Evidence map›Paper›PMID 25793742›Full record

ArticlePloS one2015

An examination of the association between 5-HTTLPR, combat exposure, and PTSD diagnosis among U.S. veterans.

Yutao Liu, Melanie E Garrett, Michelle F Dennis, Kimberly T Green, VA Mid-Atlantic MIRECC Registry Workgroup, Allison E Ashley-Koch, Michael A Hauser, Jean C Beckham, Nathan A Kimbrel

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
6.1field-weighted citation impact, top 4% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
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  4. Correlation betweenTranslational pediatrics · 2022
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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 5 institutions in 1 country.

Yutao LiuDepartment of Cellular Biology and Anatomy, Georgia Regents University, Augusta, Georgia, United States of America.
Melanie E GarrettDepartment of Medicine, Duke University Medical Center, Durham, North Carolina, United States of America.
Michelle F DennisDurham Veterans Affairs Medical Center, Durham, North Carolina, United States of America; VA Mid-Atlantic Mental Illness Research, Education and Clinical Center, Durham, North Carolina, United States of America; Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina, United States of America.
Kimberly T GreenDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina, United States of America.
VA Mid-Atlantic MIRECC Registry Workgroup
Allison E Ashley-KochDepartment of Medicine, Duke University Medical Center, Durham, North Carolina, United States of America.
Michael A HauserDepartment of Medicine, Duke University Medical Center, Durham, North Carolina, United States of America.
Jean C BeckhamDurham Veterans Affairs Medical Center, Durham, North Carolina, United States of America; VA Mid-Atlantic Mental Illness Research, Education and Clinical Center, Durham, North Carolina, United States of America; Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina, United States of America.
Nathan A KimbrelDurham Veterans Affairs Medical Center, Durham, North Carolina, United States of America; VA Mid-Atlantic Mental Illness Research, Education and Clinical Center, Durham, North Carolina, United States of America; Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina, United States of America.
Durham VA Health Care System · USDuke Medical Center · USAugusta University · USDuke University · USDurham VA Medical Center · US

Funding

Hostility, PTSD &Physical Health Risk Factors in WomenR01MH062482 · NIMH · DUKE UNIVERSITY · PI BECKHAM, JEAN C. · 2001 to 2013
$4.0M
Optimal Smoking Cessation Treatment in PTSDK24DA016388 · NIDA · DUKE UNIVERSITY · PI BECKHAM, JEAN C. · 2003 to 2012
$1.6M
Smoking & Anxiety In Posttraumatic Stress DisorderR01CA081595 · NCI · DUKE UNIVERSITY · PI BECKHAM, JEAN C. · 1998 to 2010
$1.4M
Gene x Environment Effects on PTSDIK2CX000525 · VA · OLIN TEAGUE VETERANS CENTER · PI KIMBREL, NATHAN A. · 2012 to 2016
–
CSRD VA IK2 CX000525NCI NIH HHS 2R01CA81595NCI NIH HHS R01 CA081595NIDA NIH HHS 2K24DA016388NIDA NIH HHS K24 DA016388NIMH NIH HHS 2R01MH062482NIMH NIH HHS R01 MH062482
6 · The paper itself

Abstract

objectiveTo examine the association between the 5-HTTLPR polymorphism of the serotonin transporter (SLC6A4) gene, combat exposure, and posttraumatic stress disorder (PTSD) diagnosis and among two samples of combat-exposed veterans.

methodThe first sample included 550 non-Hispanic Black (NHB) combat-exposed veterans. The second sample included 555 non-Hispanic White (NHW) combat-exposed veterans. Participants were genotyped for the 5-HTTLPR/rs25531 variants of the SLC6A4 gene. A structured clinical interview was used to diagnose PTSD. Combat and civilian trauma exposure were assessed with validated self-report instruments. Logistic regression was used to test for main effects of 5-HTTLPR on PTSD diagnosis as well as gene x environment (GxE) interactions after adjusting for sex, ancestry proportion scores, civilian trauma exposure, and combat exposure.

resultsWithin the NHB sample, a significant additive effect was observed for 5-HTTLPR (OR = 1.502, p = .0025), such that the odds of having a current diagnosis of PTSD increased by 1.502 for each additional S' allele. No evidence for an association between 5-HTTLPR and PTSD was observed in the NHW sample. In addition, no evidence for combat x 5-HTTLPR effects were observed in either sample.

conclusionThe present study suggests that there may be an association between 5-HTTLPR genotype and PTSD diagnosis among NHB veterans; however, no evidence for the hypothesized 5-HTTLPR x combat interaction was found.

Indexed as

VeteransWar ExposureAdultCase-Control StudiesDisease SusceptibilityFemaleGene-Environment InteractionGenetic Association StudiesGenotypeHumansMaleMiddle AgedPhenotypePolymorphism, GeneticSerotonin Plasma Membrane Transport ProteinsStress Disorders, Post-TraumaticSerotonin Plasma Membrane Transport ProteinsSLC6A4 protein, human

Identifiers

PMID25793742
PMCPMC4368771
OpenAlexW2036271547

What OpenQuestion holds

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Registered trials

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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.