Evidence map›Paper›PMID 41714467›Full record

SynthesisCurrent psychiatry reports2026

Circulating Biomarkers of Military-Specific Performance Resilience: A Systematic Review.

Jeroen Van Cutsem, Nicholas H van den Berg, Brendan Flores, Youssouf Aïdara, Antonio Martin, Alexandra Musat, Nathalie Pattyn, Guido Simonelli

Abstract readSystematic Review
In one paragraph

Synthesis in Current psychiatry reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jeroen Van CutsemVIPER Research Unit, LIFE Department, Royal Military Academy, Renaissancelaan 30, 1000, Brussels, Belgium. Jeroen.VanCutsem@mil.be.
Nicholas H van den BergVIPER Research Unit, LIFE Department, Royal Military Academy, Renaissancelaan 30, 1000, Brussels, Belgium.
Brendan FloresCenter for Advanced Research in Sleep Medicine, Hôpital du Sacré‑Coeur de Montréal, CIUSSS du Nord de L'Île-de-Montréal, Montreal, QC, Canada.
Youssouf AïdaraCenter for Advanced Research in Sleep Medicine, Hôpital du Sacré‑Coeur de Montréal, CIUSSS du Nord de L'Île-de-Montréal, Montreal, QC, Canada.
Antonio MartinCenter for Advanced Research in Sleep Medicine, Hôpital du Sacré‑Coeur de Montréal, CIUSSS du Nord de L'Île-de-Montréal, Montreal, QC, Canada.
Alexandra MusatCenter for Advanced Research in Sleep Medicine, Hôpital du Sacré‑Coeur de Montréal, CIUSSS du Nord de L'Île-de-Montréal, Montreal, QC, Canada.
Nathalie PattynVIPER Research Unit, LIFE Department, Royal Military Academy, Renaissancelaan 30, 1000, Brussels, Belgium.
Guido SimonelliCenter for Advanced Research in Sleep Medicine, Hôpital du Sacré‑Coeur de Montréal, CIUSSS du Nord de L'Île-de-Montréal, Montreal, QC, Canada.

Funding

Belgian Federal Science Policy Office LATITUDEInstitut Royal Supérieur de Défense HFM/19-09Office of Naval Research Global N629092212008
6 · The paper itself

Abstract

purpose of reviewTo systematically examine the available literature on circulating biomarkers of performance resilience in a military environment, with the goal of identifying the most promising circulating biomarkers. RECENT

findingsThe construct 'resilience' is hypothesized to play an important role in increasing Special Operations Forces' and other military personnel's capacity for withstanding exposure to various military-specific stressors. However, objectively measuring resilience is challenging. Some of the most important and well-studied circulating biomarkers that affect military-specific resilience are cortisol, dehydroepiandrosterone (sulfate) [DHEA(S)], noradrenaline, serotonin, neuropeptide-Y (NPY) and brain-derived neurotrophic factor. Despite growing evidence, the available knowledge is yet to be summarized and reviewed while considering the intensity and duration of military-specific stressors, military experience, and methodological differences between studies. Cortisol, Insulin-like growth factor-1 (IGF-1), NPY and DHEA(S) provide a physiological window into military-specific resilience. In general, individuals who exhibit a pronounced but controlled biomarker response to an acute stressor, combined with a quick recovery to baseline, demonstrate physiological flexibility that is associated with greater military-specific resilience. Future research will need to determine relative thresholds for the acute stressor-related change in circulating biomarkers and relative timing to stressor, to correctly interpret 'a pronounced but controlled biomarker response' and 'quick recovery to baseline'.

Indexed as

BiomarkersMilitary PersonnelResilience, PsychologicalStress, PsychologicalHumansHydrocortisoneBiomarkersHydrocortisoneCirculating biomarkersHardinessPerformanceState resilienceToughnessTrait resilience

Identifiers

PMID41714467
PMCPMC12920363

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.