Cited by 38Posttraumatic Stress Disorder ResearchMemory Processes and InfluencesStress Responses and Cortisol

Pharmacological modulation of acute trauma memories to prevent PTSD: considerations from a developmental perspective

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Hruska, Bryce, Cullen, Patrick K., Delahanty, Douglas L.·2014·Neurobiology of Learning and Memory

Abstract

Estimates of the lifetime prevalence of posttraumatic stress disorder (PTSD) in American adults range from 6.4% to 6.8%. PTSD is associated with increased risk for comorbid major depression, substance use disorder, suicide, and a variety of other mental and physical health conditions. Given the negative sequelae of trauma/PTSD, research has focused on identifying efficacious interventions that could be administered soon after a traumatic event to prevent or reduce the subsequent incidence of PTSD. While early psychosocial interventions have been shown to be relatively ineffective, early (secondary) pharmacological interventions have shown promise. These pharmacological approaches are largely based on the hypothesis that disruption of altered stress hormone levels and the consequent formation of trauma memories could protect against the development of PTSD. The present manuscript reviews the literature regarding the role of peri-traumatic stress hormones as risk factors for the development of PTSD and reviews evidence for the efficacy of exogenously modulating stress hormone levels to prevent/buffer the development of PTSD symptoms. Whereas prior literature has focused primarily on either child or adult studies, the present review incorporates both child and adult studies in a developmental approach to understanding risk for PTSD and how pharmacological modulation of acute memories may buffer the development of PTSD symptoms.

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Crossref · 10.1016/j.nlm.2014.02.001

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  1. Perry BD 1994 Neurobiological sequelae of childhood trauma: Post-traumatic stress disorders in children Murburg M Catecholamine Function in Post Traumatic Stress Disorder: Emerging Concepts 253 276 Washington, DC American Psychiatric Press

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Authors
Hruska, B., Cullen, P. K., & Delahanty, D. L.
Affiliations
Kent State University (US)
Corresponding author
Delahanty, Douglas L.
Venue
Neurobiology of Learning and Memory
Publisher
Elsevier BV
Published
2014-07
Volume
112
Pages
122-129
ISSN
1074-7427 (ISSN-L)
OpenAlex
W2084406997
Cited by
38
References
98
Citations by year
2026: 4 · 2025: 2 · 2024: 3 · 2023: 1 · 2022: 2 · 2021: 1 · 2020: 6 · 2019: 3 · 2018: 1 · 2017: 3 · 2016: 7 · 2015: 2 · 2014: 3
FWCI
0.76
Type
journal article
Language
en
Open access
Locations
  • Neurobiology of Learning and Memory (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute of Mental Health (R01MH062042, R34MH073014)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Memory Processes and Influences
  • Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
Keywords
post-traumatic stress disorder, PTSD prevention, stress hormones, cortisol, developmental perspective, childhood trauma, trauma risk factors, memory modulation
MeSH terms
Adrenergic beta-Antagonists, Adult, Animals, Child, Humans, Hydrocortisone, Hypothalamo-Hypophyseal System, Pituitary-Adrenal System, Propranolol, Stress Disorders, Post-Traumatic, Sympathetic Nervous System, Memory, Episodic

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