Evidence map›Paper›PMID 33168198›Full record

ArticleJournal of psychiatric research2021

The environment contributes more than genetics to smaller hippocampal volume in Posttraumatic Stress Disorder (PTSD).

J Douglas Bremner, Matthew Hoffman, Nadeem Afzal, Faiz A Cheema, Olga Novik, Ali Ashraf, Marijn Brummer, Ahsan Nazeer, Jack Goldberg, Viola Vaccarino

Open access · greenAbstract read
In one paragraph

Article in Journal of psychiatric research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
1.7field-weighted citation impact, top 9% 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

20 citing papers in PubMed, 39 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Review
  10. Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. 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

10 authors at 4 institutions in 1 country.

J Douglas BremnerDepartments of Psychiatry and Behavioral Sciences, USA; Radiology, and Medicine (Cardiology), USA; Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA. Electronic address: jdbremn@emory.edu.
Matthew HoffmanDepartments of Psychiatry and Behavioral Sciences, USA.
Nadeem AfzalDepartments of Psychiatry and Behavioral Sciences, USA.
Faiz A CheemaDepartments of Psychiatry and Behavioral Sciences, USA; The Vietnam Era Twin Registry, Seattle Veterans Administration Epidemiology Research, USA.
Olga NovikDepartments of Psychiatry and Behavioral Sciences, USA; The Vietnam Era Twin Registry, Seattle Veterans Administration Epidemiology Research, USA.
Ali AshrafDepartments of Psychiatry and Behavioral Sciences, USA.
Marijn BrummerRadiology, and Medicine (Cardiology), USA.
Ahsan NazeerDepartments of Psychiatry and Behavioral Sciences, USA.
Jack GoldbergInformation Center and Department of Epidemiology, University of Washington, Seattle, WA, USA.
Viola VaccarinoEmory University School of Medicine, Atlanta GA; Atlanta VAMC, Decatur, GA, USA; The Vietnam Era Twin Registry, Seattle Veterans Administration Epidemiology Research, USA.
Behavioral Pharma (United States) · USEmory University · USUnited States Department of Veterans Affairs · USUniversity of Washington · US

Funding

Neural Circuits in Women with Abuse and PTSDR01MH056120 · NIMH · YALE UNIVERSITY · PI BREMNER, JAMES DOUGLAS · 1999 to 2011
$5.0M
Dopamine function, inflammation and connectivity in PTSDR01MH120262 · NIMH · EMORY UNIVERSITY · PI BREMNER, JAMES DOUGLAS · 2020 to 2023
$2.9M
Mechanisms of Depression in CVDR01HL088726 · NHLBI · EMORY UNIVERSITY · PI BREMNER, JAMES DOUGLAS · 2008 to 2012
$2.6M
Biological Correlates of Traumatic StressK24MH076955 · NIMH · EMORY UNIVERSITY · PI BREMNER, JAMES DOUGLAS · 2006 to 2013
$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
Training Program in Neuroimaging SciencesT32MH067547 · NIMH · EMORY UNIVERSITY · PI BREMNER, JAMES DOUGLAS · 2005 to 2009
$502k
Shared Instrumentation for Research PET Brain DeviceS10RR016917 · NCRR · EMORY UNIVERSITY · PI BREMNER, JAMES DOUGLAS · 2002 to 2002
$500k
NCRR NIH HHS S10 RR016917NHLBI NIH HHS R01 HL088726NIDA NIH HHS UG3 DA048502NIMH NIH HHS K24 MH076955NIMH NIH HHS R01 MH056120NIMH NIH HHS R01 MH120262NIMH NIH HHS T32 MH067547RRD VA I01 RX003418
6 · The paper itself

Abstract

backgroundStudies using structural magnetic resonance imaging (MRI) volumetrics showed smaller hippocampal volume in patients with post-traumatic stress disorder (PTSD). These studies were cross-sectional and did not address whether smaller volume is secondary to stress-induced damage, or whether pre-existing factors account for the findings. The purpose of this study was to use a co-twin case control design to assess the relative contribution of genetic and environmental factors to hippocampal volume in PTSD.

methodsMonozygotic (N = 13 pairs) and dizygotic (N = 21 pairs) twins with a history of Vietnam Era military service, where one brother went to Vietnam and developed PTSD, while his brother did not go to Vietnam or develop PTSD, underwent MR imaging of the brain. Structural MRI scans were used to manually outline the left and right hippocampus on multiple coronal slices, add the areas and adjust for slice thickness to determine hippocampal volume.

resultsTwins with Vietnam combat-related PTSD had a mean 11% smaller right hippocampal volume in comparison to their twin brothers without combat exposure or PTSD (p < .05). There was no significant interaction by zygosity, suggesting that this was not a predisposing risk factor or genetic effect.

conclusionsThese findings are consistent with smaller hippocampal volume in PTSD, and suggest that the effects are primarily due to environmental effects such as the stress of combat.

Indexed as

Combat DisordersStress Disorders, Post-TraumaticCross-Sectional StudiesHippocampusHumansMagnetic Resonance ImagingMale

Identifiers

PMID33168198
PMCPMC8345282
OpenAlexW3095034450

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.