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Neural Processing and Perceived Discrimination Stress in African Americans
Kathy D Wright1, Anthony I Jack, Jared P Friedman
1Kathy D. Wright, PhD, RN, PMHCNS-BC, KL2 Awardee, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio. She is now Assistant Professor, College of Nursing Center for Healthy Aging, Self-Management and Complex Care, Discovery Themes Traumatic Brain Injury, The Ohio State University, Columbus. Anthony I. Jack, PhD, is Associate Professor, Department of Philosophy, and Director, the Brain, Mind and Consciousness Laboratory, Case Western Reserve University, Cleveland, Ohio. Jared P. Friedman, BA, is Doctoral Student, Organizational Behavior, and Research Associate, Brain, Mind and Consciousness Laboratory, Case Western Reserve University, Cleveland, Ohio. Lenette M. Jones, PhD, RN, CNS, Post-Doctoral Fellow, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio. She is now Assistant Professor, University of Michigan School of Nursing, Ann Arbor. Abdus Sattar, PhD, is Associate Professor, Department of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, Ohio. David M. Fresco, PhD, is Professor, Department of Psychiatry and Research Professor, Institute for Social Research, University of Michigan, Ann Arbor. Shirley M. Moore, PhD, RN, FAAN, is Edward J. and Louise Mellen Professor of Nursing Emerita, and Director, SMART Center II: Brain-Behavior Connections in Self-Management Science, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio.
Racial discrimination stress in African Americans is linked to lower brain activity in areas related to empathy and self-reflection when processing health information. This finding may help develop targeted health interventions.
Area of Science:
- Neuroscience
- Health Disparities Research
- Psychology
Background:
- Racial discrimination presents significant barriers to health self-care management for African Americans.
- Discrimination stress may impede engagement with health information, particularly social-emotional appeals crucial for behavior change.
Purpose of the Study:
- To investigate the relationship between neural processing of health information and perceived racial discrimination in African Americans.
- To examine associations with the analytic network, empathy network, and ventral medial prefrontal cortex (vmPFC) during health information processing.
Main Methods:
- Secondary analysis of data from 24 African Americans in a blood pressure self-care management study.
- Utilized functional magnetic resonance imaging (fMRI) to assess neural activation during health information processing.
- Assessed perceived racial discrimination and global stress through surveys.
Main Results:
- Discrimination stress showed a significant negative association with activation in the empathy network and vmPFC.
- A nonsignificant positive relationship was observed between discrimination stress and activity in the analytic network.
Conclusions:
- Findings suggest that discrimination stress impacts neural pathways involved in processing health information.
- Understanding these neurobehavioral underpinnings can inform the development of tailored health messages and interventions.
- This research may contribute to strategies aimed at reducing health outcome disparities.
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