PMID- 37402143 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230721 IS - 1929-0748 (Print) IS - 1929-0748 (Electronic) IS - 1929-0748 (Linking) VI - 12 DP - 2023 Jul 4 TI - Dynamic Modelling of Mental Resilience in Young Adults: Protocol for a Longitudinal Observational Study (DynaM-OBS). PG - e39817 LID - 10.2196/39817 [doi] LID - e39817 AB - BACKGROUND: Stress-related mental disorders are highly prevalent and pose a substantial burden on individuals and society. Improving strategies for the prevention and treatment of mental disorders requires a better understanding of their risk and resilience factors. This multicenter study aims to contribute to this endeavor by investigating psychological resilience in healthy but susceptible young adults over 9 months. Resilience is conceptualized in this study as the maintenance of mental health or quick recovery from mental health perturbations upon exposure to stressors, assessed longitudinally via frequent monitoring of stressors and mental health. OBJECTIVE: This study aims to investigate the factors predicting mental resilience and adaptive processes and mechanisms contributing to mental resilience and to provide a methodological and evidence-based framework for later intervention studies. METHODS: In a multicenter setting, across 5 research sites, a sample with a total target size of 250 young male and female adults was assessed longitudinally over 9 months. Participants were included if they reported at least 3 past stressful life events and an elevated level of (internalizing) mental health problems but were not presently affected by any mental disorder other than mild depression. At baseline, sociodemographic, psychological, neuropsychological, structural, and functional brain imaging; salivary cortisol and alpha-amylase levels; and cardiovascular data were acquired. In a 6-month longitudinal phase 1, stressor exposure, mental health problems, and perceived positive appraisal were monitored biweekly in a web-based environment, while ecological momentary assessments and ecological physiological assessments took place once per month for 1 week, using mobile phones and wristbands. In a subsequent 3-month longitudinal phase 2, web-based monitoring was reduced to once a month, and psychological resilience and risk factors were assessed again at the end of the 9-month period. In addition, samples for genetic, epigenetic, and microbiome analyses were collected at baseline and at months 3 and 6. As an approximation of resilience, an individual stressor reactivity score will be calculated. Using regularized regression methods, network modeling, ordinary differential equations, landmarking methods, and neural net-based methods for imputation and dimension reduction, we will identify the predictors and mechanisms of stressor reactivity and thus be able to identify resilience factors and mechanisms that facilitate adaptation to stressors. RESULTS: Participant inclusion began in October 2020, and data acquisition was completed in June 2022. A total of 249 participants were assessed at baseline, 209 finished longitudinal phase 1, and 153 finished longitudinal phase 2. CONCLUSIONS: The Dynamic Modelling of Resilience-Observational Study provides a methodological framework and data set to identify predictors and mechanisms of mental resilience, which are intended to serve as an empirical foundation for future intervention studies. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/39817. CI - (c)Carolin Wackerhagen, Ilya M Veer, Judith M C van Leeuwen, Zala Reppmann, Antje Riepenhausen, Sophie A Bogemann, Netali Mor, Lara M C Puhlmann, Aleksandra Usciƚko, Matthias Zerban, Julian Mituniewicz, Avigail Lerner, Kenneth S L Yuen, Goran Kober, Marta A Marciniak, Shakoor Pooseh, Jeroen Weermeijer, Alejandro Arias-Vasquez, Harald Binder, Walter de Raedt, Birgit Kleim, Inez Myin-Germeys, Karin Roelofs, Jens Timmer, Oliver Tuscher, Talma Hendler, Dorota Kobylinska, Erno J Hermans, Raffael Kalisch, Henrik Walter. