Evidence map›Paper›PMID 34726450›Full record

ArticlePsychological trauma : theory, research, practice and policy2022

Estradiol, stress reactivity, and daily affective experiences in trauma-exposed women.

Jenna K Rieder, Olena Kleshchova, Mariann R Weierich

Open access · hybridAbstract read
In one paragraph

Article in Psychological trauma : theory, research, practice and policy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.4field-weighted citation impact, top 18% 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

11 citing papers in PubMed, 17 citations in OpenAlex.

  1. Hormonal mechanisms of women's risk in the face of traumatic stress.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Trial
  2. Article
  3. Article
  4. Scoping Review of Experience Sampling Methodology Investigations of Posttraumatic Stress Disorder Symptoms.Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association · 2026
    Article
  5. Article
  6. Estradiol levels are differentially associated with pulse wave velocity in trauma-exposed premenopausal women with and without PTSD.American journal of physiology. Regulatory, integrative and comparative physiology · 2025
    Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Menstrual Cycle in Trauma-Related Disorders: A Mini-Review.Frontiers in global women's health · 2022
    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

3 authors.

Jenna K RiederCollege of Humanities and Sciences.ORCID 0000-0001-6348-1073
Olena KleshchovaDepartment of Psychology.ORCID 0000-0003-2013-3612
Mariann R WeierichDepartment of Psychology.ORCID 0000-0001-5784-1829

Funding

Basic and Translational Research Center for Reducing Health DisparitiesG12MD007599 · NIMHD · HUNTER COLLEGE · PI ANGULO, JESUS A · 2012 to 2017
$14.6M
BP-ENDURE at Hunter and NYUR25NS080686 · NINDS · HUNTER COLLEGE · PI Nesha Star Burghardt, GLENN E SCHAFE · 2012 to 2026
$9.2M
Neurobiology of Addiction &Impulsive BehaviorR24DA012136 · NIDA · HUNTER COLLEGE · PI QUINONES-JENAB, VANYA · 1999 to 2016
$5.2M
National Institutes of Health; National Institute on Drug AbuseNIDA NIH HHS R24 DA012136NIMHDNIMHD NIH HHS G12 MD007599NINDS NIH HHSNINDS NIH HHS R25 NS080686
6 · The paper itself

Abstract

objectiveWomen experience higher risk for PTSD following trauma compared with men. Fluctuations in ovarian hormones might contribute to this greater vulnerability, given that estradiol is associated with affect and stress reactivity. Our objective was to test the relations between menstrual cycle-related changes in estradiol, affect, stress reactivity, and trauma-related symptoms.

methodWe assessed trauma-related symptoms in ethnically diverse naturally cycling women with a history of trauma during a clinical interview. Participants also completed a 10-day ecological momentary assessment (EMA) that included lower- and higher-estradiol phases. We tested associations between estradiol and PTSD symptoms and stress reactivity to a trauma reminder using Spearman correlation and Wilcoxon rank-sum tests. We tested the effect of menstrual cycle day on daily affect using multilevel modeling.

resultsEstradiol was negatively associated with symptom severity (

conclusionsConsistent with prior evidence of more aversive affective experiences in low-estradiol states, lower estradiol was associated with higher trauma-related symptoms. In addition, trauma-exposed women showed a discordant pattern of stress reactivity to a trauma reminder, higher daily symptoms, and greater affective lability in a low-estradiol phase. Given that our sample consisted of high-functioning trauma-exposed women, these results should be replicated in women with PTSD. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Indexed as

EstradiolStress Disorders, Post-TraumaticAffectEcological Momentary AssessmentFemaleHumansHypothalamo-Hypophyseal SystemMalePituitary-Adrenal SystemEstradiol

Identifiers

PMID34726450
PMCPMC9046469
OpenAlexW3208215695

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.