Literature DB >> 29939335

The resilient brain: psychological resilience mediates the effect of amplitude of low-frequency fluctuations in orbitofrontal cortex on subjective well-being in young healthy adults.

Feng Kong1, Xiaosi Ma1, Xuqun You1, Yanhui Xiang2.   

Abstract

Psychological resilience reflects the capacity to bounce back from stress, which plays an important role in health and well-being. However, less is known about the neural substrate for psychological resilience and the underlying mechanism for how psychological resilience enhances subjective well-being in the healthy brain. To investigate these issues, we employed fractional amplitude of low-frequency fluctuations (fALFF) measured with resting-state fMRI in 100 young healthy adults. The correlation analysis found that higher psychological resilience was related to lower fALFF in the left orbitofrontal cortex (OFC), which is involved in reward-related processing and emotion regulation. Furthermore, the mediation analysis indicated that psychological resilience acted as a full mediator of the association between the fALFF in left OFC and subjective well-being indicators (i.e. life satisfaction and hedonic balance). Importantly, these results remained significant after controlling for the effect of gray matter volume and regional homogeneity in the region. Overall, the present study provides the further evidence for functional neural substrates of psychological resilience and reveals a potential mechanism that psychological resilience mediates the effect of spontaneous brain activity on subjective well-being.

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Year:  2018        PMID: 29939335      PMCID: PMC6121151          DOI: 10.1093/scan/nsy045

Source DB:  PubMed          Journal:  Soc Cogn Affect Neurosci        ISSN: 1749-5016            Impact factor:   3.436


