Heterogeneity of depression across the socioeconomic spectrum.

Proc Natl Acad Sci U S A

Center for Neuroscience & Society, The Department of Psychology, University of Pennsylvania, Philadelphia, PA 19104.

Published: April 2023

Why is lower socioeconomic status associated with higher rates of depression? And, is the surplus of depression at lower SES just more of the same type as depression found at higher levels, or is it distinctive? We addressed these questions by examining the relations among SES, amygdala volume, and symptoms of depression in healthy young adults. Amygdala volume, a risk factor for depression, does not synergize with SES in a diathesis-stress relation, nor does it mediate the relation of SES to depression. Rather, SES and amygdala volume are independent, additive risk factors. They are also associated with different depression symptoms and, whereas perceived stress fully mediates the relation of SES to depression, it has no relation to amygdala volume. These findings suggest heterogeneity of depression across the socioeconomic spectrum, with implications for treatment selection as well as for future genetic and brain studies.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10119997PMC
http://dx.doi.org/10.1073/pnas.2222069120DOI Listing

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