Evidence map›Paper›PMID 23312562›Full record

Trial reportBiological psychiatry2013

The brain-derived neurotrophic factor Val66Met polymorphism predicts response to exposure therapy in posttraumatic stress disorder.

Kim L Felmingham, Carol Dobson-Stone, Peter R Schofield, Gregory J Quirk, Richard A Bryant

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Biological psychiatry, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed, 2 pooled it
8.6field-weighted citation impact, top 1% of its field
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

75 citing papers in PubMed, 2 syntheses or guidelines pooled it, 151 citations in OpenAlex.

  1. TheBrain plasticity (Amsterdam, Netherlands) · 2022
    Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Brain-Derived Neurotropic FactorBioMed research international · 2017
    Trial
  8. Trial
  9. Trial
  10. Review
  11. Article
  12. Review
  13. Article
  14. A Review of MDMA-Assisted Therapy for Posttraumatic Stress Disorder.Focus (American Psychiatric Publishing) · 2023
    Review
  15. Reconsolidation and Fear Extinction: An Update.Current topics in behavioral neurosciences · 2023
    Article
  16. Review
  17. Is Fear Extinction Impairment Central to Psychopathology?Current topics in behavioral neurosciences · 2023
    Article
  18. Review
  19. Review
  20. Infralimbic BDNF signaling is necessary for the beneficial effects of extinction on set shifting in stressed rats.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2022
    Article

15 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

5 authors at 3 institutions in 2 countries.

Kim L FelminghamSchool of Psychology, University of Tasmania, Hobart, TAS 7005, Australia. Kim.Felmingham@utas.edu.au
Carol Dobson-Stone
Peter R Schofield
Gregory J Quirk
Richard A Bryant
UNSW Sydney · AUNeuroscience Research Australia · AUUniversity of Puerto Rico System · PR

Funding

Translational Studies of Prefrontal Control of Fear ExtinctionR01MH081975 · NIMH · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI QUIRK, GREGORY J · 2009 to 2013
$3.3M
NIMH NIH HHS R01 MH081975
6 · The paper itself

Abstract

backgroundThe most effective treatment for posttraumatic stress disorder (PTSD) is exposure therapy, which aims to facilitate extinction of conditioned fear. Recent evidence suggests that brain-derived neurotrophic factor (BDNF) facilitates extinction learning. This study assessed whether the Met-66 allele of BDNF, which results in lower activity-dependent secretion, predicts poor response to exposure therapy in PTSD.

methodsFifty-five patients with PTSD underwent an 8-week exposure-based cognitive behavior therapy program and provided mouth swabs or saliva to extract genomic DNA to determine their BDNF Val66Met genotype (30 patients with the Val/Val BDNF allele, 25 patients with the Met-66 allele). We examined whether BDNF genotype predicted reduction in PTSD severity following exposure therapy.

resultsAnalyses revealed poorer response to exposure therapy in the PTSD patients with the Met-66 allele of BDNF compared with patients with the Val/Val allele. Pretreatment Clinician Administered PTSD Scale severity and BDNF Val66Met polymorphism predicted response to exposure therapy using hierarchical regression.

conclusionsThis study provides the first evidence that the BDNF Val66Met genotype predicts response to cognitive behavior therapy in PTSD and is in accord with evidence that BDNF facilitates extinction learning.

Indexed as

AdultAnalysis of VarianceBrain-Derived Neurotrophic FactorFemaleGenotypeHumansImplosive TherapyMaleMethionineMiddle AgedPolymorphism, GeneticPredictive Value of TestsRegression AnalysisStress Disorders, Post-TraumaticTrauma Severity IndicesTreatment OutcomeBrain-Derived Neurotrophic FactorMethionineValine

Identifiers

PMID23312562
PMCPMC4185184
OpenAlexW2089846979

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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 OpenQuestion graph.