Skip to main content

Neurobiological Risk Factors and Predictors of Vulnerability and Resilience to PTSD

  • Chapter
Future Directions in Post-Traumatic Stress Disorder

Abstract

The risk of developing PTSD following a traumatic experience depends on several vulnerability factors that may be classified into three distinct categories: pre-traumatic, peri-traumatic, and posttraumatic vulnerability factors. Accordingly, while we attempted to create a profile of the high-risk PTSD patient, the following factors should be included, among others: small hippocampus, previously altered HPA axis, vulnerable genetic profile, associated body injury, increased post-trauma noradrenergic activity. Some protective factors have been identified and included, but are not limited to coping, resources (e.g., social support, self-esteem, optimism), and finding meaning. Finally, human beings are resilient and in general are able to cope with adverse situations. Therefore, discovering possible resilience factors may assist in identifying the patients at risk and may contribute to developing the strategies to prevent the development of PTSD.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Amstadter, A. B., Nugent, N. R., Yang, B. Z., Miller, A., Siburian, R., Moorjani, P., et al. (2010). Corticotrophin-releasing hormone type 1 receptor gene (CRHR1) variants predict posttraumatic stress disorder onset and course in pediatric injury patients. Disease Markers, 30(2–3), 89–99.

    Google Scholar 

  • Armony, J. L., Corbo, V., Clement, M. H., & Brunet, A. (2005). Amygdala response in patients with acute PTSD to masked and unmasked emotional facial expressions. The American Journal of Psychiatry, 162(10), 1961–1963.

    PubMed  Google Scholar 

  • Asmundson, G. J., Coons, M. J., Taylor, S., & Katz, J. (2002). PTSD and the experience of pain: Research and clinical implications of shared vulnerability and mutual maintenance models. Canadian Journal of Psychiatry, 47(10), 930–937.

    Google Scholar 

  • Bachmann, A. W., Sedgley, T. L., Jackson, R. V., Gibson, J. N., Young, R. M., & Torpy, D. J. (2005). Glucocorticoid receptor polymorphisms and post-traumatic stress disorder. Psychoneuroendocrinology, 30(3), 297–306.

    PubMed  Google Scholar 

  • Baker, D. G., Ekhator, N. N., Kasckow, J. W., Hill, K. K., Zoumakis, E., Dashevsky, B. A., et al. (2001). Plasma and cerebrospinal fluid interleukin-6 concentrations in posttraumatic stress disorder. Neuroimmunomodulation, 9(4), 209–217.

    PubMed  Google Scholar 

  • Baker, D. G., Mendenhall, C. L., Simbartl, L. A., Magan, L. K., & Steinberg, J. L. (1997). Relationship between posttraumatic stress disorder and self-reported physical symptoms in Persian Gulf War veterans. Archives of Internal Medicine, 157(18), 2076–2078.

    PubMed  Google Scholar 

  • Bernstein, A., & Zvolensky, M. J. (2007). Anxiety sensitivity: Selective review of promising research and future directions. Expert Review of Neurotherapeutics, 7(2), 97–101.

    PubMed  Google Scholar 

  • Binder, E. B. (2009). The role of FKBP5, a co-chaperone of the glucocorticoid receptor in the pathogenesis and therapy of affective and anxiety disorders. Psychoneuroendocrinology, 34(Suppl 1), S186–S195.

    PubMed  Google Scholar 

  • Binder, E. B., Bradley, R. G., Liu, W., Epstein, M. P., Deveau, T. C., Mercer, K. B., et al. (2008). Association of FKBP5 polymorphisms and childhood abuse with risk of posttraumatic stress disorder symptoms in adults. JAMA, 299(11), 1291–1305.

    PubMed Central  PubMed  Google Scholar 

  • Binder, E. B., Salyakina, D., Lichtner, P., Wochnik, G. M., Ising, M., Putz, B., et al. (2004). Polymorphisms in FKBP5 are associated with increased recurrence of depressive episodes and rapid response to antidepressant treatment. Nature Genetics, 36(12), 1319–1325.

    PubMed  Google Scholar 

  • Blanchard, E. B., Hickling, E. J., Buckley, T. C., Taylor, A. E., Vollmer, A., & Loos, W. R. (1996). Psychophysiology of posttraumatic stress disorder related to motor vehicle accidents: Replication and extension. Journal of Consulting and Clinical Psychology, 64(4), 742–751.

    PubMed  Google Scholar 

  • Bloch, M., Peleg, I., Koren, D., Aner, H., & Klein, E. (2007). Long-term effects of early parental loss due to divorce on the HPA axis. Hormones and Behavior, 51(4), 516–523.

    PubMed  Google Scholar 

  • Bloom, A. S. (1982). Effect of delta9-tetrahydrocannabinol on the synthesis of dopamine and norepinephrine in mouse brain synaptosomes. The Journal of Pharmacology and Experimental Therapeutics, 221(1), 97–103.

    PubMed  Google Scholar 

  • Bossini, L., Tavanti, M., Lombardelli, A., Calossi, S., Polizzotto, N. R., Galli, R., et al. (2007). Changes in hippocampal volume in patients with post-traumatic stress disorder after sertraline treatment. Journal of Clinical Psychopharmacology, 27(2), 233–235.

    PubMed  Google Scholar 

  • Brand, S. R., Engel, S. M., Canfield, R. L., & Yehuda, R. (2006). The effect of maternal PTSD following in utero trauma exposure on behavior and temperament in the 9-month-old infant. The Annals of the New York Academy of Sciences, 1071, 454–458.

    Google Scholar 

  • Bremner, J. D., Narayan, M., Staib, L. H., Southwick, S. M., McGlashan, T., & Charney, D. S. (1999). Neural correlates of memories of childhood sexual abuse in women with and without posttraumatic stress disorder. The American Journal of Psychiatry, 156(11), 1787–1795.

    PubMed Central  PubMed  Google Scholar 

  • Bremner, J. D., Randall, P., Scott, T. M., Bronen, R. A., Seibyl, J. P., Southwick, S. M., et al. (1995). MRI-based measurement of hippocampal volume in patients with combat-related posttraumatic stress disorder. The American Journal of Psychiatry, 152(7), 973–981.

    PubMed Central  PubMed  Google Scholar 

  • Bremner, J. D., Vermetten, E., Schmahl, C., Vaccarino, V., Vythilingam, M., Afzal, N., et al. (2005). Positron emission tomographic imaging of neural correlates of a fear acquisition and extinction paradigm in women with childhood sexual-abuse-related post-traumatic stress disorder. Psychological Medicine, 35(6), 791–806.

    PubMed Central  PubMed  Google Scholar 

  • Bremner, J. D., Vythilingam, M., Vermetten, E., Southwick, S. M., McGlashan, T., Nazeer, A., et al. (2003). MRI and PET study of deficits in hippocampal structure and function in women with childhood sexual abuse and posttraumatic stress disorder. The American Journal of Psychiatry, 160(5), 924–932.

    PubMed  Google Scholar 

  • Breslau, N., & Anthony, J. C. (2007). Gender differences in the sensitivity to posttraumatic stress disorder: An epidemiological study of urban young adults. Journal of Abnormal Psychology, 116(3), 607–611.

    PubMed  Google Scholar 

  • Breslau, N., Davis, G. C., Peterson, E. L., & Schultz, L. R. (2000). A second look at comorbidity in victims of trauma: The posttraumatic stress disorder-major depression connection. Biological Psychiatry, 48(9), 902–909.

    PubMed  Google Scholar 

  • Brewin, C. R., Dalgleish, T., & Joseph, S. (1996). A dual representation theory of posttraumatic stress disorder. Psychological Review, 103(4), 670–686.

    PubMed  Google Scholar 

  • Broekman, B. F., Olff, M., & Boer, F. (2007). The genetic background to PTSD. Neuroscience and Biobehavioral Reviews, 31(3), 348–362.

