Evidence map›Paper›PMID 28380289›Full record

ArticleDepression and anxiety2017

Posttraumatic stress disorder and accelerated aging: PTSD and leukocyte telomere length in a sample of civilian women.

Andrea L Roberts, Karestan C Koenen, Qixuan Chen, Paola Gilsanz, Susan M Mason, Jennifer Prescott, Andrew Ratanatharathorn, Eric B Rimm, Jennifer A Sumner, Ashley Winning and 2 more

Open access · greenAbstract read
In one paragraph

Article in Depression and anxiety, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 4 pooled it
2.2field-weighted citation impact, top 13% 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

30 citing papers in PubMed, 4 syntheses or guidelines pooled it, 49 citations in OpenAlex.

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  7. Lifetime trauma exposure and accelerated epigenetic aging among midlife women.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025
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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

12 authors at 5 institutions in 1 country.

Andrea L RobertsDepartment of Social and Behavioral Health, Harvard T. H. Chan School of Public Health, Boston, MA, USA.
Karestan C KoenenDepartment of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, MA, USA.
Qixuan ChenDepartment of Biostatistics, Columbia Mailman School of Public Health, New York, NY, USA.
Paola GilsanzDepartment of Social and Behavioral Health, Harvard T. H. Chan School of Public Health, Boston, MA, USA.
Susan M MasonDivision of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, MN, USA.
Jennifer PrescottChanning Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.
Andrew RatanatharathornDepartment of Biostatistics, Columbia Mailman School of Public Health, New York, NY, USA.
Eric B RimmDepartment of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, MA, USA.
Jennifer A SumnerDepartment of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, MA, USA.
Ashley WinningDepartment of Social and Behavioral Health, Harvard T. H. Chan School of Public Health, Boston, MA, USA.
Immaculata De VivoDepartment of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, MA, USA.
Laura D KubzanskyDepartment of Social and Behavioral Health, Harvard T. H. Chan School of Public Health, Boston, MA, USA.
Harvard University · USBrigham and Women's Hospital · USColumbia University · USMassachusetts General Hospital · USUniversity of Minnesota · US

Funding

Post Traumatic Stress Disorder and Accelerated Aging in WomenR01MH101269 · NIMH · HARVARD SCHOOL OF PUBLIC HEALTH · PI KOENEN, KARESTAN C, KUBZANSKY, LAURA D · 2014 to 2021
$6.5M
NIMH NIH HHS R01 MH101269
6 · The paper itself

Abstract

backgroundStudies in male combat veterans have suggested posttraumatic stress disorder (PTSD) is associated with shorter telomere length (TL). We examined the cross-sectional association of PTSD with TL in women exposed to traumas common in civilian life.

methodsData are from a substudy of the Nurses' Health Study II (N = 116). PTSD and subclinical PTSD were assessed in trauma-exposed women using diagnostic interviews. An array of health behaviors and conditions were assessed. DNA was extracted from peripheral blood leukocytes (collected 1996-1999). Telomere repeat copy number to single gene copy number (T/S) was determined by quantitative real-time PCR telomere assay. We used linear regression models to assess associations and examine whether a range of important health behaviors (e.g., cigarette smoking) and medical conditions (e.g., hypertension) previously associated with TL might explain a PTSD-TL association. We further examined whether type of trauma exposure (e.g., interpersonal violence) was associated with TL and whether trauma type might explain a PTSD-TL association.

resultsRelative to not having PTSD, women with a PTSD diagnosis had shorter log-transformed TL (β = -.112, 95% confidence interval (CI) = -0.196, -0.028). Adjustment for health behaviors and medical conditions did not attenuate this association. Trauma type was not associated with TL and did not account for the association of PTSD with TL.

conclusionsOur results add to growing evidence that PTSD may be associated with more rapid cellular aging as measured by telomere erosion. Moreover, the association could not be explained by health behaviors and medical conditions assessed in this study, nor by type of trauma exposure.

Indexed as

AdultCross-Sectional StudiesFemaleHumansLeukocytesLongitudinal StudiesMiddle AgedNursesStress Disorders, Post-TraumaticTelomere Shorteningbiological markersposttraumatic stress disorderstelomeretrauma

Identifiers

PMID28380289
PMCPMC5848097
OpenAlexW2605335206

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.