Evidence map›Paper›PMID 30627600›Full record

ArticleNeurobiology of stress2019

Shared gray matter reductions across alcohol use disorder and posttraumatic stress disorder in the anterior cingulate cortex: A dual meta-analysis.

Ruth Klaming, Katia M Harlé, M Alejandra Infante, Jessica Bomyea, Charles Kim, Andrea D Spadoni

Open access · goldAbstract read
In one paragraph

Article in Neurobiology of stress, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 6 pooled it
3.8field-weighted citation impact, top 7% 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

13 citing papers in PubMed, 6 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. A whole-brain voxel-based analysis of structural abnormalities in PTSD: An ENIGMA-PGC study.European psychiatry : the journal of the Association of European Psychiatrists · 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

6 authors at 1 institution in 2 countries.

Ruth KlamingVA San Diego Healthcare System, 3350 La Jolla Village Drive, San Diego, CA, 92161, USA.
Katia M HarléVA San Diego Healthcare System, 3350 La Jolla Village Drive, San Diego, CA, 92161, USA.
M Alejandra InfanteDepartment of Psychiatry, University of California, San Diego, 9500 Gilman Drive, San Diego, CA, 92093, USA.
Jessica BomyeaVA San Diego Healthcare System, 3350 La Jolla Village Drive, San Diego, CA, 92161, USA.
Charles KimDepartment of Psychiatry, University of California, San Diego, 9500 Gilman Drive, San Diego, CA, 92093, USA.
Andrea D SpadoniVA San Diego Healthcare System, 3350 La Jolla Village Drive, San Diego, CA, 92161, USA.
University of California San Diego · US

Funding

Alcohol Research in the Science/Practitioner ModelT32AA013525 · NIAAA · SAN DIEGO STATE UNIVERSITY · PI EDWARD P RILEY, ANDREA SPADONI TOWNSEND · 2002 to 2026
$8.4M
Neuromarkers of Treatment for Comorbid Posttraumatic Stress Disorder and Alcohol Use DisorderI01CX001762 · VA · VA SAN DIEGO HEALTHCARE SYSTEM · PI SPADONI TOWNSEND, ANDREA · 2019 to 2022
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Neural Mechanisms of a Novel Psychotherapy in Veterans with PTSD and AlcoholismIK2CX000864 · VA · VA SAN DIEGO HEALTHCARE SYSTEM · PI SPADONI TOWNSEND, ANDREA · 2014 to 2018
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Bayesian modeling of mood-driven decision biases for predicting clinical outcomeIK2CX001584 · VA · VA SAN DIEGO HEALTHCARE SYSTEM · PI HARLE, KATIA · 2018 to 2022
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CSRD VA I01 CX001762CSRD VA IK2 CX000864CSRD VA IK2 CX001584NIAAA NIH HHS T32 AA013525
6 · The paper itself

Abstract

The considerable comorbidity of posttraumatic stress disorder (PTSD) and alcohol use disorders (AUD) poses a greater public health burden than either condition alone. Although there is a substantial body of evidence linking the direct neurotoxic effect of heavy drinking to gray matter (GM) deficits, as well as a growing body of literature supporting a strong association between PTSD and GM alterations, there is scant research interrogating the direct interaction of the two disorders. In order to generate data-driven, specific hypotheses regarding the overlapping neural substrates of PTSD and AUD, we conducted a meta-analysis of GM volumes in each disorder relative to healthy control subjects. We found shared GM deficits in the anterior cingulate cortex (ACC) across both disorders relative to healthy control participants. These findings suggest that reduced volumes of the ACC across PTSD and AUD may have implications for the development, expression, or treatment of symptoms linked to these frequently co-existing disorders. Recommendations are made for future work aimed at delineating the specific and shared effects of traumatic stress and alcoholism on neural integrity.

Indexed as

Alcohol use disordersAnterior cingulateComorbidityMeta-analysisPosttraumatic stress disorderVoxel-based morphometry

Identifiers

PMID30627600
PMCPMC6302237
OpenAlexW2894000769

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.