Introduction

As an important personality trait, psychological resilience is defined as the capacity to bounce back from stress (Smith ). It plays a protective role against disorders related to stress such as post-traumatic stress disorder (PTSD) (Agaibi and Wilson, 2005). Furthermore, psychological resilience is considered as a crucial concept in the field of positive psychology, and exhibits a beneficial effect on subjective well-being (Davydov ; Hu ). Subjective well-being reflects people’s cognitive (life satisfaction) and affective evaluations (hedonic balance) of their lives (Schimmack ). A lot of research has found that psychological resilience is positively associated with hedonic balance and life satisfaction (Liu ; Di Fabio and Palazzeschi, 2015; Kong ; Bajaj and Pande, 2016; Satici, 2016). In this study, we tried to investigate the neurobiological underpinnings of psychological resilience and the potential mechanism that how psychological resilience influences subjective well-being in the brain with resting-state fMRI (rs-fMRI). Although psychological resilience is a hot topic in the field of positive psychology, limited work has used fMRI to explore the neurobiological underpinnings of resilience in healthy populations. For example, Waugh used task-based fMRI (tfMRI) to probe this issue and found that, when facing with a threat, all of participants had prolonged activity in the insula to the aversive stimuli, but only low-resilient participants had prolonged activity in the insula to the neutral stimuli. Furthermore, Reynaud found that high resilience was associated with increased activity in the amygdala and orbitofrontal cortex when responding to stress-related stimuli. However, these tfMRI results are limited to the regions that are activated by a certain task. Because psychological resilience is a complex construct, it should be related to different brain functions. Consistent with this view, evidence from studies on disorders related to stress has demonstrated that beyond the amygdala, insula and OFC, psychological resilience is also related to other regions within the prefrontal cortex (PFC) including anterior cingulate cortex (ACC) and medial PFC (mPFC) (Liberzon and Sripada, 2008; Milad ; Sekiguchi ). Although psychological resilience has been defined as a dynamic process (Lutha and Cicchetti, 2000; Masten, 2001; Waugh and Koster, 2015), it has also often been considered as a stable trait (Jacelon, 1997; Waugh ; Waaktaar and Torgersen, 2012), so its neural underpinnings might be related to the overall brain function under task-free conditions, which can be investigated by using the rs-fMRI based on measurements of low-frequency fluctuations (LFFs, 0.01–0.10 Hz) in the BOLD signal (Fox and Raichle, 2007; Biswal, 2012). Two increasingly popular measures of LFFs [e.g. regional homogeneity (ReHo) and fractional amplitude of low-frequency fluctuations (fALFF)] reflect local properties of spontaneous brain activity, but they characterize different aspects of the regional spontaneous activity. ReHo measures the temporal synchronization of the BOLD fluctuations in a given region (i.e. short range connectivity) that may reflect the interaction and integration among local voxels (Zang ), whereas fALFF measures the amplitude of the BOLD fluctuations of each voxel (i.e. spontaneous brain activity intensity) (Zou ). Importantly, the ReHo/fALFF measures have been used to identify the neural marker of mental disorders (Cheng ; Dutta ; Liu ) and uncover the neural basis of individual differences in behavior in normal populations (Tian ; Zou ; Kong , 2016a,b, 2018; Xiang ). In addition, previous studies have found that the ReHo/fALFF could successfully predict task-evoked activations and behavioral performance (Mennes ; Yuan ; Zou ). Therefore, these two measures can provide a useful tool to investigate neural correlates of psychological resilience. Recently, Kong ) used the ReHo measure to explore neural correlates of trait resilience, and found that higher ReHo in the ACC and insula within salience network was associated with lower trait resilience. However, as Kong ) mentioned, this study failed to find an association of resilience with other PFC regions such as OFC, which has been demonstrated in studies on disorders related to stress, as well as studies on healthy populations (Liberzon and Sripada, 2008; Reynaud ; Sekiguchi ). Because both fALFF and ReHo reflect different aspects of the regional spontaneous activity (An ; Tian ; Zhao ), so we wondered whether the association of psychological resilience with other PFC regions, especially OFC can be seen by using the measures on neuronal activity magnitude (i.e. fALFF). Recently, Wang found a negative association between higher fALFF in the OFC and trait hope, which is a highly related construct to psychological resilience (Lloyd and Hastings, 2009; Satici, 2016). Thus, we speculated that the fALFF in the OFC could be negatively associated with psychological resilience. Moreover, as we mentioned previously, behavioral studies have demonstrated that psychological resilience exhibits a beneficial effect on subjective well-being (Bajaj and Pande, 2016; Satici, 2016). Importantly, some regions with the PFC related to psychological resilience (e.g. OFC and ACC) are also found to be implicated in subjective well-being (Van Reekum ; Kong et al., 2015a,c,d, 2016a;). Notably, Kong ) revealed that the ReHo in the ACC related to trait resilience could significantly predict the cognitive component of subjective well-being (i.e. life satisfaction), indicating that the ACC is an important site supporting the link between cognitive well-being and psychological resilience. However, there’re still several problems needing further research. On one hand, as mentioned earlier, this study did not find any association of other PFC subregions, especially OFC with psychological resilience and life satisfaction (Liberzon and Sripada, 2008; Reynaud ; Sekiguchi ; Kong ). On the other hand, this study focused on only the cognitive component of subjective well-being, but it is generally known that subjective well-being includes a cognitive component (i.e. life satisfaction) and an emotional component (i.e. hedonic balance). To explore these issues, we used a standard instrument to measure psychological resilience in a sample of young healthy adults (N = 100). Then, we conducted a correlation analysis to investigate the relationship of psychological resilience with the fALFF across the brain. Based on previous neuroimaging studies on resilience, we speculated that the fALFF in the OFC would be negatively associated with psychological resilience. Finally, we conducted a mediation analysis to examine how the fALFF in these regions related to resilience, especially the OFC, affects two components of subjective well-being (e.g. hedonic balance and life satisfaction) through resilience. Based on previous behavioral and neuroimaging studies on resilience and well-being, we speculated that psychological resilience would mediate the relationship of the fALFF in the OFC with two components of subjective well-being.

Materials and methods

Participants

One hundred Chinese healthy individuals (42 men; mean age =20.86 years; s.d. =2.01) from South China Normal University took part in the study. The current participants were completely non-overlapping with those in the study by Kong ). All participants were right-handed and none of participants reported history of neurological or psychiatric disorders. Two participants were excluded due to lack of behavioral data and three participants were excluded because they had incomplete rs-fMRI scans (i.e. lack of several EPI images). The Edinburgh Handedness Inventory (Oldfield, 1971) was used to assess handedness. The study was approved by the Institutional Review Board of South China Normal University, and all participants gave written informed consent.

