Stress and the Adolescent Brain
Chapter 7 considers stress as a modulator of adolescent development. It starts with an overview of the key hormones in the hypothalamic–pituitary–adrenal (HPA) axis and describes responses of the HPA axis and the sympathetic nervous system to stress. The HPA stress response is somewhat different in adolescents compared with adults; adolescents often show heightened stress reactivity and a protracted recovery period after psychological stressors compared to adults. The chapter then reviews research on chronic stress-induced anatomical and functional changes in the hippocampus, prefrontal cortex, and amygdala, three brain regions involved in regulation of the HPA axis and modulation of stress responses. Stress-induced changes in these brain regions include dendritic complexity of pyramidal cells, attenuated long-term potentiation, attention deficits, and changes in fear and depressive-like behaviors; these changes may be long-lasting. The perfect storm alludes to the alignment of three features of adolescence that together may render the adolescent brain especially vulnerable to effects of chronic stress: (a) The quality and quantity of stressors is different during adolescence than in adulthood; (b) stress reactivity is higher during adolescence; and (c) the hippocampus, prefrontal cortex, and amygdala are sensitive to stress hormones and are still developing during adolescence. However, the developing adolescent brain may be more resilient to insult, more responsive to interventions, and more buffered by social support systems.