Evidence map›Paper›PMID 36786400›Full record

ReviewPsychophysiology2023

Multiverse analyses of fear acquisition and extinction retention in posttraumatic stress disorder.

Michael W Lewis, Daniel E Bradford, Edward F Pace-Schott, Scott L Rauch, Isabelle M Rosso

Abstract readReview
In one paragraph

Review in Psychophysiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Exploring the multiverse: the impact of researchers' analytic decisions on relationships between depression and inflammatory markers.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2023
    Article
  4. 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

5 authors.

Michael W LewisCenter for Depression, Anxiety, and Stress Research, McLean Hospital, Belmont, Massachusetts, USA.ORCID 0000-0002-3903-9055
Daniel E BradfordSchool of Psychological Sciences, Oregon State University, Corvallis, Oregon, USA.ORCID 0000-0003-0920-6964
Edward F Pace-SchottDepartment of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0001-6311-7570
Scott L RauchCenter for Depression, Anxiety, and Stress Research, McLean Hospital, Belmont, Massachusetts, USA.ORCID 0000-0001-7699-6754
Isabelle M RossoCenter for Depression, Anxiety, and Stress Research, McLean Hospital, Belmont, Massachusetts, USA.ORCID 0000-0001-6988-3858

Funding

SPARED CenterP50MH115874 · NIMH · MCLEAN HOSPITAL · PI ROSSO, ISABELLE M · 2019 to 2023
$13.7M
Multimodal imaging of hippocampal-cortical networks and mechanisms of trauma-related intrusionsR01MH120400 · NIMH · MCLEAN HOSPITAL · PI ROSSO, ISABELLE M · 2019 to 2023
$3.3M
Cerebral GABA and Fear Conditioning in PTSDR01MH096987 · NIMH · MCLEAN HOSPITAL · PI ROSSO, ISABELLE M · 2012 to 2016
$1.9M
Autonomic and fronto-cortical correlates of script-driven imagery of trauma-related nightmares compared with such imagery of index trauma in PTSD using ambulatory physiological and fNIRS recordings.R21MH121832 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI PACE-SCHOTT, EDWARD F. · 2020 to 2020
$462k
Circadian influence on fear extinction resulting from prolonged exposure therapy for PTSDR21MH128619 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI PACE-SCHOTT, EDWARD F., PINELES, SUZANNE · 2022 to 2023
$421k
NIMH NIH HHS P50 MH115874NIMH NIH HHS R01 MH096987NIMH NIH HHS R01 MH120400NIMH NIH HHS R21 MH121832NIMH NIH HHS R21 MH128619
6 · The paper itself

Abstract

Persistent fear is a cardinal feature of posttraumatic stress disorder (PTSD), and deficient fear extinction retention is a proposed illness mechanism and target of exposure-based therapy. However, evidence for deficient fear extinction in PTSD has been mixed using laboratory paradigms, which may relate to underidentified methodological variation across studies. We reviewed the literature to identify parameters that differ across studies of fear extinction retention in PTSD. We then performed Multiverse Analysis in a new sample, to quantify the impact of those methodological parameters on statistical findings. In 25 PTSD patients (15 female) and 36 trauma-exposed non-PTSD controls (TENC) (20 female), we recorded skin conductance response (SCR) during fear acquisition and extinction learning (day 1) and extinction recall (day 2). A first Multiverse Analysis examined the effects of methodological parameters identified by the literature review on comparisons of SCR-based fear extinction retention in PTSD versus TENC. A second Multiverse Analysis examined the effects of those methodological parameters on comparisons of SCR to a danger cue (CS+) versus safety cue (CS-) during fear acquisition. Both the literature review and the Multiverse Analysis yielded inconsistent findings for fear extinction retention in PTSD versus TENC, and most analyses found no statistically significant group difference. By contrast, significantly elevated SCR to CS+ versus CS- was consistently found across all analyses in the literature review and the Multiverse Analysis of new data. We discuss methodological parameters that may most contribute to inconsistent findings of fear extinction retention deficit in PTSD and implications for future clinical research.

Indexed as

FearStress Disorders, Post-TraumaticConditioning, ClassicalExtinction, PsychologicalFemaleHumansLearningfear extinction retentionfear learningmultiverse analysisposttraumatic stress disorderpsychophysiologyskin conductance

Identifiers

PMID36786400
PMCPMC10330173

What OpenQuestion holds

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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.