Evidence map›Paper›PMID 30937515›Full record

ArticleEuropean archives of psychiatry and clinical neuroscience2020

Reduced gray matter volume in the left prefrontal, occipital, and temporal regions as predictors for posttraumatic stress disorder: a voxel-based morphometric study.

Jan Christopher Cwik, Nils Vahle, Marcella Lydia Woud, Denise Potthoff, Henrik Kessler, Gudrun Sartory, Rüdiger J Seitz

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in European archives of psychiatry and clinical neuroscience, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 11% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Traumatic stress alters neural reactivity to visual stimulation.NPP - digital psychiatry and neuroscience · 2025
    Article
  6. Article
  7. Sensory alterations in post-traumatic stress disorder.Current opinion in neurobiology · 2024
    Review
  8. Trauma and the default mode network: review and exploratory study.Frontiers in behavioral neuroscience · 2024
    Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
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

7 authors at 6 institutions in 1 country.

Jan Christopher CwikDepartment of Clinical Psychology and Psychotherapy, Faculty of Human Sciences, Universität zu Köln, Pohligstr. 1, 50969, Cologne, Germany. jcwik@uni-koeln.de.ORCID http://orcid.org/0000-0002-2290-353X
Nils VahleDepartment of Psychology and Psychotherapy, University Witten/Herdecke, Witten, Germany.
Marcella Lydia WoudFaculty of Psychology, Mental Health Research and Treatment Center, Ruhr-Universität Bochum, Bochum, Germany.
Denise PotthoffDepartment of Neurology, Center for Neurology and Neuropsychiatry, Heinrich-Heine-Universität Düsseldorf, Düsseldorf, Germany.
Henrik KesslerDepartment of Psychosomatic Medicine and Psychotherapy, LWL University Hospital, Ruhr-Universität Bochum, Bochum, Germany.
Gudrun SartoryDepartment of Clinical Psychology and Psychotherapy, School of Human and Social Sciences, Bergische Universität Wuppertal, Wuppertal, Germany.
Rüdiger J SeitzDepartment of Neurology, Center for Neurology and Neuropsychiatry, Heinrich-Heine-Universität Düsseldorf, Düsseldorf, Germany.
Heinrich Heine University Düsseldorf · DELWL-Universitätsklinikum Bochum · DERuhr University Bochum · DEUniversity of Cologne · DEUniversity of Wuppertal · DEWitten/Herdecke University · DE

Funding

Deutsche Forschungsgemeinschaft SA 735/18-1Deutsche Forschungsgemeinschaft SE 494/7-1
6 · The paper itself

Abstract

The concept of acute stress disorder (ASD) was introduced as a diagnostic entity to improve the identification of traumatized people who are likely to develop posttraumatic stress disorder (PTSD). Neuroanatomical models suggest that changes in the prefrontal cortex, amygdala, and hippocampus play a role in the development of PTSD. Using voxel-based morphometry, this study aimed to investigate the predictive power of gray matter volume (GMV) alterations for developing PTSD. The GMVs of ASD patients (n = 21) were compared to those of PTSD patients (n = 17) and healthy controls (n = 18) in whole-brain and region-of-interest analyses. The GMV alterations seen in ASD patients shortly after the traumatic event (T1) were also correlated with PTSD symptom severity and symptom clusters 4 weeks later (T2). Compared with healthy controls, the ASD patients had significantly reduced GMV in the left visual cortex shortly after the traumatic event (T1) and in the left occipital and prefrontal regions 4 weeks later (T2); no significant differences in GMV were seen between the ASD and PTSD patients. Furthermore, a significant negative association was found between the GMV reduction in the left lateral temporal regions seen after the traumatic event (T1) and PTSD hyperarousal symptoms 4 weeks later (T2). Neither amygdala nor hippocampus alterations were predictive for the development of PTSD. These data suggest that gray matter deficiencies in the left hemispheric occipital and temporal regions in ASD patients may predict a liability for developing PTSD.

Indexed as

AdultAmygdalaDisease SusceptibilityFemaleGray MatterHippocampusHumansMagnetic Resonance ImagingMaleMiddle AgedOccipital LobePrefrontal CortexStress Disorders, Post-TraumaticStress Disorders, Traumatic, AcuteTemporal LobeTime FactorsAcute stress disorderLeft hemisphericLongitudinal analysisMagnetic resonance imagingPosttraumatic stress disorderVoxel-based morphometry

Identifiers

PMID30937515
OpenAlexW2926255167

What OpenQuestion holds

Textmetadata
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.