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Record W4412463625 · doi:10.1192/j.eurpsy.2025.10060

Human development, inequality, and their associations with brain structure across 29 countries

2025· article· en· W4412463625 on OpenAlexaff
Vicente Medel, Luz María Alliende, Richard A. I. Bethlehem, Jakob Seidlitz, Grace Ringlein, Celso Arango, Aurina Arnatkevičiūtė, Laila Asmal, Mark A. Bellgrove, Vivek Benegal, Miquel Bernardo, Pablo Billeke, Jorge Bosch‐Bayard, Rodrigo A. Bressan, Geraldo F. Busatto, Mariana N. Castro, Tiffany Chaim-Avancini, Monise Costanzi, Letícia Sanguinetti Czepielewski, Paola Dazzan, Camilo de la Fuente‐Sandoval, Covadonga M. Díaz‐Caneja, Marta Di Forti, Stefan S. du Plessis, Ranjini Garani Ramesh, Cecilia González Campo, Salvador M. Guinjoan, Daniza Ivanovic, Christine Löchner, Philip McGuire, Pedro Mário Pan, Mara Parellada, Lebogang Phahladira, Ramiro Reckziegel, Pedro Rosa‐Neto, Maurício H. Serpa, Ángeles Tepper, Tsukasa Ueno, Mirta F. Villarreal, Toby Winton‐Brown, Sara Evans‐Lacko, Nicolás Crossley

Bibliographic record

VenueEuropean Psychiatry · 2025
Typearticle
Languageen
FieldNeuroscience
TopicFunctional Brain Connectivity Studies
Canadian institutionsCanadian Institute for Advanced ResearchDouglas Mental Health University InstituteUniversité du QuébecMcGill UniversityMontreal Neurological Institute and Hospital
FundersFondo de Financiamiento de Centros de Investigación en Áreas PrioritariasFogarty International CenterHorizon 2020 Framework ProgrammeAgencia Nacional de Promoción Científica y TecnológicaNational Institute of Mental HealthUniversitat de BarcelonaInstituto de Salud Carlos IIIHORIZON EUROPE Framework ProgrammeCenters for Disease Control and PreventionNational Institutes of HealthAgencia Nacional de Investigación y DesarrolloNational Natural Science Foundation of ChinaEuropean CommissionMinisterio de Ciencia e InnovaciónMinisterio de Ciencia, Innovación y UniversidadesCentres de Recerca de CatalunyaMonash UniversityCentro de Investigación Biomédica en Red de Salud MentalDeutsche ForschungsgemeinschaftFundación Alicia KoplowitzEuropean Regional Development FundFundação de Amparo à Pesquisa do Estado de São PauloNational Institute on AgingAlzheimer's Association
KeywordsInequalityHuman development (humanity)PsychologyDemographic economicsEconomic growthEconomicsMathematics

Abstract

fetched live from OpenAlex

BACKGROUND: The macro-social and environmental conditions in which people live, such as the level of a country's development or inequality, are associated with brain-related disorders. However, the relationship between these systemic environmental factors and the brain remains unclear. We aimed to determine the association between the level of development and inequality of a country and the brain structure of healthy adults. METHODS: We conducted a cross-sectional study pooling brain imaging (T1-based) data from 145 magnetic resonance imaging (MRI) studies in 7,962 healthy adults (4,110 women) in 29 different countries. We used a meta-regression approach to relate the brain structure to the country's level of development and inequality. RESULTS: Higher human development was consistently associated with larger hippocampi and more expanded global cortical surface area, particularly in frontal areas. Increased inequality was most consistently associated with smaller hippocampal volume and thinner cortical thickness across the brain. CONCLUSIONS: Our results suggest that the macro-economic conditions of a country are reflected in its inhabitants' brains and may explain the different incidence of brain disorders across the world. The observed variability of brain structure in health across countries should be considered when developing tools in the field of personalized or precision medicine that are intended to be used across the world.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.130
Threshold uncertainty score0.959

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0010.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.024
GPT teacher head0.294
Teacher spread0.270 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations3
Published2025
Admission routes1
Has abstractyes

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