Behavioral tests

We used the Chinese version of Connor–Davidson Resilience Scale (CD-RISC) to measure participants’ levels of psychological resilience (Wang ; Kong ). The scale has ten items (e.g. ‘I can achieve goals despite obstacles’) with a one-factor structure (Campbell-Sills and Stein, 2007). Respondents rate items on a scale from 1 (strongly disagree) to 6 (strongly agree). The Chinese version of the CD-RISC has good reliability and validity (Wang ; Kong ). In our dataset, the CD-RISC showed satisfactory reliability (α = 0.91). We used the five-item Satisfaction with Life Scale (SWLS) to measure participants’ levels of life satisfaction, which is the cognitive component of subjective well-being (Diener ). Respondents rate items on a scale from 1 (strongly disagree) to 6 (strongly agree). The Chinese version of the SWLS has good reliability and validity (Kong and You, 2013; Sun and Kong, 2013; Kong et al., 2015b,c, 2017). In our dataset, the SWLS showed satisfactory reliability (α = 0.89). We used the Chinese version of Positive and Negative Affect Schedule (PANAS) to assess the affective component of subjective well-being (Qiu ). The Chinese PANAS was revised based on the original PANAS (Watson ). The scale consists of 18 affect words (9 positive and 9 negative), for example, ‘Enthusiastic’ and ‘Distressed’. Respondents indicate to what extent they generally feel each affect states using a five-point scale. The Chinese version of the PANAS has good reliability and validity (Qiu ; Liang and Zhu, 2015). In our dataset, the PA scale (α = 0.93) and NA scale (α = 0.86) showed satisfactory reliability. We used hedonic balance (the relative amount of positive affect to negative affect) as an index of the affective component of subjective well-being (Bradburn, 1969; Diener ; Schimmack , 2008). Hedonic balance scores were computed by subtracting the NA scores from the PA scores, with higher scores indicating a relatively greater tendency to experience positive affect.

MRI data acquisition and preprocessing

Data acquisitions were performed on a 3T scanner (Siemens Magnetom Trio, A Tim System) that was located at South China Normal University. The rs-fMRI scans included 240 contiguous EPI images (TR/TE = 2000 ms/30 ms; flip angle =90°; number of slices =33; matrix =64 × 64; FOV =22 ×22 cm2; acquisition voxel size =3.2 × 3.2 × 4.2 mm3). During the resting-state acquisitions, participants were instructed to lie still and relax in the scanner with their eyes closed. After the rs-fMRI scans, high-resolution T1-weighted images were acquired with MPRAGE sequence (TR/TE/TI =1900/2.52/900 ms; flip angle =7°; matrix =256 × 256; acquisition voxel size =1 × 1 × 1 mm3). Data preprocessing was conducted using the DPARSF software (Yan ), which employs the functions of Statistical Parametric Mapping program (SPM8, Wellcome Department of Cognitive Neurology, London, UK). The first four volumes of the data were discarded due to instability of MRI signal. Slice timing and head motion correction were performed for the remaining images. One participant was excluded because the angular and displacement motion exceeded ±2.5° or ±2.5 mm. No participant was excluded due to excessive mean framewise displacement (FD >0.25 mm). Then, these images were co-registered to each participant’s own T1 image and normalized to the SPM8 EPI template with 3 × 3 × 3 mm3 resolution. Next, the normalized data were smoothed using a 6-mm full-width at half-maximum. Finally, the images were linearly detrended to remove drifts and a Friston 24-parameter model was used to regress out head motion effects from the smoothed data.

fALFF-behavior correlation analysis

Following the methods proposed by Zou , the time courses for each voxel were first converted to the frequency domain, and then the square root of the power spectrum was computed and averaged across the specified frequency range (0.01–0.1 Hz) at each voxel. The fALFF was then computed as the fractional sum of the amplitudes across a low-frequency range (0.01–0.1 Hz) divided by the sum of the amplitudes across entire frequency range (0–0.25 Hz). Then, the normalized fALFF (mfALFF) was obtained by dividing the fALFF of each voxel by the global mean fALFF value. Calculations were conducted using the DPARSF software (Yan ). To examine the association between psychological resilience and spontaneous brain activity, a whole-brain correlation analysis was conducted. The resilience scores were treated as the covariates of interest, and age and gender were treated as the confounding covariates. To correct for multiple comparisons, a threshold of family-wise error (FWE) corrected threshold of P < 0.05 at the cluster level was set, combined with an uncorrected threshold of P < 0.001 at the voxel level.

