Introducción al enfoque especial: lo afectivo

Introducción al enfoque especial: lo afectivo
Neuroscience of Poverty

Robin Nusslock1 and Martha J. Farah2

Abstracto

■ Growing up in poverty is associated with a heightened risk
for mental and physical health problems across the life span,
and there is a growing recognition of the role that social deter-
minants of health play in driving these outcomes and inequities.
How do the social conditions of poverty get under the skin to
influence biology, and through what mechanisms do the
stressors of poverty generate risk for a broad range of health
problemas? The growing field examining the neuroscience of
socioeconomic status (SES) proposes that the brain is an entry
point or pathway through which poverty and adversity become
embedded in biology to generate these disparities. Hasta la fecha,
sin embargo, the majority of research on the neuroscience of SES

has focused on cognitive or executive control processes. Cómo-
alguna vez, the relationship between SES and brain systems involved
in affective or emotional processes may be especially important
for understanding social determinants of health. Respectivamente,
this Special Focus on The Affective Neuroscience of Poverty
invited contributions from authors examining the relationship
between SES and brain systems involved in generating and reg-
ulating emotions. In this editorial introduction, nosotros (a) provide
an overview of the neuroscience of SES; (b) introduce each of
the articles in this Special Focus; y (C) discuss the scientific,
treatment, and policy implications of studying the affective neu-
roscience of poverty. ■

Poverty is a powerful risk factor for mental and physical
health problems across the life span. Socioeconomic sta-
tus (SES) is associated with depression, ansiedad, psychosis,
and academic achievement, as well as heart disease,
stroke, cancer, diabetes, and early mortality (McLaughlin,
Costello, Leblanc, sansón, & Kessler, 2012; Adler &
Stewart, 2010; Kessler et al., 2005; Sirin, 2005). There is a
growing recognition of the important role that social
determinants play in driving these mental and physical
health inequities (Braveman & Gottlieb, 2014). Social
determinants of health are the conditions in the environ-
ment where people are born, live, aprender, trabajar, and play
that affect a wide range of health and quality-of-life out-
comes (Marmot et al., 2008). An important question is,
how do the social conditions of poverty get under the skin
to influence the biology of a developing child? Y
through what mechanisms do these social determinants
generate risk for such a broad set of mental and physical
health outcomes? Over the past decade, researchers have
begun to examine the role of the brain in answering these
preguntas (Noble & Giebler, 2020; Farah, 2017). From this
perspectiva, the brain is an entry point or pathway through
which poverty and adversity become embedded in biology
to generate health disparities (McEwen & Gianaros, 2010).
Colectivamente, this small but growing field examining rela-
tionships between the brain, poverty, and health is
referred to as the neuroscience of SES.

1Northwestern University, Evanston, IL, 2Universidad de
Pensilvania

© 2022 Instituto de Tecnología de Massachusetts

SES is construed as a dimension that varies from “worse
off” to “better off,” with those who are better off having
more material resources (p.ej., income) and nonmaterial
resources, including education and neighborhood quality.
Históricamente, SES has been relegated to the status of a covar-
iate or confound in the field of neuroscience. Sin embargo,
there is increasing evidence that the stress of living in pov-
erty affects the developing brain in a manner that deserves
its own investigation (Noble, Engelhardt, et al., 2015; Brito
& Noble, 2014). The growth of knowledge on this topic is
apparent from the fact that there were only a handful of
studies on the neural correlates of SES in early reviews
(Raizada & Kishiyama, 2010; Hackman & Farah, 2009),
compared with dozens of relevant studies today. We now
know from neurophysiology and both structural and func-
tional imaging studies that early exposure to poverty is
associated with alterations in brain systems involved in a
variety of cognitive processes, including executive control,
memory, and language (see Johnson, Riis, & Noble, 2016,
para una revisión). Some of these studies report that neural
alterations mediate the linkage between poverty exposure
and cognitive processes (Hair, Hanson, lobo, & Pollak,
2015; Noble, houston, et al., 2015; Mackey et al., 2015),
suggesting they are not simply correlates of SES, pero pos-
sible mechanistic pathways to outcomes that matter.

