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The Psychobiology of Resilience

Published online by Cambridge University Press:  07 November 2014

Dan J. Stein*
Affiliation:
Dr. Stein is professor in and chair of the Department of Psychiatry and Mental Health at the, University of Cape Town, and is on faculty at the Mount Sinai School of Medicine in New York City.

Abstract

Although adverse environments are well known to be a risk factor for psychopathology, many individuals respond adaptively to such environments. There is growing interest in the underlying mechanisms involved in such resilience. Several cognitive-affective processes may be involved, and these may be mediated by particular neuronal circuits and neurochemical systems. This article summarizes some of the relevant work on the role of fear conditioning, reward processing, and social behavior in resilience. There is a growing body of data on how particular gene-environment interactions affect these processes, and thus underpin resilience. Ultimately, a better understanding of the mechanisms underpinning resilience may lead to novel interventions.

Type
Research Article
Copyright
Copyright © Cambridge University Press 2009

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References

1.Brewin, CR, Andrews, B, Valentine, JD. Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults. J Consult Clin Psychol. 2000;68(5):748766.CrossRefGoogle ScholarPubMed
2.Yehuda, R. Risk Factors for Posttraumatic Stress Disorder. Washington, DC: American Psychiatric Press; 1999.Google Scholar
3.Kim-Cohen, J. Resilience and developmental psychopathology. Child Adolesc Psychiatr Clin N Am. 2007;16(2):271–83, vii.Google Scholar
4.Cicchetti, D, Blender, JA. A multiple-levels-of-analysis perspective on resilience: implications for the developing brain, neural plasticity, and preventive interventions. Ann N Y Acad Sci. 2006;1094:248258.Google Scholar
5.Charney, DS. Psychobiological mechanisms of resilience and vulnerability: implications for successful adaptation to extreme stress. Am J Psychiatry. 2004;161(2):195216.CrossRefGoogle ScholarPubMed
6.Rutter, M. Resilience in the face of adversity. Protective factors and resistance to psychiatric disorder. Br J Psychiatry. 1985;147:598611.Google Scholar
7.Yehuda, R, Flory, JD, Southwick, S, Charney, DS. Developing an agenda for translational studies of resilience and vulnerability following trauma exposure. Ann N Y Acad Sci. 2006;1071:379396.CrossRefGoogle ScholarPubMed
8.Peterson, C, Park, N, Pole, N, D’Andrea, W, Seligman, ME. Strengths of character and posttraumatic growth. J Trauma Stress. 2008;21(2):214217.Google Scholar
9.Tedeschi, RG, Park, CL, Calhoun, LG. Posttraumatic Growth: Positive Changes in the Aftermath of Crisis. Lawrence Erlbaum Associates; 1998.Google Scholar
10.Rutter, M. Resilience, competence, and coping. Child Abuse Negl. 2007;31(3):205209.CrossRefGoogle ScholarPubMed
11.Parker, KJ, Buckmaster, CL, Justus, KR, Schatzberg, AF, Lyons, DM. Mild early life stress enhances prefrontal-dependent response inhibition in monkeys. Biol Psychiatry. 2005;57(8):848855.Google Scholar
12.Thierry, AM, Tassin, JP, Blanc, G, Glowinski, J. Selective activation of mesocortical DA system by stress. Nature. 1976;263(5574):242244.Google Scholar
13.Piazza, PV, Deminiere, JM, Le Moal, M, Simon, H. Stress- and pharmacologically-induced behavioral sensitization increases vulnerability to acquisition of amphetamine self-administration. Brain Res. 1990;514(1):2226.Google Scholar
14.Krishnan, V, Han, MH, Graham, DL, et al.Molecular adaptations underlying susceptibility and resistance to social defeat in brain reward regions. Cell. 2007;131(2):391404.CrossRefGoogle ScholarPubMed
15.Weaver, IC, Cervoni, N, Champagne, FA, et al.Epigenetic programming by maternal behavior. Nat Neurosci. 2004;7(8):847854.Google Scholar
16.Caspi, A, McClay, J, Moffitt, TE, et al.Role of genotype in the cycle of violence in maltreated children. Science. 2002;297(5582):851854.Google Scholar
17.Caspi, A, Sugden, K, Moffitt, TE, et al.Influence of life stress on depression: moderation by a polymorphism in the 5-HTT gene. Science. 2003;301(5631):386389.Google Scholar
