Evidence map›Paper›PMID 25285201›Full record

ArticleInterface focus2014

Glucocorticoid-related predictors and correlates of post-traumatic stress disorder treatment response in combat veterans.

Rachel Yehuda, Laura C Pratchett, Matthew W Elmes, Amy Lehrner, Nikolaos P Daskalakis, Erin Koch, Iouri Makotkine, Janine D Flory, Linda M Bierer

Open access · bronzeAbstract read
In one paragraph

Article in Interface focus, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 6% 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

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 96 citations in OpenAlex.

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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

9 authors at 3 institutions in 1 country.

Rachel YehudaJames J. Peters Veterans Affairs Medical Center, New York, NY , USA ; Department of Psychiatry and Neuroscience , Icahn School of Medicine at Mount Sinai , New York, NY , USA.
Laura C PratchettJames J. Peters Veterans Affairs Medical Center, New York, NY , USA ; Department of Psychiatry and Neuroscience , Icahn School of Medicine at Mount Sinai , New York, NY , USA.
Matthew W ElmesDepartment of Biochemistry and Cell Biology , Stony Brook University , Stony Brook , NY, USA.
Amy LehrnerJames J. Peters Veterans Affairs Medical Center, New York, NY , USA ; Department of Psychiatry and Neuroscience , Icahn School of Medicine at Mount Sinai , New York, NY , USA.
Nikolaos P DaskalakisJames J. Peters Veterans Affairs Medical Center, New York, NY , USA ; Department of Psychiatry and Neuroscience , Icahn School of Medicine at Mount Sinai , New York, NY , USA.
Erin KochJames J. Peters Veterans Affairs Medical Center, New York, NY , USA ; Department of Psychiatry and Neuroscience , Icahn School of Medicine at Mount Sinai , New York, NY , USA.
Iouri MakotkineJames J. Peters Veterans Affairs Medical Center, New York, NY , USA ; Department of Psychiatry and Neuroscience , Icahn School of Medicine at Mount Sinai , New York, NY , USA.
Janine D FloryJames J. Peters Veterans Affairs Medical Center, New York, NY , USA ; Department of Psychiatry and Neuroscience , Icahn School of Medicine at Mount Sinai , New York, NY , USA.
Linda M BiererJames J. Peters Veterans Affairs Medical Center, New York, NY , USA ; Department of Psychiatry and Neuroscience , Icahn School of Medicine at Mount Sinai , New York, NY , USA.
Icahn School of Medicine at Mount Sinai · USJames J. Peters VA Medical Center · USStony Brook University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The identification of biomarkers for post-traumatic stress disorder (PTSD) and resilience/recovery is critical for advancing knowledge about pathophysiology and treatment in trauma-exposed persons. This study examined a series of glucocorticoid-related biomarkers prior to and in response to psychotherapy. Fifty-two male and female veterans with PTSD were randomized 2 : 1 to receive either prolonged exposure (PE) therapy or a weekly minimal attention (MA) intervention for 12 consecutive weeks. Psychological and biological assessments were obtained prior to and following treatment and after a 12-week naturalistic follow-up. Response was defined dichotomously as no longer meeting criteria for PTSD at post-treatment based on the Clinician Administered PTSD Scale for DSM-IV (CAPS). Clinical improvement on the CAPS was apparent for both PE and MA, with no significant difference according to treatment condition. Biomarkers predictive of treatment gains included the BCLI polymorphism of the glucocorticoid receptor gene. Additional predictors of treatment response were higher bedtime salivary cortisol and 24 h urinary cortisol excretion. Pre-treatment plasma dehydroepiandrosterone/cortisol ratio and neuropetide Y (NPY) levels were predictors of reductions in PTSD symptoms, and, for NPY only, of other secondary outcomes as well, including anxiety and depression ratings. Glucocorticoid sensitivity changed in association with symptom change, reflecting clinical state. It is possible to distinguish prognostic and state biomarkers of PTSD using a longitudinal approach in the context of treatment. Identified markers may also be relevant to understanding mechanisms of action of symptom reduction.

Indexed as

biomarkersglucocorticoid receptorhypothalamic pituitary adrenal axisneuropetide Ypost-traumatic stress disorderpsychotherapy

Identifiers

PMID25285201
PMCPMC4142020
OpenAlexW2139732540

What OpenQuestion holds

Textmetadata
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.