Role of the medial prefrontal cortex in coping and resilience

• Published in: Brain research Vol. 1355; pp. 52 - 60
• Main Authors: Maier, Steven F., Watkins, Linda R.
• Format: Journal Article
• Language: English
• Published: Amsterdam Elsevier B.V 08.10.2010; Elsevier
• Subjects: Adaptation, Psychological - physiology; Anatomical correlates of behavior; Animals; Behavioral control; Behavioral psychophysiology; Biological and medical sciences; Brain stem; Brain Stem - physiology; Coping; Fundamental and applied biological sciences. Psychology; Humans; Learned helplessness; Limbic System - physiology; Medial prefrontal cortex; Neural Inhibition - physiology; Neural Pathways - physiology; Neurology; Neuronal Plasticity - physiology; Prefrontal Cortex - physiology; Psychology. Psychoanalysis. Psychiatry; Psychology. Psychophysiology; Resilience, Psychological; Serotonin; Stress; Stress, Psychological - physiopathology; Medial prefrontal cortex; Learned helplessness; Coping; Serotonin; Behavioral control; Stress; Central nervous system; Neurotransmitter; Behavior; Prefrontal cortex; Encephalon; Resilience
• ISSN: 0006-8993; 1872-6240; 1872-6240
• DOI: 10.1016/j.brainres.2010.08.039

The degree of behavioral control that an organism has over an aversive event is well known to modulate the behavioral and neurochemical consequences of exposure to the event. Here we review recent research that suggests that the experience of control over a potent stressor alters how the organism responds to future aversive events as well as to the stressor being controlled. More specifically, subjects that have experienced control show blunted behavioral and neurochemical responses to subsequent stressors occurring days to months later. Indeed, these subjects respond as if a later uncontrollable stressor is actually controllable. Further, we review research indicating that the stress resistance induced by control depends on control-induced activation of ventral medial prefrontal cortical (vmPFC) inhibitory control over brainstem and limbic structures. Furthermore, there appears to be plasticity in these circuits such that the experience of control alters the vmPFC in such a way that later uncontrollable stressors now activate the vmPFC circuitry, leading to inhibition of stress-responsive limbic and brainstem structures, i.e., stressor resistance. This controllability-induced proactive stressor resistance generalizes across very different stressors and may be involved in determining individual difference in reactions to traumatic events.