Evidence map›Paper›PMID 40319171›Full record

ArticleNeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology2025

Sequential decreases in basolateral amygdala response to threat predict failure to recover from PTSD.

Alyssa R Roeckner, Esther R-H Lin, Rebecca Hinrichs, Nathaniel G Harnett, Lauren A M Lebois, Sanne J H van Rooij, Timothy D Ely, Tanja Jovanovic, Vishnu P Murty, Steven E Bruce and 37 more

Abstract readMulticenter Study
In one paragraph

Article in Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Hormonal mechanisms of women's risk in the face of traumatic stress.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Trial
  2. Article
  3. 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

47 authors.

Alyssa R RoecknerDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA.ORCID http://orcid.org/0000-0002-5717-6168
Esther R-H LinDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA.
Rebecca HinrichsDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA.
Nathaniel G HarnettDivision of Depression and Anxiety, McLean Hospital, Belmont, MA, USA.ORCID http://orcid.org/0000-0001-5346-2012
Lauren A M LeboisDivision of Depression and Anxiety, McLean Hospital, Belmont, MA, USA.ORCID http://orcid.org/0000-0001-5816-9181
Sanne J H van RooijDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA.ORCID http://orcid.org/0000-0002-0160-7248
Timothy D ElyDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA.ORCID http://orcid.org/0000-0002-5690-5234
Tanja JovanovicDepartment of Psychiatry and Behavioral Neurosciences, Wayne State University, Detroit, MI, USA.ORCID http://orcid.org/0000-0002-6456-0053
Vishnu P MurtyDepartment of Psychology, Temple University, Philadelphia, PA, USA.
Steven E BruceDepartment of Psychological Sciences, University of Missouri - St. Louis, St. Louis, MO, USA.ORCID http://orcid.org/0000-0002-5807-4382
Stacey L HouseDepartment of Emergency Medicine, Washington University School of Medicine, St. Louis, MO, USA.
Francesca L BeaudoinDepartment of Epidemiology, Brown University, Providence, RI, USA.
Xinming AnInstitute for Trauma Recovery, Department of Anesthesiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Thomas C NeylanDepartments of Psychiatry and Neurology, University of California San Francisco, San Francisco, CA, USA.ORCID http://orcid.org/0000-0002-1572-2626
Gari D CliffordDepartment of Biomedical Informatics, Emory University School of Medicine, Atlanta, GA, USA.
Sarah D LinnstaedtInstitute for Trauma Recovery, Department of Anesthesiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.ORCID http://orcid.org/0000-0001-5295-7072
Laura T GermineDepartment of Psychiatry, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0001-8690-8412
Scott L RauchDepartment of Psychiatry, Harvard Medical School, Boston, MA, USA.
John P HaranDepartment of Emergency Medicine, University of Massachusetts Chan Medical School, Worcester, MA, USA.ORCID http://orcid.org/0000-0001-7311-1121
Alan B StorrowDepartment of Emergency Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.ORCID http://orcid.org/0000-0002-2893-808X
Christopher LewandowskiDepartment of Emergency Medicine, Henry Ford Health System, Detroit, MI, USA.ORCID http://orcid.org/0000-0001-8297-0024
Paul I MuseyDepartment of Emergency Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.
Phyllis L HendryDepartment of Emergency Medicine, University of Florida College of Medicine -Jacksonville, Jacksonville, FL, USA.
Sophia SheikhDepartment of Emergency Medicine, University of Florida College of Medicine -Jacksonville, Jacksonville, FL, USA.ORCID http://orcid.org/0000-0003-1939-3126
Christopher W JonesDepartment of Emergency Medicine, Cooper Medical School of Rowan University, Camden, NJ, USA.
Brittany E PunchesDepartment of Emergency Medicine, Ohio State University College of Medicine, Columbus, OH, USA.ORCID http://orcid.org/0000-0002-7546-1966
Robert A SworDepartment of Emergency Medicine, Oakland University William Beaumont School of Medicine, Rochester, MI, USA.
Lauren A HudakDepartment of Emergency Medicine, Emory University School of Medicine, Atlanta, GA, USA.
Jose L PascualDepartment of Surgery, Department of Neurosurgery, University of Pennsylvania, Philadelphia, PA, USA.
Mark J SeamonPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Elizabeth M DatnerDepartment of Emergency Medicine, Jefferson Einstein hospital, Jefferson Health, Philadelphia, PA, USA.
Claire PearsonDepartment of Emergency Medicine, Wayne State University, Ascension St. John Hospital, Detroit, MI, USA.
David A PeakDepartment of Emergency Medicine, Massachusetts General Hospital, Boston, MA, USA.
Roland C MerchantDepartment of Emergency Medicine, Brigham and Women's Hospital, Boston, MA, USA.
Robert M DomeierDepartment of Emergency Medicine, Trinity Health-Ann Arbor, Ypsilanti, MI, USA.
Niels K RathlevDepartment of Emergency Medicine, University of Massachusetts Medical School-Baystate, Springfield, MA, USA.
Brian J O'NeilDepartment of Emergency Medicine, Wayne State University, Detroit Receiving Hospital, Detroit, MI, USA.
Paulina SergotDepartment of Emergency Medicine, McGovern Medical School at UTHealth, Houston, TX, USA.
Leon D SanchezDepartment of Emergency Medicine, Brigham and Women's Hospital, Boston, MA, USA.ORCID http://orcid.org/0000-0002-8807-0913
Jutta JoormannDepartment of Psychology, Yale University, New Haven, CT, USA.
John F SheridanDivision of Biosciences, Ohio State University College of Dentistry, Columbus, OH, USA.
Steven E HarteDepartment of Anesthesiology, University of Michigan Medical School, Ann Arbor, MI, USA.
Karestan C KoenenDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, USA.
Ronald C KesslerDepartment of Health Care Policy, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0003-4831-2305
Samuel A McLeanDepartment of Emergency Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.ORCID http://orcid.org/0000-0001-9482-3582
Kerry J ResslerDivision of Depression and Anxiety, McLean Hospital, Belmont, MA, USA.ORCID http://orcid.org/0000-0002-5158-1103
Jennifer S StevensDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA. jennifer.stevens@emory.edu.ORCID http://orcid.org/0000-0003-4674-0314

