Evidence map›Paper›PMID 36280750›Full record

ArticleMolecular psychiatry2023

Longitudinal volumetric evaluation of hippocampus and amygdala subregions in recent trauma survivors.

Ziv Ben-Zion, Nachshon Korem, Tobias R Spiller, Or Duek, Jackob Nimrod Keynan, Roee Admon, Ilan Harpaz-Rotem, Israel Liberzon, Arieh Y Shalev, Talma Hendler

Open access · greenAbstract read
In one paragraph

Article in Molecular psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
6.1field-weighted citation impact, top 3% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

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  14. Post-traumatic stress disorder: evolving conceptualization and evidence, and future research directions.World psychiatry : official journal of the World Psychiatric Association (WPA) · 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

10 authors at 6 institutions in 3 countries.

Ziv Ben-ZionYale School of Medicine, Yale University, New Haven, CT, USA. ziv.ben-zion@yale.edu.ORCID 0000-0003-3629-5851
Nachshon KoremYale School of Medicine, Yale University, New Haven, CT, USA.ORCID 0000-0003-1859-2668
Tobias R SpillerYale School of Medicine, Yale University, New Haven, CT, USA.ORCID 0000-0002-0107-0743
Or DuekYale School of Medicine, Yale University, New Haven, CT, USA.ORCID 0000-0001-5211-7946
Jackob Nimrod KeynanDepartment of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA, USA.
Roee AdmonSchool of Psychological Sciences, University of Haifa, Haifa, Israel.ORCID 0000-0002-9886-5111
Ilan Harpaz-RotemYale School of Medicine, Yale University, New Haven, CT, USA.ORCID 0000-0002-6066-9406
Israel LiberzonDepartment of Psychiatry, College of Medicine, Texas A&M, College Station, TX, USA.ORCID 0000-0002-4990-556X
Arieh Y Shalev *Department of Psychiatry, NYU Grossman School of Medicine, New York City, NY, USA.
Talma Hendler *Sagol Brain Institute Tel Aviv, Wohl Institute for Advanced Imaging, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
United States Department of Veterans Affairs · USTel Aviv University · ILNew York University · USStanford University · USTexas College · USUniversity of Haifa · IL

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Neurobehavioral Moderators of Post-traumatic Disease TrajectoriesR01MH103287 · NIMH · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI SHALEV, ARIEH Y · 2014 to 2018
$2.7M
NCATS NIH HHS UL1 TR001863NIMH NIH HHS R01 MH103287
6 · The paper itself

Abstract

The hippocampus and the amygdala play a central role in post-traumatic stress disorder (PTSD) pathogenesis. While alternations in volumes of both regions have been consistently observed in individuals with PTSD, it remains unknown whether these reflect pre-trauma vulnerability traits or acquired post-trauma consequences of the disorder. Here, we conducted a longitudinal panel study of adult civilian trauma survivors admitted to a general hospital emergency department (ED). One hundred eligible participants (mean age = 32.97 ± 10.97, n = 56 females) completed both clinical interviews and structural MRI scans at 1-, 6-, and 14-months after ED admission (alias T1, T2, and T3). While all participants met PTSD diagnosis at T1, only n = 29 still met PTSD diagnosis at T3 (a "non-Remission" Group), while n = 71 did not (a "Remission" Group). Bayesian multilevel modeling analysis showed robust evidence for smaller right hippocampus volume (P+ of ~0.014) and moderate evidence for larger left amygdala volume (P+ of ~0.870) at T1 in the "non-Remission" group, compared to the "Remission" group. Subregion analysis further demonstrated robust evidence for smaller volume in the subiculum and right CA1 hippocampal subregions (P+ of ~0.021-0.046) in the "non-Remission" group. No time-dependent volumetric changes (T1 to T2 to T3) were observed across all participants or between groups. Results support the "vulnerability trait" hypothesis, suggesting that lower initial volumes of specific hippocampus subregions are associated with non-remitting PTSD. The stable volume of all hippocampal and amygdala subregions does not support the idea of consequential, progressive, stress-related atrophy during the first critical year following trauma exposure.

Indexed as

HippocampusStress Disorders, Post-TraumaticAdultAmygdalaBayes TheoremFemaleHumansMagnetic Resonance ImagingSurvivorsYoung Adult

Identifiers

PMID36280750
PMCPMC9918676
OpenAlexW4307338362

What OpenQuestion holds

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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.