Evidence map›Paper›PMID 29628069›Full record

ArticleBiological psychiatry. Cognitive neuroscience and neuroimaging2018

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

Uraina S Clark, Evan R Miller, Rachal R Hegde

2 registry-linked trialsOpen access · hybridAbstract read
In one paragraph

Article in Biological psychiatry. Cognitive neuroscience and neuroimaging, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 65 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 3 pooled it
2.5field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05574933 completednot on this mapstarted 2022, after this paper: background citation

Racism-based Stress Injury and Biomarkers of Stress: A Feasibility Study and Correlation Study

TypeobservationalSponsorRockefeller UniversityRan2022 to 2023Enrolled20ConditionsRacism, Stress, Psychological
NCT06146218 nacompletednot on this mapstarted 2024, after this paper: background citation

Effects of Compassion-Based Resiliency Training (CBRT) Intervention on Racism-based Stress Among African Americans: A Pilot Study

TypeinterventionalSponsorRockefeller UniversityRan2024 to 2024Enrolled22ConditionsRacism, Stress, PsychologicalArmsContemplative-Based Resilience Training (CBRT)
3 · Its place in the literature

Who cites it

65 citing papers in PubMed, 3 syntheses or guidelines pooled it, 99 citations in OpenAlex.

  1. Pooled it
  2. Racial Discrimination and Multiple Health Outcomes: An Umbrella Review of Systematic Reviews and Meta-Analyses.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2025
    Pooled it
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  14. Racial Discrimination-Related Interoceptive Network Disruptions: A Pathway to Disconnection.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2026
    Article
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  17. Review
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  20. Biomarkers of racism-based stress injury: A feasibility and correlation study.Journal of clinical and translational science · 2025
    Article

5 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Uraina S ClarkDepartment of Neurology, Icahn School of Medicine at Mount Sinai, New York, New York. Electronic address: uraina.clark@mssm.edu.
Evan R MillerDepartment of Neurology, Icahn School of Medicine at Mount Sinai, New York, New York.
Rachal R HegdeDepartment of Neurology, Icahn School of Medicine at Mount Sinai, New York, New York.
Icahn School of Medicine at Mount Sinai · US

Funding

Mount Sinai Institutes for Clinical and Translational SciencesUL1TR000067 · NCATS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI SAMPSON, HUGH A · 2012 to 2014
$16.5M
Vulnerability to Drug Use & HIV: Advancing Prevention for Rural African AmericansP30DA027827 · NIDA · UNIVERSITY OF GEORGIA · PI BRODY, GENE H. · 2009 to 2018
$10.2M
Post-Baccalaureate Research Education Program (PREP)R25GM064118 · NIGMS · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI SLY, JAMILIA RAKI, SLY, JAMILIA RAKI · 2001 to 2024
$7.2M
Effects of Early-Life Stress on Brain Dysfunction in HIV+ Adults: An fMRI StudyK23MH096628 · NIMH · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI CLARK, URAINA S. · 2012 to 2017
$875k
NCATS NIH HHS UL1 TR000067NIA NIH HHS L30 AG032932NIDA NIH HHS P30 DA027827NIGMS NIH HHS R25 GM064118NIMHD NIH HHS L60 MD006658NIMH NIH HHS K23 MH096628
6 · The paper itself

Abstract

backgroundSocial 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.

methodsSeventy-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.

resultsGreater 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.

conclusionsCollectively, 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.

Indexed as

AdultAmygdalaAnxietyAnxiety DisordersCerebral CortexDepressionDiscrimination, PsychologicalFemaleGyrus CinguliHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingMaleMiddle AgedNeural PathwaysPrefrontal CortexAmygdalaPsychosocial stressorsSocial discriminationSocial marginalizationStressThalamus

Identifiers

PMID29628069
PMCPMC5897058
OpenAlexW2773452358

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.