Evidence map›Paper›PMID 31181391›Full record

ArticleJournal of psychiatric research2019

Structural connectivity and risk for anhedonia after trauma: A prospective study and replication.

Negar Fani, Vasiliki Michopoulos, Sanne J H van Rooij, Cherita Clendinen, Raven A Hardy, Tanja Jovanovic, Barbara O Rothbaum, Kerry J Ressler, Jennifer S Stevens

Open access · greenAbstract read
In one paragraph

Article in Journal of psychiatric research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.6field-weighted citation impact, top 7% 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

18 citing papers in PubMed, 33 citations in OpenAlex.

  1. Article
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  4. Social Buffering of Posttraumatic Stress Disorder: Longitudinal Effects and Neural Mediators.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2025
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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

9 authors at 2 institutions in 1 country.

Negar FaniEmory University School of Medicine, Department of Psychiatry and Behavioral Sciences, USA. Electronic address: nfani@emory.edu.
Vasiliki MichopoulosEmory University School of Medicine, Department of Psychiatry and Behavioral Sciences, USA; Yerkes National Primate Research Center, Atlanta, GA, USA.
Sanne J H van RooijEmory University School of Medicine, Department of Psychiatry and Behavioral Sciences, USA.
Cherita ClendinenEmory University School of Medicine, Department of Psychiatry and Behavioral Sciences, USA.
Raven A HardyEmory University School of Medicine, Department of Psychiatry and Behavioral Sciences, USA.
Tanja JovanovicEmory University School of Medicine, Department of Psychiatry and Behavioral Sciences, USA.
Barbara O RothbaumEmory University School of Medicine, Department of Psychiatry and Behavioral Sciences, USA.
Kerry J ResslerEmory University School of Medicine, Department of Psychiatry and Behavioral Sciences, USA; McLean Hospital, Harvard Medical School, USA.
Jennifer S StevensEmory University School of Medicine, Department of Psychiatry and Behavioral Sciences, USA.
Emory University · USHarvard University · US

Funding

Longitudinal Assessment of Post-traumatic SyndromesU01MH110925 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KESSLER, RONALD C, KOENEN, KARESTAN C · 2016 to 2020
$25.8M
Neuro HPA Project 1U54AG062334 · NIA · EMORY UNIVERSITY · PI Ighovwerha Ofotokun · 2018 to 2026
$12.2M
Emory University BIRCWH ProgramK12HD085850 · NICHD · EMORY UNIVERSITY · PI OFOTOKUN, IGHOVWERHA, STERK, CLAIRE E · 2015 to 2023
$4.4M
Neuroendocrine Mechanisms of Risk for Trauma-Related Psychopathology in WomenR01MH117009 · NIMH · EMORY UNIVERSITY · PI STEVENS, JENNIFER STRAFFORD · 2019 to 2023
$3.6M
Statistical Methods for Analyzing Complex, Multi-dimensional Data from Cross-sectional and Longitudinal Mental Health StudiesR01MH118771 · NIMH · EMORY UNIVERSITY · PI GUO, YING, MANATUNGA, AMITA K. · 2019 to 2023
$3.1M
2 of 2 Prospective Determination of Psychobiological Risk Factors for PTSDR01MH094757 · NIMH · EMORY UNIVERSITY · PI RESSLER, KERRY J. · 2012 to 2016
$2.3M
Emory R38 Research Training ProgramR38AI140299 · NIAID · EMORY UNIVERSITY · PI OFOTOKUN, IGHOVWERHA, ROUPHAEL, NADINE GEORGES · 2018 to 2021
$1.4M
Neural Mechanisms of Cognitive Control in Posttraumatic Stress DisorderK23MH101380 · NIMH · EMORY UNIVERSITY · PI FANI, NEGAR · 2014 to 2017
$601k
Prospective Determination of the Epigenetic Response to TraumaR21MH106902 · NIMH · EMORY UNIVERSITY · PI JOVANOVIC, TANJA, SMITH, ALICIA K · 2016 to 2017
$429k
NIAID NIH HHS R38 AI140299NIA NIH HHS U54 AG062334NICHD NIH HHS K12 HD085850NIMH NIH HHS K23 MH101380NIMH NIH HHS R01 MH094757NIMH NIH HHS R01 MH117009NIMH NIH HHS R01 MH118771NIMH NIH HHS R21 MH106902NIMH NIH HHS U01 MH110925
6 · The paper itself

Abstract

Anhedonia emerges in some people after psychological trauma, reflected by a loss of interest, diminished affect, and detachment. Structural abnormalities in specific neural pathways at the time of trauma may influence the development of these posttraumatic anhedonia (PTA) symptoms. In this prospective study, we determined whether white matter connectivity at around one month post-trauma predicts PTA and other PTSD symptoms at six months post-trauma. Thirty men and women aged 19-62 were recruited from the emergency department of a Level I trauma center. Participants received diffusion tensor imaging at approximately one month post-trauma and clinical assessments at one and six months post-trauma. Probabilistic tractography was used to examine connectivity of select pathways. A replication sample (N = 57) in an independent, cross-sectional dataset of traumatized women was similarly analyzed. Logistic regression results indicated that, after accounting for early PTSD symptoms (at one month) and other clinical risk factors, the integrity of the uncinate fasciculus (UF) uniquely predicted the presence of PTA at six months post-trauma (Beta = -225.6, p < .05). Together, these factors contributed to 76% of the variance in PTA. Integrity of the UF also predicted re-experiencing PTSD symptoms at six months post-trauma. These results were supported in our replication analyses. Our findings indicate that the integrity of the UF around 1 month post-trauma affects vulnerability for the development of anhedonic PTSD symptoms as well as re-experiencing symptoms. Connectivity of this amygdala-ventromedial prefrontal pathway appears to be a salient predictor of anhedonia, above and beyond clinical risk factors.

Indexed as

AnhedoniaNerve NetPsychological TraumaStress Disorders, Post-TraumaticWhite MatterAdultCross-Sectional StudiesDiffusion Tensor ImagingFemaleHumansMaleMiddle AgedProspective StudiesRiskWounds and InjuriesYoung Adult

Identifiers

PMID31181391
PMCPMC7039326
OpenAlexW2946328207

What OpenQuestion holds

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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.