Evidence map›Paper›PMID 34527793›Full record

ArticleNeurobiology of stress2021

Reversed patterns of resting state functional connectivity for females vs. males in posttraumatic stress disorder.

Liat Helpman, Xi Zhu, Sigal Zilcha-Mano, Benjamin Suarez-Jimenez, Amit Lazarov, Bret Rutherford, Yuval Neria

Abstract read
In one paragraph

Article in Neurobiology of stress, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 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.

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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Mental health and self-compassion in military couples during wartime.Psychological trauma : theory, research, practice and policy · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Sex Differences in the Neurobiology of Fear and Anxiety.Current topics in behavioral neurosciences · 2025
    Review
  10. Article
  11. Circulating PACAP levels are associated with increased amygdala-default mode network resting-state connectivity in posttraumatic stress disorder.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2023
    Article
  12. Article
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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

7 authors.

Liat HelpmanUniversity of Haifa, 199 Aba Hushi St. Mt. Carmel, Haifa, Israel.
Xi ZhuDepartment of Psychiatry and the New York State Psychiatric Institute, Columbia University Medical Center, 1071 Riverside Dr., New York, NY, USA.
Sigal Zilcha-ManoUniversity of Haifa, 199 Aba Hushi St. Mt. Carmel, Haifa, Israel.
Benjamin Suarez-JimenezDepartment of Neuroscience, University of Rochester, NY, USA.
Amit LazarovSchool of Psychological Sciences, Tel Aviv University, P.O. Box 39040, Tel Aviv, Israel.
Bret RutherfordDepartment of Psychiatry and the New York State Psychiatric Institute, Columbia University Medical Center, 1071 Riverside Dr., New York, NY, USA.
Yuval NeriaDepartment of Psychiatry and the New York State Psychiatric Institute, Columbia University Medical Center, 1071 Riverside Dr., New York, NY, USA.

Funding

Identification of Distinct Multimodal Biotypes of PTSD Using Data Driven Approach: A Multisite Big Data StudyK01MH122774 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI ZHU, XI · 2021 to 2024
$705k
NIMH NIH HHS K01 MH122774
6 · The paper itself

Abstract

backgroundPosttraumatic stress disorder (PTSD) is twice as prevalent among females as compared to males following potentially traumatic events. While there is evidence for aberrant functional connectivity between hubs of the central executive network (CEN), salience network (SN), and the default mode network (DMN) in PTSD, little is known regarding sex-specificity of this connectivity. The current study aims to directly examine sex-specific resting-state functional connectivity (rs-FC) in trauma exposed males and females, with and without PTSD.

methodsOne hundred and seventy-eight individuals underwent functional magnetic resonance imaging (fMRI) at rest, of them 85 females (45 with PTSD) and 93 males (57 with PTSD). We conducted whole-brain seed-based analysis using CEN (lateral prefrontal cortex [lPFC]), SN (anterior cingulate cortex [ACC], insula, amygdala [AMG]), and DMN (medial prefrontal cortex [mPFC], posterior parietal cortex [PCC], and hippocampus [HIP]) hubs as seed regions. Group-by-Sex ANOVA was conducted.

resultsThe amygdala-precuneus, ACC-precuneus, and hippocampus-precuneus pathways exhibited significant group-by-sex interaction effects, with females with PTSD consistently differing in connectivity patterns from males with PTSD and from trauma-exposed healthy females.

conclusionsSex-specific neural connectivity patterns were found within and between key nodes of the CEN, DMN, and the SN, suggesting opposite patterns of connectivity in PTSD and trauma-exposed controls as a function of sex as a biological variable (SABV). This may point to mechanistic sex differences in adaptation following trauma and may inform differential neural targets for treatment of females and males with PTSD.

Indexed as

GenderMechanismNeurobiologyPathophysiologySABVTrauma

Identifiers

PMID34527793
PMCPMC8433283

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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.