Most research on the neuroscience of SES has focused
on cognitive processes. This work builds on the cognitive
neuroscience of language, memory, and executive func-
tion and holds promise for understanding the SES achieve-
ment gap, as well as later occupational success (Farah,

Revista de neurociencia cognitiva 34:10, páginas. 1806–1809
https://doi.org/10.1162/jocn_a_01899

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2017). Sin embargo, it may be especially important to examine
the relationship between SES and brain systems involved
in affective processes if we’re to better understand social
determinants of mental and physical health. Chronic
adversity, including poverty, negatively affects the struc-
ture and function of brain regions involved in emotion,
including the amygdala, insula, ventral striatum, and por-
tions of the pFC (see McLaughlin, Weissman, & Bitran,
2019, para una revisión). These same brain regions are implica-
ted in numerous mental health problems, including anxiety,
depresión, and various externalizing disorders (Keren et al.,
2018; Baskin-Sommers, 2016; Shackman et al., 2016), todo
which correlate with SES (McLaughlin et al., 2012; Lorant
et al., 2003). They also regulate homeostatic processes impli-
cated in chronic inflammation and stress-related physical
diseases, including metabolic syndrome, coronary heart
enfermedad, and autoimmune conditions (see Nusslock &
Molinero, 2016 para una revisión). De este modo, multiple lines of evidence
suggest that emotional brain systems may be affected by the
stressors of poverty and contribute to the mechanistic
pathways through which SES affects health. Respectivamente,
this Special Focus on The Affective Neuroscience of Poverty
is intended to showcase research on SES and brain systems
involved in generating and regulating emotions. In keeping
with the Journal of Cognitive Neuroscience’s emphasis on
basic science over diagnostic and/or treatment-relevant
trabajar, the articles in this Special Focus present findings
from basic affective neuroscience rather than investigations
of patient populations.

The first set of articles in this Special Focus examined
the relationship between SES and neural responses
to emotional stimuli. Alvarez, Rudolph, cohen, y
Muscatell (2022) report that individuals with a lower
socioeconomic position displayed greater activity to both
positive and negative images in brain regions involved in
emotion processing and homeostasis. Próximo, Blanco,
Nusslock, y molinero (2022) report that low SES was asso-
ciated with greater activation in brain regions involved in
attention to both reward and loss cues and reduced differ-
entiation in the brain between reward and loss feedback.
Both of these results are consistent with the concept of the
“scarcity mindset,” which suggests that individuals living
with minimal resources are sensitive to cues of both gain
and loss and that the metabolic demand of this hyper-
sensitivity can generate health problems overtime (Shah,
Shafir, & Mullainathan, 2015).

The next set of studies examined mediators and moder-
ators of the relationships between SES, brain structure and
función, and emotional states and traits. hao, Bertolero,
and Farah (2022) tested whether healthy young adults of
low SES generally experience more negative emotions
and whether the volume of the amygdala and its reactivity
to emotional stimuli mediate the association between
SES and negative emotions. Weissman et al. (2022) inves-
tigated the neural mechanisms through which two
dimensions of adversity—threat and deprivation—might
contribute to SES disparities in psychopathology. Ellos

report that greater exposure to threat, but not deprivation,
was associated with higher activation in the dorsomedial
pFC and precuneus to fearful faces and that precuneus
activation mediated the association between SES and post-
traumatic symptoms. Hackman et al. (2022) probado
whether SES moderated the relationship between school
clima, which is important for children’s socioemotional
desarrollo, and cortical thickness, cortical surface area,
and subcortical volume. These three studies help us
understand the neural mechanisms through which pov-
erty may facilitate negative emotions and under what con-
ditions these mechanistic associations may emerge.

The last set of articles is consistent with the growing rec-
ognition in human neuroscience of the importance of
moving beyond only examining brain regions in isolation
of each other and to also assess functional and structural
connections between brain regions. This is premised on
the fact that both normative and nonnormative mental
states likely emerge from distributed neural networks,
rather than any one particular area of the brain in isolation
(bassett, Xia, & Satterthwaite, 2018; Braun et al., 2018).
Ip et al. (2022) present findings from the Adolescent
Brain Cognitive Development study on the associations
between socioeconomic disadvantage, resting-state func-
tional connectivity between the medial OFC and amyg-
dala, and internalizing symptoms in 9- to 10-year-old
youth. Hardi et al. (2022) used diffusion imaging to
examine the relationship between white matter structural
connectivity within frontolimbic structures and material
hardship at different ages along the developmental spec-
trum. They report that the associations between fronto-
limbic connectivity and material hardship differ across
prefrontal regions and developmental periods, providing
support for potential windows of plasticity for structural
circuits that support emotion.

