Evidence map›Paper›PMID 33536131›Full record

ArticleBiological psychiatry2021

Trauma Affects Prospective Relationships Between Reward-Related Ventral Striatal and Amygdala Activation and 1-Year Future Hypo/Mania Trajectories.

Kristen L Eckstrand, Erika E Forbes, Michele A Bertocci, Henry W Chase, Tsafrir Greenberg, Jeanette Lockovich, Ricki Stiffler, Haris A Aslam, Simona Graur, Genna Bebko and 1 more

Open access · greenAbstract read
In one paragraph

Article in Biological psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

8 citing papers in PubMed, 14 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

11 authors at 1 institution in 1 country.

Kristen L EckstrandDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania. Electronic address: eckstrandkl@upmc.edu.
Erika E ForbesDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania.
Michele A BertocciDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania.
Henry W ChaseDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania.
Tsafrir GreenbergDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania.
Jeanette LockovichDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania.
Ricki StifflerDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania.
Haris A AslamDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania.
Simona GraurDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania.
Genna BebkoDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania.
Mary L PhillipsDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania.
University of Pittsburgh · US

Funding

CLINICAL RESEARCH TRAINING IN CHILD PSYCHIATRYT32MH018951 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI TINA R GOLDSTEIN · 1990 to 2026
$9.7M
Reward, impulsive sensation seeking and emotional dysregulation: neural mechanisms underlying risk for bipolar disorder in young adultsR37MH100041 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Mary Louise Phillips · 2019 to 2026
$5.8M
Reward, pathophysiologic dimensions and psychological distress in young adultsR01MH100041 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI PHILLIPS, MARY LOUISE · 2014 to 2018
$3.1M
NIMH NIH HHS R01 MH100041NIMH NIH HHS R37 MH100041NIMH NIH HHS T32 MH018951
6 · The paper itself

Abstract

backgroundTrauma exposure is associated with a more severe, persistent course of affective and anxiety symptoms. Markers of reward neural circuitry function, specifically activation to reward prediction error (RPE), are impacted by trauma and predict the future course of affective symptoms. This study's purpose was to determine how lifetime trauma exposure influences relationships between reward neural circuitry function and the course of future affective and anxiety symptoms in a naturalistic, transdiagnostic observational context.

methodsA total of 59 young adults aged 18-25 (48 female and 11 male participants, mean ± SD = 21.5 ± 2.0 years) experiencing psychological distress completed the study. Participants were evaluated at baseline, 6, and 12 months. At baseline, the participants reported lifetime trauma events and completed a monetary reward functional magnetic resonance imaging task. Affective and anxiety symptoms were reported at each visit, and trajectories were calculated using MPlus. Neural activation during RPE and other phases of reward processing were determined using SPM8. Trauma and reward neural activation were entered as predictors of symptom trajectories.

resultsTrauma exposure moderated prospective relationships between left ventral striatum (β = -1.29, p = .02) and right amygdala (β = 0.58, p = .04) activation to RPE and future hypo/mania severity trajectory: the interaction between greater trauma and greater left ventral striatum activation to RPE was associated with a shallower increase in hypo/mania severity, whereas the interaction between greater trauma and greater right amygdala activation to RPE was associated with increasing hypo/mania severity.

conclusionsTrauma exposure affects prospective relationships between markers of reward circuitry function and affective symptom trajectories. Evaluating trauma exposure is thus crucial in naturalistic and treatment studies aiming to identify neural predictors of future affective symptom course.

Indexed as

ManiaVentral StriatumAdolescentAdultAmygdalaFemaleHumansMagnetic Resonance ImagingMaleProspective StudiesRewardYoung AdultAmygdalafMRIManiaRewardStriatumTrauma

Identifiers

PMID33536131
PMCPMC8052260
OpenAlexW3108220210

What OpenQuestion holds

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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.