A Neural Biomarker of Psychological Vulnerability to Future Life Stress
Open accessAbstract
We all experience a host of common life stressors such as the death of a family member, medical illness, and financial uncertainty. While most of us are resilient to such stressors, continuing to function normally, for a subset of individuals, experiencing these stressors increases the likelihood of developing treatment-resistant, chronic psychological problems, including depression and anxiety. It is thus paramount to identify predictive markers of risk, particularly those reflecting fundamental biological processes that can be targets for intervention and prevention. Using data from a longitudinal study of 340 healthy young adults, we demonstrate that individual differences in threat-related amygdala reactivity predict psychological vulnerability to life stress occurring as much as 1 to 4 years later. These results highlight a readily assayed biomarker, threat-related amygdala reactivity, which predicts psychological vulnerability to commonly experienced stressors and represents a discrete target for intervention and prevention.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Stronger amygdala reactivity to threat may lead to stronger emotional reactivity.
“Greater amygdala reactivity to threat may result in greater emotional reactivity, or the tendency to experience frequent and intense emotional arousal and responses to environmental events90”
From Early life adversity and health-risk behaviors: Proposed psychological and neural mechanisms (2018) · cites this paper as [90]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
(2013) · Cited by 44,563 · see citing works
Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005) · Archives of General Psychiatry · doi:10.1001/archpsyc.62.6.593 · Cited by 20,391 · see citing works
(1998) · The Journal of Clinical Psychiatry · Cited by 19,139 · see citing works
(1998) · PubMed · Cited by 10,216 · see citing works
Development and validation of a brief screening version of the Childhood Trauma Questionnaire
Bernstein, D. P., Stein, J. A., Newcomb, M. D., Walker, E., Pogge, D., Ahluvalia, T., Stokes, J., Handelsman, L., Medrano, M., Desmond, D., et al. (2003) · Child Abuse & Neglect · doi:10.1016/s0145-2134(02)00541-0 · Cited by 6,419 · see citing works
The mini international neuropsychiatric interview
Lecrubier, Y., Sheehan, D. V., Hergueta, T., & Weiller, E. (1998) · European Psychiatry · doi:10.1016/s0924-9338(99)80239-9 · Cited by 5,882 · see citing works
Development and validation of the State Hope Scale.
Snyder, C. R. R., Sympson, S. C., Ybasco, F. C., Borders, T. F., Babyak, M. A., & Higgins, R. L. (1996) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.70.2.321 · Cited by 3,584 · see citing works
Etkin, A., & Wager, T. D. (2007) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2007.07030504 · Cited by 3,391 · see citing works
Causal Relationship Between Stressful Life Events and the Onset of Major Depression
Kendler, K. S., Karkowski, L. M., & Prescott, C. A. (1999) · American Journal of Psychiatry · doi:10.1176/ajp.156.6.837 · Cited by 2,486 · cited 2× · see citing works
“Introduction Exposure to stressful life events is a robust risk factor for the development of treatmentresistant, chronic psychological problems including major depression and anxiety disorders (Faravelli, 1985; Galea et al., 2002; Kendler et al., 1999).”
Neurocircuitry of stress: central control of the hypothalamo–pituitary–adrenocortical axis
Herman, J. P., & Cullinan, W. E. (1997) · Trends in Neurosciences · doi:10.1016/s0166-2236(96)10069-2 · Cited by 2,270 · see citing works
Psychological Sequelae of the September 11 Terrorist Attacks in New York City
Galea, S., Ahern, J., Resnick, H. S., Kilpatrick, D. G., Bucuvalas, M. J., Gold, J., & Vlahov, D. (2002) · New England Journal of Medicine · doi:10.1056/nejmsa013404 · Cited by 1,905 · see citing works
Amunts, K., Kedo, O., Kindler, M., Pieperhoff, P., Mohlberg, H., Shah, N. J., Habel, U., Schneider, F., & Zilles, K. (2005) · Anatomy and Embryology · doi:10.1007/s00429-005-0025-5 · Cited by 1,264 · see citing works
Depression and cortisol responses to psychological stress: A meta-analysis
Burke, H. M., Davis, M. C., Otte, C., & Mohr, D. C. (2005) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2005.02.010 · Cited by 1,194 · see citing works
Watson, D., Clark, L. A., Weber, K., Assenheimer, J. S., Strauss, M. E., & McCormick, R. A. (1995) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.104.1.15 · Cited by 1,002 · see citing works
