotional processing that occurs in depression and that this processing is associated with depressive symptoms.
There are some limits in our findings. First, the sample of this study consisted of highly educated, normal young adults, who may have fewer symptoms of depression than are found in the general population. Therefore, it is unknown whether our results would be consistent with clinical samples. Second, VBM analysis is a more comprehensive measure that integrates changes in cortical folding and thickness. Other direct measures of the brain structure (such as cortical thickness, surface area or local gyrification index) should be used in further studies to better understand the neural bias of the relationship between family SES and depression (G.-X. Wei et al., 2013). Finally, the effect sizes of the results in the present study were small, which may be caused by the relative larger sample size and simple linear regression analysis method we used (Olejnik & Algina, 2000), tut the relationship between the two variables may not be just a simple linear correlation.
In summary, the results of this study indicate that volumetric changes in the mPFC extending to the ACC could account in part for the dysregulated forms of emotional regulation among individuals who report lower family SES. In addition, the mediation results also indicate that the mPFC extending to the ACC possibly plays an important role in the relationship between family SES, especially family income and depression-related traits. However, future longitudinal studies in larger samples are required to confirm these results.
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Acknowledgments
This research was supported by the National Natural Science Foundation of China (31070900; 30800293; 30970892; 31170983), the Program for New Century Excellent Talents in University (2011) by the Ministry of Education, the Fundamental Research Funds for the Central Universities (SWU1209101), China Postdoctoral Science Foundation funded project (2012 M510098), the Research Funds for Southwest University (SWU09103), the Key Discipline Fund of National 211 Project (NSKD11007), the Fundamental Research Funds for the Central Universities (swu1209101), the Program for New Century Excellent Talents in University (2011) by the Ministry of Education, China Postdoctoral Science Foundation funded project (2012M510098), and the postgraduate Innovation Foundation of Science and Technology of Southwest University (kb2011002).
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Yang, J., Liu, H., Wei, D. et al. Regional gray matter volume mediates the relationship between family socioeconomic status and depression-related trait in a young healthy sample. Cogn Affect Behav Neurosci 16, 51–62 (2016). https://doi.org/10.3758/s13415-015-0371-6
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DOI: https://doi.org/10.3758/s13415-015-0371-6