Associations of regional racial attitudes with chronic illness in the United States.

RATIONALE: A growing body of literature has identified a robust relationship between the experience of racial discrimination and negative self-reported physical and mental health outcomes. OBJECTIVE: The current study seeks to identify which factors -at the community level- predict racial disparities in actual disease manifestation. This study focuses on the extent to which regional demographics and racial attitudes, both implicit and explicit, are associated with prevalence rates of several diseases for Black and White patients in the United States. METHODS: Implicit and explicit racial attitudes obtained from Project Implicit (Xu et al., 2017) were aggregated at the county level to predict variation in the prevalence rates of several chronic illnesses among Medicare recipients. RESULTS: When controlling for economic indicators, Black and White patients who live in areas with high implicit and explicit racial bias tend to exhibit a higher incidence of chronic health problems, including cancer, stroke, asthma, diabetes, and heart failure. These relationships tended to be stronger for Black patients. Additionally, patients in racially diverse and racially segregated regions also tended to exhibit a higher incidence of chronic health problems. CONCLUSION: Findings from the study highlight the reliable relationship between both racial biases and regional demographics and the incidence rates of several chronic diseases, particularly in Black patients.

Context Matters: Situational Stress Impedes Functional Reorganization of Intrinsic Brain Connectivity during Problem-Solving.

Extensive research has established a relationship between individual differences in brain activity in a resting state and individual differences in behavior. Conversely, when individuals are engaged in various tasks, certain task-evoked reorganization occurs in brain functional connectivity, which can consequently influence individuals' performance as well. Here, we show that resting state and task-dependent state brain patterns interact as a function of contexts engendering stress. Findings revealed that when the resting state connectome was examined during performance, the relationship between connectome strength and performance only remained for participants under stress (who also performed worse than all other groups on the math task), suggesting that stress preserved brain patterns indicative of underperformance whereas non-stressed individuals spontaneously transitioned out of these patterns. Results imply that stress may impede the reorganization of a functional network in task-evoked brain states. This hypothesis was subsequently verified using graph theory measurements on a functional network, independent of behavior. For participants under stress, the functional network showed less topological alterations compared to non-stressed individuals during the transition from resting state to task-evoked state. Implications are discussed for network dynamics as a function of context.

Stereotype-based stressors facilitate emotional memory neural network connectivity and encoding of negative information to degrade math self-perceptions among women.

Stress engendered by stereotype threatening situations may facilitate encoding of negative, stereotype confirming feedback received during a performance among women in science, technology, engineering and mathematics (STEM). It is unclear, however, whether this process is comprised of the same neurophysiological mechanisms evident in any emotional memory encoding context, or if this encoding bias directly undermines positive self-perceptions in the stigmatized domain. A total of 160 men and women completed a math test that provided veridical positive and negative feedback, a memory test for feedback, and math self-enhancing and valuing measures in a stereotype threatening or neutral context while continuous electroencephalography activity and startle probe responses to positive and negative feedback was recorded. Indexing amygdala activity to feedback via startle responses and emotional memory network connectivity elicited during accurate recognition of positive and negative feedback via graph analyses, only stereotype threatened women encoded negative feedback better when they exhibited increased amygdala activity and emotional memory network connectivity in response to said feedback. Emotional memory biases, in turn, predicted decreases in women's self-enhancing, math valuing and performance. Findings provide an emotional memory encoding-based mechanism for well-established findings indicating that women have more negative math self-perceptions compared with men regardless of actual performance.

Self-distancing improves interpersonal perceptions and behavior by decreasing medial prefrontal cortex activity during the provision of criticism.

Previous research suggests that people show increased self-referential processing when they provide criticism to others, and that this self-referential processing can have negative effects on interpersonal perceptions and behavior. The current research hypothesized that adopting a self-distanced perspective (i.e. thinking about a situation from a non-first person point of view), as compared with a typical self-immersed perspective (i.e. thinking about a situation from a first-person point of view), would reduce self-referential processing during the provision of criticism, and in turn improve interpersonal perceptions and behavior. We tested this hypothesis in an interracial context since research suggests that self-referential processing plays a role in damaging interracial relations. White participants prepared for mentorship from a self-immersed or self-distanced perspective. They then conveyed negative and positive evaluations to a Black mentee while electroencephalogram (EEG) was recorded. Source analysis revealed that priming a self-distanced (vs self-immersed) perspective predicted decreased activity in regions linked to self-referential processing (medial prefrontal cortex; MPFC) when providing negative evaluations. This decreased MPFC activity during negative evaluations, in turn, predicted verbal feedback that was perceived to be more positive, warm and helpful. Results suggest that self-distancing can improve interpersonal perceptions and behavior by decreasing self-referential processing during the provision of criticism.

Spontaneous default mode network phase-locking moderates performance perceptions under stereotype threat.

This study assessed whether individual differences in self-oriented neural processing were associated with performance perceptions of minority students under stereotype threat. Resting electroencephalographic activity recorded in white and minority participants was used to predict later estimates of task errors and self-doubt on a presumed measure of intelligence. We assessed spontaneous phase-locking between dipole sources in left lateral parietal cortex (LPC), precuneus/posterior cingulate cortex (P/PCC), and medial prefrontal cortex (MPFC); three regions of the default mode network (DMN) that are integral for self-oriented processing. Results revealed that minorities with greater LPC-P/PCC phase-locking in the theta band reported more accurate error estimations. All individuals experienced less self-doubt to the extent they exhibited greater LPC-MPFC phase-locking in the alpha band but this effect was driven by minorities. Minorities also reported more self-doubt to the extent they overestimated errors. Findings reveal novel neural moderators of stereotype threat effects on subjective experience. Spontaneous synchronization between DMN regions may play a role in anticipatory coping mechanisms that buffer individuals from stereotype threat.