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. 2016 Apr;137(4):e20153075. doi: 10.1542/peds.2015-3075

TABLE 3.

Studies Included in Amygdala: Fear and Emotional Processing Section

Reference n Age, y Poverty Measure Method Main Findings
Gilliam, et al (2015)46 165 men 20 Did not examine SES effects; participants recruited from urban WIC Nutrition Supplement Centers; sample divided in 3 groups: men with mothers with depression scores that were (1) consistently high; (2) consistently moderate; (3) consistently low; groups did not differ on childhood SES (Hollingshead Index) Longitudinal study with maternal depression assessed 7 times from when the child was age 1.5 to 10 y; MRI and assessment of child depression, delinquency, and aggression conducted at age 20 Maternal depression not related to amygdala or hippocampal volume at age 20; men in the moderate depression group had higher amygdala/hippocampal ratio compared with men in the low depression group; amygdala/hippocampal ratio positively associated with aggression (not delinquency or depression) at age 20; maternal depression (low versus moderate) and aggression mediated by amygdala/hippocampal ratio
Hanson, et al (2011)40 431 11 (SD 4) Family income and parent (maternal and paternal) education level Cross-sectional MRI study In models with maternal and paternal education and family income, no significant relations between these SES measures and amygdala volume
Hanson, et al (2015)41 128 12 (9–15) 4 groups: (1) institutionalized/abandoned children with early neglect (n = 36); (2) low SES (parents unskilled employees with ≤HS education) (n = 20); (3) victims of physical abuse (n = 31); (4) comparison group of middle-SES children (based on Hollingshead 2-factor index) with no maltreatment (n = 41) Cross-sectional MRI study Low-SES children and children with history of neglect or abuse had smaller left amygdalae than comparison children; cumulative life stress and behavioral problems inversely associated with left amygdala volume; amygdala volume did not mediate early life stress/behavioral problems relations
Kim, et al (2013)47 49 24 (20–27) Income/needs ratio Longitudinal study with SES assessed at age 9, chronic stressors assessed at age 9, 13, and 17; fMRI at age 24 using an emotional regulation task Low income at age 9 associated with decreased PFC activity and increased amygdala activity; childhood chronic stress mediated the relation between income and PFC activity; at age 9, children from low-income families had positive associations between amygdala and left VLPFC, while children from higher-income families had negative associations between amygdala and left VLPFC during emotional regulation task
Luby, et al (2013)42 145 10 (6–12) Income/needs ratio Longitudinal study with 3–6 annual assessments of child psychiatric status, stressful life events, and caregiver education; laboratory task of parental support/hostility at age 4–7; child MRI at age 10 Higher income/needs associated with greater left amygdala volume; relations between income/needs and amygdala volume not mediated by caregiving behaviors, education, or child life stress
Lupien, et al (2011)48 38 10 Did not examine SES effects; maternal depression was assessed throughout childhood (17 children with mothers with chronic depression compared with 21 children who were not exposed to depression); groups matched on income Longitudinal study with maternal depression assessed at 5, 17, 30, 42, 60, 84, 156 mo; MRI at age 10 y; salivary cortisol assessed on arrival at laboratory and before and after MRI Children with depressed mothers had larger right and left amygdala volumes compared with children with no exposure to depression; positive correlation between mean maternal depressive symptoms and amygdala volume; children with depressed mothers also had greater cortisol output compared with unexposed children
Muscatell, et al (2012)49 16 20 (18–24) SSS relative to university community Cross-sectional fMRI study using a social information task Inverse association between SSS and activity in PFC (DMPFC, MPFC) during social information task
22 13 (12–13) Composite of parental education and family income Cross-sectional fMRI study using an angry faces processing task Viewing angry faces associated with increased amygdala activity; inverse relation between SES and activity in DMPFC and left amygdala during processing of angry faces
Moutsiana, et al (2015)50 59 22 Did not examine SES; maternal depression and infant attachment assessed Longitudinal study; infant attachment assessed at 18 mo; depression/anxiety disorders assessed at 8, 13 16, and 22 y. Maternal depression assessed at child ages 18 mo and 5, 8, 16 y; MRI at age 22 Significant effect of infant attachment on adult amygdala volume; larger amygdalae associated with insecure attachment, controlling for maternal depression
Noble, et al (2015)37 1099 12 (3–20) Parent education and family income Cross-sectional MRI study; inhibitory control, working memory, picture vocabulary, and oral reading recognition tasks Income positively associated with performance on cognitive tasks; education and income not related to amygdala volume
Noble, et al (2012)20 60 11 (5–17) Average years of parental education and family income/needs ratio Cross-sectional MRI study SES-related differences in amygdala volume due to inverse relations between amygdala volume and parent education (not income/needs)
Suzuki, et al (2014)51 115 10 (7–12) Family income assessed at time of fMRI (age 7–12) Longitudinal study with depression and stressful/traumatic life events measured annually from ages 3–5 to 7–12 y; fMRI using gender identification task of emotional faces conducted at age 7–12 Controlling for family income, stressful life events associated with increased activation to fearful faces in the right amygdala; traumatic life events positively associated with left amygdala activity to sad faces
Taylor, et al (2006)52 30 (18–36) Adversity and childhood family environment measured with Risky Families questionnaire Cross-sectional fMRI study using emotional faces task Left amygdala activation to negative emotional faces lower in adults from risky families; adults from low-risk families had negative correlation between amygdala and RVLPFC activity, adults from high-risk families had positive correlation between amygdala and RVLPFC activity

DMPFC, dorsomedial prefrontal cortex; fMRI, functional MRI; MPFC, medial prefrontal cortex; RVLPFC, right ventrolateral prefrontal cortex; SSS, subjective social status.