Mediation analysis

We conducted a mediation analysis to check if the fALFF in regions related to resilience affects two components of subjective well-being through resilience using the PROCESS macro in SPSS (Hayes, 2013). In the mediation model, the mediator variable (MV) is psychological resilience, the independent variable (IV) is the fALFF in brain regions and the dependent variable (DV) is subjective well-being. Psychological resilience can be considered a mediator if the effect of the fALFF in brain regions on subjective well-being reduces significantly when the MV and the IV are included in the model. We assess the significance of the MV using a bootstrapping approach (5000 iterations). The mediating effect is significant, if a 95% confidence interval (CI) do not include zero.

Results

The neural correlates of psychological resilience

Table 1 presents means, s.d., skewness and kurtosis for all measures. The kurtosis and skewness were acceptable for the normality assumption, with the range between −2 and 2 (Lawson ; Chalbot ). In addition, the resilience scores had no significant relations with age (r =−0.07, P > 0.05) or gender (r =−0.02, P > 0.05). Next, we explored the neural substrates of psychological resilience.
Table 1.

Descriptive statistics for all the measures

MinimumMaximumMeanSDSkewnessKurtosis
Age182620.862.010.63−0.37
Resilience276652.078.51−1.030.59
Life satisfaction83519.666.600.29−0.93
Hedonic balance−162910.389.26−0.750.64
Positive affect114427.477.13−0.19−0.44
Negative affect93617.096.041.030.92
Descriptive statistics for all the measures To detect the relationships of psychological resilience with spontaneous brain activity, we correlated the resilience scores with the fALFF of each voxel across the brain. After controlling for age and gender, the resilience scores has a negative association with the fALFF in the left OFC (MNI: –12, 51, –24; r =−0.58; T =−6.11; Cluster size =1215 mm3; P < 0.05) (Figure 1; Table 2). No other significant correlations were observed. Given that affect resting-state brain activity can be influenced by head motion (Power ), so we also tested whether our results are specific to head motion. To assess possible effects of motion, mean FD was calculated for each participant. After controlling for age, gender and FD, the resilience scores was negatively associated with the fALFF in the left OFC (MNI: –12, 51, –24; r =−0.58; T =−5.84; Cluster size =999 mm3; P < 0.05) (Table 2). The region was identical to that obtained in the above analysis.
Fig. 1.

Brain regions that are correlated with psychological resilience. (A) The fALFF in the left orbitofrontal cortex (OFC) was negatively associated with psychological resilience. The coordinate is shown in the MNI stereotactic space. (B) Scatter plots depicting correlations between the fALFF in the left OFC and psychological resilience (r=−0.58, P < 0.001).

Table 2.

Brain regions that are correlated with psychological resilience

RegionSideBAMNI coordinate
TCluster size (mm3)
xyz
After controlling for age and gender
Orbitofrontal cortexL11–1251–24–6.111215*
After controlling for age, gender and FD
Orbitofrontal cortexL11–1251–24–5.84999*

P < 0.05 corrected at the cluster level.

MNI, Montreal Neurological Institute; L, left; BA, Brodmann area.

Brain regions that are correlated with psychological resilience P < 0.05 corrected at the cluster level. MNI, Montreal Neurological Institute; L, left; BA, Brodmann area. Brain regions that are correlated with psychological resilience. (A) The fALFF in the left orbitofrontal cortex (OFC) was negatively associated with psychological resilience. The coordinate is shown in the MNI stereotactic space. (B) Scatter plots depicting correlations between the fALFF in the left OFC and psychological resilience (r=−0.58, P < 0.001).