    PubMed  Google Scholar 

  • Bryant, R. A. (2008). Disentangling mild traumatic brain injury and stress reactions. The New England Journal of Medicine, 358(5), 525–527.

    PubMed  Google Scholar 

  • Bryant, R. A., Felmingham, K., Kemp, A., Das, P., Hughes, G., Peduto, A., et al. (2008). Amygdala and ventral anterior cingulate activation predicts treatment response to cognitive behaviour therapy for post-traumatic stress disorder. Psychological Medicine, 38(4), 555–561.

    PubMed  Google Scholar 

  • Bryant, R. A., & Harvey, A. G. (1998). Relationship between acute stress disorder and posttraumatic stress disorder following mild traumatic brain injury. The American Journal of Psychiatry, 155(5), 625–629.

    PubMed  Google Scholar 

  • Bryant, R. A., Marosszeky, J. E., Crooks, J., & Gurka, J. A. (2004). Elevated resting heart rate as a predictor of posttraumatic stress disorder after severe traumatic brain injury. Psychosomatic Medicine, 66(5), 760–761.

    PubMed  Google Scholar 

  • Buchwald, D., Goldberg, J., Noonan, C., Beals, J., & Manson, S. (2005). Relationship between post-traumatic stress disorder and pain in two American Indian tribes. Pain Medicine, 6(1), 72–79.

    PubMed  Google Scholar 

  • Buckley, T. C., & Kaloupek, D. G. (2001). A meta-analytic examination of basal cardiovascular activity in posttraumatic stress disorder. Psychosomatic Medicine, 63(4), 585–594.

    PubMed  Google Scholar 

  • Cahill, L., & McGaugh, J. L. (1996). The neurobiology of memory for emotional events: Adrenergic activation and the amygdala. Proceedings of the Western Pharmacology Society, 39, 81–84.

    PubMed  Google Scholar 

  • Cahill, L., Prins, B., Weber, M., & McGaugh, J. L. (1994). Beta-adrenergic activation and memory for emotional events. Nature, 371(6499), 702–704.

    PubMed  Google Scholar 

  • Caspi, A., Sugden, K., Moffitt, T. E., Taylor, A., Craig, I. W., Harrington, H., et al. (2003). Influence of life stress on depression: Moderation by a polymorphism in the 5-HTT gene. Science, 301(5631), 386–389.

    PubMed  Google Scholar 

  • Chantarujikapong, S. I., Scherrer, J. F., Xian, H., Eisen, S. A., Lyons, M. J., Goldberg, J., et al. (2001). A twin study of generalized anxiety disorder symptoms, panic disorder symptoms and post-traumatic stress disorder in men. Psychiatry Research, 103(2–3), 133–145.

    PubMed  Google Scholar 

  • Charney, D. S., Shin, L. M., & Phelps, E. A. (2006). Neurocircuitry models of posttraumatic stress disorder and extinction: Human neuroimaging research – Past, present, and future. Biological Psychiatry, 60, 376–382.

    Google Scholar 

  • Cohen, H., Kaplan, Z., Kotler, M., Kouperman, I., Moisa, R., & Grisaru, N. (2004). Repetitive transcranial magnetic stimulation of the right dorsolateral prefrontal cortex in posttraumatic stress disorder: A double-blind, placebo-controlled study. The American Journal of Psychiatry, 161(3), 515–524.

    PubMed  Google Scholar 

  • Comings, D. E., Muhleman, D., & Gysin, R. (1996). Dopamine D2 receptor (DRD2) gene and susceptibility to posttraumatic stress disorder: A study and replication. Biological Psychiatry, 40(5), 368–372.

    PubMed  Google Scholar 

  • Creamer, M., O’Donnell, M. L., & Pattison, P. (2005). Amnesia, traumatic brain injury, and posttraumatic stress disorder: A methodological inquiry. Behaviour Research and Therapy, 43(10), 1383–1389.

    PubMed  Google Scholar 

  • Dagan, Y., Lavie, P., & Bleich, A. (1991). Elevated awakening thresholds in sleep stage 3-4 in war-related post-traumatic stress disorder. Biological Psychiatry, 30(6), 618–622.

    PubMed  Google Scholar 

  • Davidson, J. R., Tupler, L. A., Wilson, W. H., & Connor, K. M. (1998). A family study of chronic post-traumatic stress disorder following rape trauma. Journal of Psychiatric Research, 32(5), 301–309.

    PubMed  Google Scholar 

  • Davis, L. L., Clark, D. M., Kramer, G. L., Moeller, F. G., & Petty, F. (1999). D-fenfluramine challenge in posttraumatic stress disorder. Biological Psychiatry, 45(7), 928–930.

    PubMed  Google Scholar 

  • de Kloet, C., Vermetten, E., Lentjes, E., Geuze, E., van Pelt, J., Manuel, R., et al. (2008). Differences in the response to the combined DEX-CRH test between PTSD patients with and without co-morbid depressive disorder. Psychoneuroendocrinology, 33(3), 313–320.

    PubMed  Google Scholar 

  • Desborough, J. P. (2000). The stress response to trauma and surgery. British Journal of Anaesthesia, 85(1), 109–117.

    PubMed  Google Scholar 

  • Dickie, E. W., Brunet, A., Akerib, V., & Armony, J. L. (2008). An fMRI investigation of memory encoding in PTSD: Influence of symptom severity. Neuropsychologia, 46(5), 1522–1531.

    PubMed  Google Scholar 

  • Dragan, W. L., & Oniszczenko, W. (2009). The association between dopamine D4 receptor exon III polymorphism and intensity of PTSD symptoms among flood survivors. Anxiety, Stress, and Coping, 22(5), 483–495.

    PubMed  Google Scholar 

  • Elsesser, K., Sartory, G., & Tackenberg, A. (2004). Attention, heart rate, and startle response during exposure to trauma-relevant pictures: A comparison of recent trauma victims and patients with posttraumatic stress disorder. Journal of Abnormal Psychology, 113(2), 289–301.

    PubMed  Google Scholar 

  • Elsesser, K., Sartory, G., & Tackenberg, A. (2005). Initial symptoms and reactions to trauma-related stimuli and the development of posttraumatic stress disorder. Depression and Anxiety, 21(2), 61–70.

    PubMed  Google Scholar 

  • Elzinga, B. M., Schmahl, C. G., Vermetten, E., van Dyck, R., & Bremner, J. D. (2003). Higher cortisol levels following exposure to traumatic reminders in abuse-related PTSD. Neuropsychopharmacology, 28(9), 1656–1665.

    PubMed  Google Scholar 

  • Etkin, A., & Wager, T. D. (2007). Functional neuroimaging of anxiety: A meta-analysis of emotional processing in PTSD, social anxiety disorder, and specific phobia. The American Journal of Psychiatry, 164(10), 1476–1488.

    PubMed Central  PubMed  Google Scholar 

  • Felmingham, K., Kemp, A., Williams, L., Das, P., Hughes, G., Peduto, A., et al. (2007). Changes in anterior cingulate and amygdala after cognitive behavior therapy of posttraumatic stress disorder. Psychological Science, 18(2), 127–129.

    PubMed  Google Scholar 

  • Flinn, M. V., Quinlan, R. J., Decker, S. A., Turner, M. T., & England, B. G. (1996). Male-female differences in effects of parental absence on glucocorticoid stress response. Human Nature, 7(2), 125–162.

    PubMed  Google Scholar 

  • Freeman, T., Roca, V., Guggenheim, F., Kimbrell, T., & Griffin, W. S. (2005). Neuropsychiatric associations of apolipoprotein E alleles in subjects with combat-related posttraumatic stress disorder. The Journal of Neuropsychiatry and Clinical Neurosciences, 17(4), 541–543.

