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The Science of Resilience: Implications for the Prevention and Treatment of Depression
Abstract
Human responses to stress and trauma vary widely. Some people develop trauma-related psychological disorders, such as posttraumatic stress disorder (PTSD) and depression; others develop mild to moderate psychological symptoms that resolve rapidly; still others report no new psychological symptoms in response to traumatic stress. Individual variability in how animals and humans respond to stress and trauma depends on numerous genetic, developmental, cognitive, psychological, and neurobiological risk and protective factors.
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“Moreover, individuals with low psychological resilience seem to have compromised control of brain circuits involved in emotion and fear [97] and poor cortico-limbic inhibition, representing a dysregulated emotional response to stress that may result in elevated cortisol exposure [98].”
From The prospective association of adolescent loneliness and low resilience with anxiety and depression in young adulthood: The HUNT study (2025) · cites this paper as [97]
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“The prospective association between anxiety and depression is particularly strong and well established. 257”
From Time for united action on depression: a Lancet–World Psychiatric Association Commission (2022) · cites this paper as [257]
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Resilience definitions, theory, and challenges: interdisciplinary perspectives
Southwick, S. M., Bonanno, G. A., Masten, A. S., Panter-Brick, C., & Yehuda, R. (2014) · European Journal of Psychotraumatology · doi:10.3402/ejpt.v5.25338 · Cited by 2,968
“…and numerous physical conditions, such as inflammatory, cardiovascular, or other medical illnesses (Karatoreos & McEwen, 2013; Russo, Murrough, Han, Charney, & Nestler, 2012; Southwick & Charney, 2012a, 2012b; Southwick, Litz, Charney, & Friedman, 2011; Southwick, Vythilingam, & Charney, 2005).”
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“Resilience refers to the ability to adapt to and recover from stress (Southwick and Charney, 2012) and is not simply the absence of vulnerability: There is evidence that resilience plays an independent (mitigating) role across the three stages of mood disorder (Davydov et al., 2010; Friedman et…”
BackgroundWu, G., Feder, A., Cohen, H., Kim, J. J., Calderon, S., Charney, D. S., & Mathé, A. A. (2013) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2013.00010 · Cited by 887
“SUMMARY Resilience is a complex multidimensional construct and the study of its neurobiology is a relatively young area of scientific investigation (Southwick and Charney, 2012).”
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Arango, C., Díaz-Caneja, C. M., McGorry, P. D., Rapoport, J., Sommer, I. E., Vorstman, J. A., McDaid, D., Marín, O., Serrano-Drozdowskyj, E., Freedman, R., et al. (2018) · The Lancet Psychiatry · doi:10.1016/s2215-0366(18)30057-9 · Cited by 1,271
“25 Resilience is a multidimensional construct that can be conceptualized as the ability to adapt well after experiencing adversity, trauma, or other stressors.”
Bethell, C., Jones, J., Gombojav, N., Linkenbach, J., & Sege, R. (2019) · JAMA Pediatrics · doi:10.1001/jamapediatrics.2019.3007 · Cited by 792
A conceptual framework for the neurobiological study of resilience
Kalisch, R., Müller, M. B., & Tüscher, O. (2015) · Behavioral and Brain Sciences · doi:10.1017/s0140525x1400082x · Cited by 669
Pathogenesis of depression: Insights from human and rodent studies
Ménard, C., Hodes, G. E., & Russo, S. J. (2016) · Neuroscience · doi:10.1016/j.neuroscience.2015.05.053 · Cited by 593
“Indeed, a majority of humans exposed to stressful events are resilient and do not develop depression or post-traumatic stress disorders (PTSD) (for review, see (Southwick and Charney, 2012)).”
BackgroundDaskalakis, N. P., Bagot, R. C., Parker, K. J., Vinkers, C. H., & de Kloet, E. R. (2013) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2013.06.008 · Cited by 579
“Considerable inter-individual differences exist in outcomes after (repeated) adversity, and many individuals do not develop psychopathology (Southwick and Charney, 2012).”
