Evidence map›Paper›PMID 31896560›Full record

ReviewThe Journal of neuroscience : the official journal of the Society for Neuroscience2020

Revisiting the Stress Concept: Implications for Affective Disorders.

Bruce S McEwen, Huda Akil

Open access · bronzeAbstract readReview
In one paragraph

Review in The Journal of neuroscience : the official journal of the Society for Neuroscience, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 313 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
313citing papers in PubMed, 1 pooled it
38.2field-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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

313 citing papers in PubMed, 1 synthesis or guideline pooled it, 617 citations in OpenAlex.

  1. How childhood adversity affects components of decision making.Neuroscience and biobehavioral reviews · 2025
    Pooled it
  2. An open trial of biofeedback for long COVID.Journal of psychosomatic research · 2024
    Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Effects of NR3C1 and COMT Genes on Attention-Deficit/Hyperactivity Disorder and Accompanying Aggressiveness: A Cross-Sectional Study in a Clinical Sample.International journal of developmental neuroscience : the official journal of the International Society for Developmental Neuroscience · 2026
    Article
  11. Article
  12. A Neurotensin Brake on Exploratory Drive under Persistent Threat.bioRxiv : the preprint server for biology · 2026
    Article
  13. Article
  14. Protective Effects ofPharmaceuticals (Basel, Switzerland) · 2026
    Article
  15. Review
  16. Article
  17. Review
  18. Article
  19. Post-traumatic stress disorder.Nature reviews. Disease primers · 2026
    Review
  20. Article

253 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

2 authors at 2 institutions in 1 country.

Bruce S McEwenThe Rockefeller University, New York, New York 10065, and.
Huda AkilUniversity of Michigan Medical School, Ann Arbor, Michigan 48109 akil@umich.edu.
Rockefeller University · USUniversity of Michigan–Ann Arbor · US

Funding

Investigating the role of Bmp4 in glial subtype specification and temperamentU01DA043098 · NIDA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HUDA AKIL, Jun Li · 2017 to 2026
$6.9M
STRESS, ADRENAL STEROIDS AND THE BRAINR01MH041256 · NIMH · ROCKEFELLER UNIVERSITY · PI MCEWEN, BRUCE S. · 1986 to 2015
$4.3M
Can Affective Resilience be Enhanced? A Developmental and Epigenetic ApproachR01MH104261 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI AKIL, HUDA, WATSON, STANLEY J · 2014 to 2018
$2.8M
NIDA NIH HHS U01 DA043098NIMH NIH HHS R01 MH041256NIMH NIH HHS R01 MH104261
6 · The paper itself

Abstract

Over the last 50 years, the concept of stress has evolved significantly, and our understanding of the underlying neurobiology has expanded dramatically. Rather than consider stress biology to be relevant only under unusual and threatening conditions, we conceive of it as an ongoing, adaptive process of assessing the environment, coping with it, and enabling the individual to anticipate and deal with future challenges. Though much remains to be discovered, the fundamental neurocircuitry that underlies these processes has been broadly delineated, key molecular players have been identified, and the impact of this system on neuroplasticity has been well established. More recently, we have come to appreciate the critical interaction between the brain and the rest of the body as it pertains to stress responsiveness. Importantly, this system can become overloaded due to ongoing environmental demands on the individual, be they physical, physiological, or psychosocial. The impact of this overload is deleterious to brain health, and it results in vulnerability to a range of brain disorders, including major depression and cognitive deficits. Thus, stress biology is one of the best understood systems in affective neuroscience and is an ideal target for addressing the pathophysiology of many brain-related diseases. The story we present began with the discovery of glucocorticoid receptors in hippocampus and has extended to other brain regions in both animal models and the human brain with the further discovery of structural and functional adaptive plasticity in response to stressful and other experiences.

Indexed as

Adaptation, PhysiologicalAnimalsBrainEndocannabinoidsEpigenesis, GeneticFeedback, PhysiologicalFibroblast Growth Factor 2Gene Expression RegulationGlucocorticoidsHormonesHumansHypothalamo-Hypophyseal SystemIntercellular Signaling Peptides and ProteinsLife Change EventsModels, NeurologicalModels, PsychologicalEndocannabinoidsFibroblast Growth Factor 2GlucocorticoidsHormonesIntercellular Signaling Peptides and ProteinsNerve Tissue ProteinsReceptors, Cell Surface

Identifiers

PMID31896560
PMCPMC6939488
OpenAlexW2998525532

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.