Evidence map›Paper›PMID 28856337›Full record

ArticleChronic stress (Thousand Oaks, Calif.)

Neurobiological and Systemic Effects of Chronic Stress.

Bruce S McEwen

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Chronic stress (Thousand Oaks, Calif.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04129632 (Evaluation of Institutional Job Demands-Resources and a Novel Mindfulness Tool on Burnout Intensity in a Cross-sectional Cohort of Colorado Health Care Practitioners), which is not on this map. Cited by 477 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
477citing papers in PubMed, 6 pooled it
21.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04129632 nacompletednot on this map

Evaluation of Institutional Job Demands-Resources and a Novel Mindfulness Tool on Burnout Intensity in a Cross-sectional Cohort of Colorado Health Care Practitioners

TypeinterventionalSponsorParkview Medical CenterRan2019 to 2020Enrolled73ConditionsBurnout, ProfessionalArmsIEPF Wellness Tool
3 · Its place in the literature

Who cites it

477 citing papers in PubMed, 6 syntheses or guidelines pooled it, 924 citations in OpenAlex.

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  17. Recovery from disorders of consciousness: Lesions and GABAergic modulation in a biologically inspired spiking neural network.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  18. Review
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  20. International journal of molecular sciences · 2026
    Review

417 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

Bruce S McEwenLaboratory of Neuroendocrinology, The Rockefeller University, New York, NY, USA.
Rockefeller University · US

Funding

Probing Systems-Level Function of Fronto-TemporalP50MH058911 · NIMH · NEW YORK UNIVERSITY · PI MCEWEN, BRUCE F · 1999 to 2008
$19.4M
STRESS, ADRENAL STEROIDS AND THE BRAINR01MH041256 · NIMH · ROCKEFELLER UNIVERSITY · PI MCEWEN, BRUCE S. · 1986 to 2015
$4.3M
STRESS, ADRENAL STEROIDS AND THE BRAINR37MH041256 · NIMH · ROCKEFELLER UNIVERSITY · PI MCEWEN, BRUCE S. · 1994 to 2003
$1.3M
NIMH NIH HHS P50 MH058911NIMH NIH HHS R01 MH041256
6 · The paper itself

Abstract

The brain is the central organ of stress and adaptation to stress because it perceives and determines what is threatening, as well as the behavioral and physiological responses to the stressor, which promote adaptation ("allostasis") but also contribute to pathophysiology ("allostatic load/overload") when overused and dysregulated. The adult as well as developing brain possesses a remarkable ability to show structural and functional plasticity in response to stressful and other experiences, including neuronal replacement, dendritic remodeling and synapse turnover. Stress can cause an imbalance of neural circuitry subserving cognition, decision making, anxiety and mood that can increase or decrease expression of those behaviors and behavioral states. This imbalance, in turn, affects systemic physiology via neuroendocrine, autonomic, immune and metabolic mediators. In the short term, these changes may be adaptive; but, if the threat passes and the behavioral state persists along with the changes in neural circuitry, such maladaptation requires intervention with a combination of pharmacological and behavioral therapies. There are important sex differences in how the brain responds to stressors. Moreover, adverse early life experience, interacting with alleles of certain genes, produces lasting effects on brain and body via epigenetic mechanisms. While prevention is key, the plasticity of the brain gives hope for therapies that utilize brain-body interactions. Policies of government and the private sector are important to promote health and increase "healthspan."

Indexed as

adverse childhood experiencesamygdalaepigeneticsglucocorticoidsglutamatehippocampuslifecoursepolicyprefrontal cortexsex differences

Identifiers

PMID28856337
PMCPMC5573220
OpenAlexW2607133520

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.