Evidence map›Paper›PMID 40414448›Full record

ArticleBiological psychiatry2026

Neonatal Brain Volumes and Early Parenting Behavior as Mediators in Associations Between Prenatal Social Disadvantage and Socioemotional Problems in Toddlers.

Shelby D Leverett, Olivia Poolos, Rebecca G Brady, Rebecca Tillman, Rachel E Lean, Emily D Gerstein, Berenice Anaya, Regina L Triplett, Dimitrios Alexopoulos, Barbara Warner and 4 more

Abstract read
In one paragraph

Article in Biological psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Social Determinants of Health, the developing brain, and risk and resilience for psychopathology.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    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

14 authors.

Shelby D LeverettDivision of Biology and Biomedical Sciences, Neurosciences Program, Washington University in St. Louis, St. Louis, Missouri; Department of Psychiatry, Washington University in St. Louis, St. Louis, Missouri. Electronic address: leverett.s@wustl.edu.
Olivia PoolosDepartment of Psychiatry, Washington University in St. Louis, St. Louis, Missouri.
Rebecca G BradyDivision of Biology and Biomedical Sciences, Neurosciences Program, Washington University in St. Louis, St. Louis, Missouri.
Rebecca TillmanDepartment of Psychiatry, Washington University in St. Louis, St. Louis, Missouri.
Rachel E LeanDepartment of Psychiatry, Washington University in St. Louis, St. Louis, Missouri.
Emily D GersteinDepartment of Psychological Sciences, University of Missouri-St. Louis, St. Louis, Missouri.
Berenice AnayaDepartment of Psychiatry, Washington University in St. Louis, St. Louis, Missouri.
Regina L TriplettDepartment of Neurology, Washington University in St. Louis, St. Louis, Missouri.
Dimitrios AlexopoulosDepartment of Neurology, Washington University in St. Louis, St. Louis, Missouri.
Barbara WarnerDepartment of Pediatrics, Washington University in St. Louis, St. Louis, Missouri.
Joan L LubyDepartment of Psychiatry, Washington University in St. Louis, St. Louis, Missouri.
Christopher D SmyserDepartment of Psychiatry, Washington University in St. Louis, St. Louis, Missouri; Department of Psychological Sciences, University of Missouri-St. Louis, St. Louis, Missouri; Mallinckrodt Institute of Radiology, Washington University in St. Louis, St. Louis, Missouri.
Cynthia E RogersDepartment of Psychiatry, Washington University in St. Louis, St. Louis, Missouri.
Deanna M BarchDepartment of Psychiatry, Washington University in St. Louis, St. Louis, Missouri; Mallinckrodt Institute of Radiology, Washington University in St. Louis, St. Louis, Missouri; Department of Psychological and Brain Sciences, Washington University in St. Louis, St. Louis, Missouri.

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
Neuroscience Training Program at Washington UniversityT32NS121881 · NINDS · WASHINGTON UNIVERSITY · PI Martha W Bagnall, Daniel Kerschensteiner · 2021 to 2026
$3.1M
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
Epilepsy and Neurodevelopmental Risk Stratification in Very Preterm Infants with Intraventricular HemorrhageK23NS136762 · NINDS · WASHINGTON UNIVERSITY · PI Regina Triplett · 2024 to 2026
$699k
The neural foundations of regulation in infancy and the role of individual and environmental factors over timeK00MH135485 · NIMH · WASHINGTON UNIVERSITY · PI ANAYA, BERENICE · 2023 to 2025
$414k
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 K00 MH135485NIMH NIH HHS K01 MH122735NIMH NIH HHS R01 MH113883NIMH NIH HHS T32 MH100019NINDS NIH HHS K23 NS136762NINDS NIH HHS L40 NS134035NINDS NIH HHS T32 NS121881
6 · The paper itself

Abstract

backgroundSocial disadvantage has been associated with early socioemotional difficulties. In this study, we examined mechanisms that relate prenatal social disadvantage (PSD) to the development of early socioemotional problems by testing whether these associations were mediated by 1) neonatal brain volumes (BVs) and/or 2) early parenting behaviors.

methodsWomen were recruited early in their pregnancies and followed prospectively. PSD encompassed access to material (e.g., income-to-needs, health insurance, area deprivation, nutrition, education) resources during pregnancy. Shortly after birth, neonates underwent structural magnetic resonance scanning. Mother-child dyads returned for parenting observations at child age 1 year, and parents reported child socioemotional problems (Infant-Toddler Social and Emotional Assessment: externalizing, dysregulation, internalizing) at age 2 years (N = 267; 45% female). Simple and parallel mediation models were used to test hypotheses.

resultsGreater PSD was associated with increased externalizing and dysregulation symptoms at age 2 years. PSD-associated reductions in neonatal BVs (cortical gray matter, white matter, total brain) mediated both PSD-externalizing and PSD-dysregulation associations. The PSD-externalizing association was additionally mediated by early parenting behaviors, particularly nonsupportive parenting behaviors. Thus, for externalizing symptoms, nonsupportive parenting behaviors and mediating brain metrics were examined simultaneously in parallel mediation models. Nonsupportive parenting remained a significant mediator, while neonatal BVs were no longer significant.

conclusionsPSD-associated brain structural alterations at birth may serve as early risk factors for the development of multidimensional socioemotional difficulties in toddlerhood. However, parenting emerged as a stronger mediator for externalizing problems, lending support to parenting behaviors as key intervention targets for the prevention of externalizing problems during early childhood.

Indexed as

BrainParentingPrenatal Exposure Delayed EffectsAdultChild, PreschoolFemaleHumansInfantInfant, NewbornMagnetic Resonance ImagingMaleOrgan SizePregnancyBrain structureDevelopmentDysregulationExternalizingParentingSocioeconomic status

Identifiers

PMID40414448
PMCPMC12396000

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.