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 04.07.2023. FAU - Wackerhagen, Carolin AU - Wackerhagen C AUID- ORCID: 0000-0002-5689-3472 AD - Research Division of Mind and Brain, Department of Psychiatry and Psychotherapy, Charite Campus Mitte, Charite - Universitatsmedizin Berlin, Corporate Member of Freie Universitat Berlin, Humboldt-Universitat zu Berlin, and Berlin Institute of Health, Berlin, Germany. FAU - Veer, Ilya M AU - Veer IM AUID- ORCID: 0000-0002-6733-3593 AD - Research Division of Mind and Brain, Department of Psychiatry and Psychotherapy, Charite Campus Mitte, Charite - Universitatsmedizin Berlin, Corporate Member of Freie Universitat Berlin, Humboldt-Universitat zu Berlin, and Berlin Institute of Health, Berlin, Germany. AD - Department of Developmental Psychology, University of Amsterdam, Amsterdam, Netherlands. FAU - van Leeuwen, Judith M C AU - van Leeuwen JMC AUID- ORCID: 0000-0002-7750-1255 AD - Donders Institute for Brain, Cognition, and Behaviour, Radboud University, Nijmegen, Netherlands. FAU - Reppmann, Zala AU - Reppmann Z AUID- ORCID: 0000-0001-8633-9651 AD - Research Division of Mind and Brain, Department of Psychiatry and Psychotherapy, Charite Campus Mitte, Charite - Universitatsmedizin Berlin, Corporate Member of Freie Universitat Berlin, Humboldt-Universitat zu Berlin, and Berlin Institute of Health, Berlin, Germany. FAU - Riepenhausen, Antje AU - Riepenhausen A AUID- ORCID: 0000-0001-8749-5349 AD - Research Division of Mind and Brain, Department of Psychiatry and Psychotherapy, Charite Campus Mitte, Charite - Universitatsmedizin Berlin, Corporate Member of Freie Universitat Berlin, Humboldt-Universitat zu Berlin, and Berlin Institute of Health, Berlin, Germany. AD - Faculty of Philosophy, Berlin School of Mind and Brain, Humboldt-Universitat zu Berlin, Berlin, Germany. FAU - Bogemann, Sophie A AU - Bogemann SA AUID- ORCID: 0000-0001-9382-0769 AD - Donders Institute for Brain, Cognition, and Behaviour, Radboud University, Nijmegen, Netherlands. FAU - Mor, Netali AU - Mor N AUID- ORCID: 0000-0002-3759-5680 AD - Sagol Brain Institute, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel. AD - Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. FAU - Puhlmann, Lara M C AU - Puhlmann LMC AUID- ORCID: 0000-0002-0870-8770 AD - Leibniz Institute for Resilience Research, Mainz, Germany. AD - Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany. FAU - Usciƚko, Aleksandra AU - Usciƚko A AUID- ORCID: 0000-0002-0001-7190 AD - Faculty of Psychology, University of Warsaw, Warsaw, Poland. FAU - Zerban, Matthias AU - Zerban M AUID- ORCID: 0000-0002-2684-3271 AD - Neuroimaging Center, Focus Program Translational Neuroscience, Johannes Gutenberg University Medical Center, Mainz, Germany. FAU - Mituniewicz, Julian AU - Mituniewicz J AUID- ORCID: 0000-0002-9717-5784 AD - Faculty of Psychology, University of Warsaw, Warsaw, Poland. FAU - Lerner, Avigail AU - Lerner A AUID- ORCID: 0009-0003-0081-5912 AD - Sagol Brain Institute, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel. AD - Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel. FAU - Yuen, Kenneth S L AU - Yuen KSL AUID- ORCID: 0000-0002-9465-9070 AD - Leibniz Institute for Resilience Research, Mainz, Germany. AD - Neuroimaging Center, Focus Program Translational Neuroscience, Johannes Gutenberg University Medical Center, Mainz, Germany. FAU - Kober, Goran AU - Kober G AUID- ORCID: 0000-0001-7038-0860 AD - Institute of Medical Biometry and Statistics, Faculty of Medicine and Medical Center, University of Freiburg, Freiburg, Germany. AD - Freiburg Center for Data Analysis and Modelling, University of Freiburg, Freiburg, Germany. FAU - Marciniak, Marta A AU - Marciniak MA AUID- ORCID: 0000-0003-4301-3269 AD - Division of Experimental Psychopathology and Psychotherapy, Department of Psychology, University of Zurich, Zurich, Switzerland. AD - Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric University Hospital, University of Zurich, Zurich, Switzerland. FAU - Pooseh, Shakoor AU - Pooseh S AUID- ORCID: 0000-0002-5441-9507 AD - Freiburg Center for Data Analysis and Modelling, University of Freiburg, Freiburg, Germany. FAU - Weermeijer, Jeroen AU - Weermeijer J AUID- ORCID: 0000-0002-6288-795X AD - Center for Contextual Psychiatry, Department of Neurosciences, Katholieke Universiteit Leuven, Leuven, Belgium. FAU - Arias-Vasquez, Alejandro AU - Arias-Vasquez A AUID- ORCID: 0000-0002-4786-0169 AD - Donders Institute for Brain, Cognition, and