Evidence map›Paper›PMID 33859187›Full record

Observational studyNature communications2021

Real-world stress resilience is associated with the responsivity of the locus coeruleus.

Marcus Grueschow, Nico Stenz, Hanna Thörn, Ulrike Ehlert, Jan Breckwoldt, Monika Brodmann Maeder, Aristomenis K Exadaktylos, Roland Bingisser, Christian C Ruff, Birgit Kleim

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed
4.8field-weighted citation impact, top 3% 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

55 citing papers in PubMed, 105 citations in OpenAlex.

  1. Article
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  4. Stress, stress systems, and Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Review
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  17. Involvement of the Cerebellar Peduncles inInternational journal of molecular sciences · 2025
    Review
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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

10 authors at 3 institutions in 1 country.

Marcus GrueschowZurich Center for Neuroeconomics (ZNE), Department of Economics, University of Zurich, Zurich, Switzerland. marcus.grueschow@econ.uzh.ch.ORCID http://orcid.org/0000-0003-1911-2742
Nico StenzDivision of Experimental Psychopathology and Psychotherapy, Dept of Psychology, University of Zurich, Zurich, Switzerland.
Hanna ThörnDivision of Experimental Psychopathology and Psychotherapy, Dept of Psychology, University of Zurich, Zurich, Switzerland.
Ulrike EhlertDivision of Clinical Psychology and Psychotherapy, Dept of Psychology, University of Zurich, Zurich, Switzerland.ORCID http://orcid.org/0000-0002-1982-8321
Jan BreckwoldtMedical School, Deanery, University of Zurich, Zurich, Switzerland.
Monika Brodmann MaederAccident and Emergency Department, Inselspital Bern, Bern, Switzerland.
Aristomenis K ExadaktylosAccident and Emergency Department, Inselspital Bern, Bern, Switzerland.
Roland BingisserDepartment of Emergency Medicine, University Hospital Basel, Basel, Switzerland.
Christian C RuffZurich Center for Neuroeconomics (ZNE), Department of Economics, University of Zurich, Zurich, Switzerland.ORCID http://orcid.org/0000-0002-3964-2364
Birgit KleimDivision of Experimental Psychopathology and Psychotherapy, Dept of Psychology, University of Zurich, Zurich, Switzerland. birgit.kleim@uzh.ch.
University of Zurich · CHUniversity Hospital of Bern · CHUniversity Hospital of Basel · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Individuals may show different responses to stressful events. Here, we investigate the neurobiological basis of stress resilience, by showing that neural responsitivity of the noradrenergic locus coeruleus (LC-NE) and associated pupil responses are related to the subsequent change in measures of anxiety and depression in response to prolonged real-life stress. We acquired fMRI and pupillometry data during an emotional-conflict task in medical residents before they underwent stressful emergency-room internships known to be a risk factor for anxiety and depression. The LC-NE conflict response and its functional coupling with the amygdala was associated with stress-related symptom changes in response to the internship. A similar relationship was found for pupil-dilation, a potential marker of LC-NE firing. Our results provide insights into the noradrenergic basis of conflict generation, adaptation and stress resilience.

Indexed as

Internship and ResidencyResilience, PsychologicalAdultAmygdalaAnxietyConnectomeDepressionEmergency Service, HospitalFemaleHumansLocus CoeruleusMagnetic Resonance ImagingMaleOccupational StressPredictive Value of TestsRisk Factors

Identifiers

PMID33859187
PMCPMC8050280
OpenAlexW3155821888

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.