18.Kim-Cohen, J, Caspi, A, Taylor, A, et al.MAOA, maltreatment, and gene-environment interaction predicting children’s mental health: new evidence and a meta-analysis. Mol Psychiatry. 2006;11(10):903913.Google Scholar
19.Meyer-Lindenberg, A, Buckholtz, JW, Kolachana, B, et al.Neural mechanisms of genetic risk for impulsivity and violence in humans. Proc Natl Acad Sci U S A. 2006;103(16):62696274.Google Scholar
20.Etkin, A, Wager, TD. Functional neuroimaging of anxiety: a meta-analysis of emotional processing in PTSD, social anxiety disorder, and specific phobia. Am J Psychiatry. 2007;164(10):14761488.CrossRefGoogle ScholarPubMed
21.Simeon, D, Yehuda, R, Cunill, R, Knutelska, M, Putnam, FW, Smith, LM. Factors associated with resilience in healthy adults. Psychoneuroendocrinology. 2007;32(8-10):11491152.CrossRefGoogle ScholarPubMed
22.Binder, EB, Bradley, RG, Liu, W, et al.Association of FKBP5 polymorphisms and childhood abuse with risk of posttraumatic stress disorder symptoms in adults. JAMA. 2008;299(11):12911305.Google Scholar
23.Munafò, MR, Brown, SM, Hariri, AR. Serotonin transporter (5-HTTLPR) genotype and amygdala activation: a meta-analysis. Biol Psychiatry. 2008;63(9):852857.Google Scholar
24.Klein, TA, Neumann, J, Reuter, M, Hennig, J, von Cramon, DY, Ullsperger, M. Genetically determined differences in learning from errors. Science. 2007;318(5856):16421645.Google Scholar
25.Volkow, ND, Fowler, JS, Wang, GJ, Ding, YS, Gatley, SJ. Role of dopamine in the therapeutic and reinforcing effects of methylphenidate in humans: results from imaging studies. Eur Neuropsychopharmacol. 2002;12(6):557566.Google Scholar
26.Kaufman, J, Yang, BZ, Douglas-Palumberi, H, et al.Social supports and serotonin transporter gene moderate depression in maltreated children. Proc Natl Acad Sci U S A. 2004;101(49):1731617321.Google Scholar
27.Kim-Cohen, J, Moffitt, TE, Caspi, A, Taylor, A. Genetic and environmental processes in young children’s resilience and vulnerability to socioeconomic deprivation. Child Dev. 2004;75(3):651668.CrossRefGoogle ScholarPubMed
28.Harlow, HF, Stollnitz, F, eds. Behaviour of Nonhuman Primates. London: Academic Press; 1965.Google Scholar
29.Heim, C, Nemeroff, CB. The role of childhood trauma in the neurobiology of mood and anxiety disorders: preclinical and clinical studies. Biol Psychiatry. 2001;49(12):10231039.Google Scholar
30.Nelson, EE, Panksepp, J. Brain substrates of infant-mother attachment: contributions of opioids, oxytocin, and norepinephrine. Neurosci Biobehav Rev. 1998;22(3):437452.Google Scholar
31.Meaney, MJ, Szyf, M, Seckl, JR. Epigenetic mechanisms of perinatal programming of hypothalamic-pituitary-adrenal function and health. Trends Mol Med. 2007;13(7):269277.Google Scholar
32.McEwen, BS. Protection and damage from acute and chronic stress: allostasis and allostatic overload and relevance to the pathophysiology of psychiatric disorders. Ann N Y Acad Sci. 2004;1032:17.CrossRefGoogle Scholar
33.Davis, M, Whalen, PJ. The amygdala: vigilance and emotion. Mol Psychiatry. 2001;6(1):1334.Google Scholar
34.LeDoux, J. Fear and the brain: where have we been, and where are we going? Biol Psychiatry. 1998;44(12):12291238.CrossRefGoogle ScholarPubMed
35.Pitman, RK, Sanders, KM, Zusman, RM, et al.Pilot study of secondary prevention of posttraumatic stress disorder with propranolol. Biol Psychiatry. 2002;51(2):189192.Google Scholar
36.Rauch, SL, Shin, LM, Phelps, EA. Neurocircuitry models of posttraumatic stress disorder and extinction: human neuroimaging research--past, present, and future. Biol Psychiatry. 2006;60(4):376382.Google Scholar
37.Davis, M, Ressler, K, Rothbaum, BO, Richardson, R. Effects of D-cycloserine on extinction: translation from preclinical to clinical work. Biol Psychiatry. 2006;60(4):369375.CrossRefGoogle ScholarPubMed
38.Rutter, M. Implications of resilience concepts for scientific understanding. Ann N Y Acad Sci. 2006;1094:112.CrossRefGoogle ScholarPubMed
39.Stein, DJ, Collins, M, Daniels, W, Noakes, TD, Zigmond, M. Mind and muscle: the cognitive-affective neuroscience of exercise. CNS Spectr. 2007;12(1):1922.Google Scholar
