Evidence map›Paper›PMID 31033749›Full record

ArticleThe Journal of head trauma rehabilitation

Brain Amygdala Volume Increases in Veterans and Active-Duty Military Personnel With Combat-Related Posttraumatic Stress Disorder and Mild Traumatic Brain Injury.

Joel Pieper, Douglas G Chang, Sarah Z Mahasin, Ashley Robb Swan, Annemarie Angeles Quinto, Sharon L Nichols, Mithun Diwakar, Charles Huang, James Swan, Roland R Lee and 2 more

Abstract read
In one paragraph

Article in The Journal of head trauma rehabilitation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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.

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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. 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

12 authors.

Joel PieperDepartment of Physical Medicine and Rehabilitation University of Michigan, Ann Arbor, Michigan (Dr Pieper), Departments of Orthopaedic Surgery (Dr Chang), Radiology, Research, and Psychiatry Services (Mss Swan and Quinto and Drs Lee, Baker, and M. Huang), Radiology (Mss Swan and Quinto and Drs Lee and M. Huang), Neurosciences (Dr Nichols), and Psychiatry (Dr Baker), University of California, San Diego; College of Medicine, King Saud University, Riyadh, Saudi Arabia (Ms Mahasin); Department of Radiology and Biomedical Imaging, University of California, San Francisco (Dr Diwakar); Department of Bioengineering, Stanford University, Stanford, California (Mr C. Huang); Department of Management Information Systems, San Diego State University, San Diego, California (Mr Swan); and VA Center of Excellence for Stress and Mental Health, San Diego, California (Dr Baker).
Douglas G Chang
Sarah Z Mahasin
Ashley Robb Swan
Annemarie Angeles Quinto
Sharon L Nichols
Mithun Diwakar
Charles Huang
James Swan
Roland R Lee
Dewleen G Baker
Mingxiong Huang

Funding

T35 Short Term Research Training GrantT35HL007491 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SAVOIA, MARIA CHRISTINA · 1985 to 2015
$2.8M
Neuroimaging Investigation of mTBI and its Potentiation of PTSD in VeteransI01CX000499 · VA · VA SAN DIEGO HEALTHCARE SYSTEM · PI HUANG, MINGXIONG · 2012 to 2019
–
Passive electrical neurofeedback treatment of mTBI: MEG and Behavioral OutcomesI01RX001988 · VA · VA SAN DIEGO HEALTHCARE SYSTEM · PI HUANG, MINGXIONG · 2018 to 2022
–
CSRD VA I01 CX000499CSRD VA I01 CX002035NHLBI NIH HHS T35 HL007491RRD VA I01 RX001988
6 · The paper itself

Abstract

objectiveTo identify amygdalar volumetric differences associated with posttraumatic stress disorder (PTSD) in individuals with comorbid mild traumatic brain injury (mTBI) compared with those with mTBI-only and to examine the effects of intracranial volume (ICV) on amygdala volumetric measures.

settingMarine Corps Base and VA Healthcare System.

participantsA cohort of veterans and active-duty military personnel with combat-related mTBI (N = 89).

designTwenty-nine participants were identified with comorbid PTSD and mTBI. The remaining 60 formed the mTBI-only control group. Structural images of brains were obtained with a 1.5-T MRI scanner using a T1-weighted 3D-IR-FSPGR pulse sequence. Automatic segmentation was performed in Freesurfer. MAIN MEASURES: Amygdala volumes with/without normalizations to ICV.

resultsThe comorbid mTBI/PTSD group had significantly larger amygdala volumes, when normalized to ICV, compared with the mTBI-only group. The right and left amygdala volumes after normalization to ICV were 0.122% ± 0.012% and 0.118% ± 0.011%, respectively, in the comorbid group compared with 0.115% ± 0.012% and 0.112% ± 0.009%, respectively, in the mTBI-only group (corrected P < .05).

conclusionsThe ICV normalization analysis performed here may resolve previous literature discrepancies. This is an intriguing structural finding, given the role of the amygdala in the challenging neuroemotive symptoms witnessed in casualties of combat-related mTBI and PTSD.

Indexed as

Military PersonnelVeteransAdultAmygdalaBrain ConcussionCase-Control StudiesCombat DisordersFemaleHumansMaleOrgan SizeStress Disorders, Post-Traumatic

Identifiers

PMID31033749
PMCPMC6814512

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.