Evidence map›Paper›PMID 33603200›Full record

ArticleNature human behaviour2021

Anterior prefrontal brain activity during emotion control predicts resilience to post-traumatic stress symptoms.

Reinoud Kaldewaij, Saskia B J Koch, Mahur M Hashemi, Wei Zhang, Floris Klumpers, Karin Roelofs

Abstract read
In one paragraph

Article in Nature human behaviour, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
–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.

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

40 citing papers in PubMed.

  1. Neuroimaging correlates and predictors of response to repeated-dose intravenous ketamine in PTSD: preliminary evidence.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2021
    Trial
  2. Functional brain imaging in posttraumatic stress disorder: a review.Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Article
  3. Mechanistic signatures of comorbid PTSD with cognitive impairment implicate cortisol-induced neural toxicity.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
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  7. Sequential decreases in basolateral amygdala response to threat predict failure to recover from PTSD.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2025
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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.

Reinoud KaldewaijDonders Institute, Centre for Cognitive Neuroimaging, Radboud University, Nijmegen, the Netherlands. r.kaldewaij@gmail.com.ORCID http://orcid.org/0000-0003-2177-7380
Saskia B J KochDonders Institute, Centre for Cognitive Neuroimaging, Radboud University, Nijmegen, the Netherlands.ORCID http://orcid.org/0000-0002-3628-6712
Mahur M HashemiDonders Institute, Centre for Cognitive Neuroimaging, Radboud University, Nijmegen, the Netherlands.
Wei ZhangDonders Institute, Centre for Cognitive Neuroimaging, Radboud University, Nijmegen, the Netherlands.ORCID http://orcid.org/0000-0001-6428-2033
Floris KlumpersDonders Institute, Centre for Cognitive Neuroimaging, Radboud University, Nijmegen, the Netherlands.ORCID http://orcid.org/0000-0002-0631-5789
Karin RoelofsDonders Institute, Centre for Cognitive Neuroimaging, Radboud University, Nijmegen, the Netherlands.ORCID http://orcid.org/0000-0002-8863-8978

Funding

European Research Council 313749
6 · The paper itself

Abstract

Regulating social emotional actions is essential for coping with life stressors and is associated with control by the anterior prefrontal cortex (aPFC) over the amygdala. However, it remains unclear to what extent prefrontal emotion regulation capacities contribute to resilience against developing post-traumatic stress disorder (PTSD) symptoms. Here, 185 police recruits who experienced their core trauma in the line of duty participated in a prospective longitudinal study. Pre- and post-trauma, they performed a well-established functional magnetic resonance imaging (fMRI) approach-avoidance task, mapping impulsive and controlled emotional actions. Higher baseline aPFC, dorsal and medial frontal pole activity was related to lower PTSD symptoms after trauma exposure. aPFC activity predicted symptom development over and above self-reported and behavioural measures. Trauma exposure, but not trauma symptoms, predicted amygdala activation at follow-up. These findings suggest that prefrontal emotion regulation activity predicts increased resilience against developing post-traumatic stress symptoms and may provide fruitful starting points for prediction and intervention studies.

Indexed as

Emotional RegulationImpulsive BehaviorResilience, PsychologicalAdolescentAdultFemaleFunctional NeuroimagingHumansLongitudinal StudiesMagnetic Resonance ImagingMaleMiddle AgedPolicePrefrontal CortexProspective StudiesPsychological Trauma

Identifiers

PMID33603200
PMCPMC7611547

What OpenQuestion holds

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Registered trials

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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.