Evidence map›Paper›PMID 34611129›Full record

ReviewTranslational psychiatry2021

Neural contributors to trauma resilience: a review of longitudinal neuroimaging studies.

Alyssa R Roeckner, Katelyn I Oliver, Lauren A M Lebois, Sanne J H van Rooij, Jennifer S Stevens

Abstract readReview
In one paragraph

Review in Translational psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed
–field-weighted citation impact
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

57 citing papers in PubMed.

  1. Article
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  4. Review
  5. Article
  6. Article
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  8. Article
  9. Review
  10. Article
  11. Article
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  15. Article
  16. Childhood Adversity Is Associated With Longitudinal White Matter Changes After Adulthood Trauma.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2025
    Article
  17. Review
  18. Sequential decreases in basolateral amygdala response to threat predict failure to recover from PTSD.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2025
    Article
  19. Article
  20. Stress-Related Brain Alterations in Chronic Pain.European journal of pain (London, England) · 2025
    Article
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

5 authors.

Alyssa R Roeckner *Department of Psychiatry and Behavioral Sciences, Emory University, Atlanta, GA, USA.ORCID 0000-0002-5717-6168
Katelyn I Oliver *Department of Psychiatry and Behavioral Sciences, Emory University, Atlanta, GA, USA.ORCID 0000-0003-2226-5942
Lauren A M LeboisDivision of Depression and Anxiety Disorders, McLean Hospital, Belmont, MA, USA.ORCID 0000-0001-5816-9181
Sanne J H van RooijDepartment of Psychiatry and Behavioral Sciences, Emory University, Atlanta, GA, USA.ORCID 0000-0002-0160-7248
Jennifer S StevensDepartment of Psychiatry and Behavioral Sciences, Emory University, Atlanta, GA, USA. jennifer.stevens@emory.edu.ORCID 0000-0003-4674-0314

Funding

Longitudinal Assessment of Post-traumatic SyndromesU01MH110925 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KESSLER, RONALD C, KOENEN, KARESTAN C · 2016 to 2020
$25.8M
Training In Systems And Integrative Biology NeuroscienceT32NS096050 · NINDS · EMORY UNIVERSITY · PI Yoland Smith · 2016 to 2026
$3.9M
Effect of TMS on PTSD Neuroimaging and Psychophysiological BiomarkersK01MH121653 · NIMH · EMORY UNIVERSITY · PI VAN ROOIJ, SANNE JH · 2020 to 2024
$894k
Characterizing the Neurobiology of Pathological Dissociation: Mechanisms of Face Perception and Self Referential ProcessingK01MH118467 · NIMH · MCLEAN HOSPITAL · PI LEBOIS, LAUREN ANN MCDONOUGH · 2019 to 2022
$679k
The impact of exogenous estradiol on fear extinction in healthy young women and those with PTSDF31MH126623 · NIMH · EMORY UNIVERSITY · PI ROECKNER, ALYSSA ROSE · 2021 to 2023
$127k
NIMH NIH HHS F31 MH126623NIMH NIH HHS K01 MH118467NIMH NIH HHS K01 MH121653NIMH NIH HHS U01 MH110925NINDS NIH HHS T32 NS096050
6 · The paper itself

Abstract

Resilience in the face of major life stressors is changeable over time and with experience. Accordingly, differing sets of neurobiological factors may contribute to an adaptive stress response before, during, and after the stressor. Longitudinal studies are therefore particularly effective in answering questions about the determinants of resilience. Here we provide an overview of the rapidly-growing body of longitudinal neuroimaging research on stress resilience. Despite lingering gaps and limitations, these studies are beginning to reveal individual differences in neural circuit structure and function that appear protective against the emergence of future psychopathology following a major life stressor. Here we outline a neural circuit model of resilience to trauma. Specifically, pre-trauma biomarkers of resilience show that an ability to modulate activity within threat and salience networks predicts fewer stress-related symptoms. In contrast, early post-trauma biomarkers of subsequent resilience or recovery show a more complex pattern, spanning a number of major circuits including attention and cognitive control networks as well as primary sensory cortices. This novel synthesis suggests stress resilience may be scaffolded by stable individual differences in the processing of threat cues, and further buttressed by post-trauma adaptations to the stressor that encompass multiple mechanisms and circuits. More attention and resources supporting this work will inform the targets and timing of mechanistic resilience-boosting interventions.

Indexed as

Resilience, PsychologicalLongitudinal StudiesNeurobiologyNeuroimagingPsychopathology

Identifiers

PMID34611129
PMCPMC8492865

What OpenQuestion holds

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Registered trials

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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.