    PubMed  Google Scholar 

  • Friess, E., Tagaya, H., Grethe, C., Trachsel, L., & Holsboer, F. (2004). Acute cortisol administration promotes sleep intensity in man. Neuropsychopharmacology, 29(3), 598–604.

    PubMed  Google Scholar 

  • Fukunishi, I. (1999). Relationship of cosmetic disfigurement to the severity of posttraumatic stress disorder in burn injury or digital amputation. Psychotherapy and Psychosomatics, 68(2), 82–86.

    PubMed  Google Scholar 

  • Ganzel, B. L., Eckenrode, J. J., Kim, P., Wethington, E., Horowitz, E., & Temple, E. (2007). Salivary cortisol levels and mood vary by lifetime trauma exposure in a sample of healthy women. Journal of Traumatic Stress, 20(5), 689–699.

    PubMed Central  PubMed  Google Scholar 

  • Gayle Beck, J., Gudmundsdottir, B., & Shipherd, J. C. (2003). PTSD and emotional distress symptoms measured after a motor vehicle accident: Relationships with pain coping profiles. Journal of Psychopathology and Behavioral Assessment, 25(4), 219–227.

    PubMed Central  PubMed  Google Scholar 

  • Gelpin, E., Bonne, O., Peri, T., Brandes, D., & Shalev, A. Y. (1996). Treatment of recent trauma survivors with benzodiazepines: A prospective study. The Journal of Clinical Psychiatry, 57(9), 390–394.

    PubMed  Google Scholar 

  • Geuze, E., van Berckel, B. N., Lammertsma, A. A., Boellaard, R., de Kloet, C. S., Vermetten, E., et al. (2008). Reduced GABAA benzodiazepine receptor binding in veterans with post-traumatic stress disorder. Molecular Psychiatry, 13(1), 74–83, 73.

    Google Scholar 

  • Geuze, E., Westenberg, H. G., Jochims, A., de Kloet, C. S., Bohus, M., Vermetten, E., et al. (2007). Altered pain processing in veterans with posttraumatic stress disorder. Archives of General Psychiatry, 64(1), 76–85.

    PubMed  Google Scholar 

  • Gil, S., Caspi, Y., Ben-Ari, I. Z., Koren, D., & Klein, E. (2005). Does memory of a traumatic event increase the risk for posttraumatic stress disorder in patients with traumatic brain injury? A prospective study. The American Journal of Psychiatry, 162(5), 963–969.

    PubMed  Google Scholar 

  • Gilbertson, M. W., Shenton, M. E., Ciszewski, A., Kasai, K., Lasko, N. B., Orr, S. P., et al. (2002). Smaller hippocampal volume predicts pathologic vulnerability to psychological trauma. Nature Neuroscience, 5(11), 1242–1247.

    PubMed Central  PubMed  Google Scholar 

  • Glover, D. A., Powers, M. B., Bergman, L., Smits, J. A., Telch, M. J., & Stuber, M. (2003). Urinary dopamine and turn bias in traumatized women with and without PTSD symptoms. Behavioural Brain Research, 144(1–2), 137–141.

    PubMed  Google Scholar 

  • Gunnar, M. R., Morison, S. J., Chisholm, K., & Schuder, M. (2001). Salivary cortisol levels in children adopted from romanian orphanages. Development and Psychopathology, 13(3), 611–628.

    PubMed  Google Scholar 

  • Gurvits, T. V., Shenton, M. E., Hokama, H., Ohta, H., Lasko, N. B., Gilbertson, M. W., et al. (1996). Magnetic resonance imaging study of hippocampal volume in chronic, combat-related posttraumatic stress disorder. Biological Psychiatry, 40(11), 1091–1099.

    PubMed Central  PubMed  Google Scholar 

  • Ham, B. J., Chey, J., Yoon, S. J., Sung, Y., Jeong, D. U., Ju Kim, S., et al. (2007). Decreased N-acetyl-aspartate levels in anterior cingulate and hippocampus in subjects with post-traumatic stress disorder: A proton magnetic resonance spectroscopy study. The European Journal of Neuroscience, 25(1), 324–329.

    PubMed  Google Scholar 

  • Hariri, A. R., Mattay, V. S., Tessitore, A., Kolachana, B., Fera, F., Goldman, D., et al. (2002). Serotonin transporter genetic variation and the response of the human amygdala. Science, 297(5580), 400–403.

    PubMed  Google Scholar 

  • Hefez, A., Metz, L., & Lavie, P. (1987). Long-term effects of extreme situational stress on sleep and dreaming. The American Journal of Psychiatry, 144(3), 344–347.

    PubMed  Google Scholar 

  • Heils, A., Teufel, A., Petri, S., Stober, G., Riederer, P., Bengel, D., et al. (1996). Allelic variation of human serotonin transporter gene expression. Journal of Neurochemistry, 66(6), 2621–2624.

    PubMed  Google Scholar 

  • Heim, C., Newport, D. J., Heit, S., Graham, Y. P., Wilcox, M., Bonsall, R., et al. (2000). Pituitary-adrenal and autonomic responses to stress in women after sexual and physical abuse in childhood. JAMA, 284(5), 592–597.

    PubMed  Google Scholar 

  • Heim, C., Newport, D. J., Mletzko, T., Miller, A. H., & Nemeroff, C. B. (2008). The link between childhood trauma and depression: Insights from HPA axis studies in humans. Psychoneuroendocrinology, 33(6), 693–710.

    PubMed  Google Scholar 

  • Held, K., Kunzel, H., Ising, M., Schmid, D. A., Zobel, A., Murck, H., et al. (2004). Treatment with the CRH1-receptor-antagonist R121919 improves sleep-EEG in patients with depression. Journal of Psychiatric Research, 38(2), 129–136.

    PubMed  Google Scholar 

  • Hobbs, M., Mayou, R., Harrison, B., & Worlock, P. (1996). A randomised controlled trial of psychological debriefing for victims of road traffic accidents. BMJ, 313(7070), 1438–1439.

    PubMed Central  PubMed  Google Scholar 

  • Hou, C., Liu, J., Wang, K., Li, L., Liang, M., He, Z., et al. (2007). Brain responses to symptom provocation and trauma-related short-term memory recall in coal mining accident survivors with acute severe PTSD. Brain Research, 1144, 165–174.

    PubMed  Google Scholar 

  • Hsiao, C. C. (2006). Difference in pre- and post-treatment plasma DHEA levels were significantly and positively correlated with difference in pre- and post-treatment Hamilton depression scores following successful therapy for major depression. Psychoneuroendocrinology, 31(7), 839–846.

    PubMed  Google Scholar 

  • Kanter, E. D., Wilkinson, C. W., Radant, A. D., Petrie, E. C., Dobie, D. J., McFall, M. E., et al. (2001). Glucocorticoid feedback sensitivity and adrenocortical responsiveness in posttraumatic stress disorder. Biological Psychiatry, 50(4), 238–245.

    PubMed  Google Scholar 

  • Kasai, K., Yamasue, H., Gilbertson, M. W., Shenton, M. E., Rauch, S. L., & Pitman, R. K. (2008). Evidence for acquired pregenual anterior cingulate gray matter loss from a twin study of combat-related posttraumatic stress disorder. Biological Psychiatry, 63(6), 550–556.

    PubMed Central  PubMed  Google Scholar 

  • Kato, H., Asukai, N., Miyake, Y., Minakawa, K., & Nishiyama, A. (1996). Post-traumatic symptoms among younger and elderly evacuees in the early stages following the 1995 Hanshin-Awaji earthquake in Japan. Acta Psychiatrica Scandinavica, 93(6), 477–481.

    PubMed  Google Scholar 

  • Kaysen, D., Dillworth, T. M., Simpson, T., Waldrop, A., Larimer, M. E., & Resick, P. A. (2007). Domestic violence and alcohol use: Trauma-related symptoms and motives for drinking. Addictive Behaviors, 32(6), 1272–1283.

