Evidence map›Paper›PMID 42312122›Full record

ArticleJournal of affective disorders reports2026

A pilot study of brain correlates of long-term treatment with transcutaneous vagal nerve stimulation in posttraumatic stress disorder.

J Douglas Bremner, Matthew T Wittbrodt, Nil Z Gurel, Jonathon A Nye, Mobashir H Shandhi, Asim H Gazi, Amit J Shah, Victoria Amorim, Bradley D Pearce, Viola Vaccarino and 1 more

Abstract read
In one paragraph

Article in Journal of affective disorders 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

11 authors.

J Douglas BremnerDepartment of Psychiatry & Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, United States.ORCID 0000-0003-1633-6433
Matthew T WittbrodtDepartment of Psychiatry & Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, United States.
Nil Z GurelSchool of Electrical and Computer Engineering, Georgia Institute of Technology, Atlanta GA, United States.ORCID 0000-0002-3702-0449
Jonathon A NyeDepartment of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, GA, United States.ORCID 0000-0002-4481-6031
Mobashir H ShandhiSchool of Electrical and Computer Engineering, Georgia Institute of Technology, Atlanta GA, United States.
Asim H GaziSchool of Electrical and Computer Engineering, Georgia Institute of Technology, Atlanta GA, United States.ORCID 0000-0003-4698-2823
Amit J ShahAtlanta VA Medical Center, Decatur, GA, United States.
Victoria AmorimDepartment of Psychiatry & Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, United States.ORCID 0009-0005-3095-1872
Bradley D PearceDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta GA, United States.
Viola VaccarinoDepartment of Medicine, Division of Cardiology, Emory University School of Medicine, Atlanta GA, United States.
Omer T InanSchool of Electrical and Computer Engineering, Georgia Institute of Technology, Atlanta GA, United States.

Funding

Non-Invasive Vagal Nerve Stimulation in Patients with Opioid Use DisordersUH3DA048502 · NIDA · EMORY UNIVERSITY · PI BREMNER, JAMES DOUGLAS, INAN, OMER TOLGA · 2023 to 2025
$5.8M
Neural Circuits in Women with Abuse and PTSDR01MH056120 · NIMH · YALE UNIVERSITY · PI BREMNER, JAMES DOUGLAS · 1999 to 2011
$5.0M
Dopamine function, inflammation and connectivity in PTSDR01MH120262 · NIMH · EMORY UNIVERSITY · PI BREMNER, JAMES DOUGLAS · 2020 to 2023
$2.9M
Non-Invasive Vagal Nerve Stimulation in Patients with Opioid Use Disorders UG3DA048502 · NIDA · EMORY UNIVERSITY · PI BREMNER, JAMES DOUGLAS, INAN, OMER TOLGA · 2020 to 2021
$844k
Shared Instrumentation for Research PET Brain DeviceS10RR016917 · NCRR · EMORY UNIVERSITY · PI BREMNER, JAMES DOUGLAS · 2002 to 2002
$500k
CSRD VA I01 CX002331NCRR NIH HHS S10 RR016917NIDA NIH HHS UG3 DA048502NIDA NIH HHS UH3 DA048502NIMH NIH HHS R01 MH056120NIMH NIH HHS R01 MH120262RRD VA I01 RX003418
6 · The paper itself

Abstract

Objective: Posttraumatic Stress Disorder (PTSD) is a highly prevalent condition, and current treatments have limitations. Vagal Nerve Stimulation (VNS) is a new approach that potentially has promise for PTSD. Understanding the neurobiology of treatment response is important for developing new treatments. The purpose of this study was to assess neural correlations of long-term transcutaneous cervical VNS (tcVNS) in patients with PTSD. Methods: Patients with PTSD underwent randomization to active tcVNS ( Results: Three months of active tcVNS resulted in activation in response to traumatic scripts in the sham stimulation group not seen in the tcVNS group in brain areas mediating the fear response, including posterior cingulate, thalamus, temporal and parietal cortex, and parahippocampal gyrus, with an increase in medial prefrontal cortex with tcVNS, in patients with PTSD. Conclusion: TcVNS affects brain areas mediating fear and emotion which may underlie a therapeutic effect for PTSD.

Indexed as

Brain imagingNeuromodulation: Vagus nerve stimulationPosttraumaticPTSDStress disordersVagal nerve stimulationVagus nerve

Identifiers

PMID42312122
PMCPMC13271659

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.