Evidence map›Paper›PMID 32374431›Full record

ReviewCancer2020

Posttraumatic stress disorder and breast cancer: Risk factors and the role of inflammation and endocrine function.

Lauren C Brown, Amy R Murphy, Chloe S Lalonde, Preeti D Subhedar, Andrew H Miller, Jennifer S Stevens

Open access · greenAbstract readReview
In one paragraph

Review in Cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 4 pooled it
4.2field-weighted citation impact, top 5% 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

42 citing papers in PubMed, 4 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Pooled it
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  4. EMDR in Cancer Patients: A Systematic Review.Frontiers in psychology · 2020
    Pooled it
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  6. The effect of a group cognitive behavioral therapy on the quality of life and emotional disturbance of women with breast cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Trial
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  16. Observational
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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 at 2 institutions in 1 country.

Lauren C BrownEmory University College of Arts and Sciences, Atlanta, Georgia, USA.
Amy R MurphyDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia, USA.
Chloe S LalondeDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia, USA.ORCID 0000-0002-6775-3299
Preeti D SubhedarGlenn Family Breast Center, Winship Cancer Institute, Emory University, Atlanta, Georgia, USA.
Andrew H MillerDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia, USA.
Jennifer S StevensDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia, USA.ORCID 0000-0003-4674-0314
Emory University · USFlorida State University · US

Funding

Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
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
Eunice Kennedy Shriver National Institute of Child Health and Human Development K12HD085850NCATS NIH HHS UL1 TR002378NCATS NIH HHS UL1TR002378NICHD NIH HHS K12 HD085850NIMH NIH HHS R01 MH117009NIMH NIH HHS R01MH117009
6 · The paper itself

Abstract

A breast cancer diagnosis can be a life-changing and stressful experience that can lead to chronic mental health conditions such as posttraumatic stress disorder (PTSD). Greater than one-third of patients initially diagnosed with PTSD after a diagnosis of breast cancer continue to have persistent or worsening PTSD symptoms after 4 years. An emerging body of literature has indicated several key environmental and biological risk factors for PTSD among survivors of breast cancer. Well-recognized risk factors include having a history of childhood trauma, being nonwhite, obesity, younger age at the time of diagnosis, diagnosis with a higher stage of breast cancer, and short time since treatment. Of the emerging risk factors related to fear circuitry in the brain, 2 pathways of particular importance are the stress-driven activation of inflammatory pathways and the long-term effect of antiendocrine therapies. These central and peripheral responses during and after stress exposure are important because increased fear and anxiety can lead to the maintenance of PTSD and worse patient outcomes. Given the poor outcomes associated with PTSD and the high prevalence of breast cancer in women, more research to identify those women at heightened risk of PTSD after breast cancer is warranted to reduce the number of diagnoses and lessen the negative impact of this chronic mental health condition.

Indexed as

AnxietyAromatase InhibitorsBrainBreast NeoplasmsCancer SurvivorsFearFemaleHumansIncidenceInflammationOvaryPrevalenceRisk FactorsSelective Estrogen Receptor ModulatorsStress Disorders, Post-TraumaticAromatase InhibitorsSelective Estrogen Receptor Modulatorsbrainbreast cancerestradiolfearinflammationposttraumatic stress disorderquality of life

Identifiers

PMID32374431
PMCPMC9069707
OpenAlexW3020987512

What OpenQuestion holds

Textmetadata
LicenceTDM
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.