    PubMed Central  PubMed  Google Scholar 

  • Keane, T. M., Zimering, R. T., & Caddell, J. M. (1985). A behavioral formulation of posttraumatic stress disorder in Vietnam veterans. Behavior Therapist, 8, 9–12.

    Google Scholar 

  • Kleim, B., Wilhelm, F. H., Glucksman, E., & Ehlers, A. (2010). Sex differences in heart rate responses to script-driven imagery soon after trauma and risk of posttraumatic stress disorder. Psychosomatic Medicine, 72(9), 917–924.

    PubMed Central  PubMed  Google Scholar 

  • Klein, E., Koren, D., Arnon, I., & Lavie, P. (2002). No evidence of sleep disturbance in post-traumatic stress disorder: A polysomnographic study in injured victims of traffic accidents. The Israel Journal of Psychiatry and Related Sciences, 39(1), 3–10.

    PubMed  Google Scholar 

  • Koenen, K. C., Aiello, A. E., Bakshis, E., Amstadter, A. B., Ruggiero, K. J., Acierno, R., et al. (2009). Modification of the association between serotonin transporter genotype and risk of posttraumatic stress disorder in adults by county-level social environment. American Journal of Epidemiology, 169(6), 704–711.

    PubMed Central  PubMed  Google Scholar 

  • Koenen, K. C., Saxe, G., Purcell, S., Smoller, J. W., Bartholomew, D., Miller, A., et al. (2005). Polymorphisms in FKBP5 are associated with peritraumatic dissociation in medically injured children. Molecular Psychiatry, 10(12), 1058–1059.

    PubMed  Google Scholar 

  • Kolassa, I. T., Kolassa, S., Ertl, V., Papassotiropoulos, A., & De Quervain, D. J. (2010). The risk of posttraumatic stress disorder after trauma depends on traumatic load and the catechol-o-methyltransferase Val(158)Met polymorphism. Biological Psychiatry, 67(4), 304–308.

    PubMed  Google Scholar 

  • Koob, G. F. (1999). Corticotropin-releasing factor, norepinephrine, and stress. Biological Psychiatry, 46(9), 1167–1180.

    PubMed  Google Scholar 

  • Koren, D., Arnon, I., Lavie, P., & Klein, E. (2002). Sleep complaints as early predictors of posttraumatic stress disorder: A 1-year prospective study of injured survivors of motor vehicle accidents. The American Journal of Psychiatry, 159(5), 855–857.

    PubMed  Google Scholar 

  • Koren, D., Norman, D., Cohen, A., Berman, J., & Klein, E. M. (2005). Increased PTSD risk with combat-related injury: A matched comparison study of injured and uninjured soldiers experiencing the same combat events. The American Journal of Psychiatry, 162(2), 276–282.

    PubMed  Google Scholar 

  • Kuch, K., & Cox, B. J. (1992). Symptoms of PTSD in 124 survivors of the Holocaust. The American Journal of Psychiatry, 149(3), 337–340.

    PubMed  Google Scholar 

  • Kuroda, Y., & McEwen, B. S. (1998). Effect of chronic restraint stress and tianeptine on growth factors, growth-associated protein-43 and microtubule-associated protein 2 mRNA expression in the rat hippocampus. Brain Research. Molecular Brain Research, 59(1), 35–39.

    PubMed  Google Scholar 

  • Lanius, R. A., Frewen, P. A., Girotti, M., Neufeld, R. W., Stevens, T. K., & Densmore, M. (2007). Neural correlates of trauma script-imagery in posttraumatic stress disorder with and without comorbid major depression: A functional MRI investigation. Psychiatry Research, 155(1), 45–56.

    PubMed  Google Scholar 

  • Lappalainen, J., Kranzler, H. R., Malison, R., Price, L. H., Van Dyck, C., Rosenheck, R. A., et al. (2002). A functional neuropeptide Y Leu7Pro polymorphism associated with alcohol dependence in a large population sample from the United States. Archives of General Psychiatry, 59(9), 825–831.

    PubMed  Google Scholar 

  • LeDoux, J. (1998). Fear and the brain: Where have we been, and where are we going? Biological Psychiatry, 44(12), 1229–1238.

    PubMed  Google Scholar 

  • LeDoux, J. E., Iwata, J., Cicchetti, P., & Reis, D. J. (1988). Different projections of the central amygdaloid nucleus mediate autonomic and behavioral correlates of conditioned fear. The Journal of Neuroscience, 8(7), 2517–2529.

    PubMed  Google Scholar 

  • Lee, H., Kwak, S., Paik, J., Kang, R., & Lee, M. (2007). Association between serotonin 2A receptor gene polymorphism and posttraumatic stress disorder. Psychiatry Investigation, 4, 104–108.

    Google Scholar 

  • Lee, H. J., Lee, M. S., Kang, R. H., Kim, H., Kim, S. D., Kee, B. S., et al. (2005). Influence of the serotonin transporter promoter gene polymorphism on susceptibility to posttraumatic stress disorder. Depression and Anxiety, 21(3), 135–139.

    PubMed  Google Scholar 

  • Levi, A., Kohn, Y., Kanyas, K., Amann, D., Pae, C. U., Hamdan, A., et al. (2005). Fine mapping of a schizophrenia susceptibility locus at chromosome 6q23: Increased evidence for linkage and reduced linkage interval. European Journal of Human Genetics, 13(6), 763–771.

    PubMed  Google Scholar 

  • Liberzon, I., Taylor, S. F., Phan, K. L., Britton, J. C., Fig, L. M., Bueller, J. A., et al. (2007). Altered central micro-opioid receptor binding after psychological trauma. Biological Psychiatry, 61(9), 1030–1038.

    PubMed  Google Scholar 

  • Lu, A. T., Ogdie, M. N., Jarvelin, M. R., Moilanen, I. K., Loo, S. K., McCracken, J. T., et al. (2008). Association of the cannabinoid receptor gene (CNR1) with ADHD and post-traumatic stress disorder. American Journal of Medical Genetics Part B: Neuropsychiatric Genetics, 147B(8), 1488–1494.

    PubMed Central  Google Scholar 

  • Maes, M., Lin, A. H., Delmeire, L., Van Gastel, A., Kenis, G., De Jongh, R., et al. (1999). Elevated serum interleukin-6 (IL-6) and IL-6 receptor concentrations in posttraumatic stress disorder following accidental man-made traumatic events. Biological Psychiatry, 45(7), 833–839.

    PubMed  Google Scholar 

  • Manoli, I., Alesci, S., Blackman, M. R., Su, Y. A., Rennert, O. M., & Chrousos, G. P. (2007). Mitochondria as key components of the stress response. Trends in Endocrinology and Metabolism, 18(5), 190–198.

    PubMed  Google Scholar 

  • Maquet, P. (2001). The role of sleep in learning and memory. Science, 294(5544), 1048–1052.

    PubMed  Google Scholar 

  • Matar, M. A., Cohen, H., Kaplan, Z., & Zohar, J. (2006). The effect of early poststressor intervention with sertraline on behavioral responses in an animal model of post-traumatic stress disorder. Neuropsychopharmacology, 31(12), 2610–2618.

    PubMed  Google Scholar 

  • Mayou, R. A., Ehlers, A., & Hobbs, M. (2000). Psychological debriefing for road traffic accident victims. Three-year follow-up of a randomised controlled trial. The British Journal of Psychiatry, 176, 589–593.

    PubMed  Google Scholar 

  • McGowan, P. O., Sasaki, A., D’Alessio, A. C., Dymov, S., Labonte, B., Szyf, M., et al. (2009). Epigenetic regulation of the glucocorticoid receptor in human brain associates with childhood abuse. Nature Neuroscience, 12(3), 342–348.