Brain regions link resilience and subjective well-being

After obtaining the neural basis of psychological resilience, we further examined whether the fALFF in the left OFC can influence the two components of subjective well-being through psychological resilience. First, we replicated the significant positive association of resilience with hedonic balance (r = 0.59, P < 0.001) and life satisfaction (r = 0.56, P < 0.001) in our dataset. Importantly, the regression analysis found that the variable accounted for additional variance in hedonic balance (ΔR2 =35.9%) and life satisfaction (ΔR2 =29.4%) after controlling for age, gender and FD. Second, we checked if the fALFF in the left OFC was related to the two components of subjective well-being. The results showed that the fALFF in the left OFC was negatively associated with hedonic balance (r =−0.31, P = 0.012, Bonferroni corrected) and life satisfaction (r =−0.31, P = 0.008, Bonferroni corrected). Notably, we did not find any significant association with positive affect (r =−0.20, P > 0.05, Bonferroni corrected) and negative affect (r = 0.25, P > 0.05, Bonferroni corrected), consistent with the view that reports of general happiness are based on the affect balance between positive and negative affect (Bradburn, 1969). Furthermore, the regression analysis found that the region accounted for additional variance in life satisfaction (ΔR2 =8.2%) and hedonic balance (ΔR2 =11.9%) after controlling for age, gender and FD. To examine whether psychological resilience could mediate the influence of the fALFF in the left OFC on the two components of subjective well-being, we carried out a mediation analysis. Interestingly, psychological resilience played a fully mediating role in the association of the fALFF in the left OFC with affect balance [indirect effect =−0.36; 95% CI =(–0.54, –0.21), P < 0.05] and life satisfaction [indirect effect =−0.34; 95% CI =(–0.49, –0.21), P < 0.05]. Even when age, gender and FD were adjusted for, psychological resilience still mediated the association of the OFC with affect balance [indirect effect =−0.35; 95% CI =(–0.53, –0.20), P > 0.05; Figure 2] and life satisfaction [indirect effect =−0.33; 95% CI =(–0.50, –0.20), P < 0.05; Figure 2].
Fig. 2.

Psychological resilience mediates the influence of the fALFF in the orbitofrontal cortex on life satisfaction (A) and hedonic balance (B). Standard regression coefficients are presented in path diagram. *P < 0.05; **P < 0.01; ***P < 0.001.

Psychological resilience mediates the influence of the fALFF in the orbitofrontal cortex on life satisfaction (A) and hedonic balance (B). Standard regression coefficients are presented in path diagram. *P < 0.05; **P < 0.01; ***P < 0.001. In addition, we carried out another mediation analysis to examine the directionality of the variables in our mediation model. In this model, psychological resilience was the IV, the two components of subjective well-being were the DV, and the fALFF in the OFC was the MV. The results found that the fALFF in the OFC could not mediate the effect of psychological resilience on life satisfaction [95% CI =(–0.15, 0.07), P > 0.05] and hedonic balance [95% CI =(–0.12, 0.08), P > 0.05]. Thus, these results suggested that the OFC influenced subjective well-being through psychological resilience.

Supplementary analyses

To check if our results were caused by structural brain differences, we applied voxel-based morphometry to explore the relationship of psychological resilience with regional gray matter volume (rGMV) in our dataset. We first preprocessed MRI data using standard procedures in SPM8 (Xiang ) and then performed a correlation analysis between psychological resilience and rGMV across the brain, with gender, age and total brain volume (TBV) as confounding variables. To correct for multiple comparisons, a threshold of FWE corrected threshold of P < 0.05 at the cluster level was set, combined with an uncorrected threshold of P < 0.001 at the voxel level. Even when no multiple comparisons correction was performed, no clusters were significantly associated with psychological resilience. Next, we checked whether psychological resilience was related to the rGMV in the OFC at the ROI level. We extracted the mean rGMV values from the OFC identified in the previous fALFF analysis. First, we found that the rGMV in the OFC was significantly associated with hedonic balance (r =−0.29, P = 0.005), and had a non-significant correlation with life satisfaction (r =−0.18, P > 0.05) and psychological resilience (r =−0.16, P > 0.05) after controlling for age, gender, FD and TBV. Second, psychological resilience was still reliably correlated with the fALFF in the OFC (r =−0.58, P < 0.001) after controlling for age, gender, TBV, FD and the rGMV in the OFC. Notably, even when age, gender, TBV, FD and the rGMV in the OFC were adjusted for, psychological resilience still mediated the influence of the OFC on affect balance [indirect effect =−0.35; 95% CI =(–0.55, –0.20), P > 0.05] and life satisfaction [indirect effect =−0.33; 95% CI =(–0.50, –0.19), P < 0.05]. Taken together, our findings were not caused by structural brain differences. In addition, although Kong ) found that the ReHo in the OFC was not related to psychological resilience, we still checked if our results were influenced by the ReHo in the region. Following the methods proposed by Zang , we calculated the ReHo of each voxel and then extracted the mean ReHo values from the region identified in the previous fALFF analysis. We found that the ReHo in the OFC was significantly associated with psychological resilience (r =−0.30, P = 0.005), but not life satisfaction (r =−0.08, P > 0.05) and hedonic balance (r = –0.15, P > 0.05). However, after controlling for age, gender, FD, and the ReHo in the OFC, psychological resilience was still reliably correlated with the fALFF in the OFC (r =−0.53, P < 0.001). Furthermore, psychological resilience mediated the influence of the OFC on affect balance [indirect effect =−0.31; 95% CI =(–0.47, –0.18), P > 0.05] and life satisfaction [indirect effect =−0.29; 95% CI =(–0.43, –0.17), P < 0.05], after controlling for age, gender, FD and the ReHo in the OFC. These results suggest that our findings were not caused by local synchronization of the OFC, and the fALFF and ReHo measures indeed capture different aspects of the regional spontaneous activity. Finally, we also tested whether psychological resilience separately mediates the influence of OFC activity on positive and negative affect although the correlation between OFC activity and positive and negative affect was not significant. Interestingly, psychological resilience mediated the influence of the OFC on positive affect [indirect effect =−0.26; 95% CI =(–0.44, –0.12), P > 0.05] and negative affect [indirect effect =0.25; 95% CI =(0.11, 0.44), P > 0.05]. Furthermore, after controlling for age, gender, FD and the ReHo/rGMV in the OFC, psychological resilience still mediated the influence of the OFC on positive affect [indirect effect =−0.22; 95% CI =(–0.39, –0.09), P > 0.05] and negative affect [indirect effect =0.19; 95% CI =(0.07, 0.35), P > 0.05]. Taken together, these results suggest that psychological resilience could mediate the influence of OFC activity on positive and negative affect.

