Evidence map›Paper›PMID 36459550›Full record

ArticleScience advances2022

Deep brain stimulation of the subgenual cingulum and uncinate fasciculus for the treatment of posttraumatic stress disorder.

Clement Hamani, Benjamin Davidson, Felipe Corchs, Agessandro Abrahao, Sean M Nestor, Jennifer S Rabin, Alexander J Nyman, Liane Phung, Maged Goubran, Anthony Levitt and 3 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Science advances, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.1field-weighted citation impact, top 7% 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

14 citing papers in PubMed, 27 citations in OpenAlex.

  1. Review
  2. Good vibrations: Sternal vibration enhances white matter density and interoceptive awareness.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 2 institutions in 2 countries.

Clement HamaniSunnybrook Research Institute, Toronto, ON M4N3M5, Canada.ORCID 0000-0002-7586-2487
Benjamin DavidsonHarquail Centre for Neuromodulation, Sunnybrook Health Sciences Centre, Toronto, ON M4N 3M5, Canada.
Felipe CorchsDepartment of Psychiatry, Institute of Psychiatry, University of São Paulo, SP 05403-903, Brazil.ORCID 0000-0002-9935-5658
Agessandro AbrahaoSunnybrook Research Institute, Toronto, ON M4N3M5, Canada.
Sean M NestorSunnybrook Research Institute, Toronto, ON M4N3M5, Canada.ORCID 0000-0002-8848-5027
Jennifer S RabinSunnybrook Research Institute, Toronto, ON M4N3M5, Canada.ORCID 0000-0003-4754-2221
Alexander J NymanSunnybrook Research Institute, Toronto, ON M4N3M5, Canada.
Liane PhungSunnybrook Research Institute, Toronto, ON M4N3M5, Canada.ORCID 0000-0001-5906-4234
Maged GoubranSunnybrook Research Institute, Toronto, ON M4N3M5, Canada.ORCID 0000-0001-5880-0818
Anthony LevittSunnybrook Research Institute, Toronto, ON M4N3M5, Canada.ORCID 0000-0002-0059-4211
Omid TalakoubHarquail Centre for Neuromodulation, Sunnybrook Health Sciences Centre, Toronto, ON M4N 3M5, Canada.
Peter GiacobbeSunnybrook Research Institute, Toronto, ON M4N3M5, Canada.ORCID 0000-0001-6642-6221
Nir LipsmanSunnybrook Research Institute, Toronto, ON M4N3M5, Canada.ORCID 0000-0002-4820-3056
Sunnybrook Health Science Centre · CAUniversidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Deep brain stimulation (DBS) has been investigated for neuropsychiatric disorders. In this phase 1 trial, we treated four posttraumatic stress disorder (PTSD) patients with DBS delivered to the subgenual cingulum and the uncinate fasciculus. In addition to validated clinical scales, patients underwent neuroimaging studies and psychophysiological assessments of fear conditioning, extinction, and recall. We show that the procedure is safe and potentially effective (55% reduction in Clinical Administered PTSD Scale scores). Posttreatment imaging data revealed metabolic activity changes in PTSD neurocircuits. During psychophysiological assessments, patients with PTSD had higher skin conductance responses when tested for recall compared to healthy controls. After DBS, this objectively measured variable was significantly reduced. Last, we found that a ratio between recall of extinguished and nonextinguished conditioned responses had a strong correlation with clinical outcome. As this variable was recorded at baseline, it may comprise a potential biomarker of treatment response.

Identifiers

PMID36459550
PMCPMC10936049
OpenAlexW4310704553

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.