Evidence map›Paper›PMID 31260599›Full record

ArticleDepression and anxiety2019

Association between posttraumatic stress disorder severity and amygdala habituation to fearful stimuli.

Ye Ji Kim, Sanne J H van Rooij, Timothy D Ely, Negar Fani, Kerry J Ressler, Tanja Jovanovic, Jennifer S Stevens

Open access · greenAbstract read
In one paragraph

Article in Depression and anxiety, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
6.2field-weighted citation impact, top 4% 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

27 citing papers in PubMed, 48 citations in OpenAlex.

  1. Article
  2. Functional brain imaging in posttraumatic stress disorder: a review.Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Review
  3. Article
  4. Review
  5. Article
  6. Sequential decreases in basolateral amygdala response to threat predict failure to recover from PTSD.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2025
    Article
  7. Article
  8. Article
  9. Defining theNature. Mental health · 2024
    Article
  10. Sensory alterations in post-traumatic stress disorder.Current opinion in neurobiology · 2024
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. 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

7 authors at 2 institutions in 1 country.

Ye Ji KimDepartment of Epidemiology, Emory University Rollins School of Public Health, Atlanta, Georgia.ORCID 0000-0003-1583-1408
Sanne J H van RooijDepartment of Epidemiology, Emory University Rollins School of Public Health, Atlanta, Georgia.ORCID 0000-0002-0160-7248
Timothy D ElyDepartment of Epidemiology, Emory University Rollins School of Public Health, Atlanta, Georgia.
Negar FaniDepartment of Epidemiology, Emory University Rollins School of Public Health, Atlanta, Georgia.ORCID 0000-0002-7720-252X
Kerry J ResslerDepartment of Epidemiology, Emory University Rollins School of Public Health, Atlanta, Georgia.ORCID 0000-0002-5158-1103
Tanja JovanovicDepartment of Epidemiology, Emory University Rollins School of Public Health, Atlanta, Georgia.ORCID 0000-0002-6456-0053
Jennifer S StevensDepartment of Epidemiology, Emory University Rollins School of Public Health, Atlanta, Georgia.ORCID 0000-0003-4674-0314
Emory University · USHarvard University · US

Funding

Atlanta Clinical and Translational Science Institute (ACTSI) RenewalUL1TR000454 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$25.8M
X LINKED NYSTAGMUS SYNDROME WITH FEATURES OF ALBINISMM01RR000039 · NCRR · EMORY UNIVERSITY · PI BRANN, ALFRED W · 1985 to 2007
$21.3M
Genetic and Trauma-Related Risk Factors for PTSDR01MH071537 · NIMH · EMORY UNIVERSITY · PI RESSLER, KERRY J. · 2005 to 2014
$8.5M
Multidisciplinary Research Training to Reduce Inequities in Cardiovascular HealthT32HL130025 · NHLBI · EMORY UNIVERSITY · PI Tené T Lewis, Viola Vaccarino · 2016 to 2026
$6.4M
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
Genetic and estrogen-dependent regulation of the human PAC1R receptor and PTSDR01MH096764 · NIMH · MCLEAN HOSPITAL · PI RESSLER, KERRY J. · 2012 to 2016
$2.1M
Neural Mechanisms of Cognitive Control in Posttraumatic Stress DisorderK23MH101380 · NIMH · EMORY UNIVERSITY · PI FANI, NEGAR · 2014 to 2017
$601k
Neuroimaging correlates of impaired fear inhibition in PTSDR21MH098212 · NIMH · EMORY UNIVERSITY · PI JOVANOVIC, TANJA · 2012 to 2013
$417k
Impact of trauma on emotional systems neurobiologyF32MH101976 · NIMH · EMORY UNIVERSITY · PI STEVENS, JENNIFER STRAFFORD · 2014 to 2016
$177k
Genetic and Trauma-Related Risk Factors for PTSD: From GWAS to FunctionR56MH071537 · NIMH · EMORY UNIVERSITY · PI RESSLER, KERRY J. · 2015 to 2015
$148k
NCATS NIH HHS UL1 TR000454NCRR NIH HHS M01 RR000039NHLBI NIH HHS T32 HL130025NICHD NIH HHS K12 HD085850NIMH NIH HHS F32 MH101976NIMH NIH HHS K23 MH101380NIMH NIH HHS R01 MH071537NIMH NIH HHS R01 MH096764NIMH NIH HHS R01 MH117009NIMH NIH HHS R01 MH118771NIMH NIH HHS R21 MH098212NIMH NIH HHS R56 MH071537
6 · The paper itself

Abstract

backgroundAmygdala hyperreactivity to threat has been proposed to be a causal contributor to posttraumatic stress disorder (PTSD). However, emerging literature in healthy samples shows higher test-retest reliability for amygdala habituation (the change over time in response to repeated stimuli) than for its reactivity to threat. Amygdala habituation has received relatively little attention in relationship to PTSD, despite the key role of this region in the etiology of the disorder. Thus, we investigated habituation to repeated fearful face stimuli and PTSD, in a large sample of trauma exposed African American women.

methodsAfrican American women (N = 100) were recruited from a nonprofit hospital serving a largely low-income population with a high risk of trauma exposure. Participants underwent functional magnetic resonance imaging, passively viewing fearful and neutral face stimuli, and reported their history of trauma exposure and current PTSD symptoms. We examined associations between PTSD symptom severity and amygdala reactivity (fearful > neutral) and habituation (early > late) to fearful faces. Secondary analyses tested whether amygdala habituation to fearful faces mediated the association between childhood trauma and PTSD.

resultsPTSD symptom severity and PTSD status (based on self-report measure) were both positively associated with amygdala habituation to repeated fearful face stimuli. Whole-brain analysis showed that this association extended to the bilateral hippocampus and left fusiform gyrus. The association held when controlling for trauma history and depressive symptoms. Amygdala habituation to fearful faces partially mediated the association between childhood trauma severity and PTSD symptom severity.

conclusionIndividuals with greater PTSD symptom severity showed greater amygdala habituation to social threat cues (fearful faces), and greater habituation may partly explain the association between childhood trauma exposure and current PTSD symptoms. Further examination of the dynamics of the amygdala response to threat cues may lead to new insights in the understanding and treatment of stress-related disorders.

Indexed as

AdultAmygdalaBrain MappingChildCuesFacial ExpressionFearFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedReproducibility of ResultsStress Disorders, Post-TraumaticYoung AdultamygdalafearfMRIhabituationtrauma

Identifiers

PMID31260599
PMCPMC6943827
OpenAlexW2953507228

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Registered trials

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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.