Watson, D., Clark, L. A., Weber, K., et al. (1995) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.104.1.15 · Cited by 745 · see citing works
Fales, C. L., Barch, D. M., Rundle, M. M., Mintun, M. A., Snyder, A. Z., Cohen, J. D., Mathews, J., & Sheline, Y. I. (2008) · Biological Psychiatry · doi:10.1016/j.biopsych.2007.06.012 · Cited by 517 · cited 2× · see citing works
“Thus, relatively greater amygdala reactivity to common stressors could lead to an altered stress response and biased appraisal and memory of stressful events, all of which are core symptoms and features of depression and anxiety disorders (Burke et al., 2005; Espejo et al., 2012; Fales et al., 2008; Hamilton and Gotli…”
Groenewold, N. A., Opmeer, E. M., de Jonge, P., Aleman, A., & Costafreda, S. G. (2013) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2012.11.015 · Cited by 417 · see citing works
Inverse amygdala and medial prefrontal cortex responses to surprised faces
Kim, H., Somerville, L. H., Johnstone, T., Alexander, A. L., & Whalen, P. J. (2003) · NeuroReport · doi:10.1097/00001756-200312190-00006 · Cited by 359 · see citing works
Neural Substrates of Increased Memory Sensitivity for Negative Stimuli in Major Depression
Hamilton, J. P., & Gotlib, I. H. (2008) · Biological Psychiatry · doi:10.1016/j.biopsych.2007.12.015 · Cited by 345 · see citing works
Monk, C. S., Klein, R. G., Telzer, E. H., Schroth, E. A., Mannuzza, S., Moulton, J. L., Guardino, M., Masten, C. L., McClure-Tone, E. B., Fromm, S., et al. (2008) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2007.06111917 · Cited by 335 · see citing works
fMRI studies of successful emotional memory encoding: a quantitative meta-analysis
Murty, V. P., Ritchey, M., Adcock, R., & LaBar, K. S. (2010) · Neuropsychologia · doi:10.1016/j.neuropsychologia.2010.07.030 · Cited by 313 · see citing works
Human vulnerability to stress depends on amygdala's predisposition and hippocampal plasticity
Admon, R., Lubin, G., Stern, O., Rosenberg, K., Lee, S.-L., Ben-Ami, H., & Hendler, T. (2009) · Proceedings of the National Academy of Sciences of the United States of America · doi:10.1073/pnas.0903183106 · Cited by 250 · see citing works
Neuroimaging studies of attention and the processing of emotion-laden stimuli
Pessoa, L., & Ungerleider, L. G. (2004) · Progress in brain research · doi:10.1016/s0079-6123(03)14412-3 · Cited by 236 · see citing works
White, M. G., Bogdan, R., Fisher, P. M., Muñoz, K. E., Williamson, D. E., & Hariri, A. R. (2012) · Genes, Brain and Behavior · doi:10.1111/j.1601-183x.2012.00837.x · Cited by 180 · see citing works
Self-citationBogdan, R., Williamson, D. E., & Hariri, A. R. (2012) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2011.11060855 · Cited by 165 · see citing works
Self-citationAMYGDALA RESPONSE TO NEGATIVE STIMULI PREDICTS PTSD SYMPTOM ONSET FOLLOWING A TERRORIST ATTACK
McLaughlin, K. A., Busso, D. S., Duys, A., Green, J. G., Alves, S., Way, M., & Sheridan, M. A. (2014) · Depression and Anxiety · doi:10.1002/da.22284 · Cited by 146 · see citing works
Swartz, J. R., Williamson, D. E., & Hariri, A. R. (2015) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2014.14020195 · Cited by 144 · see citing works
Self-citationImpact of Sleep Quality on Amygdala Reactivity, Negative Affect, and Perceived Stress
Prather, A. A., Bogdan, R., & Hariri, A. R. (2013) · Psychosomatic Medicine · doi:10.1097/psy.0b013e31828ef15b · Cited by 135 · see citing works
Self-citationVentral striatum reactivity to reward and recent life stress interact to predict positive affect
Nikolova, Y. S., Bogdan, R., Brigidi, B. D., & Hariri, A. R. (2012) · Biological Psychiatry · doi:10.1016/j.biopsych.2012.03.014 · Cited by 130 · see citing works
Self-citationLife events preceding the onset of panic disorder
Faravelli, C. (1985) · Journal of Affective Disorders · doi:10.1016/0165-0327(85)90016-3 · Cited by 124 · see citing works
Beyond genotype: serotonin transporter epigenetic modification predicts human brain function
Nikolova, Y. S., Koenen, K. C., Galea, S., Wang, C., Seney, M. L., Sibille, E. L., Williamson, D. E., & Hariri, A. R. (2014) · Nature Neuroscience · doi:10.1038/nn.3778 · Cited by 114 · see citing works
Self-citationBredemeier, K., Spielberg, J. M., Silton, R. L., Berenbaum, H., Heller, W., & Miller, G. A. (2010) · Psychological Assessment · doi:10.1037/a0019915 · Cited by 102 · see citing works
Neural correlates of automatic mood regulation in girls at high risk for depression.
