Evidence map›Paper›PMID 26229476›Full record

ArticleNeuropsychiatric disease and treatment2015

Altered blood oxygen level-dependent signal variability in chronic post-traumatic stress disorder during symptom provocation.

Jun Ke, Li Zhang, Rongfeng Qi, Qiang Xu, Weihui Li, Cailan Hou, Yuan Zhong, Zhiqiang Zhang, Zhong He, Lingjiang Li and 1 more

Open access · goldAbstract read
In one paragraph

Article in Neuropsychiatric disease and treatment, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
0.7field-weighted citation impact, top 27% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 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

11 authors at 7 institutions in 1 country.

Jun KeDepartment of Medical Imaging, Jinling Hospital, Medical School of Nanjing University, Nanjing, People's Republic of China.
Li ZhangMental Health Institute, the Second Xiangya Hospital, National Technology Institute of Psychiatry, Key Laboratory of Psychiatry and Mental Health of Hunan Province, Central South University, Changsha, People's Republic of China.
Rongfeng QiDepartment of Medical Imaging, Jinling Hospital, Medical School of Nanjing University, Nanjing, People's Republic of China.
Qiang XuDepartment of Medical Imaging, Jinling Hospital, Medical School of Nanjing University, Nanjing, People's Republic of China.
Weihui LiMental Health Institute, the Second Xiangya Hospital, National Technology Institute of Psychiatry, Key Laboratory of Psychiatry and Mental Health of Hunan Province, Central South University, Changsha, People's Republic of China.
Cailan HouGuangdong Academy of Medical Science, Guangdong General Hospital, Guangdong Mental Health Center, Guangzhou, People's Republic of China.
Yuan ZhongDepartment of Medical Imaging, Jinling Hospital, Medical School of Nanjing University, Nanjing, People's Republic of China.
Zhiqiang ZhangDepartment of Medical Imaging, Jinling Hospital, Medical School of Nanjing University, Nanjing, People's Republic of China.
Zhong HeDepartment of Radiology of the Second Xiangya Hospital, Central South University, Changsha, People's Republic of China.
Lingjiang LiMental Health Institute, the Second Xiangya Hospital, National Technology Institute of Psychiatry, Key Laboratory of Psychiatry and Mental Health of Hunan Province, Central South University, Changsha, People's Republic of China ; Shenzhen Kangning Hospital of Guangdong Province, Shenzhen, People's Republic of China.
Guangming LuDepartment of Medical Imaging, Jinling Hospital, Medical School of Nanjing University, Nanjing, People's Republic of China.
Nanjing Medical University · CNCentral South University · CNNanjing University · CNGuangdong General Hospital · CNNanjing General Hospital of Nanjing Military Command · CNSecond Xiangya Hospital of Central South University · CNShenzhen KangNing Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecent research suggests that variability in brain signal provides important information about brain function in health and disease. However, it is unknown whether blood oxygen level-dependent (BOLD) signal variability is altered in post-traumatic stress disorder (PTSD). We aimed to identify the BOLD signal variability changes of PTSD patients during symptom provocation and compare the brain patterns of BOLD signal variability with those of brain activation.

methodsTwelve PTSD patients and 14 age-matched controls, who all experienced a mining accident, underwent clinical assessment as well as fMRI scanning while viewing trauma-related and neutral pictures. BOLD signal variability and brain activation were respectively examined with standard deviation (SD) and general linear model analysis, and compared between the PTSD and control groups. Multiple regression analyses were conducted to explore the association between PTSD symptom severity and these two brain measures across all subjects as well as in the PTSD group.

resultsPTSD patients showed increased activation in the middle occipital gyrus compared with controls, and an inverse correlation was found between PTSD symptom severity and brain activation in the hippocampus and anterior cingulate cortex/medial prefrontal cortex. Brain variability analysis revealed increased SD in the insula, anterior cingulate cortex/medial prefrontal cortex, and vermis, and decreased SD in the parahippocapal gyrus, dorsolateral prefrontal cortex, somatosensory cortex, and striatum. Importantly, SD alterations in several regions were found in both traumatic and neutral conditions and were stratified by PTSD symptom severity.

conclusionBOLD signal variability may be a reliable and sensitive biomarker of PTSD, and combining brain activation and brain variability analysis may provide complementary insight into the neural basis of this disorder.

Indexed as

brain variabilityfunctional magnetic resonance imaginggeneral linear modelinsula

Identifiers

PMID26229476
PMCPMC4517522
OpenAlexW2141524365

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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.