Evidence map›Paper›PMID 23127296›Full record

ReviewNeuroscience and biobehavioral reviews2013

Exaggerated neurobiological sensitivity to threat as a mechanism linking anxiety with increased risk for diseases of aging.

Aoife O'Donovan, George M Slavich, Elissa S Epel, Thomas C Neylan

Registry-linked trialAbstract readReview
In one paragraph

Review in Neuroscience and biobehavioral reviews, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03162692 (Preoperative Anxiety's Incidence and Related Factors in Surgical Patients), which is not on this map. Cited by 82 papers.

0numbers the graph read from it
0cells of the map it votes in
82citing 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.

NCT03162692 unknown statusnot on this mapstarted 2017, after this paper: background citation

Preoperative Anxiety's Incidence and Related Factors in Surgical Patients

TypeobservationalSponsorXuzhou Medical UniversityRan2017 to 2018Enrolled2,000ConditionsElective Surgery, Intravenous Anesthesia, Preoperative Anxiety
3 · Its place in the literature

Who cites it

82 citing papers in PubMed.

  1. Trial
  2. Using the stress and adversity inventory as a teaching tool leads to significant learning gains in two courses on stress and health.Stress and health : journal of the International Society for the Investigation of Stress · 2014
    Trial
  3. Article
  4. Stimulated cytokine production, attachment, and emotional well-being in dementia spousal caregivers.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Observational

22 more citing papers are in PubMed but not listed here.

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

4 authors.

Aoife O'DonovanDepartment of Psychiatry, University of California, San Francisco, CA, USA. aoife.odonovan@ucsf.edu
George M Slavich
Elissa S Epel
Thomas C Neylan

Funding

Neural, Inflammatory, and Genomic Mechanisms Underlying Risk for Depression in AdolescenceK08MH103443 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SLAVICH, GEORGE MICHAEL · 2015 to 2018
$772k
NIMH NIH HHS K08 MH103443
6 · The paper itself

Abstract

Anxiety disorders increase risk for the early development of several diseases of aging. Elevated inflammation, a common risk factor across diseases of aging, may play a key role in the relationship between anxiety and physical disease. However, the neurobiological mechanisms linking anxiety with elevated inflammation remain unclear. In this review, we present a neurobiological model of the mechanisms by which anxiety promotes inflammation. Specifically we propose that exaggerated neurobiological sensitivity to threat in anxious individuals may lead to sustained threat perception, which is accompanied by prolonged activation of threat-related neural circuitry and threat-responsive biological systems including the hypothalamic-pituitary-adrenal (HPA) axis, autonomic nervous system (ANS), and inflammatory response. Over time, this pattern of responding can promote chronic inflammation through structural and functional brain changes, altered sensitivity of immune cell receptors, dysregulation of the HPA axis and ANS, and accelerated cellular aging. Chronic inflammation, in turn, increases risk for diseases of aging. Exaggerated neurobiological sensitivity to threat may thus be a treatment target for reducing disease risk in anxious individuals.

Indexed as

AgingAnimalsAnxiety DisordersAutonomic Nervous SystemBrainCentral Nervous System SensitizationFearHumansHypothalamo-Hypophyseal SystemInflammationModels, NeurologicalPituitary-Adrenal SystemRisk Factors

Identifiers

PMID23127296
PMCPMC4361087

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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 OpenQuestion graph.