{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T19:07:51Z","timestamp":1779217671039,"version":"3.51.4"},"reference-count":39,"publisher":"Wiley","issue":"9-10","license":[{"start":{"date-parts":[[2022,1,11]],"date-time":"2022-01-11T00:00:00Z","timestamp":1641859200000},"content-version":"am","delay-in-days":339,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#am"},{"start":{"date-parts":[[2021,2,6]],"date-time":"2021-02-06T00:00:00Z","timestamp":1612569600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100003896","name":"Henry M. 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This study aimed to investigate which physiological stress adaptation components were associated with resilience in Special Operations Forces combat service members. Special Operations Forces combat service members (\n                    <jats:italic>n<\/jats:italic>\n                    \u00a0=\u00a0117) self\u2010reported resilience (ER89) and lifetime clinician\u2010confirmed mild traumatic brain injury history. Participants also underwent transcranial Doppler ultrasonography to measure middle cerebral artery velocity during rest and a breath\u2010holding task. Neither resilience nor mild traumatic brain injury history was significantly associated with middle cerebral artery velocity percent increase following breath\u2010holding; younger Special Operations Forces combat service members had a higher percent increase in middle cerebral artery velocity following a breath\u2010holding task. Resilience was negatively associated with time to return to baseline middle cerebral artery velocity following peak velocity; whereas, mild traumatic brain injury history did not have a significant association. The Special Operations Forces combat service members that scored higher in resilience tended to return to baseline middle cerebral artery velocity following peak velocity faster than their less resilient counterparts. More resilient Special Operations Forces combat service members recovered faster from physiological stress (breath\u2010holding) than less resilient counterparts. This is the first study to investigate resilience and cerebrovascular stress response and recovery in this population. Our initial findings indicated that the Ego Resiliency Scale may be an optimal resilience psychometric and should be used to evaluate effective military resilience trainings, which aim to improve performance and mental health.\n                  <\/jats:p>","DOI":"10.1111\/ejn.15109","type":"journal-article","created":{"date-parts":[[2021,1,15]],"date-time":"2021-01-15T02:04:50Z","timestamp":1610676290000},"page":"2804-2812","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["The relationship between resilience and neurophysiological stress in Special Operations Forces combat service members"],"prefix":"10.1111","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4877-6732","authenticated-orcid":false,"given":"Nikki E.","family":"Barczak\u2010Scarboro","sequence":"first","affiliation":[{"name":"Matthew Gfeller Sport\u2010Related Traumatic Brain Injury Research Center Department of Exercise and Sport Science The University of North Carolina at Chapel Hill  Chapel Hill NC USA"},{"name":"Human Movement Science Curriculum Department of Allied Health Sciences The University of North Carolina at Chapel Hill  Chapel Hill NC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0166-4274","authenticated-orcid":false,"given":"Patricia R.","family":"Roby","sequence":"additional","affiliation":[{"name":"Matthew Gfeller Sport\u2010Related Traumatic Brain Injury Research Center Department of Exercise and Sport Science The University of North Carolina at Chapel Hill  Chapel Hill NC USA"},{"name":"Human Movement Science Curriculum Department of Allied Health Sciences The University of North Carolina at Chapel Hill  Chapel Hill NC USA"},{"name":"Center for Injury Research and Prevention Children\u2019s Hospital of Philadelphia  Philadelphia PA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4213-3349","authenticated-orcid":false,"given":"Adam W.","family":"Kiefer","sequence":"additional","affiliation":[{"name":"Matthew Gfeller Sport\u2010Related Traumatic Brain Injury Research Center Department of Exercise and Sport Science The University of North Carolina at Chapel Hill  Chapel Hill NC USA"},{"name":"Human Movement Science Curriculum Department of Allied Health Sciences The University of North Carolina at Chapel Hill  Chapel Hill NC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MaryBeth","family":"Bailar\u2010Heath","sequence":"additional","affiliation":[{"name":"Air Force Special Operations Command  Fort Bragg NC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Riley J.","family":"Burke","sequence":"additional","affiliation":[{"name":"Air Force Special Operations Command  Fort Bragg NC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen M.","family":"DeLellis","sequence":"additional","affiliation":[{"name":"Defense Medical Strategies LLC  Fayetteville NC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9110-5224","authenticated-orcid":false,"given":"Shawn F.","family":"Kane","sequence":"additional","affiliation":[{"name":"Matthew Gfeller Sport\u2010Related Traumatic Brain Injury Research Center Department of Exercise and Sport Science The University of North Carolina at Chapel Hill  Chapel Hill NC USA"},{"name":"Department of Family Medicine The University of North Carolina at Chapel Hill  Chapel Hill NC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James H.","family":"Lynch","sequence":"additional","affiliation":[{"name":"United States Army Special Operations Command  Fort Bragg NC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gary E.","family":"Means","sequence":"additional","affiliation":[{"name":"United States Army Special Operations Command  Fort Bragg NC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick J.","family":"Depenbrock","sequence":"additional","affiliation":[{"name":"United States Army Special Operations Command  Fort Bragg NC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6085-8322","authenticated-orcid":false,"given":"Jason P.","family":"Mihalik","sequence":"additional","affiliation":[{"name":"Matthew Gfeller Sport\u2010Related Traumatic Brain Injury Research Center Department of Exercise and Sport Science The University of North Carolina at Chapel Hill  Chapel Hill NC USA"},{"name":"Human Movement Science Curriculum Department of Allied Health Sciences The University of North Carolina at Chapel Hill  Chapel Hill NC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,2,6]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"crossref","unstructured":"Blascovich J.(2008).Challenge and Threat. 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