Evidence map›Paper›PMID 33277952›Full record

SynthesisJournal of traumatic stress2021

Posttraumatic Stress Disorder Treatment Effects on Cardiovascular Physiology: A Systematic Review and Agenda for Future Research.

Kyle J Bourassa, Rebecca C Hendrickson, Greg M Reger, Aaron M Norr

Registry-linked trialAbstract readSystematic Review
In one paragraph

Synthesis in Journal of traumatic stress, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06429293 (Impact of Cognitive Behavioral Therapy on Neural, Inflammatory, & Autonomic Markers in a Sample With PTSD and Cardiovascular Risk), which is not on this map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 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.

NCT06429293 narecruitingnot on this mapstarted 2023, after this paper: background citation

Impact of Cognitive Behavioral Therapy on Neural, Inflammatory, & Autonomic Markers in a Sample With PTSD and Cardiovascular Risk: Protocol for a Pilot Randomized Controlled Trial

TypeinterventionalSponsorMassachusetts General HospitalRan2023 to 2026Enrolled30ConditionsPosttraumatic Stress DisorderArmsCognitive processing therapy
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Trauma, posttraumatic stress disorder, and incident chronic disease.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025
    Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  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

4 authors.

Kyle J BourassaVA Puget Sound Healthcare System, Seattle, Washington, USA.ORCID 0000-0001-9372-2309
Rebecca C HendricksonVISN 20 Northwest Network Mental Illness Research, Education and Clinical Center (MIRECC) Seattle, Washington, USA.ORCID 0000-0003-2377-823X
Greg M RegerVA Puget Sound Healthcare System, Seattle, Washington, USA.
Aaron M NorrVISN 20 Northwest Network Mental Illness Research, Education and Clinical Center (MIRECC) Seattle, Washington, USA.

Funding

BEHAVIOR AND PHYSIOLOGY IN AGINGT32AG000029 · NIA · DUKE UNIVERSITY · PI Maria Marquine · 1985 to 2026
$9.3M
Noradrenergic biomarkers in PTSD: precision medicine & mechanismsIK2CX001774 · VA · VA PUGET SOUND HEALTHCARE SYSTEM · PI HENDRICKSON, REBECCA CAPPEL · 2018 to 2023
–
CSRD VA IK2 CX001774NIA NIH HHS T32 AG000029
6 · The paper itself

Abstract

Posttraumatic stress disorder (PTSD) is linked to both altered physiological functioning and poorer cardiovascular health outcomes, including an increased risk for cardiovascular disease and cardiovascular-related mortality. An important question is whether interventions for PTSD might ameliorate the risk for poorer health by improving cardiovascular physiological intermediaries. To begin to characterize the literature addressing this question, we conducted a systematic review of empirical studies examining the impact of PTSD interventions on cardiovascular physiological intermediaries, including blood pressure (BP), heart rate (HR), cardiac impedance, and subclinical atherosclerosis. Outcomes included both tonic (i.e., resting) cardiovascular functioning and cardiovascular reactivity (CVR). A total of 44 studies met the inclusion criteria. There was mixed evidence regarding whether PTSD treatment improved tonic cardiovascular functioning. There was stronger evidence that PTSD treatments reduced CVR to trauma-related stressors, particularly for higher-quality studies of cognitive behavioral interventions. No studies examined cardiac impedance or subclinical atherosclerosis. The studies had a high degree of heterogeneity in the populations sampled and interventions tested. Moreover, they generally included small sample sizes and lacked control conditions. Interventions for PTSD may improve cardiovascular physiological outcomes, particularly CVR to trauma cues, although additional methodologically rigorous studies are needed. We outline changes to future research that would improve the literature regarding this important question, including the more frequent use of control groups and larger sample sizes.

Indexed as

Heart Disease Risk FactorsBlood PressureCognitive Behavioral TherapyHeart RateHumansPsychosocial InterventionStress Disorders, Post-Traumatic

Identifiers

PMID33277952
PMCPMC8035275

What OpenQuestion holds

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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.