Racial Discrimination and White Matter Microstructure in Trauma-Exposed Black Women.

Racial Discrimination and White Matter Microstructure in Trauma-Exposed Black Women.
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DOI:
10.1016/j.biopsych.2021.08.011
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发表时间:
2022-02-01
影响因子:
10.6
通讯作者:
Carter SE
Carter SE
中科院分区:
医学1区
文献类型:
--
作者:
Fani N;Harnett NG;Bradley B;Mekawi Y;Powers A;Stevens JS;Ressler KJ;Carter SE

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Experiences of racial discrimination are linked to a range of negative brain health outcomes, but little is known about how these experiences impact neural architecture, including white matter microstructure, which may partially mediate these outcomes. Our goal was to examine associations between racially discriminatory experiences and white matter structural integrity in a sample of Black American women. We recruited 116 Black American women as part of a long-standing study of trauma. Participants completed assessments of racial discrimination, trauma exposure, and posttraumatic stress disorder (PTSD) and underwent diffusion tensor imaging (DTI). Fractional anisotropy (FA) and mean diffusivity values were extracted from major white matter tracts throughout the brain. Experiences of racial discrimination were associated with significantly lower FA in multiple white matter tracts, including the corpus callosum, cingulum, and superior longitudinal fasciculus (ps<.004), even after accounting for variance associated with trauma, PTSD, demographic and scanner-related factors. These findings suggest that experiences of racial discrimination are independently related to decrements in white matter microarchitecture throughout the brain. In individuals who have experienced other types of adversity, racial discrimination clearly has additive and distinctive deleterious effects on white matter structure. Our findings suggest a pathway through which racial discrimination can contribute to brain health disparities in Black Americans; the deleterious contributions of racial discrimination on microstructure of major white matter pathways may increase vulnerability for the development of neurodegenerative disorders as well as mental health problems.
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