Evidence map›Paper›PMID 36336894›Full record

ArticleDepression and anxiety2022

Elucidating behavioral and functional connectivity markers of aberrant threat discrimination in PTSD.

John R Keefe, Benjamin Suarez-Jimenez, Xi Zhu, Amit Lazarov, Ariel Durosky, Sara Such, Caroline Marohasy, Shmuel Lissek, Yuval Neria

Abstract read
In one paragraph

Article in Depression and anxiety, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Functional brain imaging in posttraumatic stress disorder: a review.Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. 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

9 authors.

John R KeefePsychiatry Research Institute at Montefiore Einstein, Albert Einstein College of Medicine, Bronx, New York, USA.
Benjamin Suarez-JimenezNeuroscience Department, University of Rochester, Rochester, New York, USA.
Xi ZhuDepartment of Psychiatry, Columbia University Irving Medical Center, New York, New York, USA.
Amit LazarovDepartment of Psychiatry, Columbia University Irving Medical Center, New York, New York, USA.
Ariel DuroskyDepartment of Psychology, The University of Tulsa, Oklahoma, Tulsa, USA.
Sara SuchDepartment of Psychology, Pennsylvania State University, University Park, Pennsylvania, USA.
Caroline MarohasyDepartment of Psychology, University of Washington, Seattle, Washington, USA.
Shmuel LissekDepartment of Psychology, University of Minnesota, Minneapolis, Minnesota, USA.
Yuval NeriaNeuroscience Department, University of Rochester, Rochester, New York, USA.

Funding

J. NRSA Training CoreTL1TR002386 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI Genevieve Giny Fouda Amou ou · 2017 to 2026
$5.8M
Neural Signature of Fear Overgeneralization in Trauma Exposed AdultsR01MH105355 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI NERIA, YUVAL Y · 2015 to 2018
$1.7M
Neural Correlates of Location-Specific Contextual Threat Discrimination in Post-Traumatic Stress Disorders REV1K01MH118428 · NIMH · UNIVERSITY OF ROCHESTER · PI SUAREZ-JIMENEZ, BENJAMIN · 2018 to 2022
$807k
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
NCATS NIH HHS TL1 TR002386NIMH NIH HHS K01 MH118428NIMH NIH HHS K01 MH122774NIMH NIH HHS R01 MH105355
6 · The paper itself

Abstract

backgroundPatients with posttraumatic stress disorder (PTSD) tend to overgeneralize threat to safe stimuli, potentially reflecting aberrant stimuli discrimination. Yet, it is not clear whether threat overgeneralization reflects general discrimination deficits, or rather a specific bias related to aversive stimuli. Here we tested this question and characterized the neural correlates of threat discrimination.

methodsOne-hundred and eight participants (33 PTSD; 43 trauma-exposed controls; 32 healthy controls) completed an emotionally neutral complex shape discrimination task involving identifying in 42 similar pairs the previously observed shape; and an emotionally aversive discrimination task, involving providing risk ratings for an aversive conditioned stimulus (CS+), and for several stimuli gradually differing in size from the original CS+. Resting state functional connectivity (rsFC) was collected before completing the tasks.

resultsNo group differences emerged on the emotionally neutral task. Conversely, on the emotionally aversive task, individuals with PTSD had steeper linear risk rating slopes as the stimuli more resembled the conditioned stimulus. Finally, lower rsFC of amygdala-default mode network (DMN) and DMN-salience network (SN) were associated with steeper risk slopes, while for hippocampus-SN, lower rsFC was found only among participants with PTSD.

conclusionsIndividuals with PTSD show deficits in discrimination only when presented with aversive stimuli. Dysregulated discrimination pattern may relate to a lack of input from regulatory brain areas (e.g., DMN/hippocampus) to threat-related brain areas (e.g., SN/amygdala).

Indexed as

Stress Disorders, Post-TraumaticAmygdalaBrainBrain MappingHumansMagnetic Resonance ImagingfMRIlearningPTSDstimuli discriminationthreat

Identifiers

PMID36336894
PMCPMC10583266

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.