Funding

Longitudinal Assessment of Post-traumatic SyndromesU01MH110925 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KESSLER, RONALD C, KOENEN, KARESTAN C · 2016 to 2020
$25.8M
Clinical Features and Neuropathological Basis of Sleep Wake Behavior in Alzheimer's and PSPR01AG060477 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Lea Tenenholz Grinberg, Thomas C Neylan · 2019 to 2026
$8.2M
Individual Variation in Effects of Traumatic Stress on Gray Matter MyelinR01MH115020 · NIMH · NORTHERN CALIFORNIA INSTITUTE/RES/EDU · PI KAUFER, DANIELA, NEYLAN, THOMAS C · 2019 to 2023
$3.9M
Investigating Fear System Myelination in PTSD Using In Vivo and Post Mortem DataR01MH132617 · NIMH · NORTHERN CALIFORNIA INSTITUTE/RES/EDU · PI HUBER, BERTRAND R, NEYLAN, THOMAS C · 2023 to 2025
$2.1M
Effect of TMS on PTSD Neuroimaging and Psychophysiological BiomarkersK01MH121653 · NIMH · EMORY UNIVERSITY · PI VAN ROOIJ, SANNE JH · 2020 to 2024
$894k
Characterizing the Neurobiology of Pathological Dissociation: Mechanisms of Face Perception and Self Referential ProcessingK01MH118467 · NIMH · MCLEAN HOSPITAL · PI LEBOIS, LAUREN ANN MCDONOUGH · 2019 to 2022
$679k
A Multidimensional Neuroimaging Investigation of Posttraumatic Stress in HumansK00MH119603 · NIMH · MCLEAN HOSPITAL · PI HARNETT, NATHANIEL G · 2018 to 2021
$311k
The impact of exogenous estradiol on fear extinction in healthy young women and those with PTSDF31MH126623 · NIMH · EMORY UNIVERSITY · PI ROECKNER, ALYSSA ROSE · 2021 to 2023
$127k
NIA NIH HHS R01 AG060477NIMH NIH HHS F31 MH126623NIMH NIH HHS K00 MH119603NIMH NIH HHS K01 MH118467NIMH NIH HHS K01 MH121653NIMH NIH HHS R01 MH115020NIMH NIH HHS R01 MH132617NIMH NIH HHS U01 MH110925U.S. Department of Defense (United States Department of Defense) W81XWH-22-C-0122U.S. Department of Health & Human Services | NIH | National Institute of Mental Health (NIMH) K01MH121653U.S. Department of Health & Human Services | NIH | National Institute of Mental Health (NIMH) U01MH110925
6 · The paper itself

Abstract

Amygdala hyperreactivity early-post trauma has been a demonstrable neurobiological correlate of future posttraumautic stress disorder (PTSD). The basolateral amygdala (BLA) particularly is vital for fear memory and threat processing, but BLA functional dynamics following a traumatic event are unexplored. BLA reactivity to threat may be a trait that can predict PTSD and persist over time. Alternatively, BLA responsivity to threat cues may change over time and be related to PTSD severity. As part of a larger, multisite study, AURORA, participants 18-75 years old were enrolled in an emergency department (ED) within 72 h of a traumatic event (N = 304, 199 female). At 2-weeks and 6-months post-trauma, PTSD symptoms, BLA responses to threat (fearful>neutral faces), and functional connectivity (FC) during fMRI were assessed. Generalizability of findings was assessed in an external replication sample of ED patients (n = 33). Two weeks post-trauma right BLA reactivity positively predicted later PTSD severity. However, left BLA reactivity to threat at 6 months post-trauma was negatively associated with PTSD severity at that timepoint (ΔPseudo-R

Indexed as

Basolateral Nuclear ComplexFearStress Disorders, Post-TraumaticAdolescentAdultAgedFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedYoung Adult

Identifiers

PMID40319171
PMCPMC12340031

What OpenQuestion holds

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Registered trials

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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.