BackgroundPsychological Resilience: An Affect-Regulation Framework
Troy, A. S., Willroth, E. C., Shallcross, A. J., Giuliani, N. R., Gross, J. J., & Mauss, I. B. (2022) · Annual Review of Psychology · doi:10.1146/annurev-psych-020122-041854 · Cited by 655
“Finally, it will be critical to better understand the antecedents of affect regulation, including antecedents that are biological (e.g., genes; Southwick & Charney 2012), situational (e.g., environmental affordances; Suri et al. 2018, Uusberg et al. 2019), and psychological (e.g., beliefs about…”
Enhancing depression mechanisms in midbrain dopamine neurons achieves homeostatic resilience
Friedman, A. K., Walsh, J. J., Juarez, B., Ku, S. M., Chaudhury, D., Wang, J., Li, X., Dietz, D. M., Pan, N., Vialou, V. F., et al. (2014) · Science · doi:10.1126/science.1249240 · Cited by 484
Stress resilience during the coronavirus pandemic
Vinkers, C. H., van Amelsvoort, T., Bisson, J. I., Branchi, I., Cryan, J. F., Domschke, K., Howes, O. D., Manchia, M., Pinto, L., de Quervain, D., et al. (2020) · European Neuropsychopharmacology · doi:10.1016/j.euroneuro.2020.05.003 · Cited by 441
“Factors influencing this include living conditions, poverty, poor access to healthcare, illiteracy, uncertainty about the future (i.e. risk of unemployment), genetic background, previous life experiences and social support (Southwick and Charney, 2012) .”
BackgroundMental Imagery in Depression: Phenomenology, Potential Mechanisms, and Treatment Implications
Holmes, E. A., Blackwell, S. E., Burnett Heyes, S., Renner, F., & Raes, F. (2016) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-021815-092925 · Cited by 325
Denckla, C. A., Cicchetti, D., Kubzansky, L. D., Seedat, S., Teicher, M. H., Williams, D. R., & Koenen, K. C. (2020) · European Journal of Psychotraumatology · doi:10.1080/20008198.2020.1822064 · Cited by 439
“These can be considered as allostatic load, stress inoculation, contribution of developmental factors, epigenetic factors, and transgenerational factors, that come into play and affect multiple interdependent systems (Southwick & Charney, 2012).”
BackgroundGarcia-Dia, M. J., DiNapoli, J. M., Garcia-Ona, L., Jakubowski, R. M., & O’Flaherty, D. (2013) · Archives of Psychiatric Nursing · doi:10.1016/j.apnu.2013.07.003 · Cited by 314
Deconstructing and Reconstructing Resilience: A Dynamic Network Approach
Kalisch, R., Cramer, A. O. J., Binder, H., Fritz, J., Leertouwer, I., Lunansky, G., Meyer, B., Timmer, J., Veer, I. M., & van Harmelen, A. (2019) · Perspectives on Psychological Science · doi:10.1177/1745691619855637 · Cited by 333
“In the past few decades, resilience research has identified a range of individual biological or psychological properties as well as social factors that are supposed to enhance the chances that someone will overcome adversity in good mental health (Bonanno et al., 2015; Fritz, de Graaff, Caisley, van Harmelen, & Wilkin…”
BackgroundWhat is resilience: an affiliative neuroscience approach
Feldman, R. (2020) · World Psychiatry · doi:10.1002/wps.20729 · Cited by 324
de Kloet, E. R., Meijer, O. C., Nicola, A. F. D., Rijk, R. H. D., & Joëls, M. (2018) · Frontiers in Neuroendocrinology · doi:10.1016/j.yfrne.2018.02.003 · Cited by 287
“…receptors, catecholamine-O-methyltransferase (COMT), neuropeptide Y, the 5HT-transporter, dopamine D4 receptor and BDNF can modify emotional and cognitive aspects of the stress response and therefore are obvious candidates for further research (Wu et al., 2013; Southwick and Charney, 2012).”
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
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“…and early life experiences that determine resilience, including the possibility that some genes may actually promote better brain function conditional on the individual having had adverse child experiences (Chung et al., 2008; Douglas et al., 2011; Hillis et al., 2010; Southwick & Charney, 2012).”
BackgroundAvailability-based engineering resilience metric and its corresponding evaluation methodology
Cai, B., Xie, M., Liu, Y., Liu, Y., & Feng, Q. (2017) · Reliability Engineering & System Safety · doi:10.1016/j.ress.2017.12.021 · Cited by 262
Frontostriatal Gating of Tinnitus and Chronic Pain
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“Resilience is a complex multidimensional construct, and the study of its neurobiology is a relatively young area of scientific investigation [137].”
