Evidence map›Paper›PMID 31759868›Full record

ArticleBiological psychiatry. Cognitive neuroscience and neuroimaging2020

Opponent Effects of Hyperarousal and Re-experiencing on Affective Habituation in Posttraumatic Stress Disorder.

Katherine L McCurry, B Christopher Frueh, Pearl H Chiu, Brooks King-Casas

Open access · hybridAbstract read
In one paragraph

Article in Biological psychiatry. Cognitive neuroscience and neuroimaging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
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  7. Disentangling the Neural Circuits of Arousal and Anxiety-Like Behavior.Current topics in behavioral neurosciences · 2025
    Review
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  15. Disentangling Amygdala Response After Early-Life Trauma: Reactivity, Habituation, and Symptom Profiles.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2021
    Article
  16. Article
  17. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Katherine L McCurrySalem Veterans Affairs Medical Center, Salem, Virginia; Fralin Biomedical Research Institute at Virginia Tech Carilion, Virginia Tech, Roanoke, Virginia; Department of Psychology, Virginia Tech, Blacksburg, Virginia.
B Christopher FruehFralin Biomedical Research Institute at Virginia Tech Carilion, Virginia Tech, Roanoke, Virginia; Department of Psychology, University of Hawaii at Hilo, Hilo, Hawaii; Trauma and Resilience Center, Department of Psychiatry, University of Texas Health Sciences Center, Houston, Texas.
Pearl H ChiuSalem Veterans Affairs Medical Center, Salem, Virginia; Fralin Biomedical Research Institute at Virginia Tech Carilion, Virginia Tech, Roanoke, Virginia; Department of Psychiatry and Behavioral Medicine, Virginia Tech Carilion School of Medicine, Roanoke, Virginia; Department of Psychology, Virginia Tech, Blacksburg, Virginia. Electronic address: chiup@vtc.vt.edu.
Brooks King-CasasSalem Veterans Affairs Medical Center, Salem, Virginia; Fralin Biomedical Research Institute at Virginia Tech Carilion, Virginia Tech, Roanoke, Virginia; Department of Psychiatry and Behavioral Medicine, Virginia Tech Carilion School of Medicine, Roanoke, Virginia; Department of Psychology, Virginia Tech, Blacksburg, Virginia; School of Biomedical Engineering and Sciences, Virginia Tech-Wake Forest University, Blacksburg, Virginia. Electronic address: bkcasas@vtc.vt.edu.
Biomedical Research Institute · USSalem VA Medical Center · US

Funding

Neurobehavioral Determinants of Health Risk Behaviors: From Adolescence to Young AdulthoodR01DA036017 · NIDA · VIRGINIA POLYTECHNIC INST AND ST UNIV · PI CASAS, BROOKS, KIM-SPOON, JUNGMEEN · 2013 to 2022
$7.2M
Neural Substrates of Reinforcement Learning and its Training in Major DepressionR01MH106756 · NIMH · VIRGINIA POLYTECHNIC INST AND ST UNIV · PI CHIU, PEARL H · 2016 to 2020
$3.7M
Neurobehavioral Mechanisms of Social Dysfunction in Borderline Personality DisorderR01MH115221 · NIMH · VIRGINIA POLYTECHNIC INST AND ST UNIV · PI CASAS, BROOKS · 2018 to 2022
$3.3M
Neurobehavioral metrics for the assessment and treatment of depressionR01MH087692 · NIMH · VIRGINIA POLYTECHNIC INST AND ST UNIV · PI CHIU, PEARL H · 2010 to 2014
$1.6M
Mentoring/Career Development in PTSD Services ResearchK24MH074468 · NIMH · UNIVERSITY OF HAWAII AT HILO · PI FRUEH, BARTLEY CHRISTOPHER · 2006 to 2010
$745k
Efficacy and neural mediators of response to Trauma Management Therapy for PTSDI01RX002354 · VA · SALEM VA MEDICAL CENTER · PI CASAS, BROOKS · 2018 to 2022
–
NIMH NIH HHS K24 MH074468NIMH NIH HHS R01 MH087692NIMH NIH HHS R01 MH106756NIMH NIH HHS R01 MH115221
6 · The paper itself

Abstract

backgroundAberrant emotion processing is a hallmark of posttraumatic stress disorder (PTSD), with neurobiological models suggesting both heightened neural reactivity and diminished habituation to aversive stimuli. However, empirical work suggests that these response patterns may be specific to subsets of those with PTSD. This study investigates the unique contributions of PTSD symptom clusters (re-experiencing, avoidance and numbing, and hyperarousal) to neural reactivity and habituation to negative stimuli in combat-exposed veterans.

methodsNinety-five combat-exposed veterans (46 with PTSD) and 53 community volunteers underwent functional magnetic resonance imaging while viewing emotional images. This study examined the relationship between symptom cluster severity and hemodynamic responses to negative compared with neutral images (NEG>NEU).

resultsVeterans exhibited comparable mean and habituation-related responses for NEG>NEU, relative to civilians. However, among veterans, habituation, but not mean response, was differentially related to PTSD symptom severity. Hyperarousal symptoms were related to decreased habituation for NEG>NEU in a network of regions, including superior and inferior frontal gyri, ventromedial prefrontal cortex, superior and middle temporal gyri, and anterior insula. In contrast, re-experiencing symptoms were associated with increased habituation in a similar network. Furthermore, re-experiencing severity was positively related to amygdalar functional connectivity with the left inferior frontal gyrus and dorsal anterior cingulate cortex for NEG>NEU.

conclusionsThese results indicate that hyperarousal symptoms in combat-related PTSD are associated with decreased neural habituation to aversive stimuli. These impairments are partially mitigated in the presence of re-experiencing symptoms, such that during exposure to negative stimuli, re-experiencing symptoms are positively associated with amygdalar connectivity to prefrontal regions implicated in affective suppression.

Indexed as

Habituation, PsychophysiologicStress Disorders, Post-TraumaticVeteransAdultAmygdalaArousalFemaleHumansMagnetic Resonance ImagingMaleUnited StatesYoung AdultAffective neuroscienceEmotionfMRIHabituationHeterogeneityPTSD

Identifiers

PMID31759868
PMCPMC7010563
OpenAlexW2975496737

What OpenQuestion holds

Textmetadata
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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.