B4713 - Psychological Distress Socioeconomic Position and Inflammatory Biomarkers Across the Life Course - 07/10/2024

B number: 
B4713
Principal applicant name: 
Richard Silverwood | Centre for Longitudinal Studies, UCL Social Research Institute, University College London (England)
Co-applicants: 
Martin Danka, Prof George Ploubidis, Dr Jessica Bone
Title of project: 
Psychological Distress, Socioeconomic Position, and Inflammatory Biomarkers Across the Life Course
Proposal summary: 

Mental health issues are among the primary contributors to the global disease burden. Chronic systemic inflammation is a major suspected mechanism, as poor mental health has been linked to the elevated production of inflammatory molecules, which may in turn adversely affect health. While mental health is often considered a risk factor of its own, it may also reflect underlying adverse socioeconomic conditions. Studies have highlighted a social gradient in inflammatory biomarkers, showing that individuals with lower income, education, and occupational status are more likely to have elevated systemic inflammation biomarkers.

The precise factors explaining this social gradient in inflammation remain unclear. Poor social circumstances can lead to poor mental health, which might in turn affect biological pathways. Additionally, it is plausible that individuals facing challenging social circumstances may have fewer resources available to manage mental health issues, which can, in turn, affect their physiology. Understanding the interplay between mental health, social circumstances, and inflammation is further complicated by developmental influences, where early life stress and social environment may have a significant impact on health in later life.

To address these gaps, this project will leverage cutting-edge statistical methods, allowing us to draw new insights into how mental health and social circumstances jointly contribute to systemic inflammation across the life course. We will analyse data from three British cohort studies, each covering different age ranges and capturing multiple instances of mental health evaluations, socioeconomic indicators, biomarkers of inflammation, and other influences.

Impact of research: 
The project has the potential to improve the current understanding of how the social environment and poor mental health translate into biological processes that underpin health inequalities. The social gradient in inflammation has been replicated across numerous datasets, but its origins and implications remain poorly understood. Causal inference approaches may generate more robust evidence to clarify what drives these differences. Additionally, the calibration of measures across cohorts may enable similar investigations by other researchers. Given that inflammatory processes are involved in the pathogenesis of many common health conditions, these findings may also be of interest to policymakers. Frequently, interventions target mental health and social inequalities separately, operating under the assumption that progress in one domain will precipitate improvements in the other. However, simultaneous interventions addressing both social conditions and mental health may yield long-lasting synergistic effects on health and wellbeing, potentially resulting in greater efficacy and cost-effectiveness. Policymakers may also be interested in identifying the most effective timing for interventions. Adopting a life course approach may help identify potential sensitive periods when such joint interventions could yield the most significant benefits. This will require investigating developmental trajectories from an early age, which is when sensitive periods are typically observed. The inclusion of ALSPAC is essential for the project, as it will enable such investigations.
Date proposal received: 
Friday, 4 October, 2024
Date proposal approved: 
Monday, 7 October, 2024
Keywords: 
Epidemiology, Mental health, Statistical methods, Methods - e.g. cross cohort analysis, data mining, mendelian randomisation, etc., Social science, Psychological distress Inflammation Social inequalities Education Income Psychoneuroimmunology