TY  - JOUR
PY  - 2019//
TI  - The resilient emotional brain: a scoping review of the medial prefrontal cortex and limbic structure and function in resilient adults with a history of childhood maltreatment
JO  - Biological psychiatry: cognitive neuroscience and neuroimaging
A1  - Moreno-López, Laura
A1  - Ioannidis, Konstantinos
A1  - Askelund, Adrian Dahl
A1  - Smith, Alicia J.
A1  - Schueler, Katja
A1  - van Harmelen, Anne-Laura
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - Childhood maltreatment (CM) is one of the strongest predictors of adult mental illness, although not all adults with CM develop psychopathology. Here, we describe the structure and function of the emotional brain regions that may contribute to resilient functioning after CM. We review studies that report medial prefrontal cortex, amygdala, and hippocampus (limbic regions) structure, function, and/or connections in resilient adults (i.e., those reporting CM without psychopathology) versus vulnerable adults (i.e., those reporting CM with psychopathology) or healthy adults (those without CM and with no psychopathology). We find that resilient adults have larger hippocampal gray and white matter volume and greater connectivity between the central executive network and the limbic regions. In addition, resilient adults have improved ability to regulate emotions through medial prefrontal cortex-limbic downregulation, lower hippocampal activation to emotional faces, and increased amygdala habituation to stress. We highlight the need for longitudinal designs that examine resilient functioning across domains and consider gender, type, timing, and nature of CM assessments and further stressors to further improve our understanding of the role of the emotional brain in resilient functioning after CM.<br><br>Copyright © 2019 Society of Biological Psychiatry. Published by Elsevier Inc. All rights reserved.<p />  <p>Language: en</p>
LA  - en
SN  - 2451-9030
UR  - http://dx.doi.org/10.1016/j.bpsc.2019.12.008
ID  - ref1
ER  -