Backgroundβ-catenin mediates stress resilience through Dicer1/microRNA regulation
Dias, C., Feng, J., Sun, H., Shao, N. Y., Mazei-Robison, M. S., Damez-Werno, D., Scobie, K., Bagot, R., LaBonté, B., Ribeiro, E., et al. (2014) · Nature · doi:10.1038/nature13976 · Cited by 240
Health, Risk, and Resilience: Interdisciplinary Concepts and Applications
Panter‐Brick, C. (2014) · Annual Review of Anthropology · doi:10.1146/annurev-anthro-102313-025944 · Cited by 249
Johnson, D. C., Thom, N. J., Stanley, E. A., Haase, L., Simmons, A. N., Shih, P.-A. B., Thompson, W. K., Potterat, E. G., Minor, T. R., & Paulus, M. P. (2014) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2014.13040502 · Cited by 227
Social Isolation and Adult Mortality: The Role of Chronic Inflammation and Sex Differences
Yang, Y. C., McClintock, M. K., Kozloski, M., & Li, T. (2013) · Journal of Health and Social Behavior · doi:10.1177/0022146513485244 · Cited by 222
“Deficiencies in these coping resources may in turn increase physiological arousal and lead to a variety of mental disorders such as anxiety and depression through compromised physiological reactivity to stressors (Taylor and Stanton 2007) and impaired immune function (Southwick and Charney 2012).”
BackgroundUnderstanding resilience: New approaches for preventing and treating PTSD
Horn, S. R. G.-V., Charney, D. S., & Feder, A. (2016) · Experimental Neurology · doi:10.1016/j.expneurol.2016.07.002 · Cited by 240
Self-citationAnimal models of PTSD: a challenge to be met
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Chang, C., Dong, D., He, J., Zhong, X. B., & Yao, S. (2019) · Journal of Affective Disorders · doi:10.1016/j.jad.2019.10.018 · Cited by 227
What is mood? A computational perspective
Clark, J. E., Watson, S., & Friston, K. J. (2018) · Psychological Medicine · doi:10.1017/s0033291718000430 · Cited by 204
“This means predictable environmental outcomes elsewhere can act as a buffer against the detrimental effects of trauma (Southwick & Charney, 2012).”
BackgroundPsychological resilience contributes to low emotional distress in cancer patients
Min, J.-A., Yoon, S., Lee, C.-U., Chae, J.-H., Lee, C., Song, K.-Y., & Kim, T.-S. (2013) · Supportive Care in Cancer · doi:10.1007/s00520-013-1807-6 · Cited by 209
“Although individual differences in resilience might be determined by an interaction between genetic, developmental, neurobiological, and psychosocial factors [49], resilience is generally considered as being dynamic and potentially modifiable by the proper interventions [50–53].”
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“In other words, resilience means adapting well and promoting positive changes in the face of adversity, stress, trauma, and even some considerable threats (Southwick & Charney, 2012).”
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Resource caravans and resource caravan passageways
Hobfoll, S. E. (2014) · Intervention · doi:10.1097/wtf.0000000000000067 · Cited by 203
“…for aspects of resilience that are present, even when individuals develop PTSD.Thepaucity of attention, and therefore the future need for emphasis on resilience inthe faceof traumatic stress, is cogently presented in a recent key paper by Southwick & Charney (2012) on resilience and depression.”
BackgroundResilience as a focus of suicide research and prevention
Sher, L. (2019) · Acta Psychiatrica Scandinavica · doi:10.1111/acps.13059 · Cited by 225
Examining the Predictors of Resilience and Work Engagement during the COVID-19 Pandemic
Ojo, A. O., Fawehinmi, O. O., & Yusliza, M. Y. (2021) · Sustainability · doi:10.3390/su13052902 · Cited by 255
“have shown that resilience can be enhanced through the availability of resources such as supervisor’s support [42,47] and interactions with family and friends [48].”
BackgroundAdapting to Stress: Understanding the Neurobiology of Resilience
Osório, C., Probert, T., Jones, E., Young, A. H., & Robbins, I. (2016) · Behavioral Medicine · doi:10.1080/08964289.2016.1170661 · Cited by 206
“Early genetic factors in stress resilience Genetics is the process of trait inheritance through the sharing of molecular structure and function of genes, gene behavior and distribution, variation, and change among similar or related organisms.99 Genetic factors play a very significant function in the determination of…”
BackgroundInfluentialMa, K., Xu, A., Cui, S., Sun, M.-R., Xue, Y.-C., & Wang, J.-H. (2016) · Translational Psychiatry · doi:10.1038/tp.2016.181 · Cited by 168
Rosenberg, A. R., Yi-Frazier, J. P., Eaton, L., Wharton, C., Cochrane, K., Pihoker, C., Baker, K. S., & McCauley, E. (2015) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsv004 · Cited by 179
“…for example, is a universal construct describing an individual’s capacity to maintain psychological and/or physical well-being in the face of stress, and is a good candidate to buffer the negative impact of serious illness among multiple populations of AYAs (Haase, 2004; Southwick & Charney, 2012).”