    PubMed Central  PubMed  Google Scholar 

  • Meewisse, M. L., Reitsma, J. B., de Vries, G. J., Gersons, B. P., & Olff, M. (2007). Cortisol and post-traumatic stress disorder in adults: Systematic review and meta-analysis. The British Journal of Psychiatry, 191, 387–392.

    PubMed  Google Scholar 

  • Meinlschmidt, G., & Heim, C. (2005). Decreased cortisol awakening response after early loss experience. Psychoneuroendocrinology, 30(6), 568–576.

    PubMed  Google Scholar 

  • Mellman, T. A., Alim, T., Brown, D. D., Gorodetsky, E., Buzas, B., Lawson, W. B., et al. (2009). Serotonin polymorphisms and posttraumatic stress disorder in a trauma exposed African American population. Depression and Anxiety, 26(11), 993–997.

    PubMed Central  PubMed  Google Scholar 

  • Mellman, T. A., Bustamante, V., David, D., & Fins, A. I. (2002). Hypnotic medication in the aftermath of trauma. The Journal of Clinical Psychiatry, 63(12), 1183–1184.

    PubMed  Google Scholar 

  • Mellman, T. A., Bustamante, V., Fins, A. I., Pigeon, W. R., & Nolan, B. (2002). REM sleep and the early development of posttraumatic stress disorder. The American Journal of Psychiatry, 159(10), 1696–1701.

    PubMed  Google Scholar 

  • Mellman, T. A., David, D., Kulick-Bell, R., Hebding, J., & Nolan, B. (1995). Sleep disturbance and its relationship to psychiatric morbidity after Hurricane Andrew. The American Journal of Psychiatry, 152(11), 1659–1663.

    PubMed  Google Scholar 

  • Mellman, T. A., & Hipolito, M. M. (2006). Sleep disturbances in the aftermath of trauma and posttraumatic stress disorder. CNS Spectrums, 11(8), 611–615.

    PubMed  Google Scholar 

  • Mellman, T. A., Pigeon, W. R., Nowell, P. D., & Nolan, B. (2007). Relationships between REM sleep findings and PTSD symptoms during the early aftermath of trauma. Journal of Traumatic Stress, 20(5), 893–901.

    PubMed  Google Scholar 

  • Miller, R. J., Sutherland, A. G., Hutchison, J. D., & Alexander, D. A. (2001). C-reactive protein and interleukin 6 receptor in post-traumatic stress disorder: A pilot study. Cytokine, 13(4), 253–255.

    PubMed  Google Scholar 

  • Molina, M. E., Isoardi, R., Prado, M. N., & Bentolila, S. (2010). Basal cerebral glucose distribution in long-term post-traumatic stress disorder. The World Journal of Biological Psychiatry, 11(2 Pt 2), 493–501.

    PubMed  Google Scholar 

  • Moores, K. A., Clark, C. R., McFarlane, A. C., Brown, G. C., Puce, A., & Taylor, D. J. (2008). Abnormal recruitment of working memory updating networks during maintenance of trauma-neutral information in post-traumatic stress disorder. Psychiatry Research, 163(2), 156–170.

    PubMed  Google Scholar 

  • Mustapic, M., Pivac, N., Kozaric-Kovacic, D., Dezeljin, M., Cubells, J. F., & Muck-Seler, D. (2007). Dopamine beta-hydroxylase (DBH) activity and -1021C/T polymorphism of DBH gene in combat-related post-traumatic stress disorder. American Journal of Medical Genetics Part B: Neuropsychiatric Genetics, 144B(8), 1087–1089.

    Google Scholar 

  • Nakamura, M., Ueno, S., Sano, A., & Tanabe, H. (2000). The human serotonin transporter gene linked polymorphism (5-HTTLPR) shows ten novel allelic variants. Molecular Psychiatry, 5(1), 32–38.

    PubMed  Google Scholar 

  • Nelson, E. C., Agrawal, A., Pergadia, M. L., Lynskey, M. T., Todorov, A. A., Wang, J. C., et al. (2009). Association of childhood trauma exposure and GABRA2 polymorphisms with risk of posttraumatic stress disorder in adults. Molecular Psychiatry, 14(3), 234–235.

    PubMed Central  PubMed  Google Scholar 

  • Neylan, T. C., Lenoci, M., Maglione, M. L., Rosenlicht, N. Z., Metzler, T. J., Otte, C., et al. (2003). Delta sleep response to metyrapone in post-traumatic stress disorder. Neuropsychopharmacology, 28(9), 1666–1676.

    PubMed  Google Scholar 

  • Ng, V., Koh, D., Mok, B., Lim, L. P., Yang, Y., & Chia, S. E. (2004). Stressful life events of dental students and salivary immunoglobulin A. International Journal of Immunopathology and Pharmacology, 17(2 Suppl), 49–56.

    PubMed  Google Scholar 

  • Nishith, P., Griffin, M. G., & Poth, T. L. (2002). Stress-induced analgesia: Prediction of posttraumatic stress symptoms in battered versus nonbattered women. Biological Psychiatry, 51(11), 867–874.

    PubMed  Google Scholar 

  • Nishith, P., Resick, P. A., & Mueser, K. T. (2001). Sleep difficulties and alcohol use motives in female rape victims with posttraumatic stress disorder. Journal of Traumatic Stress, 14(3), 469–479.

    PubMed Central  PubMed  Google Scholar 

  • Nixon, R. D., Bryant, R. A., Moulds, M. L., Felmingham, K. L., & Mastrodomenico, J. A. (2005). Physiological arousal and dissociation in acute trauma victims during trauma narratives. Journal of Traumatic Stress, 18(2), 107–113.

    PubMed  Google Scholar 

  • Ohayon, M. M., & Shapiro, C. M. (2000). Sleep disturbances and psychiatric disorders associated with posttraumatic stress disorder in the general population. Comprehensive Psychiatry, 41(6), 469–478.

    PubMed  Google Scholar 

  • Ohry, A., Rattok, J., & Solomon, Z. (1996). Post-traumatic stress disorder in brain injury patients. Brain Injury, 10(9), 687–695.

    PubMed  Google Scholar 

  • Olff, M., de Vries, G. J., Guzelcan, Y., Assies, J., & Gersons, B. P. (2007). Changes in cortisol and DHEA plasma levels after psychotherapy for PTSD. Psychoneuroendocrinology, 32(6), 619–626.

    PubMed  Google Scholar 

  • Opp, M. R. (1997). Rat strain differences suggest a role for corticotropin-releasing hormone in modulating sleep. Physiology and Behavior, 63(1), 67–74.

    PubMed  Google Scholar 

  • Oquendo, M. A., Echavarria, G., Galfalvy, H. C., Grunebaum, M. F., Burke, A., Barrera, A., et al. (2003). Lower cortisol levels in depressed patients with comorbid post-traumatic stress disorder. Neuropsychopharmacology, 28(3), 591–598.

    PubMed  Google Scholar 

  • Orr, S. P., Metzger, L. J., Lasko, N. B., Macklin, M. L., Hu, F. B., Shalev, A. Y., et al. (2003). Physiologic responses to sudden, loud tones in monozygotic twins discordant for combat exposure: Association with posttraumatic stress disorder. Archives of General Psychiatry, 60(3), 283–288.

    PubMed  Google Scholar 

  • Orr, S. P., Metzger, L. J., Lasko, N. B., Macklin, M. L., Peri, T., & Pitman, R. K. (2000). De novo conditioning in trauma-exposed individuals with and without posttraumatic stress disorder. Journal of Abnormal Psychology, 109(2), 290–298.

    PubMed  Google Scholar 

  • Osuch, E. A., Benson, B., Geraci, M., Podell, D., Herscovitch, P., McCann, U. D., et al. (2001). Regional cerebral blood flow correlated with flashback intensity in patients with posttraumatic stress disorder. Biological Psychiatry, 50(4), 246–253.

