COPING WITH STRESS

Why some cope with stress better than others

3 November, 2007

Scientists have identified a difference in brain chemistry that could explain why some people cope better with stress than others.

Researchers from the University of Texas Southwestern Medical Centre, the United States, found that a key pathway in mice differs in those who cope well with stress and those who do not.

The findings, published in the October 19, 2007, issue of the journal Cell, could lead to new treatments for conditions such as post-traumatic stress disorder (PTSD). There is increasing evidence that responses to stress were linked to chemical mechanisms in the brain.

People differ widely in their responses to stressful situations – while some people are highly resilient to stress, some others struggle to cope with stress.

The study found that, for example, around a third of people might suffer post-traumatic stress disorder after an exceptionally traumatic event, such as a terrorist attack or a natural disaster.

The researchers examined differences in mice facing a stressful situation in the form of a larger more aggressive mouse. Some of the mice coped with the stress well and others became timid and withdrew from social interaction.

In the mice that did not cope well with stress, nerve cells fired signals at a faster rate in two areas of the brain associated with pleasure and reward, releasing a substance called BDNF, which has previously been linked to poor coping.

The resilient mice had no increase in BDNF, probably because the neurons were firing less rapidly. Blocking BDNF in the timid mice caused them to become more resistant to stress.

In mice, which coped better with stress, there was also greater regulation of genes in the key brain regions, suggesting that resilience to such conditions is an active process rather than a lack of a response.

Analysis of brain samples from depressed and non-depressed humans showed that depressed people have a 40% increased level of BDNF.

The researchers concluded that preventing BDNF release in certain brain regions might be a way to increasing the ability to cope with stress or depression.

Dr Eric Nestler, professor of psychiatry and leader of the study, said chronic stress, depression, post-traumatic stress disorder and similar disorders might be treated by promoting the mechanisms that underlie resilience. However, he added, simply blocking BDNF might also affect other systems, so researchers would have to find a way to target the specific pathway involved in stress.

According to Dr Jonathan Bisson, senior lecturer in psychiatry at the University of Cardiff, the United Kingdom, one of the theories of why some people developed PTSD and others did not was that certain areas of the brain failed to tamp down the fearful response to a traumatic situation.

Dr Martin Deahl, consultant psychiatrist in Shropshire, the United Kingdom, stressed that certainly chemicals in the brain were very important. However, “it does not mean that you are born with it; life experiences affects the makeup of chemicals in the brain and why some people are vulnerable is not known exactly.”
 

 

 
         
 

 

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