Evidence map›Paper›PMID 28452713›Full record

ArticleJournal of psychiatry & neuroscience : JPN2017

Decreased uncinate fasciculus tract integrity in male and female patients with PTSD: a diffusion tensor imaging study.

Saskia B J Koch, Mirjam van Zuiden, Laura Nawijn, Jessie L Frijling, Dick J Veltman, Miranda Olff

Abstract read
In one paragraph

Article in Journal of psychiatry & neuroscience : JPN, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 2 pooled it
–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

45 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Long term structural and functional neural changes following a single infusion of Ketamine in PTSD.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2023
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  4. Trial
  5. Article
  6. Childhood Adversity Is Associated With Longitudinal White Matter Changes After Adulthood Trauma.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2025
    Article
  7. Social Buffering of Posttraumatic Stress Disorder: Longitudinal Effects and Neural Mediators.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2025
    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

6 authors.

Saskia B J KochFrom the Department of Psychiatry, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands (Koch, van Zuiden, Nawijn, Frijling, Olff); the Brain Imaging Center, Academic Medical Center, Amsterdam, the Netherlands (Koch, Nawijn, Frijling); the Department of Psychiatry, VU University Medical Center, Amsterdam, the Netherlands (Veltman); the Arq Psychotrauma Expert Center, Diemen, the Netherlands (Olff); and the Donders Institute for Brain, Cognition and Behavior, Centre for Cognitive Neuroimaging, Radboud University Nijmegen, Nijmegen, the Netherlands (Koch).
Mirjam van ZuidenFrom the Department of Psychiatry, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands (Koch, van Zuiden, Nawijn, Frijling, Olff); the Brain Imaging Center, Academic Medical Center, Amsterdam, the Netherlands (Koch, Nawijn, Frijling); the Department of Psychiatry, VU University Medical Center, Amsterdam, the Netherlands (Veltman); the Arq Psychotrauma Expert Center, Diemen, the Netherlands (Olff); and the Donders Institute for Brain, Cognition and Behavior, Centre for Cognitive Neuroimaging, Radboud University Nijmegen, Nijmegen, the Netherlands (Koch).
Laura NawijnFrom the Department of Psychiatry, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands (Koch, van Zuiden, Nawijn, Frijling, Olff); the Brain Imaging Center, Academic Medical Center, Amsterdam, the Netherlands (Koch, Nawijn, Frijling); the Department of Psychiatry, VU University Medical Center, Amsterdam, the Netherlands (Veltman); the Arq Psychotrauma Expert Center, Diemen, the Netherlands (Olff); and the Donders Institute for Brain, Cognition and Behavior, Centre for Cognitive Neuroimaging, Radboud University Nijmegen, Nijmegen, the Netherlands (Koch).
Jessie L FrijlingFrom the Department of Psychiatry, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands (Koch, van Zuiden, Nawijn, Frijling, Olff); the Brain Imaging Center, Academic Medical Center, Amsterdam, the Netherlands (Koch, Nawijn, Frijling); the Department of Psychiatry, VU University Medical Center, Amsterdam, the Netherlands (Veltman); the Arq Psychotrauma Expert Center, Diemen, the Netherlands (Olff); and the Donders Institute for Brain, Cognition and Behavior, Centre for Cognitive Neuroimaging, Radboud University Nijmegen, Nijmegen, the Netherlands (Koch).
Dick J VeltmanFrom the Department of Psychiatry, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands (Koch, van Zuiden, Nawijn, Frijling, Olff); the Brain Imaging Center, Academic Medical Center, Amsterdam, the Netherlands (Koch, Nawijn, Frijling); the Department of Psychiatry, VU University Medical Center, Amsterdam, the Netherlands (Veltman); the Arq Psychotrauma Expert Center, Diemen, the Netherlands (Olff); and the Donders Institute for Brain, Cognition and Behavior, Centre for Cognitive Neuroimaging, Radboud University Nijmegen, Nijmegen, the Netherlands (Koch).
Miranda OlffFrom the Department of Psychiatry, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands (Koch, van Zuiden, Nawijn, Frijling, Olff); the Brain Imaging Center, Academic Medical Center, Amsterdam, the Netherlands (Koch, Nawijn, Frijling); the Department of Psychiatry, VU University Medical Center, Amsterdam, the Netherlands (Veltman); the Arq Psychotrauma Expert Center, Diemen, the Netherlands (Olff); and the Donders Institute for Brain, Cognition and Behavior, Centre for Cognitive Neuroimaging, Radboud University Nijmegen, Nijmegen, the Netherlands (Koch).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPosttraumatic stress disorder (PTSD) is a disabling psychiatric disorder that has been associated with lower white matter integrity of tracts connecting the prefrontal cortex with limbic regions. However, previous diffusion tensor imaging (DTI) findings have been inconsistent, showing high variability in the exact location and direction of effects.

methodsWe performed probabilistic tractography of the bilateral uncinate fasciculus, cingulum and superior longitudinal fasciculus (both temporal and parietal projections) in male and female police officers with and without PTSD.

resultsWe included 38 (21 men) police officers with and 39 (20 men) without PTSD in our analyses. Compared with trauma-exposed controls, patients with PTSD showed significantly higher mean diffusivity of the right uncinate fasciculus, the major white matter tract connecting the amygdala to the prefrontal cortex ( LIMITATIONS: Our specific sample of trauma-exposed police officers limits the generalizability of our findings to other PTSD patient groups (e.g., civilian trauma).

conclusionPatients with PTSD showed diminished structural connectivity between the amygdala and vmPFC, which was correlated with higher anxiety symptoms and increased functional activity of these brain regions. Our findings provide additional evidence for the prevailing neurocircuitry model of PTSD, postulating that ineffective communication between the amygdala and vmPFC underlies decreased top-down control over fear responses.

Indexed as

BrainStress Disorders, Post-TraumaticAdministration, IntranasalAdultBrain MappingCross-Over StudiesDiffusion Tensor ImagingDouble-Blind MethodEmotionsFacial RecognitionFemaleHumansMagnetic Resonance ImagingMaleNeural PathwaysNeuropsychological TestsOxytocinPsychotropic Drugs

Identifiers

PMID28452713
PMCPMC5573575

What OpenQuestion holds

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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.