Evidence map›Paper›PMID 36575425›Full record

ArticleBMC psychiatry2022

CO

Jasper A J Smits, Marie-H Monfils, Michael W Otto, Michael J Telch, Jason Shumake, Justin S Feinstein, Sahib S Khalsa, Adam R Cobb, E Marie Parsons, Laura J Long and 4 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05467683 (Carbon Dioxide), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.9field-weighted citation impact, top 27% 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.

NCT05467683 narecruitingnot on this map

Carbon Dioxide (CO2) Reactivity as a Biomarker of Non-Response to Exposure-Based Therapy

TypeinterventionalSponsorJasper A. SmitsRan2022 to 2027Enrolled600ConditionsObsessive-Compulsive Disorder, Post Traumatic Stress Disorder, Generalized Anxiety Disorder, Social Anxiety DisorderArmsExposure-Based Therapy
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Associations of COPhysiology & behavior · 2025
    Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. COPhysiology & behavior · 2023
    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

14 authors at 3 institutions in 1 country.

Jasper A J SmitsDepartment of Psychology and Institute for Mental Health Research, University of Texas at Austin, 1 University Station, Austin, TX, 78712, USA. smits@utexas.edu.
Marie-H MonfilsDepartment of Psychology and Institute for Mental Health Research, University of Texas at Austin, 1 University Station, Austin, TX, 78712, USA.
Michael W OttoDepartment of Psychological and Brain Sciences, Boston University, 900 Commonwealth Avenue, Floor 2, Boston, MA, 02215, USA.
Michael J TelchDepartment of Psychology and Institute for Mental Health Research, University of Texas at Austin, 1 University Station, Austin, TX, 78712, USA.
Jason ShumakeDepartment of Psychology and Institute for Mental Health Research, University of Texas at Austin, 1 University Station, Austin, TX, 78712, USA.
Justin S Feinstein3The Laureate Institute for Brain Research, 6655 South Yale Ave., Tulsa, Oklahoma, 74136, USA.
Sahib S Khalsa3The Laureate Institute for Brain Research, 6655 South Yale Ave., Tulsa, Oklahoma, 74136, USA.
Adam R CobbDepartment of Psychology and Institute for Mental Health Research, University of Texas at Austin, 1 University Station, Austin, TX, 78712, USA.
E Marie ParsonsDepartment of Psychological and Brain Sciences, Boston University, 900 Commonwealth Avenue, Floor 2, Boston, MA, 02215, USA.
Laura J LongDepartment of Psychological and Brain Sciences, Boston University, 900 Commonwealth Avenue, Floor 2, Boston, MA, 02215, USA.
Bryan McSpaddenDepartment of Psychology and Institute for Mental Health Research, University of Texas at Austin, 1 University Station, Austin, TX, 78712, USA.
David JohnsonDepartment of Psychology and Institute for Mental Health Research, University of Texas at Austin, 1 University Station, Austin, TX, 78712, USA.
Alma GreenbergDepartment of Psychological and Brain Sciences, Boston University, 900 Commonwealth Avenue, Floor 2, Boston, MA, 02215, USA.
Exposure Therapy Consortium
The University of Texas at Austin · USBoston University · USLaureate Institute for Brain Research · US

Funding

1/2: CO2 Reactivity as a Biomarker of Non-response to Exposure-based TherapyR01MH125951 · NIMH · UNIVERSITY OF TEXAS AT AUSTIN · PI Marie H. Monfils, Jasper Smits · 2022 to 2026
$3.6M
2/2-CO2 Reactivity as a Biomarker of Non-Response to Exposure-Based TherapyR01MH125949 · NIMH · BOSTON UNIVERSITY (CHARLES RIVER CAMPUS) · PI Michael W. Otto · 2022 to 2026
$2.8M
NIMH NIH HHS R01 MH125949NIMH NIH HHS R01 MH125951
6 · The paper itself

Abstract

backgroundExposure-based therapy is an effective first-line treatment for anxiety-, obsessive-compulsive, and trauma- and stressor-related disorders; however, many patients do not improve, resulting in prolonged suffering and poorly used resources. Basic research on fear extinction may inform the development of a biomarker for the selection of exposure-based therapy. Growing evidence links orexin system activity to deficits in fear extinction and we have demonstrated that reactivity to an inhaled carbon dioxide (CO

methodsWe will assess CO DISCUSSION: Representing a necessary stage in translating basic research, this investigation addresses an important public health issue by testing an accessible clinical assessment strategy that may lead to a more effective treatment selection (personalized medicine) for patients with anxiety- and fear-related disorders, and enhanced understanding of the mechanisms governing exposure-based therapy.

trial registrationClinicalTrials.gov Identifier: NCT05467683 (20/07/2022).

Indexed as

Carbon DioxideFearBiomarkersExtinction, PsychologicalOrexinsBiomarkersCarbon DioxideOrexinsBiomarkerClinical trialCO2 challengeExposure therapyGeneralized anxiety disorderObsessive–compulsive disorderOrexinPanic disorderPosttraumatic stress disorderSocial anxiety disorder

Identifiers

PMID36575425
PMCPMC9793569
OpenAlexW4312202003

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.