Evidence map›Paper›PMID 37982540›Full record

ArticlePsychosomatic medicine2024

Effects of Daily Posttraumatic Stress Disorder Symptoms on Heart Rate Variability.

Danica C Slavish, Camilo J Ruggero, Keke Schuler, Joseph E Schwartz, Benjamin Luft, Roman Kotov

Open access · greenAbstract read
In one paragraph

Article in Psychosomatic medicine, 2024. 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
1.1field-weighted citation impact, top 19% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Scoping Review of Experience Sampling Methodology Investigations of Posttraumatic Stress Disorder Symptoms.Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association · 2026
    Article
  3. Review
  4. Review
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

6 authors at 3 institutions in 1 country.

Danica C SlavishFrom the Department of Psychology (Slavish, Ruggero), University of North Texas, Denton, Texas; Department of Behavioral Health (Schuler), Reliant Medical Group, OptumCare, Worcester, Massachusetts; Department of Psychiatry (Schwartz, Kotov), Stony Brook University, Stony Brook, New York; and Department of Medicine (Luft), Stony Brook University, Stony Brook, New York.ORCID 0000-0002-1924-4895
Camilo J Ruggero
Keke Schuler
Joseph E Schwartz
Benjamin Luft
Roman Kotov
Stony Brook University · USUniversity of North Texas · USUniformed Services University of the Health Sciences · US

Funding

Personality-informed care model for 9/11-related comorbid conditionsU01OH011321 · OH · STATE UNIVERSITY NEW YORK STONY BROOK · PI KOTOV, ROMAN I · 2016 to 2020
$3.0M
The Daily Burden of PTSD and Respiratory Problems in World Trade Center ResponderU01OH010712 · OH · STATE UNIVERSITY NEW YORK STONY BROOK · PI KOTOV, ROMAN I · 2014 to 2015
$989k
NIOSH CDC HHS U01 OH010712NIOSH CDC HHS U01 OH011321
6 · The paper itself

Abstract

objectivePosttraumatic stress disorder (PTSD) is common, debilitating, and associated with an increased risk of health problems, including cardiovascular disease. PTSD is related to poor autonomic function indicated by reduced heart rate variability (HRV). However, very little work has tested the timescale or direction of these effects, given that most evidence comes from cross-sectional studies. Documentation of when effects occur and in what direction can shed light on mechanisms of cardiovascular disease risk and inform treatment. The present study of 169 World Trade Center responders, oversampled for PTSD, tested how daily PTSD symptoms were associated with autonomic function as reflected through HRV.

methodsParticipants ( N = 169) completed surveys of PTSD symptoms three times a day at 5-hour intervals for 4 days while also wearing ambulatory monitors to record electrocardiograms to derive HRV (i.e., mean absolute value of successive differences between beat-to-beat intervals).

resultsHRV did not predict PTSD symptoms. However, PTSD symptoms during a 5-hour interval predicted reduced HRV at the next 5-hour interval ( β = -0.09, 95% confidence interval = -0.16 to -0.02, p = .008). Results held adjusting for baseline age, current heart problems, and current PTSD diagnosis.

conclusionsFindings underscore growing awareness that PTSD symptoms are not static. Even their short-term fluctuations may affect cardiovascular functioning, which could have more severe impacts if disruption accumulates over time. Research is needed to determine if momentary interventions can halt increases in PTSD symptoms or mitigate their impact on cardiovascular health.

Indexed as

Cardiovascular DiseasesStress Disorders, Post-TraumaticAutonomic Nervous SystemCross-Sectional StudiesHeart RateHumans

Identifiers

PMID37982540
PMCPMC10841862
OpenAlexW4388826190

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.