Evidence mapPaperPMID 39733790Full record

ArticleBiological psychiatry. Cognitive neuroscience and neuroimaging2026

Racial Discrimination-Related Interoceptive Network Disruptions: A Pathway to Disconnection.

Aziz Elbasheir, Rachel Bond, Nathaniel G Harnett, Alfonsina Guelfo, Maya C Karkare, Travis M Fulton, Timothy D Ely, Timothy J McDermott, Ruth A Lanius, Vishwadeep Ahluwalia and 3 more

Abstract read
In one paragraph

Article in Biological psychiatry. Cognitive neuroscience and neuroimaging, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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5 · Who and what money

Authors and funding

13 authors.

Aziz ElbasheirDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia.
Rachel BondDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia.
Nathaniel G HarnettMcLean Hospital, Harvard Medical School, Belmont, Massachusetts.
Alfonsina GuelfoDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia.
Maya C KarkareDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia.
Travis M FultonDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia.
Timothy D ElyDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia.
Timothy J McDermottDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia.
Ruth A LaniusDepartment of Neuroscience, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.
Vishwadeep AhluwaliaCenter for Advanced Brain Imaging, Georgia Institute of Technology, Atlanta, Georgia.
Bekh BradleyDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia.
Greg J SiegleDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania.
Negar FaniDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia. Electronic address: nfani@emory.edu.

Funding

Neural Mechanisms of Vibroacoustically Augmented Breath Focused Mindfulness for Dissociative Traumatized PeopleR01AT011267 · NCCIH · EMORY UNIVERSITY · 2022 to 2025
$2.4M
Identifying Neural Signatures of Racial Discrimination in Black individuals with a Multivariate Data Fusion ApproachR01MH138893 · EMORY UNIVERSITY · 2025 to 2025
$630k
Graduate Training in the Pharmacological SciencesT32GM145445 · EMORY UNIVERSITY · 2025 to 2025
$426k
NCCIH NIH HHS R01 AT011267NICHD NIH HHS R01 HD071982NIGMS NIH HHS T32 GM145445NIMH NIH HHS F32 MH134631NIMH NIH HHS K23 MH101380NIMH NIH HHS L30 MH137711NIMH NIH HHS R01 MH138893
6 · The paper itself

Abstract

backgroundRacial discrimination (RD) disrupts regulatory systems in minoritized individuals, particularly systems that govern attention, including attention to visceral signals (interoception). RD frequency is linked to physiological shutdown responses, characterized clinically by dissociation. We examined associations between RD frequency and functional connectivity of attention and interoceptive networks in a sample of trauma-exposed Black women, investigating potential links between connectivity and dissociation severity.

methodsSeventy-two Black women who were recruited as part of two trauma studies underwent magnetic resonance imaging during performance of an affective Stroop (AS) task and completed dissociation and RD measures. Generalized psychophysiological interaction analyses were used to examine seed-to-voxel (seeds: bilateral amygdala and insula) functional connectivity with RD as a regressor; connectivity was examined during presentation of threat-relevant versus neutral AS distractor images. Connectivity values were extracted from significant clusters and examined in association with dissociative symptoms. We also investigated connectivity in association with posttraumatic stress disorder (PTSD) symptoms for comparison analyses.

resultsDuring attention to threat-relevant AS trials, greater RD frequency was associated with less insula connectivity to several medial prefrontal cortex (mPFC) clusters (false discovery rate-corrected ps < .05). Insula-mPFC connectivity was significantly and negatively associated with derealization symptoms (r = -0.31, p = .009), but not PTSD (r = -0.16, p = .182).

conclusionsRD frequency was linked to reduced functional connectivity between the insula and mPFC, 2 interoceptive network nodes, during attention to threat, and diminished connectivity was linked to more severe dissociation. RD may interrupt interoceptive network functioning, and these network alterations may, in turn, influence mind-body disconnection, or physiological shutdown response in Black individuals.

Indexed as

Dissociative DisordersInsular CortexInteroceptionRacismStress Disorders, Post-TraumaticAdultAmygdalaAttentionBlack or African AmericanBrain MappingFemaleHumansMagnetic Resonance ImagingNerve NetNeural PathwaysPrefrontal CortexAttentionDissociationFunctional MRIInteroceptionRacial discriminationThreat

Identifiers

PMID39733790
PMCPMC12202712

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.