Evidence map›Paper›PMID 37542036›Full record

ArticleTranslational psychiatry2023

Hypothalamus volume mediates the association between adverse childhood experience and PTSD development after adulthood trauma.

Hong Xie, Chia-Hao Shih, Sulaiman D Aldoohan, John T Wall, Xin Wang

Open access · goldAbstract read
In one paragraph

Article in Translational psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
5.6field-weighted citation impact, top 4% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Optimizing Symptom Surveys with Machine Learning to Predict PTSD One Year Post-trauma....IEEE...International Conference on Connected Health: Applications, Systems and Engineering Technologies. IEEE International Conference on Connected Health: Applications, Systems and Engineering Technologies · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Post-traumatic stress disorder: evolving conceptualization and evidence, and future research directions.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2025
    Article
  13. Minimizing Survey Questions for PTSD Prediction Following Acute Trauma.Artificial intelligence in medicine. Conference on Artificial Intelligence in Medicine (2005- ) · 2024
    Article
  14. Article
  15. Review
  16. Article
  17. 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 at 1 institution in 1 country.

Hong XieDepartment of Neurosciences, University of Toledo, Toledo, OH, USA. hong.xie@utoledo.edu.ORCID http://orcid.org/0000-0002-5762-6456
Chia-Hao ShihDepartment of Emergency Medicine, University of Toledo, Toledo, OH, USA.ORCID http://orcid.org/0000-0002-2316-7415
Sulaiman D AldoohanDepartment of Radiology, University of Toledo, Toledo, OH, USA.
John T WallDepartment of Neurosciences, University of Toledo, Toledo, OH, USA.
Xin WangDepartment of Psychiatry, University of Toledo, Toledo, OH, USA.ORCID http://orcid.org/0000-0003-1524-2902
University of Toledo · US

Funding

Study of early brain alterations that predict development of chronic PTSDR01MH110483 · NIMH · UNIVERSITY OF TOLEDO HEALTH SCI CAMPUS · PI WANG, XIN · 2016 to 2021
$3.8M
NIMH NIH HHS R01 MH110483
6 · The paper itself

Abstract

The hypothalamus is critical for regulation of the hypothalamic-pituitary-adrenal (HPA) axis and response to stress. Adverse childhood experience (ACE) can affect brain structure, which may contribute to development of posttraumatic stress disorder (PTSD) after subsequent adult trauma. It is unclear, however, if ACE history is particularly associated with aspects of hypothalamic structure which contribute to development of PTSD. To address this issue, the present study longitudinally assessed hypothalamic volumes and their associations with ACE and early post-trauma stress symptoms in subjects who did or did not develop PTSD during 12 months after adult trauma. 109 subjects (18-60 years, F/M = 75/34) completed the PTSD Checklist (PCL) questionnaire for post-trauma stress symptoms, the Childhood Trauma Questionnaire (CTQ) for ACE assessment, and an initial MRI brain scan for hypothalamic volume measurement, within 2 weeks after adult trauma. At post-trauma 12 months, subjects underwent a subsequent PTSD diagnosis interview using the Clinician-Administered PTSD Scale (CAPS), and a follow-up MRI scan. Left and right hypothalamus volumes at 2 weeks after adult trauma negatively correlated with CTQ scores. Right hypothalamus volume at this early time mediated an association between ACE and PTSD symptoms 12 months later. Right hypothalamus volumes also remained persistently smaller from 2 weeks to 12 months after trauma in survivors who developed PTSD. These results suggest that smaller right hypothalamus volume may be related to ACE history in ways that contribute to PTSD development after trauma in adulthood.

Indexed as

Adverse Childhood ExperiencesStress Disorders, Post-TraumaticAdultBrainHumansHypothalamo-Hypophyseal SystemHypothalamus

Identifiers

PMID37542036
PMCPMC10403516
OpenAlexW4385562489

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.