Evidence map›Paper›PMID 29385016›Full record

ArticleThe Journal of head trauma rehabilitation

Fatigue Is Associated With Global and Regional Thalamic Morphometry in Veterans With a History of Mild Traumatic Brain Injury.

Alexandra L Clark, Scott F Sorg, Kelsey Holiday, Erin D Bigler, Katherine J Bangen, Nicole D Evangelista, Mark W Bondi, Dawn M Schiehser, Lisa Delano-Wood

Abstract read
In one paragraph

Article in The Journal of head trauma rehabilitation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.8field-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

11 citing papers in PubMed, 28 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Review
  7. Review
  8. Mental Fatigue after Mild Traumatic Brain Injury in Relation to Cognitive Tests and Brain Imaging Methods.International journal of environmental research and public health · 2021
    Review
  9. Article
  10. Article
  11. 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

9 authors at 2 institutions in 1 country.

Alexandra L ClarkSan Diego State University/University of California San Diego (SDSU/UCSD) Joint Doctoral Program in Clinical Psychology (Mss Clark and Holiday); VA San Diego Healthcare System (VASDHS), San Diego, California (Mss Clark, Holiday, and Evangelista and Drs Sorg, Bangen, Bondi, Schiehser, and Delano-Wood); Center of Excellence for Stress and Mental Health, VA San Diego Healthcare System, San Diego, California (Drs Schiehser and Delano-Wood); Department of Psychiatry, School of Medicine, University of California San Diego (Drs Sorg, Bangen, Bondi, Schiehser, and Delano-Wood); Department of Radiology, University of California San Diego, La Jolla; and Department of Psychology and the Neuroscience Center, Brigham Young University, Provo Utah (Dr Bigler).
Scott F Sorg
Kelsey Holiday
Erin D Bigler
Katherine J Bangen
Nicole D Evangelista
Mark W Bondi
Dawn M Schiehser
Lisa Delano-Wood
La Jolla Alcohol Research · USVA San Diego Healthcare System · US

Funding

Cerebral Perfusion and Cognitive Outcomes in Mild Traumatic Brain InjuryF31NS098704 · NINDS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI CLARK, ALEXANDRA LEIGH · 2017 to 2018
$74k
Linking Injury Severity to Brainstem White Matter Integrity: A Tractography StudyI01CX000842 · VA · VA SAN DIEGO HEALTHCARE SYSTEM · PI DELANO-WOOD, LISA · 2014 to 2017
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Neurocircuitry of Prospective Memory in Veterans with Mild Traumatic Brain InjuryIK2CX001508 · VA · VA SAN DIEGO HEALTHCARE SYSTEM · PI SORG, SCOTT FRANCIS · 2017 to 2021
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CSRD VA CDA-2-065-10SCSRD VA I01 CX000842CSRD VA IK2 CX001508Intramural VA VA999999NINDS NIH HHS F31 NS098704
6 · The paper itself

Abstract

objectiveFatigue is a complex, multidimensional phenomenon that commonly occurs following traumatic brain injury (TBI). The thalamus-a structure vulnerable to both primary and secondary injuries in TBI-is thought to play a pivotal role in the manifestation of fatigue. We explored how neuroimaging markers of local and global thalamic morphometry relate to the subjective experience of fatigue post-TBI.

methodsSixty-three Veterans with a history of mild TBI underwent structural magnetic resonance imaging and completed questionnaires related to fatigue and psychiatric symptoms. FMRIB's Software (FSL) was utilized to obtain whole brain and thalamic volume estimates, as well as to perform regional thalamic morphometry analyses.

resultsIndependent of age, sex, intracranial volume, posttraumatic stress disorder, and depressive symptoms, greater levels of self-reported fatigue were significantly associated with decreased right (P = .026) and left (P = .046) thalamic volumes. Regional morphometry analyses revealed that fatigue was significantly associated with reductions in the anterior and dorsomedial aspects of the right thalamic body (P < .05). Similar trends were observed for the left thalamic body (P < .10).

conclusionsBoth global and regional thalamic morphometric changes are associated with the subjective experience of fatigue in Veterans with a history of mild TBI. These findings support a theory in which disruption of thalamocorticostriatal circuitry may result in the manifestation of fatigue in individuals with a history of neurotrauma.

Indexed as

AdultBrainBrain ConcussionFatigueFemaleHumansMagnetic Resonance ImagingMaleNeuroimagingThalamusUnited StatesVeterans

Identifiers

PMID29385016
PMCPMC6066453
OpenAlexW2791311899

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.