Evidence map›Paper›PMID 30877420›Full record

ReviewNeuropsychology review2019

The Role of the Amygdala and the Ventromedial Prefrontal Cortex in Emotional Regulation: Implications for Post-traumatic Stress Disorder.

David G Andrewes, Lisanne M Jenkins

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in Neuropsychology review, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05269459 (Safety and Efficacy of Cannabidiol), which is not on this map. Cited by 75 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT05269459 phase2recruitingnot on this mapstarted 2022, after this paper: background citation

Safety and Efficacy of Cannabidiol (CBD) for Symptoms of Post-Traumatic Stress Disorder (PTSD) in Adults Using Liquid StructureTM Formulation (NantheiaTM ATL5).

TypeinterventionalSponsorUniversity of NebraskaRan2022 to 2029Enrolled180ConditionsPTSDArmsCannabidiol Administered as Nantheia ATL5, Placebo
3 · Its place in the literature

Who cites it

75 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Dose-related reductions in prefrontal recruitment during cognitive reappraisal following oral delta-9-tetrahydrocannabinol in posttraumatic stress disorder.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Trial
  3. Trial
  4. Effect of online tDCS to left somatomotor cortex on neuropsychiatric symptoms among older adults at risk for dementia.Cortex; a journal devoted to the study of the nervous system and behavior · 2023
    Trial
  5. Trial
  6. Article
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  9. Review
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  12. Relapse in alcohol dependence is characterized by disrupted modular brain network organization.European archives of psychiatry and clinical neuroscience · 2026
    Article
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  14. Article
  15. Review
  16. Article
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  19. Article
  20. Review

15 more citing papers are in PubMed but not listed here.

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

2 authors.

David G AndrewesMelbourne Neuropsychiatry Centre, Department of Psychiatry, University of Melbourne, Melbourne, Australia. andrewes@unimelb.edu.au.ORCID 0000-0002-0463-6036
Lisanne M JenkinsDepartment of Psychiatry and Behavioral Sciences, Northwestern University, Chicago, IL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The importance of the amygdala as a salience detector and in emotional learning is now well accepted. The mechanisms that regulate and inhibit the amygdala, however, are less well understood. This review provides evidence from imaging and lesion studies to support the role of the ventromedial prefrontal cortex (vmPFC) as a moderator and inhibitor of the amygdala. The dual inhibition model centres on the broadly defined ventromedial prefrontal cortex (vmPFC) and the distinct role of two of its subcomponents, the rostral anterior cingulate cortex and orbitofrontal cortex. The dual inhibition model posits that these two regions, along with their associated inhibitory pathways, must interact for adequate inhibitory control of the amygdala and emotional regulation. Following a description of the model's experimental support, it is then proposed as a neuropsychological mechanism for post-traumatic stress disorder (PTSD). Flashbacks, as a defining feature of PTSD, are described in terms of a subcortical orienting network. Finally, there is a discussion of how a neuropsychological understanding of post-traumatic stress disorder (PTSD) might inform a clinician's approach to treatment and how the dual inhibition model might have a more general application to understanding emotional dysregulation.

Indexed as

AmygdalaBrainEmotional RegulationHumansModels, NeurologicalNeural PathwaysPrefrontal CortexStress Disorders, Post-TraumaticAffective neuroscienceAmygdalaAnxietyBrainEmotionEmotional dysregulationEmotional regulationNeuropsychologyPost traumatic stress disorderPTSDTreatmentVentromedial prefrontal cortex

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.