Evidence map›Paper›PMID 36006041›Full record

ArticleJournal of traumatic stress2022

Machine learning prediction of posttraumatic stress disorder trajectories following traumatic injury: Identification and validation in two independent samples.

Carissa W Tomas, Jacklynn M Fitzgerald, Carisa Bergner, Cecilia J Hillard, Christine L Larson, Terri A deRoon-Cassini

Open access · greenAbstract read
In one paragraph

Article in Journal of traumatic stress, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 12% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Optimizing Symptom Surveys with Machine Learning to Predict PTSD One Year Post-trauma....IEEE...International Conference on Connected Health: Applications, Systems and Engineering Technologies. IEEE International Conference on Connected Health: Applications, Systems and Engineering Technologies · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Trajectories of Anhedonia Symptoms after Traumatic Injury.European journal of trauma & dissociation = Revue europeenne du trauma et de la dissociation · 2024
    Article
  11. Article
  12. Article
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 3 institutions in 1 country.

Carissa W TomasDivision of Epidemiology, Institute for Health and Equity, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.ORCID 0000-0002-9199-8632
Jacklynn M FitzgeraldDepartment of Psychology, Marquette University, Milwaukee, Wisconsin, USA.
Carisa BergnerComprehensive Injury Center, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Cecilia J HillardDepartment of Pharmacology and Toxicology and Neuroscience Research Center, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Christine L LarsonDepartment of Psychology, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin, USA.
Terri A deRoon-CassiniComprehensive Injury Center, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.ORCID 0000-0002-9485-0625
Medical College of Wisconsin · USMarquette University · USUniversity of Wisconsin–Milwaukee · US

Funding

Acute Neurocognitive-affective Predictors of Chronic Post-trauma OutcomesR01MH106574 · NIMH · UNIVERSITY OF WISCONSIN MILWAUKEE · PI LARSON, CHRISTINE L · 2015 to 2019
$3.1M
Acute Endocannabinoid activity involved in hyperarousal, memory formation, and non-remitting PTSD: A dense sampling approachR56MH116656 · NIMH · MEDICAL COLLEGE OF WISCONSIN · PI DEROON-CASSINI, TERRI A., HILLARD, CECILIA J · 2019 to 2019
$376k
NIMH NIH HHS R01 MH106574NIMH NIH HHS R56 MH116656
6 · The paper itself

Abstract

Due to its heterogeneity, the prediction of posttraumatic stress disorder (PTSD) development after traumtic injury is difficult. Recent machine learning approaches have yielded insight into predicting PTSD symptom trajectories. Using data collected within 1 month of traumatic injury, we applied eXtreme Gradient Boosting (XGB) to classify admitted and discharged patients (hospitalized, n = 192; nonhospitalized, n = 214), recruited from a Level 1 trauma center, according to PTSD symptom trajectories. Trajectories were identified using latent class mixed models on PCL-5 scores collected at baseline, 1-3 months posttrauma, and 6 months posttrauma. In both samples, nonremitting, remitting, and resilient PTSD symptom trajectories were identified. In the admitted patient sample, a unique delayed trajectory emerged. Machine learning classifiers (i.e., XGB) were developed and tested on the admitted patient sample and externally validated on the discharged sample with biological and clinical self-report baseline variables as predictors. For external validation sets, prediction was fair for nonremitting versus other trajectories, areas under the curve (AUC = .70); good for nonremitting versus resilient trajectories, AUCs = .73-.76; and prediction failed for nonremitting versus remitting trajectories, AUCs = .46-.48. However, poor precision (< .57) across all models suggests limited generalizability of nonremitting symptom trajectory prediction from admitted to discharged patient samples. Consistency in symptom trajectory identification across samples supports prior studies on the stability of PTSD symptom trajectories following trauma exposure; however, continued work and replication with larger samples are warranted to understand overlapping and unique predictive features of PTSD in different traumatic injury populations.

Indexed as

Stress Disorders, Post-TraumaticArea Under CurveHumansMachine LearningRisk FactorsSelf Report

Identifiers

PMID36006041
PMCPMC12854255
OpenAlexW4293092367

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.