Joormann, J., Cooney, R. E., Henry, M. L., & Gotlib, I. H. (2012) · Journal of Abnormal Psychology · doi:10.1037/a0025294 · Cited by 98 · see citing works
The life events scale for students: Validation for use with British samples
Clements, K., & Turpin, G. (1996) · Personality and Individual Differences · doi:10.1016/0191-8869(96)00005-0 · Cited by 94 · see citing works
Espejo, E. P., Hammen, C. L., & Brennan, P. A. (2011) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-011-9552-0 · Cited by 47 · see citing works
Buckby, J. A., Yung, A. R., Cosgrave, E., et al. (2006) · British Journal of Clinical Psychology · doi:10.1348/014466506x132912 · Cited by 17 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Building better biomarkers: brain models in translational neuroimaging
Woo, C.-W., Chang, L. J., Lindquist, M. A., & Wager, T. D. (2017) · Nature Neuroscience · doi:10.1038/nn.4478 · Cited by 1,056 · see citing works
Transdiagnostic approaches to mental health problems: Current status and future directions.
Dalgleish, T., Black, M., Johnston, D., & Bevan, A. (2020) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000482 · Cited by 883 · see citing works
Elliott, M. L., Knodt, A. R., Ireland, D., Morris, M. L., Poulton, R., Ramrakha, S., Sison, M. L., Moffitt, T. E., Caspi, A., & Hariri, A. R. (2020) · Psychological Science · doi:10.1177/0956797620916786 · Cited by 714 · see citing works
Self-citationHerzog, J. I., & Schmahl, C. (2018) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2018.00420 · Cited by 583 · see citing works
Craske, M. G., Stein, M. B., Eley, T. C., Milad, M. R., Holmes, A., Rapee, R. M., & Wittchen, H.-U. (2017) · Nature Reviews Disease Primers · doi:10.1038/nrdp.2017.24 · Cited by 652 · see citing works
A Hierarchical Taxonomy of Psychopathology Can Transform Mental Health Research
Conway, C. C., Forbes, M. K., Forbush, K. T., Fried, E. I., Hallquist, M. N., Kotov, R., Mullins-Sweatt, S. N., Shackman, A. J., Skodol, A. E., South, S. C., et al. (2019) · Perspectives on Psychological Science · doi:10.1177/1745691618810696 · Cited by 426 · see citing works
Child trauma exposure and psychopathology: Mechanisms of risk and resilience
McLaughlin, K. A., & Lambert, H. K. (2017) · Current Opinion in Psychology · doi:10.1016/j.copsyc.2016.10.004 · Cited by 441 · see citing works
Chapman, C. R., & Vierck, C. J. (2017) · The Journal of Pain · doi:10.1016/j.jpain.2016.11.004 · Cited by 423 · see citing works
McCrory, E. J., Gerin, M. I., & Viding, E. (2017) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12713 · Cited by 402 · see citing works
Stress and the adolescent brain
Tottenham, N., & Galván, A. (2016) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2016.07.030 · Cited by 324 · see citing works
The Biology of Human Resilience: Opportunities for Enhancing Resilience Across the Life Span
Feder, A., Fred-Torres, S., Southwick, S. M., & Charney, D. S. (2019) · Biological Psychiatry · doi:10.1016/j.biopsych.2019.07.012 · Cited by 269 · see citing works
Ng, T. H., Alloy, L. B., & Smith, D. V. (2019) · Translational Psychiatry · doi:10.1038/s41398-019-0644-x · Cited by 244 · see citing works
Early life adversity and health-risk behaviors: Proposed psychological and neural mechanisms
Duffy, K. A., McLaughlin, K. A., & Green, P. A. (2018) · Annals of the New York Academy of Sciences · doi:10.1111/nyas.13928 · Cited by 237 · see citing works
The epigenetic impacts of social stress: how does social adversity become biologically embedded?
