Recent advances on the neurobiology of posttraumatic stress disorder includ
e: the utilization of functional brain imaging; the incorporation of cross-
system research including neuroendocrine (hypothalamic-pituitary-adrenal an
d hypothalamic-pituitary-thyroid axes), neurochemical (corticotropin-releas
ing factor, norepinephrine, serotonin, endogenous opiates), and neuroimmuno
logical (humoral and cellular immunity) systems; the expansion beyond exclu
sive study of combat veterans to include posttraumatic stress disorder pati
ents suffering from noncombat traumas; and the development of animal models
of traumatic stress.