“…For example, in rodents, control over stressors reduces the duration, although not the magnitude of SNS and hypothalamic pituitary adrenal-axis response to environmental stressors (Koolhaas et al, 2011), minimizing the chronicity of heightened arousal, and associated immune and metabolic costs. At the biological level, controllable versus uncontrollable shock leads to greater accumulation of adaptive immune cells during injury or pathogen exposure (Ciavarra et al, 2018). These cells increase the expression of brain-derived neurotrophic factors (BDNF), which may protect against inflammation-related excitotoxicity (Yang, Shirayama, Zhang, Ren, & Hashimoto, 2015;Kerschensteiner et al, 1999), and reduce susceptibility to depressive behaviors (Banasr, Dwyer, & Duman, 2011).…”