Evidence map›Paper›PMID 27455992›Full record

ArticleEuropean archives of psychiatry and clinical neuroscience2017

Posterior and prefrontal contributions to the development posttraumatic stress disorder symptom severity: an fMRI study of symptom provocation in acute stress disorder.

Jan C Cwik, Gudrun Sartory, Malte Nuyken, Benjamin Schürholt, Rüdiger J Seitz

Abstract read
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In one paragraph

Article in European archives of psychiatry and clinical neuroscience, 2017. 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
–field-weighted citation impact
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.

  1. Functional brain imaging in posttraumatic stress disorder: a review.Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Review
  2. Article
  3. Article
  4. Acute Stress Disorder in Israeli Civilians in Reaction to the 7 October War.Stress and health : journal of the International Society for the Investigation of Stress · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. The Current Evidence for Acute Stress Disorder.Current psychiatry reports · 2018
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
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

5 authors.

Jan C CwikDepartment of Clinical Psychology and Psychotherapy, School of Human and Social Sciences, Bergische Universität Wuppertal, Max-Horkheimer-Str. 20, Wuppertal, 42097, Germany. jan.cwik@rub.de.
Gudrun SartoryDepartment of Clinical Psychology and Psychotherapy, School of Human and Social Sciences, Bergische Universität Wuppertal, Max-Horkheimer-Str. 20, Wuppertal, 42097, Germany.
Malte NuykenDepartment of Clinical Psychology and Psychotherapy, School of Human and Social Sciences, Bergische Universität Wuppertal, Max-Horkheimer-Str. 20, Wuppertal, 42097, Germany.
Benjamin SchürholtDepartment of Clinical Psychology and Psychotherapy, School of Human and Social Sciences, Bergische Universität Wuppertal, Max-Horkheimer-Str. 20, Wuppertal, 42097, Germany.
Rüdiger J SeitzDepartment of Neurology, Center for Neurology and Neuropsychiatry, Heinrich-Heine-University Düsseldorf, Moorenstr. 5, Düsseldorf, 40225, Germany.

Funding

Deutsche Forschungsgemeinschaft SA 735/18-1Deutsche Forschungsgemeinschaft SE 494/7-1
6 · The paper itself

Abstract

Acute stress disorder (ASD) is predictive of the development of posttraumatic stress disorder (PTSD). In response to symptom provocation, the exposure to trauma-related pictures, ASD patients showed increased activation of the medial posterior areas of precuneus and posterior cingulate cortex as well as of superior prefrontal cortex in a previous study. The current study aimed at investigating which activated areas are predictive of the development of PTSD. Nineteen ASD patients took part in an fMRI study in which they were shown personalized trauma-related and neutral pictures within 4 weeks of the traumatic event. They were assessed for severity of PTSD 4 weeks later. Activation contrasts between trauma-related and neutral pictures were correlated with subsequent PTSD symptom severity. Greater activation in, among others, right medial precuneus, left retrosplenial cortex, precentral and right superior temporal gyrus as well as less activation in lateral, superior prefrontal and left fusiform gyrus was related to subsequently increased PTSD severity. The results are broadly in line with neural areas related to etiological models of PTSD, namely multisensory associative learning recruiting posterior regions on the one hand and failure to reappraise maladaptive cognitions, thought to involve prefrontal areas, on the other.

Indexed as

AdultBrain MappingFemaleFollow-Up StudiesHumansMagnetic Resonance ImagingMaleParietal LobePattern Recognition, VisualPrefrontal CortexSeverity of Illness IndexStress Disorders, Post-TraumaticStress Disorders, Traumatic, AcuteAcute stress disorderfMRIPosttraumatic stress disorderPrecuneusPrefrontal cortexSymptom provocation

Identifiers

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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.