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Socioeconomic Disadvantage Moderates the Association between Peripheral Biomarkers and Childhood Psychopathology
Rodrigo B Mansur1,2,3, Graccielle R Cunha1,2, Elson Asevedo1,2
1National Institute of Developmental Psychiatry for Children and Adolescents, CNPq, São Paulo, Brazil.
Insights
Socioeconomic disadvantage (SED) is linked to childhood mental health issues, potentially through biological pathways. Higher SED strengthens the connection between mental health problems and biomarkers like IL-6, TBARS, and BDNF.
Area of Science:
- Child psychology
- Neurobiology
- Environmental health
Background:
- Socioeconomic disadvantage (SED) is a known risk factor for early life mental health problems.
- SED impacts biological systems, including neurotrophic factors, immune-inflammatory markers, and oxidative stress.
- These biological markers are implicated in neurodevelopmental processes.
Purpose of the Study:
- To investigate the relationship between socioeconomic disadvantage (SED), psychopathology domains, and serum levels of interleukin-6 (IL6), thiobarbituric acid-reactive substance (TBARS), and brain-derived neurotrophic factor (BDNF) in children.
- To test if SED moderates the associations between mental health problems and these peripheral biomarkers.
Main Methods:
- Cross-sectional study of 495 children aged 6-12.
- Measured serum IL6, TBARS, and BDNF levels.
- Assessed psychopathology using Child Behaviour Checklist (CBCL) DSM-oriented scales.
- Evaluated SED using a cumulative risk model and analyzed data with generalized linear models.
Main Results:
- SED was significantly associated with higher serum IL6 and TBARS levels, but not BDNF.
- SED showed significant associations with all measured psychopathology domains (CBCL scales).
- Serum biomarkers were linked to specific psychopathology subscales, and these associations were stronger in children with high SED, indicating a moderating effect.
Conclusions:
- Socioeconomic disadvantage is strongly associated with mental health problems in children.
- These associations may be mediated by interconnected neurobiological systems, highlighting the role of biomarkers.
Background:
Socioeconomic disadvantage (SED) has been consistently associated with early life mental health problems. SED has been shown to impact multiple biological systems, including the regulation of neurotrophic proteins, immune-inflammatory and oxidative stress markers, which, conversely, have been reported to be relevant to physiological and pathological neurodevelopment This study investigated the relationship between SED, different domains of psychopathology, serum levels of interleukin-6 (IL6), thiobarbituric acid-reactive substance (TBARS) and brain-derived neurotrophic factor (BDNF). We hypothesized that a composite of socioeconomic risk would be associated with psychopathology and altered levels of peripheral biomarkers. In addition, we hypothesized that SED would moderate the associations between mental health problems, IL6, TBARS and BDNF.
Methods And Findings:
Using a cross-sectional design, we measured the serum levels of IL6, TBARS and BDNF in 495 children aged 6 to 12. We also investigated socio-demographic characteristics and mental health problems using the Child Behaviour Checklist (CBCL) DSM-oriented scales. SED was evaluated using a cumulative risk model. Generalized linear models were used to assess associations between SED, biomarkers levels and psychopathology. SED was significantly associated with serum levels of IL6 (RR = 1.026, 95% CI 1.004; 1.049, p = 0.020) and TBARS (RR = 1.077, 95% CI 1.028; 1.127, p = 0.002). The association between SED and BDNF was not statistically significant (RR = 1.031, 95% CI 0.997; 1.066, p = 0.077). SED was also significantly associated with all CBCL DSM-oriented scales (all p < 0.05), whereas serum biomarkers (i.e. IL6, TBARS, BDNF) were associated with specific subscales. Moreover, the associations between serum biomarkers and domains of psychopathology were moderated by SED, with stronger correlations between mental health problems, IL6, TBARS, and BDNF being observed in children with high SED.
Conclusions:
In children, SED is highly associated with mental health problems. Our findings suggest that this association may be moderated via effects on multiple interacting neurobiological systems.
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