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Stress Resilience and Network-Feedback Training (STRESNET)
Start date: Sep 1, 2016, End date: Aug 31, 2021 PROJECT  ONGOING 

Acute stress has a profound impact on cognitive functioning: it raises alertness for threat, yet it impairs our ability to think clearly. Repeated exposure to stressors is furthermore a critical transdiagnostic factor in etiology, relapse, and chronification in almost all psychiatric disorders. We know from animal work at the cellular level how stressors trigger a neurochemical cascade that alters properties of widespread neuronal populations. A critical gap in our knowledge, however, is how such cellular effects translate to the level of large-scale neural systems which implement higher-order cognition. Here, I propose a novel framework for understanding such alterations as shifts in network balance: I hypothesize that acute stress causes dynamic shifts in resource allocation at the level of large-scale networks. First, I will leverage recent advances in network connectivity modeling to characterize the spatiotemporal dynamics of such shifts during acute stress and recovery. Using wearable biosensors and mobile applications, I aim to identify which neural markers predict resilience to stress in real life. Second, I will cross-validate these markers in a patient group characterized by high stress sensitivity. Third, to investigate how rapid network shifts are generated, I will examine the distinct roles of noradrenergic and dopaminergic neuromodulatory systems. Fourth, I will test the hypothesis that cognitive functions supported by one network can be disrupted by shifting balance towards another. Finally, I will develop a network-based implementation of functional MRI neurofeedback to train stress-sensitive participants to adaptively reallocate neural resources during acute stress. When successful, this project will yield 1) unprecedented insight into how our brain adapts to acute stress; 2) novel ecologically validated transdiagnostic biomarkers of stress resilience versus sensitivity; and 3) a potentially groundbreaking method for training stress resilience.

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