Discussion

The present study sought to explore the neurobiological substrates of psychological resilience and their association with subjective well-being in healthy adults using the fALFF measured with rs-fMRI. Two main results were obtained. First, the whole brain correlation analyses showed that higher psychological resilience was associated with lower fALFF in the left OFC. Second, psychological resilience fully mediated the effect of the fALFF in the left OFC on the two components of subjective well-being (i.e. life satisfaction and hedonic balance). These findings remained even when controlling for structural brain differences (e.g. GMV) or local synchronization (i.e. ReHo). In short, our results provide the further evidence that the brain function of OFC is linked to psychological resilience, and offer a potential mechanism that psychological resilience plays a mediating role in the association between spontaneous brain activity and subjective well-being. Confirming our first hypothesis, psychological resilience was negatively correlated with the fALFF in the left OFC. The negative correlation of resilience with spontaneous brain activity is consistent with a body of studies reporting enhanced fALFF in the OFC in stress-related psychopathologies such as major depressive disorder (Liu ), PTSD (Bing ), bipolar disorder (Xu ) and anxiety disorder (Qiu ). Alternatively, increased fALFF in the OFC during resting state may develop as a compensatory (but not sufficiently efficient) mechanism for those difficulties or outcomes induced by a reduction in resilience or lack of resilience among low-resilient participants. In fact, the compensatory mechanism to offset structural or functional defects has been demonstrated in many other studies (Yang ; Bing ; Yang ; Gallea ; Li ; Sun ). Moreover, our results also fit well with prior findings in healthy populations showing an association of higher fALFF in the left OFC with lower trait hope (Wang ) and that of smaller gray matter volume in the left OFC with trait optimism (Dolcos ). Previous studies have demonstrated that trait optimism and trait hope are two highly related constructs to psychological resilience (Lloyd and Hastings, 2009; Wang ). In addition, consistent with the notion that left hemisphere is more involved in processing positive information (Hecht, 2013; Dolcos ), our results were identified only in the left OFC. The OFC has been known to play a crucial role in encoding the reward value of pain or pleasure (Gottfried ; Kringelbach, 2005; Leknes and Tracey, 2008; Kahnt ; Sescousse ; Grabenhorst and Rolls, 2011; Berridge and Kringelbach, 2013), which is in accordance with behavioral studies reporting a close positive correlation of psychological resilience with reward dependence (Simeon ; Kim ) and reward experience (Geschwind ). Furthermore, this region is also considered to be a critical node of brain networks underlying emotion regulation (Banks ; Welborn ; Golkar ; Petrovic ; Shiba ), which corresponds to the view that ‘psychologically resilient individuals are emotionally intelligent’ (Salovey ; Tugade and Fredrickson, 2004). Thus, increased fALFF in the OFC among low-resilient individuals may reflect the compensatory mechanism to offset a poor capacity to process the reward value of different stimuli and regulate daily emotions that then results in fewer resilient behaviors such as attentional bias toward positive stimuli and flexible adaptation to negative stressors. Importantly, our study revealed that psychological resilience fully mediated the influence of the fALFF in the left OFC on subjective well-being. Previous research has consistently shown that psychological resilience is strongly correlated with the cognitive and affective components of subjective well-being (Liu ; Di Fabio and Palazzeschi, 2015; Bajaj and Pande, 2016; Satici, 2016). Furthermore, we found that the variable explained additional variance in hedonic balance (ΔR2 =33.3%) and life satisfaction (ΔR2 =28.6%), even when controlling for age, gender and FD. Thus, psychological resilience is a crucial factor for achieving a happy life. On the other hand, our finding concurs with those previously reporting the association of the OFC with life satisfaction (Kong et al., 2015a,c). Specifically, lower life satisfaction was related to smaller rGMV in the OFC/vmPFC (Kong ) and higher fALFF in the OFC (Kong ). In addition, although the OFC has been found to be implicated in hedonic experience (Kringelbach, 2005; Berridge and Kringelbach, 2013; Kong ), our results suggest that the OFC is an important neural site where positive and negative affect are balanced. Given the role of the OFC in reward processing and emotion regulation, the involvement of the OFC may help acquire more resilient behaviors such as attentional bias toward positive stimuli and flexible adaptation to negative stressors, which further increase feelings of well-being. Briefly, these results substantiate that psychological resilience can serve as an underlying mechanism that accounted for the influence of the fALFF in the left OFC on subjective well-being. In summary, our study provides the further evidence for a neural marker for psychological resilience by demonstrating spontaneous brain activity in the OFC was negatively related to psychological resilience. Furthermore, our study offers a potential mechanism that psychological resilience plays a mediating role in the association between OFC spontaneous brain activity and subjective well-being. Despite these advantages, several limitations and future directions deserve consideration. First, all instruments depended on self-report, although they had adequate reliability and validity. Further studies should use other methods to lower the impact of response bias. Second, our results depended on the local measure of spontaneous brain activity, so further studies should also test the neural basis of psychological resilience at the functional connectivity and network level. Finally, our study invites further work to investigate how to develop the neurofeedback training of psychological resilience to promote well-being.
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Authors:  Li Wang; Zhanbiao Shi; Yuqing Zhang; Zhen Zhang
Journal:  Psychiatry Clin Neurosci       Date:  2010-10       Impact factor: 5.188

