Evidence map›Paper›PMID 31600766›Full record

ArticleNeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology2020

Combat exposure, posttraumatic stress disorder, and head injuries differentially relate to alterations in cortical thickness in military Veterans.

Ashley N Clausen, Emily Clarke, Rachel D Phillips, Courtney Haswell, VA Mid-Atlantic MIRECC Workgroup, Rajendra A Morey

Open access · bronzeAbstract read
In one paragraph

Article in Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
6.0field-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

25 citing papers in PubMed, 48 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Post-traumatic stress disorder: evolving conceptualization and evidence, and future research directions.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2025
    Article
  6. Article
  7. Psychosocial experiences are associated with human brain mitochondrial biology.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  8. Article
  9. Review
  10. Examining the association between posttraumatic stress disorder and disruptions in cortical networks identified using data-driven methods.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
    Article
  11. Article
  12. Article
  13. Article
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  15. Article
  16. Article
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  18. Article
  19. Prefrontal cortex, amygdala, and threat processing: implications for PTSD.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2022
    Review
  20. 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

6 authors at 2 institutions in 1 country.

Ashley N ClausenVA Mid-Atlantic MIRECC, Durham VAHCS, 508 Fulton St, Durham, NC, 27705, USA. ashley.clausen@duke.edu.
Emily ClarkeVA Mid-Atlantic MIRECC, Durham VAHCS, 508 Fulton St, Durham, NC, 27705, USA.ORCID http://orcid.org/0000-0003-3553-2990
Rachel D PhillipsVA Mid-Atlantic MIRECC, Durham VAHCS, 508 Fulton St, Durham, NC, 27705, USA.ORCID http://orcid.org/0000-0001-9958-1703
Courtney HaswellVA Mid-Atlantic MIRECC, Durham VAHCS, 508 Fulton St, Durham, NC, 27705, USA.
VA Mid-Atlantic MIRECC Workgroup
Rajendra A MoreyVA Mid-Atlantic MIRECC, Durham VAHCS, 508 Fulton St, Durham, NC, 27705, USA.
Duke University · USMental Illness Research, Education and Clinical Centers · US

Funding

White Matter Damage in Subconcussive Blast ExposureR01NS086885 · NINDS · DUKE UNIVERSITY · PI MOREY, RAJENDRA A · 2014 to 2018
$1.7M
CSRD VA I01 CX000120CSRD VA I01 CX000748NINDS NIH HHS R01 NS086885
6 · The paper itself

Abstract

Combat-exposed Veterans are at increased risk for developing psychological distress, mood disorders, and trauma and stressor-related disorders. Trauma and mood disorders have been linked to alterations in brain volume, function, and connectivity. However, far less is known about the effects of combat exposure on brain health. The present study examined the relationship between severity of combat exposure and cortical thickness. Post-9/11 Veterans (N = 337; 80% male) were assessed with structural neuroimaging and clinically for combat exposure, depressive symptoms, prior head injury, and posttraumatic stress disorder (PTSD). Vertex-wide cortical thickness was estimated using FreeSurfer autosegmentation. FreeSurfer's Qdec was used to examine relationship between combat exposure, PTSD, and prior head injuries on cortical thickness (Monte Carlo corrected for multiple comparisons, vertex-wise cluster threshold of 1.3, p < 0.01). Covariates included age, sex, education, depressive symptoms, nonmilitary trauma, alcohol use, and prior head injury. Higher combat exposure uniquely related to lower cortical thickness in the left prefrontal lobe and increased cortical thickness in the left middle and inferior temporal lobe; whereas PTSD negatively related to cortical thickness in the right fusiform. Head injuries related to increased cortical thickness in the bilateral medial prefrontal cortex. Combat exposure uniquely contributes to lower cortical thickness in regions implicated in executive functioning, attention, and memory after accounting for the effects of PTSD and prior head injury. Our results highlight the importance of examining effects of stress and trauma exposure on neural health in addition to the circumscribed effects of specific syndromal pathology.

Indexed as

Brain Cortical ThicknessAdultCerebral CortexCombat DisordersCraniocerebral TraumaFemaleHumansMaleMiddle AgedMilitary PersonnelSelf ReportStress Disorders, Post-TraumaticVeterans

Identifiers

PMID31600766
PMCPMC6969074
OpenAlexW2979335457

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.