Evidence map›Paper›PMID 30661137›Full record

ReviewCurrent psychiatry reports2019

A Review of the Relationship Between Emotional Learning and Memory, Sleep, and PTSD.

Peter J Colvonen, Laura D Straus, Dean Acheson, Philip Gehrman

Abstract readReview
In one paragraph

Review in Current psychiatry reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed
6.7field-weighted citation impact, top 2% 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

53 citing papers in PubMed, 105 citations in OpenAlex.

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  5. Efficacy of imagery rehearsal therapy in the treatment of traumatic nightmares in youth with complex post-traumatic stress disorder.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026
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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 3 institutions in 1 country.

Peter J ColvonenVA San Diego Healthcare System, San Diego, CA, 92161, USA. PColvonen@ucsd.edu.
Laura D StrausMental Illness Research Education and Clinical Centers, San Francisco VA Healthcare System, San Francisco, CA, USA.
Dean AchesonVA San Diego Healthcare System, San Diego, CA, 92161, USA.
Philip GehrmanDepartment of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA.
VA San Diego Healthcare System · USMental Illness Research, Education and Clinical Centers · USUniversity of Pennsylvania · US

Funding

The Impact of Integrated CBT-I and PE on Sleep and PTSD OutcomesIK2RX002120 · VA · VA SAN DIEGO HEALTHCARE SYSTEM · PI COLVONEN, PETER · 2016 to 2023
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RRD VA I01 RX003623RRD VA IK2 RX002120
6 · The paper itself

Abstract

purpose of reviewThe emotional memory and learning model of PTSD posits maladaptive fear conditioning, extinction learning, extinction recall, and safety learning as central mechanisms to PTSD. There is increasingly convincing support that sleep disturbance plays a mechanistic role in these processes. The current review consolidates the evidence on the relationships between emotional memory and learning, disturbed sleep, and PTSD acquisition, maintenance, and treatment. RECENT

findingsWhile disrupted sleep prior to trauma predicts PTSD onset, maladaptive fear acquisition does not seem to be the mechanism through which PTSD is acquired. Rather, poor extinction learning/recall and safety learning seem to better account for who maintains acute stress responses from trauma versus who naturally recovers; there is convincing evidence that this process is, at least in part, mediated by REM fragmentation. Individuals with PTSD had higher "fear load" during extinction, worse extinction learning, poorer extinction recall, and worse safety learning. Evidence suggests that these processes are also mediated by fragmented REM. Finally, PTSD treatments that require extinction and safety learning may also be affected by REM fragmentation. Addressing fragmented sleep or sleep architecture could be used to increase emotional memory and learning processes and thus ameliorate responses to trauma exposure, reduce PTSD severity, and improve treatment. Future studies should examine relationships between emotional memory and learning and disturbed sleep in clinical PTSD patients.

Indexed as

EmotionsLearningMemoryExtinction, PsychologicalFearHumansSleep Initiation and Maintenance DisordersSleep Wake DisordersStress Disorders, Post-TraumaticEmotional learningEmotional memoryPTSDSleep disordersTreatment

Identifiers

PMID30661137
PMCPMC6645393
OpenAlexW2909494712

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.