Cunliffe, V. T. (2016) · Epigenomics · doi:10.2217/epi-2016-0075 · Cited by 141 · see citing works
Role of social cognition in post-traumatic stress disorder: a review and meta-analysis.
Stevens, J. S., & Jovanovic, T. (2019) · Genes, Brain and Behavior · doi:10.1111/gbb.12518 · Cited by 139 · see citing works
Real-world stress resilience is associated with the responsivity of the locus coeruleus
Grueschow, M., Stenz, N., Thörn, H., Ehlert, U., Breckwoldt, J., Brodmann Maeder, M., Exadaktylos, A. K., Bingisser, R., Ruff, C. C., & Kleim, B. (2021) · Nature Communications · doi:10.1038/s41467-021-22509-1 · Cited by 116 · see citing works
Neural contributors to trauma resilience: a review of longitudinal neuroimaging studies
Roeckner, A. R., Oliver, K. I., Lebois, L. A. M., van Rooij, S. J. H., & Stevens, J. S. (2021) · Translational Psychiatry · doi:10.1038/s41398-021-01633-y · Cited by 103 · see citing works
Wang, S., Chen, L., Ran, H., Che, Y., Fang, D., Sun, H., Peng, J., Liang, X., & Xiao, Y. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.917552 · Cited by 94 · see citing works
Low emotional awareness as a transdiagnostic mechanism underlying psychopathology in adolescence
Weissman, D. G., Nook, E. C., Dews, A. A., Miller, A. B., Lambert, H. K., Sasse, S. F., Somerville, L. H., & McLaughlin, K. A. (2020) · Clinical Psychological Science · doi:10.1177/2167702620923649 · Cited by 91 · see citing works
Bauer, C. C. C., Caballero, C., Scherer, E., West, M. R., Mrazek, M. D., Phillips, D. T., Whitfield-Gabrieli, S., & Gabrieli, J. D. E. (2019) · Behavioral Neuroscience · doi:10.1037/bne0000337 · Cited by 85 · see citing works
(2020) · International review of neurobiology · doi:10.1016/bs.irn.2020.03.012 · Cited by 34 · see citing works
Neural vulnerability and hurricane-related media are associated with post-traumatic stress in youth
Dick, A. S., Silva, K., Gonzalez, R., Sutherland, M. T., Laird, A. R., Thompson, W. K., Tapert, S. F., Squeglia, L. M., Gray, K. M., Nixon, S. J., et al. (2021) · Nature Human Behaviour · doi:10.1038/s41562-021-01216-3 · Cited by 27 · see citing works
Tamm, S., Harmer, C. J., Schiel, J., Holub, F., Rutter, M. K., Spiegelhalder, K., & Kyle, S. D. (2022) · American Journal of Psychiatry · doi:10.1176/appi.ajp.21050466 · Cited by 22 · see citing works
- Authors
- Swartz, J. R., Knodt, A. R., Radtke, S. R., & Hariri, A. R.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Duke University (US)
- Corresponding author
- Swartz, Johnna R.
- Venue
- Neuron
- Publisher
- Elsevier BV
- Published
- 2015-02
- Volume
- 85
- Issue
- 3
- Pages
- 505-511
- ISSN
- 0896-6273 (ISSN-L)
- PMC
- PMC4319095
- OpenAlex
- W2037462540
- Cited by
- 216
- References
- 36
- Citations by year
- 2026: 9 · 2025: 13 · 2024: 8 · 2023: 16 · 2022: 18 · 2021: 28 · 2020: 19 · 2019: 29 · 2018: 14 · 2017: 23 · 2016: 25 · 2015: 14
- FWCI
- 13.06
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Neuron (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion)
- DukeSpace (Duke University) (submittedVersion, cc-by-nc-nd)
- eScholarship (California Digital Library) (submittedVersion)
- UNC Libraries
- Funders
- National Institutes of Health
- National Institute on Drug Abuse (R01DA033369, P30DA023026, DA031579, DA033369, R01DA031579)
- National Institute of Child Health and Human Development (T32-HD07376)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (T32-HD07376, T32HD007376)
- Topics
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- psychological vulnerability, life events, neural markers, depression, anxiety, risk prediction, individual differences, young adults, stress resilience, prevention
- MeSH terms
- Adolescent, Adult, Amygdala, Female, Follow-Up Studies, Forecasting, Humans, Life Change Events, Longitudinal Studies, Magnetic Resonance Imaging, Male, Photic Stimulation, Risk Factors, Stress, Psychological, Biomarkers, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review