van der Werff S J A, van den Berg S M, Pannekoek J N, Elzinga B M, van der Wee N J A
Department of Psychiatry, Leiden University Medical Center Leiden, Netherlands ; Leiden Institute for Brain and Cognition Leiden, Netherlands.
Front Behav Neurosci. 2013 May 7;7:39. doi: 10.3389/fnbeh.2013.00039. eCollection 2013.
There is a high degree of intra-individual variation in how individuals respond to stress. This becomes evident when exploring the development of posttraumatic symptoms or stress-related disorders after exposure to trauma. Whether or not an individual develops posttraumatic symptoms after experiencing a traumatic event is partly dependent on a person's resilience. Resilience can be broadly defined as the dynamic process encompassing positive adaptation within the context of significant adversity. Even though research into the neurobiological basis of resilience is still in its early stages, these insights can have important implications for the prevention and treatment of stress-related disorders. Neuroimaging studies contribute to our knowledge of intra-individual variability in resilience and the development of posttraumatic symptoms or other stress-related disorders. This review provides an overview of neuroimaging findings related to resilience. Structural, resting-state, and task-related neuroimaging results associated with resilience are discussed. There are a limited number of studies available and neuroimaging research of resilience is still in its infancy. The available studies point at brain circuitries involved in stress and emotion regulation, with more efficient processing and regulation associated with resilience.
个体对压力的反应存在高度的个体内差异。在探究创伤暴露后创伤后症状或应激相关障碍的发展时,这一点变得很明显。个体在经历创伤事件后是否会出现创伤后症状,部分取决于一个人的复原力。复原力可以广义地定义为在重大逆境背景下包含积极适应的动态过程。尽管对复原力的神经生物学基础的研究仍处于早期阶段,但这些见解可能对应激相关障碍的预防和治疗具有重要意义。神经影像学研究有助于我们了解复原力以及创伤后症状或其他应激相关障碍发展中的个体内变异性。本综述概述了与复原力相关的神经影像学研究结果。讨论了与复原力相关的结构、静息态和任务相关神经影像学结果。可用的研究数量有限,对复原力的神经影像学研究仍处于起步阶段。现有研究指出了参与压力和情绪调节的脑回路,更有效的处理和调节与复原力相关。