BackgroundMethodWu, Q., & Xu, Y. (2020) · Developmental Child Welfare · doi:10.1177/2516103220967937 · Cited by 210
“Parents’ social-cognitive capacities, as well as the impacts of the pandemic, are affected by their personal characteristics, living conditions, health status, income, previous life experiences, uncertainty about the future, and the level of perceived social support (Southwick & Charney, 2012).”
BackgroundVinkers, C. H., Joëls, M., Milaneschi, Y., Kahn, R. S., Penninx, B. W. J. H., & Boks, M. P. (2014) · Depression and Anxiety · doi:10.1002/da.22262 · Cited by 185
“Even though stress is a major risk factor for depression, considerable heterogeneity exists in outcomes after stress and the majority of people do not develop depressive symptoms.[14] Therefore, the detrimental effects of cumulative stress could particularly surface in individuals at increased risk for depression.”
BackgroundDavis, M. C., & Zautra, A. J. (2013) · Annals of Behavioral Medicine · doi:10.1007/s12160-013-9513-7 · Cited by 151
“ing body of evidence that enhancing the ability to sustain access to positive emotions and social ties in the face of pain and stress is likely a key to resilience in FM and other conditions [45].”
BackgroundKometer, M., Pokorny, T., Seifritz, E., & Volleinweider, F. X. (2015) · Psychopharmacology · doi:10.1007/s00213-015-4026-7 · Cited by 169
“Spiritual experiences are rare but highly significant phenomena of consciousness, which have the capacity to promote sustained well-being and resilience (Maselko and Kubzansky 2006; Southwick and Charney 2012).”
BackgroundA multi-country test of brief reappraisal interventions on emotions during the COVID-19 pandemic
Wang, K., Goldenberg, A., Dorison, C. A., Miller, J. K., Uusberg, A., Lerner, J. S., Gross, J. J., Agesin, B. E., Bernardo, M., Campos, O., et al. (2021) · Nature Human Behaviour · doi:10.1038/s41562-021-01173-x · Cited by 181
“Reappraisal—an emotion regulation strategy that involves changing how one thinks about a situation with the goal of influencing one’s emotional response 35 —is a promising candidate as an intervention to increase psychological resilience due to its adaptability, simplicity and efficiency 34,36–38 .”
Intrinsic religiosity, resilience, quality of life, and suicide risk in depressed inpatients
Mosqueiro, B. P., da Rocha, N. S., & Fleck, M. P. D. A. (2015) · Journal of Affective Disorders · doi:10.1016/j.jad.2015.03.022 · Cited by 156
Bryan, C., O’Shea, D. E., & Macintyre, T. E. (2017) · International Review of Sport and Exercise Psychology · doi:10.1080/1750984x.2017.1381140 · Cited by 182
“Connor–Davidson Resilience Scale (Connor & Davidson, 2003), Subhan and Ijaz’s (2012) Resilience Scale for Athletes, and McLarnon and Rothstein’s (2013)Work Resilience Inventory were the only scales that adopted a state-like conceptualisation of resilience, and thus”
BackgroundMethodNasca, C., Zelli, D., Bigio, B., Piccinin, S., Scaccianoce, S., Nisticò, R., & McEwen, B. S. (2015) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1516016112 · Cited by 151
Scale-free resilience of real traffic jams
Zhang, L., Zeng, G., Li, D., Huang, H., Stanley, E., & Havlin, S. (2019) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1814982116 · Cited by 152
“Since Holling’s definition in ecology (3), the resilience framework has been developed and applied in many disciplines, ranging from climate, economics to social science (4–12).”
BackgroundUnderstanding Resilience and Preventing and Treating PTSD
Horn, S. R. G.-V., & Feder, A. (2018) · Harvard Review of Psychiatry · doi:10.1097/hrp.0000000000000194 · Cited by 162
“tion regulation, cognitive flexibility and reappraisal, positive emotions, and the ability to harness social support.(35) Emotion regulation has been linked to greater executive function,(2,36) broadly defined as the ability to plan and complete a task, and required for quick and effective responses to threat, which i…”
BackgroundRodman, A. M., Jenness, J. L., Weissman, D. G., Pine, D. S., & McLaughlin, K. A. (2019) · Biological Psychiatry · doi:10.1016/j.biopsych.2019.04.033 · Cited by 152
“Some have conceived of resilience as a fixed trait or set of traits that are immutable (17–19) and may be present within an individual whether or not they have experienced adversity (20).”
