Evidence map›Paper›PMID 32222725›Full record

ArticleNeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology2020

Neural correlates of conceptual-level fear generalization in posttraumatic stress disorder.

Rajendra A Morey, Courtney C Haswell, Daniel Stjepanović, Mid-Atlantic MIRECC Workgroup,, Joseph E Dunsmoor, Kevin S LaBar

Abstract 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 32 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 3 pooled it
–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

32 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. A meta-analysis of conditioned fear generalization in anxiety-related disorders.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2022
    Pooled it
  3. Pooled it
  4. Acute stress leaves fear generalization in healthy individuals intact.Cognitive, affective & behavioral neuroscience · 2021
    Trial
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  12. Traumatic stress alters neural reactivity to visual stimulation.NPP - digital psychiatry and neuroscience · 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

6 authors.

Rajendra A MoreyMid-Atlantic Mental Illness Research Education and Clinical Center, Durham, NC, USA. rajendra.morey@duke.edu.
Courtney C HaswellMid-Atlantic Mental Illness Research Education and Clinical Center, Durham, NC, USA.
Daniel StjepanovićDuke-UNC Brain Imaging and Analysis Center, Durham, NC, USA.
Mid-Atlantic MIRECC Workgroup,
Joseph E DunsmoorDepartment of Psychiatry, University of Texas at Austin, Austin, TX, USA.ORCID http://orcid.org/0000-0002-5448-6873
Kevin S LaBarDepartment of Psychiatry, Duke University Medical Center, Durham, NC, USA.

Funding

Trauma and Genomics Modulate Brain Structure across Common Psychiatric DisordersR01MH111671 · NIMH · DUKE UNIVERSITY · PI MARK W LOGUE, RAJENDRA A MOREY · 2017 to 2026
$4.4M
White Matter Damage in Subconcussive Blast ExposureR01NS086885 · NINDS · DUKE UNIVERSITY · PI MOREY, RAJENDRA A · 2014 to 2018
$1.7M
FMRI Assessment of Attention and Memory in PTSDK23MH073091 · NIMH · DUKE UNIVERSITY · PI MOREY, RAJENDRA A · 2006 to 2010
$798k
Imaging-Genetics of PTSD in OEF/OIF VeteransI01CX000120 · VA · DURHAM VA MEDICAL CENTER · PI MOREY, RAJENDRA A · 2009 to 2012
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Brain Systems for Fear Generalization and Threat Processing in PTSDI01CX000748 · VA · DURHAM VA MEDICAL CENTER · PI MOREY, RAJENDRA A · 2014 to 2017
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CSRD VA I01 CX000120CSRD VA I01 CX000748NIMH NIH HHS K23 MH073091NIMH NIH HHS R01 MH111671NINDS NIH HHS R01 NS086885
6 · The paper itself

Abstract

Posttraumatic stress disorder (PTSD) may develop when mechanisms for making accurate distinctions about threat relevance have gone awry. Generalization across conceptually related objects has been hypothesized based on clinical observation in PTSD, but the neural mechanisms remain unexplored. Recent trauma-exposed military veterans (n = 46) were grouped into PTSD (n = 23) and non-PTSD (n = 23). Participants learned to generalize fear across conceptual categories (animals or tools) of semantically related items that were partially reinforced by shock during functional magnetic resonance imaging. Conditioned fear learning was quantified by shock expectancy and skin conductance response (SCR). Relative to veteran controls, PTSD subjects exhibited a stronger neural response associated with fear generalization to the reinforced object category in the striatum, anterior cingulate cortex, amygdala, occipitotemporal cortex, and insula (Z > 2.3; p < 0.05; whole-brain corrected). Based on SCR, both groups generalized the shock contingency to the reinforced conceptual category, but learning was not significantly different between groups. We found that PTSD was associated with an enhanced neural response in fronto-limbic, midline, and occipitotemporal regions to a learned representation of threat that is based on previously established conceptual knowledge of the relationship between basic-level exemplars within a semantic category. Behaviorally, veterans with PTSD were somewhat slower to differentiate threat and safety categories as compared with trauma-exposed veteran controls owing in part to an initial overgeneralized behavioral response to the safe category. These results have implications for understanding how fear spreads across semantically related concepts in PTSD.

Indexed as

Stress Disorders, Post-TraumaticVeteransConditioning, ClassicalFearGeneralization, PsychologicalHumansMagnetic Resonance Imaging

Identifiers

PMID32222725
PMCPMC7297719

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.