Department of Neurology, Harvard Medical School, Hinda and Arthur Marcus Institute for Aging Research and Deanna and Sidney Wolk Center for Memory Health at Hebrew SeniorLife, Boston, MA, USA.
Institut Guttmann de Neurorehabilitació, Guttmann Brain Health Institute, Barcelona, Spain.
Ann Neurol. 2021 Sep;90(3):336-349. doi: 10.1002/ana.26157. Epub 2021 Jul 19.
At present, resilience refers to a highly heterogeneous concept with ill-defined determinants, mechanisms, and outcomes. This call for action argues for the need to define resilience as a person-centered multidimensional metric, informed by a dynamic lifespan perspective and combining observational and interventional experimental studies to identify specific neural markers and correlated behavioral measures. The coronavirus disease 2019 (COVID-19) pandemic highlights the urgent need of such an effort with the ultimate goal of defining a new vital sign, an individual index of resilience, as a life-long metric with the capacity to predict an individual's risk for disability in the face of a stressor, insult, injury, or disease. ANN NEUROL 2021;90:336-349.
目前,韧性是一个高度异质的概念,其决定因素、机制和结果尚未明确。这一行动呼吁主张有必要将韧性定义为一个以人为主导的多维指标,以动态的寿命观为依据,并结合观察性和干预性实验研究来确定特定的神经标记物和相关的行为测量。2019 年冠状病毒病(COVID-19)大流行凸显了这样一项努力的紧迫性,其最终目标是定义一个新的生命体征,即个体韧性指数,作为一个终身指标,有能力预测个体在面临压力、侮辱、伤害或疾病时的残疾风险。神经病学年鉴 2021;90:336-349.