Evidence map›Paper›PMID 29313489›Full record

ArticleeLife2018

Associability-modulated loss learning is increased in posttraumatic stress disorder.

Vanessa M Brown, Lusha Zhu, John M Wang, B Christopher Frueh, Brooks King-Casas, Pearl H Chiu

Open access · goldAbstract read
In one paragraph

Article in eLife, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
2.5field-weighted citation impact, top 10% 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

28 citing papers in PubMed, 47 citations in OpenAlex.

  1. Trial
  2. Functional brain imaging in posttraumatic stress disorder: a review.Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Article
  3. Article
  4. Article
  5. Computational Mechanisms of Information-Seeking in Anxiety.Current topics in behavioral neurosciences · 2025
    Review
  6. Reinforcement-Learning-Informed Queries Guide Behavioral Change.Clinical psychological science : a journal of the Association for Psychological Science · 2024
    Article
  7. Article
  8. The challenge of learning adaptive mental behavior.Journal of psychopathology and clinical science · 2024
    Article
  9. Latent-state and model-based learning in PTSD.Trends in neurosciences · 2024
    Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Computational Psychiatry Needs Time and Context.Annual review of psychology · 2022
    Review
  19. Article
  20. Advances in modeling learning and decision-making in neuroscience.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2022
    Review
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 at 4 institutions in 2 countries.

Vanessa M BrownVirginia Tech Carilion Research Institute, Roanoke, United States.ORCID 0000-0003-0284-0890
Lusha ZhuVirginia Tech Carilion Research Institute, Roanoke, United States.ORCID 0000-0001-8717-6356
John M WangVirginia Tech Carilion Research Institute, Roanoke, United States.
B Christopher FruehUniversity of Hawaii, Hilo, United States.
Brooks King-CasasVirginia Tech Carilion Research Institute, Roanoke, United States.
Pearl H ChiuVirginia Tech Carilion Research Institute, Roanoke, United States.ORCID 0000-0002-8767-7406
Carilion Clinic · USSalem VA Medical Center · USPeking University · CNUniversity of Hawaii at Hilo · US

Funding

Neural Substrates of Reinforcement Learning and its Training in Major DepressionR01MH106756 · NIMH · VIRGINIA POLYTECHNIC INST AND ST UNIV · PI CHIU, PEARL H · 2016 to 2020
$3.7M
Neurobehavioral metrics for the assessment and treatment of depressionR01MH087692 · NIMH · VIRGINIA POLYTECHNIC INST AND ST UNIV · PI CHIU, PEARL H · 2010 to 2014
$1.6M
NIMH NIH HHS R01 MH087692NIMH NIH HHS R01 MH106756
6 · The paper itself

Abstract

Disproportionate reactions to unexpected stimuli in the environment are a cardinal symptom of posttraumatic stress disorder (PTSD). Here, we test whether these heightened responses are associated with disruptions in distinct components of reinforcement learning. Specifically, using functional neuroimaging, a loss-learning task, and a computational model-based approach, we assessed the mechanistic hypothesis that overreactions to stimuli in PTSD arise from anomalous gating of attention during learning (i.e., associability). Behavioral choices of combat-deployed veterans with and without PTSD were fit to a reinforcement learning model, generating trial-by-trial prediction errors (signaling unexpected outcomes) and associability values (signaling attention allocation to the unexpected outcomes). Neural substrates of associability value and behavioral parameter estimates of associability updating, but not prediction error, increased with PTSD during loss learning. Moreover, the interaction of PTSD severity with neural markers of associability value predicted behavioral choices. These results indicate that increased attention-based learning may underlie aspects of PTSD and suggest potential neuromechanistic treatment targets.

Indexed as

LearningAdultComputer SimulationFunctional NeuroimagingHumansMental DisordersMiddle AgedReinforcement, PsychologyStress Disorders, Post-TraumaticVeteransYoung Adultamygdalaassociabilitycomputational psychiatryfMRIhumanneuroscienceprediction errorPTSDreinforcement learning

Identifiers

PMID29313489
PMCPMC5760201
OpenAlexW2783542416

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.