Evidence map›Paper›PMID 33588239›Full record

ArticleJournal of affective disorders2021

Understanding trajectories of underlying dimensions of posttraumatic psychopathology.

Jennifer A Sumner, Dennis Rünger, Theodore F Robles, Sarah R Lowe, David Elashoff, Vivek Shetty

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of affective disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 24% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
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  3. Article
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  5. Review
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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

6 authors at 2 institutions in 1 country.

Jennifer A SumnerDepartment of Psychology, University of California, Los Angeles (UCLA), Los Angeles, CA, United States. Electronic address: jsumner@psych.ucla.edu.
Dennis RüngerDepartment of Medicine Statistics Core, David Geffen School of Medicine at UCLA, Los Angeles, CA, United States.
Theodore F RoblesDepartment of Psychology, University of California, Los Angeles (UCLA), Los Angeles, CA, United States.
Sarah R LoweDepartment of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT, United States.
David ElashoffDepartment of Medicine Statistics Core, David Geffen School of Medicine at UCLA, Los Angeles, CA, United States.
Vivek ShettySchool of Dentistry, UCLA, Los Angeles, CA, United States.
University of California, Los Angeles · USYale University · US

Funding

Identifying Early Intervention Targets for Reducing Cardiovascular Risk in Posttraumatic StressR01HL139614 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SUMNER, JENNIFER A · 2018 to 2022
$3.9M
Salivary Biomarker Panel for Measuring and Predicting Traumatic Stress ReactionsR01DE022045 · NIDCR · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SHETTY, VIVEK · 2012 to 2016
$3.3M
Posttraumatic Stress and Cardiovascular Risk in Women: Tests of Biological MechanismsK01HL130650 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SUMNER, JENNIFER A · 2016 to 2020
$815k
NHLBI NIH HHS K01 HL130650NHLBI NIH HHS R01 HL139614NIDCR NIH HHS R01 DE022045
6 · The paper itself

Abstract

backgroundResearch suggests four modal trajectories of psychological symptoms after traumatic injury: Resilient, Chronic, Delayed Onset, Recovery. However, most studies focus on symptoms of psychiatric disorders (e.g., posttraumatic stress disorder, depression), which are limited by heterogeneity and symptom overlap. We examined trajectories of cross-cutting posttraumatic symptom dimensions following traumatic injury and predictors of trajectory membership.

methodsIn this longitudinal study of 427 predominantly Hispanic/Latino traumatic injury survivors, posttraumatic psychopathology symptoms were assessed during hospitalization and approximately one and five months post-trauma. Using latent class growth analysis, we estimated trajectories of several posttraumatic symptom dimensions: re-experiencing, avoidance, anxious arousal, numbing, dysphoric arousal, loss, and threat. We then examined sociodemographic and trauma-related characteristics (measured during hospitalization) as predictors of trajectory membership for each dimension.

resultsFour trajectories (Resilient, Chronic, Delayed Onset, Recovery) emerged for all dimensions except loss and threat, which manifested three trajectories (Resilient, Chronic, Delayed Onset). Across dimensions, membership in the Chronic (vs. Resilient) trajectory was consistently predicted by unemployment (7 of 7 dimensions), followed by older age (3/7), female sex (3/7), and assaultive trauma (2/7). For several dimensions, unemployment also distinguished between participants who presented with similar symptom levels days after trauma, but then diverged over time. LIMITATIONS: Measures of posttraumatic symptom dimension constructs differed across assessments.

conclusionsThis study provides evidence of distinct trajectories across transdiagnostic symptom dimensions after traumatic injury. Employment status emerged as the most important predictor of trajectory membership. Research is needed to better understand the etiologies and consequences of these posttraumatic symptom dimension trajectories.

Indexed as

PsychopathologyStress Disorders, Post-TraumaticAgedAnxietyFemaleHumansLongitudinal StudiesSurvivorsPosttraumatic psychopathologySymptom dimensionTrajectoryTrauma

Identifiers

PMID33588239
PMCPMC7927420
OpenAlexW3128621410

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.