Evidence map›Paper›PMID 40788710›Full record

ArticleJournal of psychopathology and clinical science2025

Ambulatory physiological assessment of posttraumatic stress disorder: Integrating passive sensing with ecological momentary assessment to measure trauma reactivity.

Blair E Wisco, Cameron P Pugach, Casey L May, Paul J Silvia

Abstract read
In one paragraph

Article in Journal of psychopathology and clinical science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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
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

4 authors.

Blair E WiscoDepartment of Psychology, University of North Carolina at Greensboro.ORCID 0000-0003-2412-9012
Cameron P PugachDepartment of Psychology, University of North Carolina at Greensboro.
Casey L MayDepartment of Psychology, University of North Carolina at Greensboro.
Paul J SilviaDepartment of Psychology, University of North Carolina at Greensboro.

Funding

Ambulatory Physiological Assessment of Posttraumatic Stress DisorderR15MH114142 · NIMH · UNIVERSITY OF NORTH CAROLINA GREENSBORO · PI WISCO, BLAIR ELIZABETH · 2018 to 2018
$437k
The Interplay Between Negative Emotion Differentiation and Emotion Regulation Problems in Posttraumatic Stress DisorderF31MH126528 · NIMH · UNIVERSITY OF NORTH CAROLINA GREENSBORO · PI PUGACH, CAMERON · 2021 to 2024
$91k
NIMH NIH HHSNIMH NIH HHS F31 MH126528NIMH NIH HHS R15 MH114142
6 · The paper itself

Abstract

The development of wearable technology affords objective measurement of physiological states outside the laboratory. We used ambulatory physiological assessment to measure overall arousal and reactivity to trauma reminders, a hallmark symptom of posttraumatic stress disorder (PTSD). Ambulatory assessment improves upon laboratory-based tests by measuring actual trauma reminders as they occur in everyday life. In this study, we recruited a mixed-trauma sample of 80 participants (39 diagnosed with PTSD) who completed 3 days of ambulatory physiological assessment time-synced with self-reported ecological momentary assessments of trauma reminders and contextual factors. We assessed heart rate (interbeat interval [IBI]) as a nonspecific marker of overall physiological arousal, skin conductance and preejection period as markers of sympathetic activity, and respiratory sinus arrhythmia as a marker of parasympathetic activity. We found that individuals with and without PTSD did not significantly differ on average levels of any physiological marker. Among individuals diagnosed with PTSD, IBI was significantly lower, indicating higher arousal, when participants were reminded of their trauma. Trauma reminders were not significantly associated with respiratory sinus arrhythmia or preejection period. Skin conductance was significantly lower (indicating lower arousal) in the presence of trauma reminders, counter to predictions. For time-varying predictors, we found that trauma reminders were associated with weaker physiological responses, as indexed by IBI, when the reminders were perceived as controllable and when they were experienced in the presence of social support. Our findings support heart rate as an inexpensive and accessible marker that can elucidate the role of contextual factors affecting PTSD symptom expression. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Indexed as

ArousalEcological Momentary AssessmentGalvanic Skin ResponseHeart RateMonitoring, AmbulatoryPsychological TraumaRespiratory Sinus ArrhythmiaStress Disorders, Post-TraumaticAdultFemaleHumansMaleMiddle AgedWearable Electronic DevicesYoung Adult

Identifiers

PMID40788710
PMCPMC12415780

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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.