Behaviour, Radboud University, Nijmegen, Netherlands. FAU - Binder, Harald AU - Binder H AUID- ORCID: 0000-0002-5666-8662 AD - Institute of Medical Biometry and Statistics, Faculty of Medicine and Medical Center, University of Freiburg, Freiburg, Germany. AD - Freiburg Center for Data Analysis and Modelling, University of Freiburg, Freiburg, Germany. FAU - de Raedt, Walter AU - de Raedt W AUID- ORCID: 0000-0002-7117-7976 AD - Stichting imec Nederland, Holst Centre, Eindhoven, Netherlands. FAU - Kleim, Birgit AU - Kleim B AUID- ORCID: 0000-0001-9114-2917 AD - Division of Experimental Psychopathology and Psychotherapy, Department of Psychology, University of Zurich, Zurich, Switzerland. AD - Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric University Hospital, University of Zurich, Zurich, Switzerland. FAU - Myin-Germeys, Inez AU - Myin-Germeys I AUID- ORCID: 0000-0002-3731-4930 AD - Center for Contextual Psychiatry, Department of Neurosciences, Katholieke Universiteit Leuven, Leuven, Belgium. FAU - Roelofs, Karin AU - Roelofs K AUID- ORCID: 0000-0002-8863-8978 AD - Donders Institute for Brain, Cognition, and Behaviour, Radboud University, Nijmegen, Netherlands. AD - Behavioural Science Institute, Radboud University, Nijmegen, Netherlands. FAU - Timmer, Jens AU - Timmer J AUID- ORCID: 0000-0003-4517-1383 AD - Freiburg Center for Data Analysis and Modelling, University of Freiburg, Freiburg, Germany. AD - Institute of Physics, University of Freiburg, Freiburg, Germany. AD - Centre for Biological Signalling Studies and Centre for Integrative Biological Signalling Studies, University of Freiburg, Freiburg, Germany. FAU - Tuscher, Oliver AU - Tuscher O AUID- ORCID: 0000-0002-4023-5301 AD - Leibniz Institute for Resilience Research, Mainz, Germany. AD - Department of Psychiatry and Psychotherapy, Johannes Gutenberg University Medical Center, Mainz, Germany. FAU - Hendler, Talma AU - Hendler T AUID- ORCID: 0000-0002-4182-4335 AD - Sagol Brain Institute, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel. AD - Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. AD - Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel. AD - School of Psychological Science, Tel Aviv University, Tel Aviv, Israel. FAU - Kobylinska, Dorota AU - Kobylinska D AUID- ORCID: 0000-0003-0184-2595 AD - Faculty of Psychology, University of Warsaw, Warsaw, Poland. FAU - Hermans, Erno J AU - Hermans EJ AUID- ORCID: 0000-0003-1339-8639 AD - Donders Institute for Brain, Cognition, and Behaviour, Radboud University, Nijmegen, Netherlands. FAU - Kalisch, Raffael AU - Kalisch R AUID- ORCID: 0000-0002-9503-7601 AD - Leibniz Institute for Resilience Research, Mainz, Germany. AD - Neuroimaging Center, Focus Program Translational Neuroscience, Johannes Gutenberg University Medical Center, Mainz, Germany. FAU - Walter, Henrik AU - Walter H AUID- ORCID: 0000-0002-9403-6121 AD - Research Division of Mind and Brain, Department of Psychiatry and Psychotherapy, Charite Campus Mitte, Charite - Universitatsmedizin Berlin, Corporate Member of Freie Universitat Berlin, Humboldt-Universitat zu Berlin, and Berlin Institute of Health, Berlin, Germany. AD - Faculty of Philosophy, Berlin School of Mind and Brain, Humboldt-Universitat zu Berlin, Berlin, Germany. LA - eng PT - Journal Article DEP - 20230704 PL - Canada TA - JMIR Res Protoc JT - JMIR research protocols JID - 101599504 PMC - PMC10354714 OTO - NOTNLM OT - ecological momentary assessment OT - longitudinal OT - mental health OT - mobile phone OT - neuroimaging OT - prospective OT - resilience OT - resilience factors OT - stress OT - stress disorders OT - stressor reactivity COIS- Conflicts of Interest: RK receives advisory honoraria from JoyVentures, Herzlia, Israel. All other authors declare that they have no conflicts of interest. EDAT- 2023/07/04 13:08 MHDA- 2023/07/04 13:09 PMCR- 2023/07/04 CRDT- 2023/07/04 11:53 PHST- 2022/05/25 00:00 [received] PHST- 2022/12/12 00:00 [accepted] PHST- 2022/12/01 00:00 [revised] PHST- 2023/07/04 13:09 [medline] PHST- 2023/07/04 13:08 [pubmed] PHST- 2023/07/04 11:53 [entrez] PHST- 2023/07/04 00:00 [pmc-release] AID - v12i1e39817 [pii] AID - 10.2196/39817 [doi] PST - epublish SO - JMIR Res Protoc. 2023 Jul 4;12:e39817. doi: 10.2196/39817.