Evidence map›Paper›PMID 30172968›Full record

ArticlePsychoneuroendocrinology2019

Limbic response to stress linking life trauma and hypothalamus-pituitary-adrenal axis function.

Dongju Seo, Arielle G Rabinowitz, Ryan J Douglas, Rajita Sinha

Abstract read
In one paragraph

Article in Psychoneuroendocrinology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.1field-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

21 citing papers in PubMed, 61 citations in OpenAlex.

  1. Article
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  4. Early-life adversity alters adult nucleus incertus neurons: implications for neuronal mechanisms of increased stress and compulsive behavior vulnerability.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2025
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  11. Observational
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  16. Childhood trauma and cardiometabolic risk in severe mental disorders: The mediating role of cognitive control.European psychiatry : the journal of the Association of European Psychiatrists · 2021
    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

4 authors at 1 institution in 1 country.

Dongju SeoPsychiatry, Yale School of Medicine, New Haven, CT, United States. Electronic address: dongju.seo@yale.edu.
Arielle G RabinowitzPsychiatry, Yale School of Medicine, New Haven, CT, United States.
Ryan J DouglasPsychiatry, Yale School of Medicine, New Haven, CT, United States.
Rajita SinhaPsychiatry, Yale School of Medicine, New Haven, CT, United States; Neurobiology and Child Study Center, Yale School of Medicine, New Haven, CT, United States.
Yale University · US

Funding

Chronic Alcohol and Brain Stress Circuit ResponseR01AA013892 · NIAAA · YALE UNIVERSITY · PI Rajita Sinha · 2003 to 2026
$10.1M
GLP-1 analogue effects on food cues, stress, motivation for highly palatable foods, and weightR01DK099039 · NIDDK · YALE UNIVERSITY · PI JASTREBOFF, ANIA, SINHA, RAJITA · 2013 to 2024
$6.8M
Effect of Prazosin on Alcohol Craving, Stress Dysregulation and Alcohol RelapseR01AA020504 · NIAAA · YALE UNIVERSITY · PI FOX, HELEN CECILIA, SINHA, RAJITA · 2012 to 2016
$2.7M
Multimodal Neuroimaging of Stress, Arousal and Alcoholism RiskK08AA023545 · NIAAA · YALE UNIVERSITY · PI SEO, DONGJU · 2015 to 2019
$948k
NIAAA NIH HHS K08 AA023545NIAAA NIH HHS R01 AA013892NIAAA NIH HHS R01 AA020504NIDDK NIH HHS R01 DK099039
6 · The paper itself

Abstract

Trauma alters neuroendocrine responses to stress and increases vulnerability to stress-related disorders. Yet, relationships among trauma, stress-induced neural changes and hypothalamic-pituitary-adrenal (HPA) axis activity have not been determined. The present study used functional magnetic resonance imaging to investigate the impact of life trauma on basal cortisol levels and neural responses to acute stress in 73 healthy individuals during brief stress and neutral-relaxing imagery using a well-established, individualized imagery method. We hypothesized that trauma experience would have a negative impact on brain function, resulting in altered basal cortisol levels via dysregulated neural control over the HPA axis system. Results showed that higher life trauma exposure was significantly associated with lower basal cortisol levels. Neuroimaging results indicated that both higher life trauma and low morning cortisol levels were associated with increased response to acute stress in limbic-medial temporal lobe (MTL) regions including the amygdala and hippocampus. A mediation analysis showed that increased limbic-MTL response to stress mediated the relationship between life trauma and low cortisol levels. Findings revealed a significant impact of lifetime trauma on neural responses to acute stress and HPA axis activity. Life trauma may sensitize limbic-MTL regions and its related peripheral systems, which could compromise stress regulation and HPA axis function, and increase risk for negative stress-related health outcomes.

Indexed as

Adrenocorticotropic HormoneAdultAdverse Childhood ExperiencesAmygdalaFemaleHippocampusHumansHydrocortisoneHypothalamo-Hypophyseal SystemHypothalamusLife Change EventsLimbic SystemMagnetic Resonance ImagingMalePituitary-Adrenal SystemStress, PsychologicalAdrenocorticotropic HormoneHydrocortisoneBasal cortisolfMRILimbic regionsMedial temporal lobeStressTrauma

Identifiers

PMID30172968
PMCPMC6436805
OpenAlexW2886107530

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.