2.  The Satisfaction With Life Scale.

Authors:  E Diener; R A Emmons; R J Larsen; S Griffin
Journal:  J Pers Assess       Date:  1985-02

3.  Relationship between emotional experience and resilience: an fMRI study in fire-fighters.

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Journal:  Neuropsychologia       Date:  2013-01-29       Impact factor: 3.139

4.  DPABI: Data Processing & Analysis for (Resting-State) Brain Imaging.

Authors:  Chao-Gan Yan; Xin-Di Wang; Xi-Nian Zuo; Yu-Feng Zang
Journal:  Neuroinformatics       Date:  2016-07

5.  Optimism and the brain: trait optimism mediates the protective role of the orbitofrontal cortex gray matter volume against anxiety.

Authors:  Sanda Dolcos; Yifan Hu; Alexandru D Iordan; Matthew Moore; Florin Dolcos
Journal:  Soc Cogn Affect Neurosci       Date:  2015-09-14       Impact factor: 3.436

Review 6.  Resting state networks in major depressive disorder.

Authors:  Arpan Dutta; Shane McKie; J F William Deakin
Journal:  Psychiatry Res       Date:  2014-10-13       Impact factor: 3.222

7.  Significant grey matter changes in a region of the orbitofrontal cortex in healthy participants predicts emotional dysregulation.

Authors:  Predrag Petrovic; Carl Johan Ekman; Johanna Klahr; Lars Tigerström; Göran Rydén; Anette G M Johansson; Carl Sellgren; Armita Golkar; Andreas Olsson; Arne Öhman; Martin Ingvar; Mikael Landén
Journal:  Soc Cogn Affect Neurosci       Date:  2015-06-15       Impact factor: 3.436

8.  Resilient individuals use positive emotions to bounce back from negative emotional experiences.

Authors:  Michele M Tugade; Barbara L Fredrickson
Journal:  J Pers Soc Psychol       Date:  2004-02

9.  The neural correlates of trait resilience when anticipating and recovering from threat.

Authors:  Christian E Waugh; Tor D Wager; Barbara L Fredrickson; Doug C Noll; Stephan F Taylor
Journal:  Soc Cogn Affect Neurosci       Date:  2008-09-02       Impact factor: 3.436

10.  Hope as a psychological resilience factor in mothers and fathers of children with intellectual disabilities.

Authors:  T J Lloyd; R Hastings
Journal:  J Intellect Disabil Res       Date:  2009-12
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  12 in total

Review 1.  Stress and the brain: Perceived stress mediates the impact of the superior frontal gyrus spontaneous activity on depressive symptoms in late adolescence.

