Evidence map›Paper›PMID 40222403›Full record

ArticleJournal of the American Academy of Child and Adolescent Psychiatry2026

Perceived Racism, Brain Development, and Internalizing and Externalizing Symptoms: Findings From the ABCD Study.

Shanting Chen, Catalina Lopez-Quintero, Amanda Elton

Abstract read
In one paragraph

Article in Journal of the American Academy of Child and Adolescent Psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
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  5. Article
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.

Shanting ChenUniversity of Florida, Gainesville, Florida.
Catalina Lopez-QuinteroUniversity of Florida, Gainesville, Florida.
Amanda EltonUniversity of Florida, Gainesville, Florida. Electronic address: amandaelton@ufl.edu.

Funding

ABCD-USA Consortium: Coordinating CenterU24DA041147 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SANDRA A BROWN, TERRY L. JERNIGAN · 2015 to 2026
$54.7M
ABCD-USA Consortium: Data Analysis, Informatics and Resource CenterU24DA041123 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ANDERS M DALE · 2015 to 2026
$51.5M
Adolescent Substance Use Initiation: Disentangling neurocognitive risks from consequences using longitudinal and genetically-informed methodsU01DA041120 · NIDA · UNIVERSITY OF MINNESOTA · PI Monica Luciana, Sylia Wilson · 2015 to 2026
$34.5M
ABCD-USA Consortium: Research ProjectU01DA041089 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Joanna Jacobus, Susan F. Tapert · 2015 to 2026
$31.7M
Prospective Research Studies of Maturation (PRISM)- Research ProjectU01DA041134 · NIDA · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI ERIN MCGLADE, PERRY FRANKLIN RENSHAW · 2015 to 2026
$29.2M
ABCD-USA CONSORTIUM: RESEARCH PROJECTU01DA041048 · NIDA · CHILDREN'S HOSPITAL OF LOS ANGELES · PI Megan Marie Herting, ELIZABETH R SOWELL · 2015 to 2026
$28.7M
ABCD-USA Consortium: Research ProjectU01DA041106 · NIDA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Mary M Heitzeg, Chandra Sekhar Sripada · 2015 to 2026
$24.9M
FIU-ABCD: Pathways and Mechanisms to Addiction in the Latino Youth of South FloridaU01DA041156 · NIDA · FLORIDA INTERNATIONAL UNIVERSITY · PI Raul Gonzalez, Angela R Laird · 2015 to 2026
$22.8M
ABCD-USA Consortium: Research ProjectU01DA041148 · NIDA · OREGON HEALTH & SCIENCE UNIVERSITY · PI Damien A Fair, Rebekah S Huber · 2015 to 2026
$22.3M
ABCD-USA: NYC Research ProjectU01DA041174 · NIDA · YALE UNIVERSITY · PI Arielle Ryan Baskin-Sommers, Betty J Casey · 2015 to 2026
$19.7M
Adolescent Brain Cognitive Development (ABCD) Prospective Research in Studies of Maturation (PRISM) ConsortiumU01DA041117 · NIDA · UNIVERSITY OF MARYLAND BALTIMORE · PI LINDA CHANG, THOMAS M ERNST · 2015 to 2026
$19.5M
15/21 ABCD-USA Consortium: Research Project Site at LIBRU01DA050989 · NIDA · LAUREATE INSTITUTE FOR BRAIN RESEARCH · PI ROBIN L AUPPERLE, MARTIN P. PAULUS · 2020 to 2026
$14.7M
NIAAA NIH HHS K01 AA026334NIA NIH HHS K01 AG090746NIDA NIH HHS U01 DA041022NIDA NIH HHS U01 DA041025NIDA NIH HHS U01 DA041028NIDA NIH HHS U01 DA041048NIDA NIH HHS U01 DA041089NIDA NIH HHS U01 DA041093NIDA NIH HHS U01 DA041106NIDA NIH HHS U01 DA041117NIDA NIH HHS U01 DA041120NIDA NIH HHS U01 DA041134NIDA NIH HHS U01 DA041148NIDA NIH HHS U01 DA041156NIDA NIH HHS U01 DA041174NIDA NIH HHS U01 DA050987NIDA NIH HHS U01 DA050988NIDA NIH HHS U01 DA050989NIDA NIH HHS U01 DA051016NIDA NIH HHS U01 DA051018NIDA NIH HHS U01 DA051037NIDA NIH HHS U01 DA051038NIDA NIH HHS U01 DA051039NIDA NIH HHS U24 DA041123NIDA NIH HHS U24 DA041147
6 · The paper itself

Abstract

objectiveRacial discrimination drives health disparities among racial/ethnic minority youth, creating chronic stress that affects brain development and contributes to mental and behavioral health issues. This study analyzed data from the Adolescent Brain Cognitive Development℠ (ABCD) Study to examine the neurobiological mechanisms linking discrimination to mental and behavioral health outcomes.

methodA sample of 3,321 racial/ethnic minority youth was split into training (80%, n = 2,674) and testing (20%, n = 647) groups. Propensity score-weighted machine learning was used to assess the effects of perceived discrimination on 2-year changes in resting-state functional connectivity between 3 subcortical regions (nucleus accumbens, amygdala, and hippocampus) and large-scale brain networks. Mediation analyses evaluated whether brain changes mediated sex-specific effects on internalizing or externalizing symptoms.

resultsPerceived discrimination was significantly associated with 2-year changes in connectivity of the nucleus accumbens, amygdala, and hippocampus in both cross-validation and independent testing. Key findings included decreases in nucleus accumbens connectivity with retrosplenial-temporal and sensorimotor (hand) networks, decreases in amygdala connectivity with the sensorimotor (mouth) network, and increases in hippocampal connectivity with the auditory network. These changes suggest accelerated maturation in these connections among youth reporting higher discrimination levels. Moderated mediation analyses revealed sex differences, with discrimination-related changes in nucleus accumbens connectivity linked to poorer internalizing outcomes in female participants.

conclusionThe results indicate that perceived racial discrimination experienced in adolescence have an impact on subcortical-cortical brain development, which affects mental and behavioral health outcomes in a sex-specific manner. PLAIN LANGUAGE SUMMARY: Racial discrimination creates chronic stress for racial/ethnic minority youth, affecting their brain development and leading to mental and behavioral health challenges. A study of 3,321 youth from the Adolescent Brain Cognitive Development℠ (ABCD) Study used machine learning to show how discrimination alters connections among brain regions involved in emotions, reward, and stress. These findings suggested faster brain maturation in youth facing more discrimination, with girls showing a stronger link between brain changes and poorer mental health outcomes like anxiety and depression. DIVERSITY & INCLUSION STATEMENT: We worked to ensure race, ethnic, and/or other types of diversity in the recruitment of human participants. One or more of the authors of this paper self-identifies as a member of one or more historically underrepresented racial and/or ethnic groups in science.

Indexed as

AmygdalaBehavioral SymptomsBrainHippocampusNucleus AccumbensRacismAdolescentFemaleHumansMagnetic Resonance ImagingMaleMinority GroupsadolescencefMRImachine learningracial discriminationsex differences

Identifiers

PMID40222403
PMCPMC13014306

What OpenQuestion holds

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Registered trials

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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.