Evidence map›Paper›PMID 41838229›Full record

ReviewCurrent osteoporosis reports2026

The PTSD-Bone Axis: Evidence, Mechanisms, and Management.

Olivia X Jones, Kirsten D Kelly, Stephanie K Khoo, Ryan R Kelly, Sara J Sidles, Amanda C LaRue

Abstract readReview
In one paragraph

Review in Current osteoporosis reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Olivia X JonesLowcountry Center for Veterans Research, Charleston, SC, USA.
Kirsten D KellyResearch Service, Ralph H. Johnson VA Health Care System, Charleston, SC, USA.
Stephanie K KhooResearch Service, Ralph H. Johnson VA Health Care System, Charleston, SC, USA.
Ryan R KellyResearch Service, Ralph H. Johnson VA Health Care System, Charleston, SC, USA.
Sara J SidlesResearch Service, Ralph H. Johnson VA Health Care System, Charleston, SC, USA.
Amanda C LaRueResearch Service, Ralph H. Johnson VA Health Care System, Charleston, SC, USA. Rutha.Larue@va.gov.

Funding

BLRD VA I01 BX005168BLRD VA I01 BX005870
6 · The paper itself

Abstract

purpose of reviewThis review explores the relationship between post-traumatic stress disorder (PTSD) and bone health, focusing on how chronic psychological stress influences skeletal integrity through neuroendocrine, immune, and behavioral pathways. RECENT

findingsClinical and preclinical studies demonstrate PTSD is associated with reduced bone mineral density, impaired healing, and fracture risk. Mechanistic insights implicate hypothalamic-pituitary-adrenal (HPA) axis dysregulation, sympathetic nervous system (SNS) overactivation, and chronic inflammation in disrupting bone remodeling. Additional risk modifiers include sex-specific biology, early-life adversity, and glucocorticoid sensitivity. However, selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), anti-inflammatory agents, and emerging tools like exosomal profiling and microbiome modulation show promise in mitigating stress-related bone loss. PTSD contributes to skeletal fragility through complex, multisystem mechanisms. Trauma-informed care integrating bone health screening and personalized interventions may improve psychological and musculoskeletal outcomes. Future research should prioritize longitudinal, mechanistic studies to guide holistic management of trauma-related disease.

Indexed as

Bone RemodelingOsteoporosisStress Disorders, Post-TraumaticBone DensityHumansHypothalamo-Hypophyseal SystemPituitary-Adrenal SystemSelective Serotonin Reuptake InhibitorsStress, PsychologicalSympathetic Nervous SystemSelective Serotonin Reuptake InhibitorsBone remodelingMusculoskeletal traumaNeuroendocrine-immune axisOsteoporosisPost-traumatic stress disorder (PTSD)Sex-specific vulnerability

Identifiers

PMID41838229
PMCPMC12992440

What OpenQuestion holds

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LicenceCC BY
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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.