Resilience, age, and perceived symptoms in persons with long-term physical disabilities
Terrill, A. L., Molton, I. R., Ehde, D. M., Amtmann, D., Bombardier, C. H., Smith, A. E., & Jensen, M. P. (2016) · Journal of Health Psychology · doi:10.1177/1359105314532973 · Cited by 142
Treating Depression and Depression-Like Behavior with Physical Activity: An Immune Perspective
Eyre, H. A., Papps, E., & Baune, B. T. (2013) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2013.00003 · Cited by 153
“The interest in investigation of PA may have arisen for a number of reasons: the burden of depression is rising so novel therapeutic and preventative options are required (WHO, 2008; Berk and Jacka, 2012; Cuijpers et al., 2012; Southwick and Charney, 2012).”
BackgroundMao, W., & Agyapong, V. I. O. (2021) · Frontiers in Public Health · doi:10.3389/fpubh.2021.658528 · Cited by 178
Childhood adversities and distress - The role of resilience in a representative sample
Beutel, M. E., Tibubos, A. N., Klein, E. M., Schmutzer, G., Reiner, I., Kocalevent, R., & Brähler, E. (2017) · PLoS ONE · doi:10.1371/journal.pone.0173826 · Cited by 166
Resilience and psychosocial outcomes in parents of children with cancer
Rosenberg, A. R., Wolfe, J., Bradford, M. C., Shaffer, M. L., Yi-Frazier, J. P., Curtis, J. R., Syrjala, K. L., & Baker, K. S. (2014) · Pediatric Blood & Cancer · doi:10.1002/pbc.24854 · Cited by 143
“Targeted skills-training in goal-setting [34,35], problem-solving [36], and positive reframing [37] have also shown promise in other patient populations.”
BackgroundLiu, W., Xue, X., Xia, J., Liu, J., & Qi, Z. (2017) · Journal of Affective Disorders · doi:10.1016/j.jad.2017.10.019 · Cited by 140
Modelling resilience in adolescence and adversity: a novel framework to inform research and practice
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Lebares, C. C., Guvva, E. V., Olaru, M., Sugrue, L. P., Staffaroni, A. M., Delucchi, K. L., Kramer, J. H., Ascher, N. L., & Harris, H. W. (2019) · JAMA Network Open · doi:10.1001/jamanetworkopen.2019.4108 · Cited by 131
Resilience: A psychobiological construct for psychiatric disorders
Shrivastava, A., & Desousa, A. (2016) · Indian Journal of Psychiatry · doi:10.4103/0019-5545.174365 · Cited by 127
Could Spirituality and Religion Promote Stress Resilience in Survivors of Childhood Trauma?
Brewer‐Smyth, K., & Koenig, H. G. (2014) · Issues in Mental Health Nursing · doi:10.3109/01612840.2013.873101 · Cited by 142
“(Southwick & Charney, 2012a, 2012b).”
BackgroundInfluentialMaul, S., Giegling, I., Fabbri, C., Corponi, F., Serretti, A., & Rujescu, D. (2020) · American Journal of Medical Genetics Part B: Neuropsychiatric Genetics · doi:10.1002/ajmg.b.32763 · Cited by 125
“Other factors that indicate resilient behavior in adulthood include adaptive stress responses, rapid stress recovery, high coping self-efficacy, strong cognitive reappraisal and emotion regulation, and self-confi- dence, to name only a few (Southwick & Charney, 2012).”
BackgroundmGluR5 in the nucleus accumbens is critical for promoting resilience to chronic stress
Shin, S., Kwon, O., Kang, J. I., Kwon, S., Oh, S., Choi, J., Kim, C. H., & Kim, D. G. (2015) · Nature Neuroscience · doi:10.1038/nn.4028 · Cited by 125
Generation Z undergraduate students’ resilience during the COVID-19 pandemic: a qualitative study
Ang, W. H. D., Shorey, S., López, V., Chew, H. S. J., & Lau, Y. (2021) · Current Psychology · doi:10.1007/s12144-021-01830-4 · Cited by 152
Predictable chronic mild stress in adolescence increases resilience in adulthood
Suo, L., Zhao, L., Si, J., Liu, J., Zhu, W., Chai, B., Zhang, Y., Feng, J., Ding, Z., Luo, Y., et al. (2013) · Neuropsychopharmacology · doi:10.1038/npp.2013.67 · Cited by 122
“In contrast, mild-to-moderate stressors that are controllable can have an inoculating effect (Levine, 1962) and help adolescents develop adaptive stress responses and become more resilient to the negative effects of future stressors (Southwick and Charney, 2012).”