Authors:  Song Wang; Yajun Zhao; Lei Zhang; Xu Wang; Xiuli Wang; Bochao Cheng; Kui Luo; Qiyong Gong
Journal:  Hum Brain Mapp       Date:  2019-08-09       Impact factor: 5.038

2.  Emotional intelligence mediates the protective role of the orbitofrontal cortex spontaneous activity measured by fALFF against depressive and anxious symptoms in late adolescence.

Authors:  Xun Zhang; Bochao Cheng; Xun Yang; Xueling Suo; Nanfang Pan; Taolin Chen; Song Wang; Qiyong Gong
Journal:  Eur Child Adolesc Psychiatry       Date:  2022-06-23       Impact factor: 4.785

3.  Reward Functioning Abnormalities in Adolescents at High Familial Risk for Depressive Disorders.

Authors:  Emily L Belleau; Rebecca Kremens; Yuen-Siang Ang; Angela Pisoni; Erin Bondy; Katherine Durham; Randy P Auerbach; Diego A Pizzagalli
Journal:  Biol Psychiatry Cogn Neurosci Neuroimaging       Date:  2020-09-06

4.  Resilience, pain, and the brain: Relationships differ by sociodemographics.

Authors:  Jared J Tanner; Alisa J Johnson; Ellen L Terry; Josue Cardoso; Cynthia Garvan; Roland Staud; Georg Deutsch; Hrishikesh Deshpande; Song Lai; Adriana Addison; David Redden; Burel R Goodin; Catherine C Price; Roger B Fillingim; Kimberly T Sibille
Journal:  J Neurosci Res       Date:  2021-02-19       Impact factor: 4.164

5.  Neural correlates of social well-being: gray matter density in the orbitofrontal cortex predicts social well-being in emerging adulthood.

Authors:  Feng Kong; Kairong Yang; Sonia Sajjad; Wenjing Yan; Xuewen Li; Jingjing Zhao
Journal:  Soc Cogn Affect Neurosci       Date:  2019-03-05       Impact factor: 3.436

6.  Multimodal Imaging Analysis Reveals Frontal-Associated Networks in Relation to Individual Resilience Strength.

Authors:  Shulan Hsieh; Zai-Fu Yao; Meng-Heng Yang
Journal:  Int J Environ Res Public Health       Date:  2021-01-27       Impact factor: 3.390

7.  Severe childhood and adulthood stress associates with neocortical layer-specific reductions of mature spines in psychiatric disorders.

Authors:  Dominic Kaul; Caine C Smith; Julia Stevens; Anna S Fröhlich; Elisabeth B Binder; Naguib Mechawar; Sibylle G Schwab; Natalie Matosin
Journal:  Neurobiol Stress       Date:  2020-11-21

8.  Grey matter covariation and the role of emotion reappraisal in mental wellbeing and resilience after early life stress exposure.

Authors:  Haeme R P Park; Yann Quidé; Peter R Schofield; Leanne M Williams; Justine M Gatt
Journal:  Transl Psychiatry       Date:  2022-02-26       Impact factor: 6.222

9.  Neurostructural correlates of hope: dispositional hope mediates the impact of the SMA gray matter volume on subjective well-being in late adolescence.

Authors:  Song Wang; Yajun Zhao; Jingguang Li; Han Lai; Chen Qiu; Nanfang Pan; Qiyong Gong
Journal:  Soc Cogn Affect Neurosci       Date:  2020-06-23       Impact factor: 3.436

10.  Intrinsic functional connectivity of blue and red brains: neurobiological evidence of different stress resilience between political attitudes.

Authors:  Taekwan Kim; Ji-Won Hur; Seoyeon Kwak; Dayk Jang; Sang-Hun Lee; Jun Soo Kwon
Journal:  Sci Rep       Date:  2020-09-28       Impact factor: 4.379

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