Evidence map›Paper›PMID 29976248›Full record

ArticleBiology of sex differences2018

Sex differences in the traumatic stress response: PTSD symptoms in women recapitulated in female rats.

Apryl E Pooley, Rebecca C Benjamin, Susheela Sreedhar, Andrew L Eagle, Alfred J Robison, Michelle S Mazei-Robison, S Marc Breedlove, Cynthia L Jordan

Open access · goldAbstract read
In one paragraph

Article in Biology of sex differences, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 4% 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

49 citing papers in PubMed, 1 synthesis or guideline pooled it, 96 citations in OpenAlex.

  1. Pooled it
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  8. Light Cycle Phase Effects on Behavioral Responses to Stress Exposure in Rats.Journal of the American Association for Laboratory Animal Science : JAALAS · 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

8 authors at 1 institution in 1 country.

Apryl E PooleyNeuroscience Program, Michigan State University, 108 Giltner Hall, 293 Farm Lane, East Lansing, MI, 48824, USA. pooleyap@msu.edu.ORCID 0000-0003-0398-9777
Rebecca C BenjaminNeuroscience Program, Michigan State University, 108 Giltner Hall, 293 Farm Lane, East Lansing, MI, 48824, USA.
Susheela SreedharNeuroscience Program, Michigan State University, 108 Giltner Hall, 293 Farm Lane, East Lansing, MI, 48824, USA.
Andrew L EagleNeuroscience Program, Michigan State University, 108 Giltner Hall, 293 Farm Lane, East Lansing, MI, 48824, USA.
Alfred J RobisonNeuroscience Program, Michigan State University, 108 Giltner Hall, 293 Farm Lane, East Lansing, MI, 48824, USA.
Michelle S Mazei-RobisonNeuroscience Program, Michigan State University, 108 Giltner Hall, 293 Farm Lane, East Lansing, MI, 48824, USA.
S Marc BreedloveNeuroscience Program, Michigan State University, 108 Giltner Hall, 293 Farm Lane, East Lansing, MI, 48824, USA.
Cynthia L JordanNeuroscience Program, Michigan State University, 108 Giltner Hall, 293 Farm Lane, East Lansing, MI, 48824, USA.
Michigan State University · US

Funding

Androgen Targets in a Simple Behavioral SystemR01NS045195 · NINDS · MICHIGAN STATE UNIVERSITY · PI JORDAN, CYNTHIA L · 2003 to 2019
$5.3M
Projection-specific gene expression in resilience to chronic stressR01MH111604 · NIMH · MICHIGAN STATE UNIVERSITY · PI Michelle Suzanne Mazei-Robison, ALFRED J ROBISON · 2016 to 2026
$4.9M
Neurobiological Mechanisms Underlying Stress-Induced Changes in Opiate RewardR01DA039895 · NIDA · MICHIGAN STATE UNIVERSITY · PI MAZEI-ROBISON, MICHELLE SUZANNE · 2016 to 2020
$1.7M
Steroid Hormone Regulation of Anxiety-Related BehaviorsR21MH104780 · NIMH · MICHIGAN STATE UNIVERSITY · PI BREEDLOVE, S MARC · 2015 to 2016
$409k
NIDA NIH HHS DA039895NIDA NIH HHS R01 DA039895NIH HHS R01NS045195NIH HHS R21MH104780NIMH NIH HHS MH111604NIMH NIH HHS R01 MH111604NIMH NIH HHS R21 MH104780NINDS NIH HHS R01 NS045195
6 · The paper itself

Abstract

backgroundPost-traumatic stress disorder (PTSD) affects men and women differently. Not only are women twice as likely as men to develop PTSD, they experience different symptoms and comorbidities associated with PTSD. Yet the dearth of preclinical research on females leaves a notable gap in understanding the underlying neuropathology of this sex difference.

methodsUsing two standard measures of PTSD-like responses in rats, the acoustic startle response (ASR) and dexamethasone suppression test (DST), we tested the effects of traumatic stress in adult male and female rats using two rodent models of PTSD, single prolonged stress and predator exposure. We then examined the neural correlates underlying these responses with cFos and glucocorticoid receptor immunohistochemistry in brain regions implicated in the traumatic stress response.

resultsWe now report that adult male and female rats across two models of PTSD show consistent sex-specific responses that recapitulate fundamental differences of PTSD in men and women. Trauma-exposed males showed the well-established hyper-responsive phenotype of enhanced ASR and exaggerated negative feedback control of the hypothalamic-pituitary-adrenal axis, while the same traumatic event had little effect on these same measures in females. Dramatic sex differences in how trauma affected cFos and glucocorticoid receptor expression in the brain lend further support to the idea that the trauma response of male and female rats is fundamentally different.

conclusionsTwo standard measures, ASR and DST, might suggest that females are resilient to the effects of traumatic stress, but other measures make it clear that females are not resilient, but simply respond differently to trauma. The next important question to answer is why. We conclude that males and females show fundamentally different responses to trauma that do not simply reflect differences in resilience. The divergent effects of trauma in the brains of males and females begin to shed light on the neurobiological underpinnings of these sex differences, paving the way for improved diagnostics and therapeutics that effectively treat both men and women.

Indexed as

Sex CharacteristicsStress, PsychologicalAnimalsBrainDexamethasoneDisease Models, AnimalFemaleHumansMaleProto-Oncogene Proteins c-fosRats, Sprague-DawleyReceptors, GlucocorticoidReflex, StartleStress Disorders, Post-TraumaticDexamethasoneProto-Oncogene Proteins c-fosReceptors, GlucocorticoidHPA axisPost-traumatic stress disorderPredator exposureSex differencesSingle prolonged stress

Identifiers

PMID29976248
PMCPMC6034295
OpenAlexW2850067418

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.