Evidence map›Paper›PMID 32734299›Full record

ArticleSocial cognitive and affective neuroscience2020

The modulating impact of cigarette smoking on brain structure in panic disorder: a voxel-based morphometry study.

Stefanie L Kunas, Kevin Hilbert, Yunbo Yang, Jan Richter, Alfons Hamm, André Wittmann, Andreas Ströhle, Bettina Pfleiderer, Martin J Herrmann, Thomas Lang and 8 more

Open access · goldAbstract read
In one paragraph

Article in Social cognitive and affective neuroscience, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 4 pooled it
1.4field-weighted citation impact, top 17% 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

10 citing papers in PubMed, 4 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Gray Matter Alterations in Panic Disorder: A Voxel-Wise Meta-Analysis.Psychiatry and clinical psychopharmacology · 2023
    Pooled it
  4. Pooled it
  5. Article
  6. Article
  7. Grey matter morphometry in young adult e-cigarette users, tobacco cigarette users & non-using controls.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2025
    Article
  8. Review
  9. Review
  10. Review
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

18 authors at 8 institutions in 1 country.

Stefanie L KunasDepartment of Psychology, Humboldt-Universität zu Berlin, Berlin 10117, Germany.
Kevin HilbertDepartment of Psychology, Humboldt-Universität zu Berlin, Berlin 10117, Germany.
Yunbo YangDepartment of Psychiatry and Psychotherapy and Center for Mind Brain and Behavior (CMBB), Philipps-University Marburg, Marburg 35037, Germany.
Jan RichterDepartment of Biological and Clinical Psychology/Psychotherapy, University of Greifswald, Greifswald 17489, Germany.
Alfons HammDepartment of Biological and Clinical Psychology/Psychotherapy, University of Greifswald, Greifswald 17489, Germany.
André WittmannDepartment of Psychiatry and Psychotherapy, Campus Charité Mitte, Charité - Universitätsmedizin Berlin, Berlin 10117, Germany.
Andreas StröhleDepartment of Psychiatry and Psychotherapy, Campus Charité Mitte, Charité - Universitätsmedizin Berlin, Berlin 10117, Germany.
Bettina PfleidererDepartment of Clinical Radiology, University of Münster, Münster 48149, Germany.
Martin J HerrmannDepartment of Psychiatry, Psychosomatics and Psychotherapy, Center of Mental Health, University Hospital of Würzburg, University of Würzburg, Würzburg 97080, Germany.
Thomas LangChristoph-Dornier-Foundation for Clinical Psychology, Bremen 28359, Germany.
Martin LotzeFunctional Imaging Unit, Institute for Diagnostic Radiology and Neuroradiology, University of Greifswald, Greifswald 17489, Germany.
Jürgen DeckertDepartment of Psychiatry, Psychosomatics and Psychotherapy, Center of Mental Health, University Hospital of Würzburg, University of Würzburg, Würzburg 97080, Germany.
Volker AroltDepartment of Psychiatry, University of Münster, Münster 48149, Germany.
Hans-Ulrich WittchenInstitute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Dresden 01069, Germany.
Benjamin StraubeDepartment of Psychiatry and Psychotherapy and Center for Mind Brain and Behavior (CMBB), Philipps-University Marburg, Marburg 35037, Germany.
Tilo KircherDepartment of Psychiatry and Psychotherapy and Center for Mind Brain and Behavior (CMBB), Philipps-University Marburg, Marburg 35037, Germany.
Alexander L GerlachDepartment of Psychiatry and Psychotherapy and Center for Mind Brain and Behavior (CMBB), Philipps-University Marburg, Marburg 35037, Germany.
Ulrike LuekenDepartment of Psychology, Humboldt-Universität zu Berlin, Berlin 10117, Germany.
Philipps University of Marburg · DEHumboldt-Universität zu Berlin · DEUniversität Greifswald · DECharité - Universitätsmedizin Berlin · DEUniversity of Münster · DEUniversity of Würzburg · DEDornier Flugzeugwerke (Germany) · DETechnische Universität Dresden · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cigarette smoking increases the likelihood of developing anxiety disorders, among them panic disorder (PD). While brain structures altered by smoking partly overlap with morphological changes identified in PD, the modulating impact of smoking as a potential confounder on structural alterations in PD has not yet been addressed. In total, 143 PD patients (71 smokers) and 178 healthy controls (62 smokers) participated in a multicenter magnetic resonance imaging (MRI) study. T1-weighted images were used to examine brain structural alterations using voxel-based morphometry in a priori defined regions of the defensive system network. PD was associated with gray matter volume reductions in the amygdala and hippocampus. This difference was driven by non-smokers and absent in smoking subjects. Bilateral amygdala volumes were reduced with increasing health burden (neither PD nor smoking > either PD or smoking > both PD and smoking). As smoking can narrow or diminish commonly observed structural abnormalities in PD, the effect of smoking should be considered in MRI studies focusing on patients with pathological forms of fear and anxiety. Future studies are needed to determine if smoking may increase the risk for subsequent psychopathology via brain functional or structural alterations.

Indexed as

AdultBrainCase-Control StudiesCigarette SmokingFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedOrgan SizePanic DisorderYoung Adultamygdalagray matter volumehippocampuspanic disordersmoking

Identifiers

PMID32734299
PMCPMC7543937
OpenAlexW3046801661

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.