BackgroundInfluentialYi‐Frazier, J. P., Yaptangco, M., Semana, S., Buscaino, E., Thompson, V., Cochrane, K., Tabile, M., Alving, E., & Rosenberg, A. R. (2013) · Journal of Health Psychology · doi:10.1177/1359105313509846 · Cited by 122
“, 2009) where it has been shown that resilience-building interventions can improve strategies for coping with stress and build positive meaning (Burton et al., 2010; Carver, 2005; Southwick and Charney, 2012).”
BackgroundBauer, A., Stevens, M., Purtscheller, D., Knapp, M. R. J., Fonagy, P., Evans-Lacko, S. E., & Paul, J. L. (2021) · PLoS ONE · doi:10.1371/journal.pone.0251750 · Cited by 130
“mobilisation of social support has been incorporated into the design of many interventions [17], either as one of several components, or as the only or main component.”
BackgroundThe intersection of gender and resilience
Hirani, S. A. A., Lasiuk, G. C., & Hegadoren, K. (2016) · Journal of Psychiatric and Mental Health Nursing · doi:10.1111/jpm.12313 · Cited by 130
Traumatic stress and human DNA methylation: A critical review
Vinkers, C. H., Kalafateli, A. L., Rutten, B. P., Kas, M. J., Kaminsky, Z., Turner, J. D., & Boks, M. P. (2015) · Epigenomics · doi:10.2217/epi.15.11 · Cited by 112
Resilience training that can change the brain.
Tabibnia, G., & Radecki, D. (2018) · Consulting psychology journal · doi:10.1037/cpb0000110 · Cited by 124
“Thus, the ideal approach for fostering resilience likely involves multiple behavioral, social, physical-health, and cognitive strategies that work synergistically or additively with one another (Hobfoll, 2001; Southwick & Charney, 2012).”
BackgroundSperm microRNAs confer depression susceptibility to offspring
Wang, Y., Chen, Z., Hu, H., Lei, J., Zhou, Z., Yao, B., Chen, L., Liang, G., Zhan, S., Zhu, X., et al. (2021) · Science Advances · doi:10.1126/sciadv.abd7605 · Cited by 109
Rosenberg, A. R., Syrjala, K. L., Martin, P. J., Flowers, M. E., Carpenter, P. A., Salit, R. B., Baker, K. S., & Lee, S. J. (2015) · Cancer · doi:10.1002/cncr.29651 · Cited by 109
“INTRODUCTION Resilience is an individual’s ability to maintain physical and emotional well-being in the face of adversity.(1,2) Although theories conflict about how (or when) to objectively measure it, they consistently suggest that individual resilience enables patients to harness the resources needed to maintain wel…”
BackgroundDong, X., Li, G., Liu, C., Kong, L., Fang, Y., Kang, X., & Li, P. (2017) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2017.04.007 · Cited by 118
“Indeed, resilience is a factor that can be addressed (Bolier et al., 2013; Rosenberg et al., 2015b) (e.g. social-emotional training and training in cognitive reappraisal (Southwick and Charney, 2012b))to enhance health outcomes.”
BackgroundInfluentialYe, Z.-J., Qiu, H., Li, P.-F., Liang, M.-Z., Zhu, Y.-F., Zeng, Z., Hu, G.-Y., Wang, S.-N., & Quan, X.-M. (2017) · Psycho-Oncology · doi:10.1002/pon.4237 · Cited by 101
“Resilience may be facilitated based on the individual context, and multiple factors and processes serve protective functions that enable individuals to enact effective strategies and attain improved outcomes; thus, resilience may potentially be modifiable by the proper interventions.(12) Rutter argued that individuals…”
BackgroundAn affective neuroscience model of boosting resilience in adults
Tabibnia, G. (2020) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2020.05.005 · Cited by 115
Duclot, F., & Kabbaj, M. (2015) · Journal of Experimental Biology · doi:10.1242/jeb.107086 · Cited by 103
“Stress, early-life experiences, physical abuse and parental violence are all powerful environmental factors that can dramatically alter resilience against future adverse events and thus influence the vulnerability to develop depression, which may or may not be dependent on a genetic predisposition (Mill and Petronis,…”
BackgroundBiomarkers in Posttraumatic Stress Disorder: Overview and Implications for Future Research
Schmidt, U., Kaltwasser, S. F., & Wotjak, C. T. (2013) · Disease Markers · doi:10.1155/2013/835876 · Cited by 103
“Hence it might be similarly important to identify resilience markers [11, 14, 15], especially since resilience and vulnerability may represent extremes of the same dimension (e.”
