Evidence map›Paper›PMID 27020074›Full record

ArticleJournal of psychosomatic research2016

An investigation of vago-regulatory and health-behavior accounts for increased inflammation in posttraumatic stress disorder.

Paul A Dennis, J Brice Weinberg, Patrick S Calhoun, Lana L Watkins, Andrew Sherwood, Michelle F Dennis, Jean C Beckham

Open access · greenAbstract read
In one paragraph

Article in Journal of psychosomatic research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.5field-weighted citation impact, top 22% 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

17 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
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  5. PTSD, Immune System, and Inflammation.Advances in experimental medicine and biology · 2023
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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 2 institutions in 1 country.

Paul A DennisDurham Veterans Affairs Medical Center, Durham, NC 27705, USA; Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC 27705, USA. Electronic address: paul.dennis2@va.gov.
J Brice WeinbergDurham Veterans Affairs Medical Center, Durham, NC 27705, USA; Department of Medicine, Duke University Medical Center, Durham, NC 27705, USA.
Patrick S CalhounDurham Veterans Affairs Medical Center, Durham, NC 27705, USA; Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC 27705, USA; Veterans Affairs Mid-Atlantic Region Mental Illness Research, Education, and Clinical Center, Durham, NC 27705, USA; Veterans Affairs Center for Health Services Research in Primary Care, Durham, NC 27705, USA.
Lana L WatkinsDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC 27705, USA.
Andrew SherwoodDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC 27705, USA.
Michelle F DennisDurham Veterans Affairs Medical Center, Durham, NC 27705, USA; Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC 27705, USA.
Jean C BeckhamDurham Veterans Affairs Medical Center, Durham, NC 27705, USA; Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC 27705, USA; Veterans Affairs Mid-Atlantic Region Mental Illness Research, Education, and Clinical Center, Durham, NC 27705, USA.
Duke Medical Center · 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
NIDA NIH HHS 5K24DA016388NIDA NIH HHS K24 DA016388NIMH NIH HHS 2R01MH062482NIMH NIH HHS R01 MH062482
6 · The paper itself

Abstract

objectivePosttraumatic stress disorder (PTSD) has been linked to chronic inflammation, a condition that poses a risk for cardiovascular disease. Attenuated vagal activity has been proposed as a potential mediator of PTSD and inflammation, although associated behavioral health risks-namely cigarette smoking and alcohol dependence-might also account for that link.

methodsInflammation was quantified by fasting serum concentrations of C-reactive protein (CRP), tumor necrosis factor (TNF)-α, interleukin (IL)-10, and thymus- and activation-regulated chemokine (TARC)/CCL17 collected from 85 participants with PTSD and 82 without PTSD. Latent variable modeling was used to assess the relationship between PTSD symptom severity and inflammation along with potential mediators vagal activity (respiratory sinus arrhythmia; RSA), smoking status, and lifetime alcohol dependence.

resultsPTSD symptom severity was associated with increased inflammation (β=.18, p=.02). However, this association was reduced in models that adjusted for RSA, smoking status, and lifetime alcohol dependence. Independent mediation effects were deemed significant via bootstrapping analyses. Together, RSA, smoking status, and lifetime alcohol dependence accounted for 95% of the effect of PTSD symptom severity on inflammation.

conclusionAlthough RSA accounted for a modest proportion of the association between posttraumatic stress and pro-inflammatory responses, behavioral factors-specifically cigarette smoking and alcohol dependence-proved to be larger mediators. The benefits of PTSD treatment may be enhanced by additional interventions aimed at modifying these health behaviors.

Indexed as

AdultAgedAlcoholismChronic DiseaseC-Reactive ProteinFemaleHealth BehaviorHumansInflammationInterleukin-10MaleMiddle AgedSeverity of Illness IndexSmokingStress Disorders, Post-TraumaticTumor Necrosis Factor-alphaC-Reactive ProteinIL10 protein, humanInterleukin-10Tumor Necrosis Factor-alphaAlcohol dependenceCigarette smokingCytokinesInflammationPosttraumatic stress disorderVagal tone

Identifiers

PMID27020074
PMCPMC4813329
OpenAlexW2280735260

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.