Evidence map›Paper›PMID 25796471›Full record

ReviewBiological psychiatry2015

Estrogen and extinction of fear memories: implications for posttraumatic stress disorder treatment.

Ebony M Glover, Tanja Jovanovic, Seth Davin Norrholm

Open access · greenAbstract readReview
In one paragraph

Review in Biological psychiatry, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed
4.4field-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

60 citing papers in PubMed, 119 citations in OpenAlex.

  1. Trial
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  13. Longitudinal Associations Between Peritraumatic Oestradiol and Fear Responding in Women and Men.Stress and health : journal of the International Society for the Investigation of Stress · 2025
    Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Genetic influences on testosterone and PTSD.Journal of psychiatric research · 2024
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Ebony M GloverDepartment of Psychiatry & Behavioral Sciences, Emory University, Atlanta; Department of Psychology, Kennesaw State University, Kennesaw.
Tanja JovanovicDepartment of Psychiatry & Behavioral Sciences, Emory University, Atlanta.
Seth Davin NorrholmDepartment of Psychiatry & Behavioral Sciences, Emory University, Atlanta; Mental Health Service Line , Atlanta Veterans Affairs Medical Center, Decatur, Georgia. Electronic address: snorrho@emory.edu.
Emory University · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025008 · NCRR · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2007 to 2011
$29.0M
Atlanta Clinical and Translational Science Institute (ACTSI) RenewalUL1TR000454 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$25.8M
Development, Trauma, and Genotype Effects on Biomarkers of Anxiety in ChildrenR01MH100122 · NIMH · EMORY UNIVERSITY · PI JOVANOVIC, TANJA · 2013 to 2017
$1.9M
The Impact of Estrogen and PAC1R Genotype on Fear Extinction in Women with PTSDF32MH100880 · NIMH · EMORY UNIVERSITY · PI GLOVER, EBONY M · 2013 to 2013
$48k
Neurobiological Correlates of Fear in Veterans with Military Sexual TraumaI01CX001068 · VA · VETERANS HEALTH ADMINISTRATION · PI DAVIS, LORI L. · 2015 to 2020
–
CSRD VA I01 CX001068NCATS NIH HHS UL1 TR000454NCRR NIH HHS UL1 RR025008NIMH NIH HHS F32 MH100880NIMH NIH HHS R01 MH100122
6 · The paper itself

Abstract

Posttraumatic stress disorder (PTSD) is a psychiatric illness whose prevalence in women is more than twice the rate as men. Despite a burgeoning literature characterizing sex differences in PTSD incidence and its disproportionate burden on society, there is a dearth of literature describing biological mechanisms underlying these disparities. However, the recent identification of biomarkers of PTSD by translational neuroscientists offers a promising opportunity to explore sex interactions in PTSD phenotypes. A notable observation is that individuals with PTSD show deficits in their ability to inhibit conditioned fear responding after extinction training. Given that extinction procedures, via exposure-based cognitive behavioral therapy, make up one of the predominant modes of treatment in PTSD, there is a critical need for more research on sex interactions in this form of fear regulation. An emerging hypothesis is that fluctuating gonadal hormones, especially estrogen, in the menstrual cycle may play a critical role in fear extinction and, hence, PTSD vulnerability and symptom severity in women. The current review discusses how the study of putative activational effects of estrogen on fear extinction may be harnessed to advance the search for better treatments for PTSD in women. We conclude that estrogen treatment may be a putative pharmacologic adjunct in extinction-based therapies and should be tracked in the menstrual cycle during the course of PTSD treatment.

Indexed as

BiomarkersEstrogensExtinction, PsychologicalFearFemaleHumansMenstrual CycleSex CharacteristicsStress Disorders, Post-TraumaticBiomarkersEstrogensAnxietyEstrogenExtinctionFear conditioningPTSDSex differences

Identifiers

PMID25796471
PMCPMC4757430
OpenAlexW2051661459

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.