Evidence map›Paper›PMID 26111649›Full record

ArticleNeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology2016

Emotion Regulatory Brain Function and SSRI Treatment in PTSD: Neural Correlates and Predictors of Change.

Annmarie MacNamara, Christine A Rabinak, Amy E Kennedy, Daniel A Fitzgerald, Israel Liberzon, Murray B Stein, K Luan Phan

Open access · bronzeAbstract read
In one paragraph

Article in Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 3 pooled it
12.9field-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

54 citing papers in PubMed, 3 syntheses or guidelines pooled it, 82 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Does non-invasive brain stimulation modulate emotional stress reactivity?Social cognitive and affective neuroscience · 2020
    Pooled it
  4. Trial
  5. Trial
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  8. Emotion-based brain mechanisms and predictors for SSRI and CBT treatment of anxiety and depression: a randomized trial.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2019
    Trial
  9. Functional brain imaging in posttraumatic stress disorder: a review.Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Article
  10. Article
  11. Observational
  12. Article
  13. Review
  14. Understanding the emergence of suicidal thoughts and behaviors in adolescence from a brain and behavioral developmental perspective.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Review
  15. Article
  16. Article
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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

7 authors at 4 institutions in 1 country.

Annmarie MacNamaraDepartment of Psychiatry, University of Illinois at Chicago, Chicago, IL, USA.
Christine A RabinakDepartment of Pharmacy Practice, Wayne State University, Detroit, MI, USA.
Amy E KennedyDepartment of Psychiatry, University of Illinois at Chicago, Chicago, IL, USA.
Daniel A FitzgeraldDepartment of Psychiatry, University of Illinois at Chicago, Chicago, IL, USA.
Israel LiberzonDepartment of Psychiatry, University of Michigan and Mental Health Service, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA.ORCID http://orcid.org/0000-0002-4990-556X
Murray B SteinDepartment of Psychiatry, University of California at San Diego, San Diego, CA, USA.
K Luan PhanDepartment of Psychiatry, University of Illinois at Chicago, Chicago, IL, USA.
University of Illinois Chicago · USUniversity of California San Diego · USUniversity of Michigan · USWayne State University · US

Funding

Training in the Neuroscience of Mental HealthT32MH067631 · NIMH · UNIVERSITY OF ILLINOIS AT CHICAGO · PI RASENICK, MARK M. · 2004 to 2024
$4.8M
NIMH NIH HHS T32 MH067631NIMH NIH HHS T32MH067631-09
6 · The paper itself

Abstract

Posttraumatic stress disorder (PTSD)-a chronic, debilitating condition, broadly characterized by emotion dysregulation-is prevalent among US military personnel who have returned from Operations Enduring Freedom (OEF) and Iraqi Freedom (OIF). Selective serotonin reuptake inhibitors (SSRIs) are a first-line treatment for PTSD, but treatment mechanisms are unknown and patient response varies. SSRIs may exert their effects by remediating emotion regulatory brain activity and individual differences in patient response might be explained, in part, by pre-treatment differences in neural systems supporting the downregulation of negative affect. Thirty-four OEF/OIF veterans, 17 with PTSD and 17 without PTSD underwent 2 functional magnetic resonance imaging scans 12 weeks apart. At each scan, they performed an emotion regulation task; in the interim, veterans with PTSD were treated with the SSRI, paroxetine. SSRI treatment increased activation in both the left dorsolateral prefrontal cortex (PFC) and supplementary motor area (SMA) during emotion regulation, although only change in the SMA over time occurred in veterans with PTSD and not those without PTSD. Less activation of the right ventrolateral PFC/inferior frontal gyrus during pre-treatment emotion regulation was associated with greater reduction in PTSD symptoms with SSRI treatment, irrespective of pre-treatment severity. Patients with the least recruitment of prefrontal emotion regulatory brain regions may benefit most from treatment with SSRIs, which appear to augment activity in these regions.

Indexed as

AdultAfghan Campaign 2001-BrainBrain MappingCerebrovascular CirculationCognitionEmotionsHumansIraq War, 2003-2011Magnetic Resonance ImagingMaleNeuropsychological TestsOxygenParoxetineSelective Serotonin Reuptake InhibitorsSeverity of Illness IndexOxygenParoxetineSelective Serotonin Reuptake Inhibitors

Identifiers

PMID26111649
PMCPMC5130136
OpenAlexW853579459

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.