Effects of appraisal and coping on the neuroendocrine response to extreme stress

Miranda Olff, Willie Langeland, Berthold P. R. Gersons

Research output: Contribution to journalReview article*Academicpeer-review


Although many people are exposed to extreme stress, only some of them develop psychobiological disturbances that can lead to posttraumatic stress disorder (PTSD) or other posttrauma psychopathology. This paper examines the effects of different types of appraisal and coping to find clues to how individuals differ in their neuroendocrine responses to extreme stress. It proposes a conceptual model for components of the adult response to stressors. Threat appraisal and defensive coping may play crucial roles in determining the neuroendocrine response to trauma with potential mental health consequences, particularly PTSD. (c) 2005 Elsevier Ltd. All rights reserved
Original languageEnglish
Pages (from-to)457-467
JournalNeuroscience and biobehavioral reviews
Issue number3
Publication statusPublished - 2005

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