BackgroundGatt, J. M., Burton, K., Schofield, P. R., Bryant, R. A., & Williams, L. M. (2014) · Psychiatry Research · doi:10.1016/j.psychres.2014.04.033 · Cited by 104
“Accordingly we are witnessing a paradigm shift towards mental health or wellbeing (Maddux, 2008), in which the focus is on defining optimal wellbeing and on the emerging science of resilience (Russo et al., 2012; Southwick and Charney, 2012).”
BackgroundResilience Intervention for Young Adults With Adverse Childhood Experiences
Chandler, G. E., Roberts, S. J., & Chiodo, L. M. (2015) · Journal of the American Psychiatric Nurses Association · doi:10.1177/1078390315620609 · Cited by 98
“This strengths-based perspective is furthered by the work of Southwick and Charney (2012), who suggest that a resilience intervention should include the following five components: (a) emotional regulation training to recognize and manage reactivity and impulsivity; (b) cognitive behavioral…”
BackgroundMethodInfluentialSturmberg, J. P., Picard, M. A., Aron, D. C., Bennett, J. M., Bircher, J., DeHaven, M. J., Gijzel, S. M. W., Heng, H. H., Marcum, J. A., Martin, C. M., et al. (2019) · Frontiers in Medicine · doi:10.3389/fmed.2019.00059 · Cited by 110
Racine, N. M., Eirich, R., Dimitropoulos, G., Hartwick, C., & Madigan, S. L. (2020) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2020.104375 · Cited by 116
Wald, H. S. (2020) · Medical Teacher · doi:10.1080/0142159x.2020.1768230 · Cited by 105
“Variability of resilience response exists (Southwick and Charney 2012).”
BackgroundInfluentialResilience and Associated Factors among Mainland Chinese Women Newly Diagnosed with Breast Cancer
Wu, Z., Liu, Y., Li, X., & Li, X. (2016) · PLoS ONE · doi:10.1371/journal.pone.0167976 · Cited by 102
Trauma memories, mental health, and resilience: a prospective study of Afghan youth
Panter‐Brick, C., Grimon, M., Kalin, M., & Eggerman, M. (2014) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12350 · Cited by 106
A global test of brief reappraisal interventions on emotions during the COVID-19 pandemicPreprint
Wang, K., Goldenberg, A., Dorison, C. A., Miller, J. K., Uusberg, A., Lerner, J. S., Gross, J. J., Marcu, G. M., Рафиковна, А. Е., Adamkovic, M., et al. (2020) · PsyArXiv (OSF Preprints) · doi:10.31234/osf.io/m4gpq · Cited by 100
Afek, A., Ben-Avraham, R., Davidov, A., Cohen, N., Yehuda, A. B., Gilboa, Y., & Nahum, M. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.608588 · Cited by 99
Li, G., Kong, L., Zhou, H.-Y., Kang, X., Fang, Y., & Li, P. (2016) · Sleep Medicine · doi:10.1016/j.sleep.2016.02.015 · Cited by 94
Patel, D., Anilkumar, S., Chattarji, S., & Buwalda, B. (2018) · Behavioural Brain Research · doi:10.1016/j.bbr.2018.03.034 · Cited by 93
“34 Failing to do so may contribute to the onset and recurrence of mood disorders like depression 35 and anxiety [5,6].”
Lau, T., Bigio, B., Zelli, D., McEwen, B. S., & Nasca, C. (2017) · Molecular Psychiatry · doi:10.1038/mp.2016.68 · Cited by 93
“Stress-induced structural remodeling of neuronal architecture is a sign of adaptation; however, failed resilience contributes to the onset and recurrence of psychiatric disorders, such as depression 3, 4 .”
