Evidence map›Paper›PMID 32916852›Full record

ReviewJournal of personalized medicine2020

Application of Noninvasive Vagal Nerve Stimulation to Stress-Related Psychiatric Disorders.

James Douglas Bremner, Nil Z Gurel, Matthew T Wittbrodt, Mobashir H Shandhi, Mark H Rapaport, Jonathon A Nye, Bradley D Pearce, Viola Vaccarino, Amit J Shah, Jeanie Park and 2 more

3 registry-linked trialsOpen access · goldAbstract readReview
In one paragraph

Review in Journal of personalized medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 46 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 6% 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.

NCT05516862 narecruitingnot on this mapstarted 2022, after this paper: background citation

Determining the Right Acupuncture for Good Recovery Over Neuropsychiatric Trauma (DRAGON)

TypeinterventionalSponsorPaul CrawfordRan2022 to 2026Enrolled75ConditionsPTSD, Post Traumatic Stress Disorder, AcupunctureArmsDragons acupuncture, Dragons acupressure, Dragons placebo
NCT07411846 nacompletednot on this mapstarted 2025, after this paper: background citation

Effects of Transcutaneous Auricular Vagus Nerve Stimulation on Perceived Stress and Psychological Distress in University Students With High Distress Levels: A Randomized Blinded Clinical Trial

TypeinterventionalSponsorEgas Moniz - Cooperativa de Ensino Superior, CRLRan2025 to 2025Enrolled40ConditionsPsychological Distress, Stress (Psychology), Perceived StressArmstaVNS, Sham
NCT07591935 nacompletednot on this mapstarted 2024, after this paper: background citation

Artificial Intelligence and Mindfulness Meditation: Innovative Methods to Reduce Stress Amongst Medical School Students

TypeinterventionalSponsorSaint James School of MedicineRan2024 to 2024Enrolled20ConditionsStressArmsMindfulness-Based Stress Reduction Course, Apollo Neuro Wearable
3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 1 synthesis or guideline pooled it, 80 citations in OpenAlex.

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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

12 authors at 4 institutions in 1 country.

James Douglas BremnerDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA 30322, USA.ORCID 0000-0003-1633-6433
Nil Z GurelSchool of Electrical and Computer Engineering, Georgia Institute of Technology, Atlanta, GA 30332, USA.ORCID 0000-0002-3702-0449
Matthew T WittbrodtDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA 30322, USA.
Mobashir H ShandhiSchool of Electrical and Computer Engineering, Georgia Institute of Technology, Atlanta, GA 30332, USA.ORCID 0000-0001-9541-529X
Mark H RapaportDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA 30322, USA.
Jonathon A NyeDepartment of Radiology, Emory University School of Medicine, Atlanta, GA 30322, USA.
Bradley D PearceDepartment of Epidemiology, Rollins School of Public Health, Atlanta, GA 30322, USA.
Viola VaccarinoDepartment of Epidemiology, Rollins School of Public Health, Atlanta, GA 30322, USA.
Amit J ShahAtlanta VA Medical Center, Decatur, GA 30033, USA.ORCID 0000-0001-9099-9687
Jeanie ParkAtlanta VA Medical Center, Decatur, GA 30033, USA.
Marom BiksonDepartment of Biomedical Engineering, City University of New York, New York, NY 10010, USA.
Omer T InanSchool of Electrical and Computer Engineering, Georgia Institute of Technology, Atlanta, GA 30332, USA.
Emory University · USGeorgia Institute of Technology · USCity University of New York · USGeorgia Department of Public Health · 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
J: NRSA Training CoreTL1TR002382 · NCATS · EMORY UNIVERSITY · PI HENRY M BLUMBERG, Vasiliki Michopoulos · 2017 to 2026
$8.5M
Neurovascular Regulation During Exercise In Humans With Chronic Kidney DiseaseR01HL135183 · NHLBI · EMORY UNIVERSITY · PI Jeanie Park · 2017 to 2026
$5.4M
Dopamine function, inflammation and connectivity in PTSDR01MH120262 · NIMH · EMORY UNIVERSITY · PI BREMNER, JAMES DOUGLAS · 2020 to 2023
$2.9M
Sympatho-inhibition with Mindfulness in Chronic Kidney DiseaseR61AT010457 · NCCIH · EMORY UNIVERSITY · PI PARK, JEANIE · 2019 to 2020
$946k
Non-Invasive Vagal Nerve Stimulation in Patients with Opioid Use Disorders UG3DA048502 · NIDA · EMORY UNIVERSITY · PI BREMNER, JAMES DOUGLAS, INAN, OMER TOLGA · 2020 to 2021
$844k
Emotional Stress as a Risk Factor for Arrhythmia: Ischemic and Genetic MechanismsK23HL127251 · NHLBI · EMORY UNIVERSITY · PI SHAH, AMIT JASVANT · 2016 to 2019
$749k
Shared Instrumentation for Research PET Brain DeviceS10RR016917 · NCRR · EMORY UNIVERSITY · PI BREMNER, JAMES DOUGLAS · 2002 to 2002
$500k
Mechanisms of Sympathetic Overactivity in Post-traumatic Stress DisorderI01CX001065 · VA · VETERANS HEALTH ADMINISTRATION · PI PARK, JEANIE · 2015 to 2024
–
CSRD VA I01 CX001065Defense Advanced Research Projects Agency N66001-16-2-4054NCATS NIH HHS TL1 TR002382NCATS NIH HHS UL1 TR002378NCCIH NIH HHS R61 AT010457NCRR NIH HHS S10 RR016917NHLBI NIH HHS K23 HL127251NIDA NIH HHS UG3 DA048502NIMH NIH HHS R01 MH120262RRD VA I01 RX003418
6 · The paper itself

Abstract

backgroundVagal Nerve Stimulation (VNS) has been shown to be efficacious for the treatment of depression, but to date, VNS devices have required surgical implantation, which has limited widespread implementation.

methodsNew noninvasive VNS (nVNS) devices have been developed which allow external stimulation of the vagus nerve, and their effects on physiology in patients with stress-related psychiatric disorders can be measured with brain imaging, blood biomarkers, and wearable sensing devices. Advantages in terms of cost and convenience may lead to more widespread implementation in psychiatry, as well as facilitate research of the physiology of the vagus nerve in humans. nVNS has effects on autonomic tone, cardiovascular function, inflammatory responses, and central brain areas involved in modulation of emotion, all of which make it particularly applicable to patients with stress-related psychiatric disorders, including posttraumatic stress disorder (PTSD) and depression, since dysregulation of these circuits and systems underlies the symptomatology of these disorders.

resultsThis paper reviewed the physiology of the vagus nerve and its relevance to modulating the stress response in the context of application of nVNS to stress-related psychiatric disorders.

conclusionsnVNS has a favorable effect on stress physiology that is measurable using brain imaging, blood biomarkers of inflammation, and wearable sensing devices, and shows promise in the prevention and treatment of stress-related psychiatric disorders.

Indexed as

depressive disordersinflammationinterferoninterleukin-6posttraumaticPTSDstressstress disorderssympatheticvagal nerve stimulationvagus nerveVNS

Identifiers

PMID32916852
PMCPMC7563188
OpenAlexW3083909200

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.