    PubMed  Google Scholar 

  • Osuch, E. A., Willis, M. W., Bluhm, R., Ursano, R. J., & Drevets, W. C. (2008). Neurophysiological responses to traumatic reminders in the acute aftermath of serious motor vehicle collisions using [15O]-H2O positron emission tomography. Biological Psychiatry, 64(4), 327–335.

    PubMed Central  PubMed  Google Scholar 

  • Ozer, E. J., Best, S. R., Lipsey, T. L., & Weiss, D. S. (2003). Predictors of posttraumatic stress disorder and symptoms in adults: A meta-analysis. Psychological Bulletin, 129(1), 52–73.

    PubMed  Google Scholar 

  • Pace, T. W., & Heim, C. M. (2010). A short review on the psychoneuroimmunology of posttraumatic stress disorder: From risk factors to medical comorbidities. Brain, Behavior, and Immunity, 25(1), 6–13.

    PubMed  Google Scholar 

  • Peres, J. F., Newberg, A. B., Mercante, J. P., Simao, M., Albuquerque, V. E., Peres, M. J., et al. (2007). Cerebral blood flow changes during retrieval of traumatic memories before and after psychotherapy: A SPECT study. Psychological Medicine, 37(10), 1481–1491.

    PubMed  Google Scholar 

  • Pervanidou, P., Kolaitis, G., Charitaki, S., Margeli, A., Ferentinos, S., Bakoula, C., et al. (2007). Elevated morning serum interleukin (IL)-6 or evening salivary cortisol concentrations predict posttraumatic stress disorder in children and adolescents six months after a motor vehicle accident. Psychoneuroendocrinology, 32(8–10), 991–999.

    PubMed  Google Scholar 

  • Pfeffer, C. R., Altemus, M., Heo, M., & Jiang, H. (2007). Salivary cortisol and psychopathology in children bereaved by the September 11, 2001 terror attacks. Biological Psychiatry, 61(8), 957–965.

    PubMed  Google Scholar 

  • Phan, K. L., Britton, J. C., Taylor, S. F., Fig, L. M., & Liberzon, I. (2006). Corticolimbic blood flow during nontraumatic emotional processing in posttraumatic stress disorder. Archives of General Psychiatry, 63(2), 184–192.

    PubMed  Google Scholar 

  • Pillar, G., Malhotra, A., & Lavie, P. (2000). Post-traumatic stress disorder and sleep-what a nightmare! Sleep Medicine Reviews, 4(2), 183–200.

    PubMed  Google Scholar 

  • Pitman, R. K., Orr, S. P., Forgue, D. F., Altman, B., de Jong, J. B., & Herz, L. R. (1990). Psychophysiologic response to combat imagery in Vietnam Veterans with post-traumatic stress disorder vs. other anxiety disorders. Journal of Abnormal Psychology, 99, 49–54.

    PubMed  Google Scholar 

  • Pitman, R. K., Sanders, K. M., Zusman, R. M., Healy, A. R., Cheema, F., Lasko, N. B., et al. (2002). Pilot study of secondary prevention of posttraumatic stress disorder with propranolol. Biological Psychiatry, 51(2), 189–192.

    PubMed  Google Scholar 

  • Pitman, R. K., van der Kolk, B. A., Orr, S. P., & Greenberg, M. S. (1990). Naloxone-reversible analgesic response to combat-related stimuli in posttraumatic stress disorder. A pilot study. Archives of General Psychiatry, 47(6), 541–544.

    PubMed  Google Scholar 

  • Pole, N. (2007). The psychophysiology of posttraumatic stress disorder: A meta-analysis. Psychological Bulletin, 133(5), 725–746.

    PubMed  Google Scholar 

  • Raison, C. L., & Miller, A. H. (2003). When not enough is too much: The role of insufficient glucocorticoid signaling in the pathophysiology of stress-related disorders. The American Journal of Psychiatry, 160(9), 1554–1565.

    PubMed  Google Scholar 

  • Rasmusson, A. M., Vasek, J., Lipschitz, D. S., Vojvoda, D., Mustone, M. E., Shi, Q., et al. (2004). An increased capacity for adrenal DHEA release is associated with decreased avoidance and negative mood symptoms in women with PTSD. Neuropsychopharmacology, 29(8), 1546–1557.

    PubMed  Google Scholar 

  • Rohleder, N., Joksimovic, L., Wolf, J. M., & Kirschbaum, C. (2004). Hypocortisolism and increased glucocorticoid sensitivity of pro-Inflammatory cytokine production in Bosnian war refugees with posttraumatic stress disorder. Biological Psychiatry, 55(7), 745–751.

    PubMed  Google Scholar 

  • Rothbaum, B. O., Foa, E. B., Riggs, D. S., Murdock, T., & Walsh, W. (1992). A prospective examination of post-traumatic stress disorder in rape victims. Journal of Traumatic Stress, 5, 455–475.

    Google Scholar 

  • Sagaspe, P., Sanchez-Ortuno, M., Charles, A., Taillard, J., Valtat, C., Bioulac, B., et al. (2006). Effects of sleep deprivation on Color-Word, Emotional, and Specific Stroop interference and on self-reported anxiety. Brain and Cognition, 60(1), 76–87.

    PubMed  Google Scholar 

  • Santarelli, L., Saxe, M., Gross, C., Surget, A., Battaglia, F., Dulawa, S., et al. (2003). Requirement of hippocampal neurogenesis for the behavioral effects of antidepressants. Science, 301(5634), 805–809.

    PubMed  Google Scholar 

  • Sayin, A., Kucukyildirim, S., Akar, T., Bakkaloglu, Z., Demircan, A., Kurtoglu, G., et al. (2010). A prospective study of serotonin transporter gene promoter (5-HTT gene linked polymorphic region) and intron 2 (variable number of tandem repeats) polymorphisms as predictors of trauma response to mild physical injury. DNA and Cell Biology, 29(2), 71–77.

    PubMed  Google Scholar 

  • Schinkel, C., Gaertner, A., Zaspel, J., Zedler, S., Faist, E., & Schuermann, M. (2006). Inflammatory mediators are altered in the acute phase of posttraumatic complex regional pain syndrome. The Clinical Journal of Pain, 22(3), 235–239.

    PubMed  Google Scholar 

  • Schoenfeld, F. B., Marmar, C. R., & Neylan, T. C. (2004). Current concepts in pharmacotherapy for posttraumatic stress disorder. Psychiatric Services, 55(5), 519–531.

    PubMed  Google Scholar 

  • Schreiber, S., & Galai-Gat, T. (1993). Uncontrolled pain following physical injury as the core-trauma in post-traumatic stress disorder. Pain, 54(1), 107–110.

    PubMed  Google Scholar 

  • Schuld, A., Mullington, J., Friess, E., Hermann, D. M., Galanos, C., Holsboer, F., et al. (2000). Changes in dehydroepiandrosterone (DHEA) and DHEA-sulfate plasma levels during experimental endotoxinemia in healthy volunteers. The Journal of Clinical Endocrinology and Metabolism, 85(12), 4624–4629.

    PubMed  Google Scholar 

  • Segman, R. H., Cooper-Kazaz, R., Macciardi, F., Goltser, T., Halfon, Y., Dobroborski, T., et al. (2002). Association between the dopamine transporter gene and posttraumatic stress disorder. Molecular Psychiatry, 7(8), 903–907.

    PubMed  Google Scholar 

  • Segman, R. H., Shefi, N., Goltser-Dubner, T., Friedman, N., Kaminski, N., & Shalev, A. Y. (2005). Peripheral blood mononuclear cell gene expression profiles identify emergent post-traumatic stress disorder among trauma survivors. Molecular Psychiatry, 10(5), 500–513, 425.

