Evidence map›Paper›PMID 31078834›Full record

ArticleJournal of affective disorders2019

Attentional control abnormalities in posttraumatic stress disorder: Functional, behavioral, and structural correlates.

Negar Fani, Tricia Z King, Cherita Clendinen, Raven A Hardy, Sindhuja Surapaneni, James R Blair, Stuart F White, Abigail Powers, Tim D Ely, Tanja Jovanovic and 2 more

Abstract read
In one paragraph

Article in Journal of affective disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

22 citing papers in PubMed.

  1. Article
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  3. Review
  4. Review
  5. Social Buffering of Posttraumatic Stress Disorder: Longitudinal Effects and Neural Mediators.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Civilian Moral Injury and Amygdala Functional Connectivity During Attention to Threat.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2024
    Article
  11. Article
  12. Article
  13. Article
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  15. Article
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  17. Review
  18. Article
  19. Article
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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

12 authors.

Negar FaniEmory University School of Medicine, Department of Psychiatry and Behavioral Sciences, United States. Electronic address: nfani@emory.edu.
Tricia Z KingGeorgia State University, Department of Psychology, United States.
Cherita ClendinenEmory University School of Medicine, Department of Psychiatry and Behavioral Sciences, United States.
Raven A HardyEmory University School of Medicine, Department of Psychiatry and Behavioral Sciences, United States.
Sindhuja SurapaneniEmory University School of Medicine, Department of Psychiatry and Behavioral Sciences, United States.
James R BlairBoystown National Research Hospital, United States.
Stuart F WhiteBoystown National Research Hospital, United States.
Abigail PowersEmory University School of Medicine, Department of Psychiatry and Behavioral Sciences, United States.
Tim D ElyEmory University School of Medicine, Department of Psychiatry and Behavioral Sciences, United States.
Tanja JovanovicEmory University School of Medicine, Department of Psychiatry and Behavioral Sciences, United States.
Kerry J ResslerMcLean Hospital, United States.
Bekh BradleyEmory University School of Medicine, Department of Psychiatry and Behavioral Sciences, United States; Atlanta VA Medical Center, United States.

Funding

Neural Mechanisms of Cognitive Control in Posttraumatic Stress DisorderK23MH101380 · NIMH · EMORY UNIVERSITY · PI FANI, NEGAR · 2014 to 2017
$601k
THE ROLE OF TESTOSTERONE IN MODULATING NEURAL RESPONSE TO THREAT CUES AND DURING EMOTION REGULATION IN POSTTRAUMATIC STRESS DISORDERK01MH110643 · NIMH · FATHER FLANAGAN'S BOYS' HOME · PI WHITE, STUART F. · 2017 to 2020
$500k
Effects of Cortisol Suppression on Fear-Potentiated Startle in Traumatized IndiviR21MH092576 · NIMH · EMORY UNIVERSITY · PI JOVANOVIC, TANJA · 2011 to 2012
$426k
NIMH NIH HHS K01 MH110643NIMH NIH HHS K23 MH101380NIMH NIH HHS R21 MH092576
6 · The paper itself

Abstract

backgroundAttentional disruptions are common in PTSD, but findings across neuropsychological and neuroimaging studies have been variable. Few PTSD studies have investigated abnormalities in attention networks using a multi-modal imaging approach and attentional tasks that include emotionally-salient images. This study combined a behavioral task that included these images (emotional Stroop) with functional and structural neuroimaging (fMRI and diffusion tensor imaging; DTI) methods to comprehensively investigate attentional control abnormalities in a highly-traumatized civilian sample.

methods48 traumatized women with and without PTSD received clinical assessments, fMRI and DTI. During fMRI, the Affective Stroop (AS), an attentional control task that includes emotionally-salient distractor images (trauma-relevant, positive, neutral) and variable task demands, was administered.

resultsIn response to more difficult AS trials, participants with PTSD demonstrated lower activation in the dorsal and rostral anterior cingulate cortex and greater activation in the insula. This group also showed comparatively poorer performance on positive AS distractor trials, even after adjusting for trauma exposure. Performance on these trials inversely correlated with structural integrity of the cingulum bundle and uncinate fasciculus.

conclusionsEven after adjusting for trauma exposure, participants with PTSD showed worse performance on an attentional control task in the context of emotional stimuli. They also showed relatively lower cognitive control network activation and greater salience network activation. Fronto-parietal and fronto-limbic white matter connectivity corresponded with AS performance. Our findings indicate that attentional control impairments in PTSD are most evident in the context of emotional cues, and are related to decrements in function and structure of cognitive control and salience networks.

Indexed as

AdultAttentionBrainCase-Control StudiesDiffusion Tensor ImagingEmotionsFemaleGyrus CinguliHumansMagnetic Resonance ImagingMiddle AgedReference ValuesStress Disorders, Post-TraumaticWhite MatterYoung AdultAttentionCognitionDTIfMRIPTSDStroopStructure

Identifiers

PMID31078834
PMCPMC6857173

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.