Evidence map›Paper›PMID 32126364›Full record

ArticleJournal of psychiatric research2020

Examining the cardiovascular response to fear extinction in a trauma-exposed sample.

Antonia V Seligowski, Julia B Merker, Adam P Swiercz, Jeanie Park, Paul J Marvar, Kerry J Ressler, Tanja Jovanovic

Abstract read
In one paragraph

Article in Journal of psychiatric research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Alpha-2 Adrenoreceptor Antagonist Yohimbine Potentiates Consolidation of Conditioned Fear.The international journal of neuropsychopharmacology · 2022
    Trial
  2. Article
  3. Central stress pathways in the development of cardiovascular disease.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2024
    Review
  4. 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

7 authors.

Antonia V SeligowskiDepartment of Psychiatry, Harvard Medical School, Boston, MA, USA; McLean Hospital, Belmont, MA, USA. Electronic address: aseligowski@mclean.harvard.edu.
Julia B MerkerMcLean Hospital, Belmont, MA, USA.
Adam P SwierczDepartment of Pharmacology and Physiology, George Washington University, Washington, DC, USA.
Jeanie ParkEmory University School of Medicine Renal Division and the Atlanta Veterans Administration Hospital, Atlanta, GA, USA.
Paul J MarvarDepartment of Pharmacology and Physiology, George Washington University, Washington, DC, USA; Department of Psychiatry and Behavioral Sciences, George Washington University, Washington, DC, USA.
Kerry J ResslerDepartment of Psychiatry, Harvard Medical School, Boston, MA, USA; McLean Hospital, Belmont, MA, USA.
Tanja JovanovicDepartment of Psychiatry and Behavioral Neurosciences, Wayne State University School of Medicine, Detroit, MI, USA.

Funding

Neurovascular Regulation During Exercise In Humans With Chronic Kidney DiseaseR01HL135183 · NHLBI · EMORY UNIVERSITY · PI Jeanie Park · 2017 to 2026
$5.4M
Sympatho-inhibition with Mindfulness in Chronic Kidney DiseaseR61AT010457 · NCCIH · EMORY UNIVERSITY · PI PARK, JEANIE · 2019 to 2020
$946k
Effects of Cortisol Suppression on Fear-Potentiated Startle in Traumatized IndiviR21MH092576 · NIMH · EMORY UNIVERSITY · PI JOVANOVIC, TANJA · 2011 to 2012
$426k
Neuroimaging correlates of impaired fear inhibition in PTSDR21MH098212 · NIMH · EMORY UNIVERSITY · PI JOVANOVIC, TANJA · 2012 to 2013
$417k
Mechanisms of Sympathetic Overactivity in Post-traumatic Stress DisorderI01CX001065 · VA · VETERANS HEALTH ADMINISTRATION · PI PARK, JEANIE · 2015 to 2024
–
CSRD VA I01 CX001065NIMH NIH HHS R21 MH092576NIMH NIH HHS R21 MH098212
6 · The paper itself

Abstract

backgroundTrauma and symptoms of posttraumatic stress disorder (PTSD) have repeatedly been linked to impaired cardiovascular functioning. Poor fear extinction is a well-established biomarker of PTSD that may provide insight into mechanisms underlying cardiovascular risk. The current study probed the cardiovascular response to extinction in a sample of trauma-exposed individuals.

methodsParticipants were 51 trauma-exposed women who underwent a fear conditioning paradigm. Heart rate (HR) during extinction was examined in response to a conditioned stimulus that was previously paired with an aversive unconditioned stimulus (CS+) and one that was never paired (CS-). Heart rate variability (HRV) was calculated at baseline and during the extinction session.

resultsConsistent with fear bradycardia, initial HR deceleration (.5-2s) after CS + onset occurred during early extinction and appeared to extinguish over time. Higher baseline HRV was significantly associated with greater fear bradycardia during early extinction.

conclusionsThis is the first study to demonstrate a pattern of fear bradycardia in early extinction, which was associated with higher HRV levels and decreased over the course of the extinction phase. These results suggest that increased fear bradycardia may be indicative of greater vagal control (i.e., HRV), both of which are psychophysiological biomarkers that may influence cardiovascular and autonomic disease risk in trauma-exposed individuals.

Indexed as

Extinction, PsychologicalStress Disorders, Post-TraumaticConditioning, ClassicalFearFemaleHeart RateHumansCardiovascularExtinctionFear bradycardiaHeart rateTrauma

Identifiers

PMID32126364
PMCPMC7097830

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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.