40.Dellu, F, Piazza, PV, Mayo, W, Le Moal, M, Simon, H. Novelty-seeking in rats--biobehavioral characteristics and possible relationship with the sensation-seeking trait in man. Neuropsychobiology. 1996;34(3):136145.Google Scholar
41.Seedat, S, Niehaus, DJ, Stein, DJ. The role of genes and family in trauma exposure and posttraumatic stress disorder. Mol Psychiatry. 2001;6(4):360362.CrossRefGoogle ScholarPubMed
42.Nemeroff, CB, Bremner, JD, Foa, EB, Mayberg, HS, North, CS, Stein, MB. Posttraumatic stress disorder: a state-of-the-science review. J Psychiatr Res. 2006;40(1):121.CrossRefGoogle ScholarPubMed
43.Bowlby, J. Attachment and Loss: Volume III: Loss, Sadness and Depression. New York, NY: Basic Books; 1982.Google Scholar
44.Hariri, AR, Holmes, A. Genetics of emotional regulation: the role of the serotonin transporter in neural function. Trends Cogn Sci. 2006;10(4):182191.Google Scholar
45.Uher, R, McGuffin, P. The moderation by the serotonin transporter gene of environmental adversity in the aetiology of mental illness: review and methodological analysis. Mol Psychiatry. 2008;13(2):131146.Google Scholar
46.Stein, DJ, Van Honk, J, Ipser, J, Solms, M, Panksepp, J. Opioids: from physical pain to the pain of social isolation. CNS Spectr. 2007;12(9):669–670, 672674.Google Scholar
47.Sapolsky, RM. Why Zebras Don’t Get Ulcers. 3rd ed. New York, NY: Henry Holt and Company; 2004.Google Scholar
48.Ozbay, F, Fitterling, H, Charney, D, Southwick, S. Social support and resilience to stress across the life span: a neurobiologic framework. Curr Psychiatry Rep. 2008;10(4):304310.Google Scholar
49.Olds, DL, Sadler, L, Kitzman, H. Programs for parents of infants and toddlers: recent evidence from randomized trials. J Child Psychol Psychiatry. 2007;48(3-4):355391.Google Scholar
50.Kumpfer, KL, Summerhays, JF. Prevention approaches to enhance resilience among high-risk youth: comments on the papers of Dishion & Connell and Greenberg. Ann N Y Acad Sci. 2006;1094:151163.Google Scholar
51.Riley, AW, Valdez, CR, Barrueco, S, et al.Development of a family-based program to reduce risk and promote resilience among families affected by maternal depression: theoretical basis and program description. Clin Child Fam Psychol Rev. 2008;11(1-2):1229.Google Scholar
52.Seligman, ME, Steen, TA, Park, N, Peterson, C. Positive psychology progress: empirical validation of interventions. Am Psychol. 2005;60(5):410421.Google Scholar
53.Cloninger, CR. Feeling Good: The Science of Well-Being. New York, NY: Oxford University Press; 2004.CrossRefGoogle Scholar
54.Fisher, PA, Gunnar, MR, Dozier, M, Bruce, J, Pears, KC. Effects of therapeutic interventions for foster children on behavioral problems, caregiver attachment, and stress regulatory neural systems. Ann N Y Acad Sci. 2006;1094:215225.Google Scholar
55.Connor, KM, Sutherland, SM, Tupler, LA, Malik, ML, Davidson, JR. Fluoxetine in post-traumatic stress disorder. Randomised, double-blind study. Br J Psychiatry. 1999;175:1722.Google Scholar
56.Connor, KM, Davidson, JR. Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC). Depress Anxiety. 2003;18(2):7682.Google Scholar
57.Davidson, J, Baldwin, D, Stein, DJ, et al.Treatment of posttraumatic stress disorder with venlafaxine extended release: a 6-month randomized controlled trial. Arch Gen Psychiatry. 2006;63(10):11581165.Google Scholar
58.Davidson, J, Baldwin, DS, Stein, DJ, et al.Effects of venlafaxine extended release on resilience in posttraumatic stress disorder: an item analysis of the Connor-Davidson Resilience Scale. Int Clin Psychopharmacol. 2008;23(5):299303.Google Scholar
59.Carrey, N, Ungar, M. Resilience theory and the diagnostic and statistical manual: incompatible bed fellows? Child Adolesc Psychiatr Clin N Am. 2007;16(2):497513, xii.Google Scholar
60.Gluckman, PD, Hanson, MA. Living with the past: evolution, development, and patterns of disease. Science. 2004;305(5691):17331736.Google Scholar
61.Stein, DJ, Seedat, S, Iversen, A, Wessely, S. Post-traumatic stress disorder: medicine and politics. Lancet. 2007;369(9556):139144.Google Scholar