Southwick, F. S., Martini, B. L., Charney, D. S., & Southwick, S. M. (2016) · Springer texts in business and economics · doi:10.1007/978-3-319-31036-7_18 · Cited by 120
Self-citationPérez-Aranda, A., García-Campayo, J., Gude, F., Luciano, J. V., Feliu-Soler, A., González-Quintela, A., López-del-Hoyo, Y., & Montero-Marin, J. (2021) · International Journal of Clinical and Health Psychology · doi:10.1016/j.ijchp.2021.100229 · Cited by 92
Orexin prevents depressive-like behavior by promoting stress resilience
Ji, M., Zhang, X., Chen, Z., Wang, J.-J., & Zhu, J. (2018) · Molecular Psychiatry · doi:10.1038/s41380-018-0127-0 · Cited by 90
“responses to stressors [4, 41] and protection against depressive symptoms [41, 42].”
Yi‐Frazier, J. P., Fladeboe, K., Klein, V., Eaton, L. E., Wharton, C. M., McCauley, E., & Rosenberg, A. R. (2017) · Families Systems & Health · doi:10.1037/fsh0000281 · Cited by 89
“It is not disease-specific; rather, it represents universal resources that may be learned and developed over time (Southwick & Charney, 2012).”
BackgroundBrain functional connectivity correlates of coping styles
Santarnecchi, E., Sprugnoli, G., Tatti, E., Mencarelli, L., Neri, F., Momi, D., Di Lorenzo, G., Pascual-Leone, A., Rossi, S., & Rossi, A. (2018) · Cognitive, Affective, & Behavioral Neuroscience · doi:10.3758/s13415-018-0583-7 · Cited by 85
“…Neuroscience, University of Siena, Siena, Italy psychosocial factors, cognitive profile, and functional neural circuitry, all contributing to Bshield^ mind and brain against pathological conditions (Southwick & Charney, 2012; van der Werff, van den Berg, Pannekoek, Elzinga, & van der Wee, 2013).”
BackgroundExploring the characteristics and context that allow Master Adaptive Learners to thrive
Cutrer, W. B., Atkinson, H. G., Friedman, E. S., Deiorio, N. M., Gruppen, L. D., Dekhtyar, M., & Pusic, M. V. (2018) · Medical Teacher · doi:10.1080/0142159x.2018.1484560 · Cited by 94
“An individual’s response to stress depends on numerous genetic, developmental, cognitive, psychological, and neurobiological risk and protective factors (Southwick and Charney 2012).”
BackgroundLiu, X., Liu, C., Tian, X., Zou, G., Li, G., Kong, L., & Li, P. (2015) · Stress and Health · doi:10.1002/smi.2664 · Cited by 92
Repeated daily restraint stress induces adaptive behavioural changes in both adult and juvenile mice
Sadler, A., & Bailey, S. (2016) · Physiology & Behavior · doi:10.1016/j.physbeh.2016.09.014 · Cited by 91
Ma, K., Guo, L., Xu, A., Cui, S., & Wang, J. (2016) · PLoS ONE · doi:10.1371/journal.pone.0159093 · Cited by 82
“Based on depression risk factors, such as weaknesses in cognitive function, emotional regulation, social interaction skill, circadian and stress responses [36], we used chronic stress to produce depression-like mice in the following principle.”
MethodMultiple traumas and resilience among street children in Haiti: Psychopathology of survival
Cénat, J. M., Dérivois, D., Hébert, M., Amédée, L. M., & Karray, A. (2018) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2018.01.024 · Cited by 92
“Research on neuroplasticity has shown that living under such conditions can particularly change the brain and ways of understanding and facing the social and environmental adversities (Southwick & Charney, 2012; Ungar et al., 2013).”
Background
Metadata
- Authors
- Southwick, S. M., & Charney, D. S.
- Affiliations
- United States Department of Veterans Affairs (US)
- Mount Sinai Hospital (US)
- Corresponding author
- Charney, Dennis S.
- Venue
- Science
- Published
- 2012-10-05
- Volume
- 338
- Issue
- 6103
- Pages
- 79-82
- ISSN
- 0036-8075 (ISSN-L)
- 1095-9203
- OpenAlex
- W1996620918
- Cited by
- 875
- References
- 19
- Citations by year
- 2026: 40 · 2025: 86 · 2024: 90 · 2023: 62 · 2022: 95 · 2021: 78 · 2020: 73 · 2019: 79 · 2018: 57 · 2017: 51 · 2016: 45 · 2015: 45 · 2014: 38 · 2013: 28 · 2012: 2
- FWCI
- 41.03
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Science (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Keywords
- resilience, depression, depression prevention, depression treatment, stress response, trauma, post-traumatic stress disorder, interindividual variability, risk and protective factors, genetic factors, neurobiology of stress
- MeSH terms
- Animals, Depressive Disorder, Humans, Stress Disorders, Post-Traumatic, Resilience, Psychological
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