Evidence map›Paper›PMID 38996901›Full record

ReviewBiological psychiatry2025

Affective Visual Circuit Dysfunction in Trauma and Stress-Related Disorders.

Nathaniel G Harnett, Leland L Fleming, Kevin J Clancy, Kerry J Ressler, Isabelle M Rosso

Abstract readReview
In one paragraph

Review in Biological psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–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

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Post-traumatic stress disorder.Nature reviews. Disease primers · 2026
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Traumatic stress alters neural reactivity to visual stimulation.NPP - digital psychiatry and neuroscience · 2025
    Article
  17. Neuromodulation of Fear and Anxiety Circuits.Current topics in behavioral neurosciences · 2025
    Review
  18. Article
  19. 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.

Nathaniel G HarnettDivision of Depression and Anxiety, McLean Hospital, Belmont, Massachusetts; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts. Electronic address: nharnett@mclean.harvard.edu.
Leland L FlemingDivision of Depression and Anxiety, McLean Hospital, Belmont, Massachusetts; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts.
Kevin J ClancyDivision of Depression and Anxiety, McLean Hospital, Belmont, Massachusetts; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts.
Kerry J ResslerDivision of Depression and Anxiety, McLean Hospital, Belmont, Massachusetts; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts.
Isabelle M RossoDivision of Depression and Anxiety, McLean Hospital, Belmont, Massachusetts; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts.

Funding

SPARED CenterP50MH115874 · NIMH · MCLEAN HOSPITAL · PI BERRETTA, SABINA · 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
Progressive social withdrawal in trauma-exposed older adolescents and young adults: neurocircuitry predictorsR01MH125852 · NIMH · MCLEAN HOSPITAL · PI ROSSO, ISABELLE M · 2021 to 2025
$2.4M
Multimodal characterization of affective visual processing in the early aftermath of traumaK01MH129828 · NIMH · MCLEAN HOSPITAL · PI Nathaniel G Harnett · 2023 to 2026
$719k
Transgenerational Impact of Childhood Maltreatment on Structural/Functional Properties of Visual CortexK00HD111352 · NICHD · MCLEAN HOSPITAL · PI FLEMING, LELAND · 2022 to 2025
$359k
NICHD NIH HHS K00 HD111352NICHD NIH HHS L40 HD116386NIMH NIH HHS K01 MH129828NIMH NIH HHS P50 MH115874NIMH NIH HHS R01 MH120400NIMH NIH HHS R01 MH125852
6 · The paper itself

Abstract

Posttraumatic stress disorder (PTSD) is widely recognized as involving disruption of core neurocircuitry that underlies processing, regulation, and response to threat. In particular, the prefrontal cortex-hippocampal-amygdala circuit is a major contributor to posttraumatic dysfunction. However, the functioning of core threat neurocircuitry is partially dependent on sensorial inputs, and previous research has demonstrated that dense, reciprocal connections exist between threat circuits and the ventral visual stream. Furthermore, emergent evidence suggests that trauma exposure and resultant PTSD symptoms are associated with altered structure and function of the ventral visual stream. In the current review, we discuss evidence that both threat and visual circuitry together are an integral part of PTSD pathogenesis. An overview of the relevance of visual processing to PTSD is discussed in the context of both basic and translational research, highlighting the impact of stress on affective visual circuitry. This review further synthesizes emergent literature to suggest potential timing-dependent effects of traumatic stress on threat and visual circuits that may contribute to PTSD development. We conclude with recommendations for future research to move the field toward a more complete understanding of PTSD neurobiology.

Indexed as

Stress Disorders, Post-TraumaticVisual PathwaysVisual PerceptionAmygdalaAnimalsHumansMRIPTSDThreatTraumaVentral visual streamVision

Identifiers

PMID38996901
PMCPMC11717988

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.