There are at least three ways that the research exempli-
fied here can benefit science and society. Primero, by elucidat-
ing the mechanisms through which poverty becomes
embedded in biology, we will better understand an impor-
tant source of individual differences in thinking, feeling,
and health. This research will inevitably bring attention
to environmental factors and structural inequities in our
society and to our collective responsibility to improve
the environment for low SES individuals. A pesar de la
biological nature of brain differences, it does not follow
that they are genetically caused; a substantial proportion
of SES effects on neuroanatomy can be attributed to envi-
ronmental causes (Kweon et al., 2022). A biological
approach to SES disparities in brain and health in no way
blames the poor or implies that DNA is destiny. Segundo,
like any basic or preclinical science addressing an impor-
tant social or medical problem, we anticipate that this
work will eventually inform prevention and intervention
estrategias. Although the neuroscience of SES is a young
campo, it has already been used to better understand the
effects of interventions on low-income children (Farah
et al., 2021; Brody et al., 2017). Tercero, this work may help

Nusslock and Farah

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facilitate policies that target structural inequities in our
society that contribute to or drive health disparities. Como
noted by Muna Abdi, an Education and Racial Equity Con-
sultant, “instead of praising people for being resilient,
change the systems that are making them vulnerable”
(personal communication with R. NORTE.). There is early evi-
dence that such changes can have a salubrious effect on
the brain and body. In one of the first studies of its kind,
Troller-Renfree et al. (2022) demonstrated that a modest
monthly cash transfer to low-income families had a causal
impact on infant brain activity that has been associated
with the development of subsequent cognitive skills. Nosotros
believe that the articles in this Special Focus and the neu-
roscience of SES more broadly provide a new source of
support for investment in the needs of individuals and
families in poverty.

Many fields, including psychology, sociology, epidemiol-
ogia, and economics, have tried to understand the causes
and consequences of health disparities. We are not
suggesting that neural explanations replace these important
perspectives, but that they can provide a complimentary
viewpoint that can help us understand the mechanisms
through which the socioeconomic environment leads to
socioeconomic disparities. Por último, the value of neuro-
science for understanding SES and facilitating interventions
and policies is an empirical question that needs to be inves-
tigated. To facilitate this, we recommend that studies of
human neuroscience consider including measures of SES.
We also recommend that we as a field move beyond simply
considering SES as a nuisance variable or covariate and
instead examine its associations with primary variables
and test for moderation and/or mediation. Finalmente, we argue
that it is time for us as a field to move beyond relying on
predominately middle- to upper-class participants or under-
graduate subject pools and to include more participants
from lower SES backgrounds. This will help us generate
questions and findings that are more generalizable and
better position us to apply our work to important societal
issues such as poverty and health disparities.

Reprint requests should be sent to Robin Nusslock, Departamento
of Psychology, Northwestern University, 2029 Sheridan Road,
Evanston, IL 60208, o por correo electrónico: nusslock@northwestern.edu.

Información de financiación

National Institute of Mental Health (https://dx.doi.org/10
.13039/100000025), números de subvención: R01 MH123473, R01
MH129911. National Institute on Drug Abuse (https://dx.doi
.org/10.13039/100000026), conceder número: P50 DA051361.

Diversidad en las prácticas de citas

Análisis retrospectivo de las citas en cada artículo publicado.-
publicado en esta revista de 2010 a 2021 revela una persistente
patrón de desequilibrio de género: Although the proportions

of authorship teams (categorized by estimated gender
identification of first author/ last author) publishing in
the Journal of Cognitive Neuroscience ( JoCN ) during this
period were M(un)/m = .407, W.(Omán)/m = .32, M/M =
.115, and W/ W = .159, the comparable proportions for the
articles that these authorship teams cited were M/M =
.549, W/M = .257, M/M = .109, and W/ W = .085 (Postle
and Fulvio, JoCN, 34:1, páginas. 1–3). Como consecuencia, JoCN
encourages all authors to consider gender balance
explicitly when selecting which articles to cite and gives
them the opportunity to report their article’s gender cita-
tion balance.

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3Introducción al enfoque especial: The Affective image

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