    Google Scholar 

  • Shalev, A. Y. (1992). Posttraumatic stress disorder among injured survivors of a terrorist attack. Predictive value of early intrusion and avoidance symptoms. The Journal of Nervous and Mental Disease, 180(8), 505–509.

    PubMed  Google Scholar 

  • Shalev, A. Y., Sahar, T., Freedman, S., Peri, T., Glick, N., Brandes, D., et al. (1998). A prospective study of heart rate response following trauma and the subsequent development of posttraumatic stress disorder. Archives of General Psychiatry, 55(6), 553–559.

    PubMed  Google Scholar 

  • Shalev, A. Y., & Segman, R. H. (2008). Commentary: Biological findings in PTSD – Too much or too little? Progress in Brain Research, 167, 187–199.

    PubMed  Google Scholar 

  • Shavit, Y., Weidenfeld, J., DeKeyser, F. G., Fish, G., Wolf, G., Mayburd, E., et al. (2005). Effects of surgical stress on brain prostaglandin E2 production and on the pituitary-adrenal axis: Attenuation by preemptive analgesia and by central amygdala lesion. Brain Research, 1047(1), 10–17.

    PubMed  Google Scholar 

  • Shin, L. M., Lasko, N. B., Macklin, M. L., Karpf, R. D., Milad, M. R., Orr, S. P., et al. (2009). Resting metabolic activity in the cingulate cortex and vulnerability to posttraumatic stress disorder. Archives of General Psychiatry, 66(10), 1099–1107.

    PubMed Central  PubMed  Google Scholar 

  • Shin, L. M., Orr, S. P., Carson, M. A., Rauch, S. L., Macklin, M. L., Lasko, N. B., et al. (2004). Regional cerebral blood flow in the amygdala and medial prefrontal cortex during traumatic imagery in male and female Vietnam veterans with PTSD. Archives of General Psychiatry, 61(2), 168–176.

    PubMed  Google Scholar 

  • Shin, L. M., Shin, P. S., Heckers, S., Krangel, T. S., Macklin, M. L., Orr, S. P., et al. (2004). Hippocampal function in posttraumatic stress disorder. Hippocampus, 14(3), 292–300.

    PubMed  Google Scholar 

  • Shin, L. M., Whalen, P. J., Pitman, R. K., Bush, G., Macklin, M. L., Lasko, N. B., et al. (2001). An fMRI study of anterior cingulate function in posttraumatic stress disorder. Biological Psychiatry, 50(12), 932–942.

    PubMed  Google Scholar 

  • Siegfried, B., Frischknecht, H. R., & Nunes de Souza, R. L. (1990). An ethological model for the study of activation and interaction of pain, memory and defensive systems in the attacked mouse. Role of endogenous opioids. Neuroscience and Biobehavioral Reviews, 14(4), 481–490.

    PubMed  Google Scholar 

  • Sijbrandij, M., Olff, M., Reitsma, J. B., Carlier, I. V., & Gersons, B. P. (2006). Emotional or educational debriefing after psychological trauma. Randomised controlled trial. The British Journal of Psychiatry, 189, 150–155.

    PubMed  Google Scholar 

  • Smoller, J. W., Gardner-Schuster, E., & Covino, J. (2008). The genetic basis of panic and phobic anxiety disorders. American Journal of Medical Genetics. Part C: Seminars in Medical Genetics, 148C(2), 118–126.

    Google Scholar 

  • Soares, C. N. (2005). Insomnia in women: An overlooked epidemic? Archives of Women’s Mental Health, 8(4), 205–213.

    PubMed  Google Scholar 

  • Sondergaard, H. P., Hansson, L. O., & Theorell, T. (2002). Elevated blood levels of dehydroepiandrosterone sulphate vary with symptom load in posttraumatic stress disorder: Findings from a longitudinal study of refugees in Sweden. Psychotherapy and Psychosomatics, 71(5), 298–303.

    PubMed  Google Scholar 

  • Song, Y., Zhou, D., Guan, Z., & Wang, X. (2007). Disturbance of serum interleukin-2 and interleukin-8 levels in posttraumatic and non-posttraumatic stress disorder earthquake survivors in northern China. Neuroimmunomodulation, 14(5), 248–254.

    PubMed  Google Scholar 

  • Soravia, L. M., Heinrichs, M., Aerni, A., Maroni, C., Schelling, G., Ehlert, U., et al. (2006). Glucocorticoids reduce phobic fear in humans. Proceedings of the National Academy of Sciences of the United States of America, 103(14), 5585–5590.

    PubMed Central  PubMed  Google Scholar 

  • Spivak, B., Shohat, B., Mester, R., Avraham, S., Gil-Ad, I., Bleich, A., et al. (1997). Elevated levels of serum interleukin-1 beta in combat-related posttraumatic stress disorder. Biological Psychiatry, 42(5), 345–348.

    PubMed  Google Scholar 

  • Spoormaker, V. I., & Montgomery, P. (2008). Disturbed sleep in post-traumatic stress disorder: Secondary symptom or core feature? Sleep Medicine Reviews, 12(3), 169–184.

    PubMed  Google Scholar 

  • Steiger, A. (2002). Sleep and the hypothalamo-pituitary-adrenocortical system. Sleep Medicine Reviews, 6(2), 125–138.

    PubMed  Google Scholar 

  • Stein, M. B., Schork, N. J., & Gelernter, J. (2008). Gene-by-environment (serotonin transporter and childhood maltreatment) interaction for anxiety sensitivity, an intermediate phenotype for anxiety disorders. Neuropsychopharmacology, 33(2), 312–319.

    PubMed  Google Scholar 

  • Su, Y. A., Wu, J., Zhang, L., Zhang, Q., Su, D. M., He, P., et al. (2008). Dysregulated mitochondrial genes and networks with drug targets in postmortem brain of patients with posttraumatic stress disorder (PTSD) revealed by human mitochondria-focused cDNA microarrays. International Journal of Biological Sciences, 4(4), 223–235.

    PubMed Central  PubMed  Google Scholar 

  • Suendermann, O., Ehlers, A., Boellinghaus, I., Gamer, M., & Glucksman, E. (2010). Early heart rate responses to standardized trauma-related pictures predict posttraumatic stress disorder: A prospective study. Psychosomatic Medicine, 72(3), 301–308.

    PubMed Central  PubMed  Google Scholar 

  • Thakur, G. A., Joober, R., & Brunet, A. (2009). Development and persistence of posttraumatic stress disorder and the 5-HTTLPR polymorphism. Journal of Traumatic Stress, 22(3), 240–243.

    PubMed  Google Scholar 

  • True, W. R., Rice, J., Eisen, S. A., Heath, A. C., Goldberg, J., Lyons, M. J., et al. (1993). A twin study of genetic and environmental contributions to liability for posttraumatic stress symptoms. Archives of General Psychiatry, 50(4), 257–264.

    PubMed  Google Scholar 

  • Valentino, R. J., Page, M., Van Bockstaele, E., & Aston-Jones, G. (1992). Corticotropin-releasing factor innervation of the locus coeruleus region: Distribution of fibers and sources of input. Neuroscience, 48(3), 689–705.

    PubMed  Google Scholar 

  • van der Kolk, B., Greenberg, M., Boyd, H., & Krystal, J. (1985). Inescapable shock, neurotransmitters, and addiction to trauma: Toward a psychobiology of post traumatic stress. Biological Psychiatry, 20(3), 314–325.

    PubMed  Google Scholar 

  • van der Velden, P. G., Kleber, R. J., & Koenen, K. C. (2008). Smoking predicts posttraumatic stress symptoms among rescue workers: A prospective study of ambulance personnel involved in the Enschede Fireworks Disaster. Drug and Alcohol Dependence, 94(1–3), 267–271.

