Evidence map›Paper›PMID 36219693›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2022

Prenatal exposure to maternal social disadvantage and psychosocial stress and neonatal white matter connectivity at birth.

Rachel E Lean, Christopher D Smyser, Rebecca G Brady, Regina L Triplett, Sydney Kaplan, Jeanette K Kenley, Joshua S Shimony, Tara A Smyser, J Phillip Miller, Deanna M Barch and 3 more

Open access · greenAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
7.1field-weighted citation impact, top 2% 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

40 citing papers in PubMed, 52 citations in OpenAlex.

  1. Article
  2. Article
  3. Prenatal Adversity and Neonatal Brain Connectivity Relate to Emerging Executive Function at Age 2 Years.Journal of the American Academy of Child and Adolescent Psychiatry · 2026
    Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Social Determinants of Health, the developing brain, and risk and resilience for psychopathology.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Review
  9. Article
  10. Article
  11. Social Determinants of Health and Early Brain Development.Pediatric clinics of North America · 2025
    Review
  12. Review
  13. Article
  14. Review
  15. Article
  16. Review
  17. Prenatal social disadvantage is associated with alterations in functional networks at birth.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  18. Prenatal Stress and Maternal Role in Neurodevelopment.Annual review of developmental psychology · 2024
    Article
  19. Article
  20. Review
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

13 authors at 1 institution in 1 country.

Rachel E LeanDepartment of Psychiatry, Washington University School of Medicine in St. Louis, St. Louis, MO 63110.ORCID 0000-0001-5179-0282
Christopher D SmyserDepartment of Pediatrics, Washington University School of Medicine in St. Louis, St. Louis, MO 63110.
Rebecca G BradyDepartment of Neurology, Washington University School of Medicine in St. Louis, St. Louis, MO 63110.
Regina L TriplettDepartment of Neurology, Washington University School of Medicine in St. Louis, St. Louis, MO 63110.ORCID 0000-0002-0595-0801
Sydney KaplanDepartment of Neurology, Washington University School of Medicine in St. Louis, St. Louis, MO 63110.
Jeanette K KenleyDepartment of Neurology, Washington University School of Medicine in St. Louis, St. Louis, MO 63110.
Joshua S ShimonyDepartment of Radiology, Washington University School of Medicine in St. Louis, St. Louis, MO 63110.ORCID 0000-0002-6228-776X
Tara A SmyserDepartment of Psychiatry, Washington University School of Medicine in St. Louis, St. Louis, MO 63110.
J Phillip MillerDepartment of Biostatistics, Institute for Informatics, Washington University School of Medicine in St. Louis, St. Louis, MO 63110.ORCID 0000-0003-4568-6846
Deanna M BarchDepartment of Psychiatry, Washington University School of Medicine in St. Louis, St. Louis, MO 63110.ORCID 0000-0003-1693-8506
Joan L LubyDepartment of Psychiatry, Washington University School of Medicine in St. Louis, St. Louis, MO 63110.
Barbara B WarnerDepartment of Pediatrics, Washington University School of Medicine in St. Louis, St. Louis, MO 63110.ORCID 0000-0002-9910-4461
Cynthia E RogersDepartment of Psychiatry, Washington University School of Medicine in St. Louis, St. Louis, MO 63110.
Washington University in St. Louis · US

Funding

Early Life Adversity, Biological Embedding, and Risk for Developmental Precursors of Mental DisordersR01MH113883 · NIMH · WASHINGTON UNIVERSITY · PI JOAN L. LUBY, Christopher Daniel Smyser · 2018 to 2026
$20.6M
WUIDDRC Supplement-Supporting the health and well-being of children with intellectual and developmental disability during COVID-19 pandemicP50HD103525 · NICHD · WASHINGTON UNIVERSITY · PI JEFFREY D MILBRANDT · 2020 to 2026
$15.5M
Developmental Neuroscience and Child PsychopathologyT32MH100019 · NIMH · WASHINGTON UNIVERSITY · PI Deanna Barch, JOAN L. LUBY · 2013 to 2026
$4.8M
Investigating Links Between Dysfunctional Parenting and Infant Brain Connectivity on Development of Effortful ControlK01MH122735 · NIMH · WASHINGTON UNIVERSITY · PI LEAN, RACHEL EMMA · 2021 to 2025
$881k
Neonatal Functional Connectivity Associated with Callous-Unemotional Behaviors in PreschoolersF30HD104313 · NICHD · WASHINGTON UNIVERSITY · PI BRENNER, REBECCA · 2021 to 2024
$171k
NICHD NIH HHS F30 HD104313NICHD NIH HHS P50 HD103525NIMH NIH HHS K01 MH122735NIMH NIH HHS R01 MH113883NIMH NIH HHS T32 MH100019
6 · The paper itself

Abstract

Early life adversity (social disadvantage and psychosocial stressors) is associated with altered microstructure in fronto-limbic pathways important for socioemotional development. Understanding when these associations begin to emerge may inform the timing and design of preventative interventions. In this longitudinal study, 399 mothers were oversampled for low income and completed social background measures during pregnancy. Measures were analyzed with structural equation analysis resulting in two latent factors: social disadvantage (education, insurance status, income-to-needs ratio [INR], neighborhood deprivation, and nutrition) and psychosocial stress (depression, stress, life events, and racial discrimination). At birth, 289 healthy term-born neonates underwent a diffusion MRI (dMRI) scan. Mean diffusivity (MD) and fractional anisotropy (FA) were measured for the dorsal and inferior cingulum bundle (CB), uncinate, and fornix using probabilistic tractography in FSL. Social disadvantage and psychosocial stress were fitted to dMRI parameters using regression models adjusted for infant postmenstrual age at scan and sex. Social disadvantage, but not psychosocial stress, was independently associated with lower MD in the bilateral inferior CB and left uncinate, right fornix, and lower MD and higher FA in the right dorsal CB. Results persisted after accounting for maternal medical morbidities and prenatal drug exposure. In moderation analysis, psychosocial stress was associated with lower MD in the left inferior CB among the lower-to-higher socioeconomic status (SES) (INR ≥ 200%) group, but not the extremely low SES (INR < 200%) group. Increasing access to social welfare programs that reduce the burden of social disadvantage and related psychosocial stressors may be an important target to protect fetal brain development in fronto-limbic pathways.

Indexed as

Prenatal Exposure Delayed EffectsWhite MatterBrainDiffusion Tensor ImagingFemaleHumansInfantInfant, NewbornLongitudinal StudiesMothersPregnancydepressiondiffusion MRIprenatalsocial disadvantagestress

Identifiers

PMID36219693
PMCPMC9586270
OpenAlexW4304207137

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.