Evidence map›Paper›PMID 31409452›Full record

ArticleBiological psychiatry2019

Socioeconomic Disparities in Chronic Physiologic Stress Are Associated With Brain Structure in Children.

Emily C Merz, Pooja M Desai, Elaine A Maskus, Samantha A Melvin, Rehan Rehman, Sarah D Torres, Jerrold Meyer, Xiaofu He, Kimberly G Noble

Open access · greenAbstract read
In one paragraph

Article in Biological psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
4.0field-weighted citation impact, top 5% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 84 citations in OpenAlex.

  1. Article
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  4. Social Determinants of Health, the developing brain, and risk and resilience for psychopathology.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Review
  5. Article
  6. Socioeconomic status, prefrontal cortical volume, and cardiometabolic risk in early adolescence.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025
    Article
  7. Article
  8. Associations Between Experience of Typical Variations in Stressors and Hippocampal Structure and Functional Connectivity in Childhood.International journal of developmental neuroscience : the official journal of the International Society for Developmental Neuroscience · 2025
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Emily C MerzTeachers College, Columbia University, New York, New York.
Pooja M DesaiTeachers College, Columbia University, New York, New York.
Elaine A MaskusTeachers College, Columbia University, New York, New York.
Samantha A MelvinTeachers College, Columbia University, New York, New York.
Rehan RehmanTeachers College, Columbia University, New York, New York.
Sarah D TorresTeachers College, Columbia University, New York, New York.
Jerrold MeyerUniversity of Massachusetts, Amherst, Massachusetts.
Xiaofu HeColumbia University Medical Center and New York State Psychiatric Institute, New York, New York.
Kimberly G NobleTeachers College, Columbia University, New York, New York. Electronic address: kgn2106@tc.columbia.edu.
Columbia University · USColumbia University Irving Medical Center · USUniversity of Massachusetts Amherst · US

Funding

Clinical and Translational Science AwardUL1TR001873 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI REILLY, MUREDACH P · 2016 to 2025
$99.0M
CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR024156 · NCRR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GINSBERG, HENRY N · 2006 to 2011
$53.0M
RESEARCH TRAINING PROGRAM IN PSYCHIATRIC EPIDEMIOLOGYT32MH013043 · NIMH · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI Katherine M. Keyes · 1985 to 2026
$11.7M
NCATS NIH HHS UL1 TR001873NCRR NIH HHS UL1 RR024156NIMH NIH HHS T32 MH013043
6 · The paper itself

Abstract

backgroundSocioeconomic factors have been consistently linked with the structure of children's hippocampus and anterior cingulate cortex (ACC). Chronic stress-as indexed by hair cortisol concentration-may represent an important mechanism underlying these associations. Here, we examined associations between hair cortisol and children's hippocampal and ACC structure, including across hippocampal subfields, and whether hair cortisol mediated associations between socioeconomic background (family income-to-needs ratio, parental education) and the structure of these brain regions.

methodsParticipants were 5- to 9-year-old children (N = 94; 61% female) from socioeconomically diverse families. Parents and children provided hair samples that were assayed for cortisol. High-resolution, T1-weighted magnetic resonance imaging scans were acquired, and FreeSurfer 6.0 was used to compute hippocampal volume and rostral and caudal ACC thickness and surface area (n = 37 with both child hair cortisol and magnetic resonance imaging data; n = 41 with both parent hair cortisol and magnetic resonance imaging data).

resultsHigher hair cortisol concentration was significantly associated with smaller CA3 and dentate gyrus hippocampal subfield volumes but not with CA1 or subiculum volume. Higher hair cortisol was also associated with greater caudal ACC thickness. Hair cortisol significantly mediated associations between parental education level and CA3 and dentate gyrus volumes; lower parental education level was associated with higher hair cortisol, which in turn was associated with smaller volume in these subfields.

conclusionsThese findings point to chronic physiologic stress as a potential mechanism through which lower parental education level leads to reduced hippocampal volume. Hair cortisol concentration may be an informative biomarker leading to more effective prevention and intervention strategies aimed at childhood socioeconomic disadvantage.

Indexed as

Socioeconomic FactorsBrainChildChild, PreschoolEducational StatusFemaleGyrus CinguliHairHippocampusHumansHydrocortisoneMagnetic Resonance ImagingMaleStress, PsychologicalHydrocortisoneAnterior cingulate cortexCortisolDeveloping brainHippocampusSocioeconomic statusStress

Identifiers

PMID31409452
PMCPMC6874729
OpenAlexW2952710756

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.