    PubMed Central  PubMed  Google Scholar 

  • van Stegeren, A. H., Goekoop, R., Everaerd, W., Scheltens, P., Barkhof, F., Kuijer, J. P., et al. (2005). Noradrenaline mediates amygdala activation in men and women during encoding of emotional material. NeuroImage, 24(3), 898–909.

    PubMed  Google Scholar 

  • Vermeer, H., Hendriks-Stegeman, B. I., van der Burg, B., van Buul-Offers, S. C., & Jansen, M. (2003). Glucocorticoid-induced increase in lymphocytic FKBP51 messenger ribonucleic acid expression: A potential marker for glucocorticoid sensitivity, potency, and bioavailability. The Journal of Clinical Endocrinology and Metabolism, 88(1), 277–284.

    PubMed  Google Scholar 

  • Vgontzas, A. N., Mastorakos, G., Bixler, E. O., Kales, A., Gold, P. W., & Chrousos, G. P. (1999). Sleep deprivation effects on the activity of the hypothalamic-pituitary-adrenal and growth axes: Potential clinical implications. Clinical Endocrinology, 51(2), 205–215.

    PubMed  Google Scholar 

  • Villarreal, G., Hamilton, D. A., Petropoulos, H., Driscoll, I., Rowland, L. M., Griego, J. A., et al. (2002). Reduced hippocampal volume and total white matter volume in posttraumatic stress disorder. Biological Psychiatry, 52(2), 119–125.

    PubMed  Google Scholar 

  • Voisey, J., Swagell, C. D., Hughes, I. P., Morris, C. P., van Daal, A., Noble, E. P., et al. (2009). The DRD2 gene 957C>T polymorphism is associated with posttraumatic stress disorder in war veterans. Depression and Anxiety, 26(1), 28–33.

    PubMed  Google Scholar 

  • von Kanel, R., Hepp, U., Kraemer, B., Traber, R., Keel, M., Mica, L., et al. (2007). Evidence for low-grade systemic proinflammatory activity in patients with posttraumatic stress disorder. Journal of Psychiatric Research, 41(9), 744–752.

    Google Scholar 

  • Weller, E. B., Weller, R. A., Fristad, M. A., & Bowes, J. M. (1990). Dexamethasone suppression test and depressive symptoms in bereaved children: A preliminary report. The Journal of Neuropsychiatry and Clinical Neurosciences, 2(4), 418–421.

    PubMed  Google Scholar 

  • Werner, N. S., Meindl, T., Engel, R. R., Rosner, R., Riedel, M., Reiser, M., et al. (2009). Hippocampal function during associative learning in patients with posttraumatic stress disorder. Journal of Psychiatric Research, 43(3), 309–318.

    PubMed  Google Scholar 

  • Wessa, M., Rohleder, N., Kirschbaum, C., & Flor, H. (2006). Altered cortisol awakening response in posttraumatic stress disorder. Psychoneuroendocrinology, 31(2), 209–215.

    PubMed  Google Scholar 

  • Whalley, M. G., Rugg, M. D., Smith, A. P., Dolan, R. J., & Brewin, C. R. (2009). Incidental retrieval of emotional contexts in post-traumatic stress disorder and depression: An fMRI study. Brain and Cognition, 69(1), 98–107.

    PubMed Central  PubMed  Google Scholar 

  • Woods, A. B., Page, G. G., O’Campo, P., Pugh, L. C., Ford, D., & Campbell, J. C. (2005). The mediation effect of posttraumatic stress disorder symptoms on the relationship of intimate partner violence and IFN-gamma levels. American Journal of Community Psychology, 36(1–2), 159–175.

    PubMed  Google Scholar 

  • Woodward, S. H., Kaloupek, D. G., Streeter, C. C., Martinez, C., Schaer, M., & Eliez, S. (2006). Decreased anterior cingulate volume in combat-related PTSD. Biological Psychiatry, 59(7), 582–587.

    PubMed  Google Scholar 

  • Xie, P., Kranzler, H. R., Poling, J., Stein, M. B., Anton, R. F., Brady, K., et al. (2009). Interactive effect of stressful life events and the serotonin transporter 5-HTTLPR genotype on posttraumatic stress disorder diagnosis in 2 independent populations. Archives of General Psychiatry, 66(11), 1201–1209.

    PubMed Central  PubMed  Google Scholar 

  • Yehuda, R. (2002). Current status of cortisol findings in post-traumatic stress disorder. The Psychiatric Clinics of North America, 25(2), 341–368, vii.

    Google Scholar 

  • Yehuda, R. (2009). Status of glucocorticoid alterations in post-traumatic stress disorder. The Annals of the New York Academy of Sciences, 1179, 56–69.

    Google Scholar 

  • Yehuda, R., Bell, A., Bierer, L. M., & Schmeidler, J. (2008). Maternal, not paternal, PTSD is related to increased risk for PTSD in offspring of Holocaust survivors. Journal of Psychiatric Research, 42(13), 1104–1111.

    PubMed Central  PubMed  Google Scholar 

  • Yehuda, R., & Bierer, L. M. (2008). Transgenerational transmission of cortisol and PTSD risk. Progress in Brain Research, 167, 121–135.

    PubMed  Google Scholar 

  • Yehuda, R., Bryant, R., Marmar, C., & Zohar, J. (2005). Pathological responses to terrorism. Neuropsychopharmacology, 30(10), 1793–1805.

    PubMed  Google Scholar 

  • Yehuda, R., Golier, J. A., Yang, R. K., & Tischler, L. (2004). Enhanced sensitivity to glucocorticoids in peripheral mononuclear leukocytes in posttraumatic stress disorder. Biological Psychiatry, 55(11), 1110–1116.

    PubMed  Google Scholar 

  • Yehuda, R., Southwick, S. M., Krystal, J. H., Bremner, D., Charney, D. S., & Mason, J. W. (1993). Enhanced suppression of cortisol following dexamethasone administration in posttraumatic stress disorder. The American Journal of Psychiatry, 150(1), 83–86.

    PubMed  Google Scholar 

  • Yehuda, R., Teicher, M. H., Trestman, R. L., Levengood, R. A., & Siever, L. J. (1996). Cortisol regulation in posttraumatic stress disorder and major depression: A chronobiological analysis. Biological Psychiatry, 40(2), 79–88.

    PubMed  Google Scholar 

  • Young, E. A., & Breslau, N. (2004). Cortisol and catecholamines in posttraumatic stress disorder: An epidemiologic community study. Archives of General Psychiatry, 61(4), 394–401.

    PubMed  Google Scholar 

  • Zabetian, C. P., Anderson, G. M., Buxbaum, S. G., Elston, R. C., Ichinose, H., Nagatsu, T., et al. (2001). A quantitative-trait analysis of human plasma-dopamine beta-hydroxylase activity: Evidence for a major functional polymorphism at the DBH locus. The American Journal of Human Genetics, 68(2), 515–522.

    Google Scholar 

  • Zald, D. H. (2003). The human amygdala and the emotional evaluation of sensory stimuli. Brain Research. Brain Research Reviews, 41(1), 88–123.

    PubMed  Google Scholar 

  • Zhang, H., Ozbay, F., Lappalainen, J., Kranzler, H. R., van Dyck, C. H., Charney, D. S., et al. (2006). Brain derived neurotrophic factor (BDNF) gene variants and Alzheimer’s disease, affective disorders, posttraumatic stress disorder, schizophrenia, and substance dependence. American Journal of Medical Genetics. Part B: Neuropsychiatric Genetics, 141B(4), 387–393.

    PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ehud Klein M.D. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer Science+Business Media New York

About this chapter

Cite this chapter

Bar-Shai, M., Klein, E. (2015). Neurobiological Risk Factors and Predictors of Vulnerability and Resilience to PTSD. In: Safir, M., Wallach, H., Rizzo, A. (eds) Future Directions in Post-Traumatic Stress Disorder. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-7522-5_2

Download citation

Publish with us

Policies and ethics