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Changes in Plasma Norepinephrine to Combat-Related Stimuli among Vietnam Veterans with Posttraumatic Stress Disorder
Abstract
Plasma norepinephrine samples were obtained before and after exposure to auditory stimuli reminiscent of combat from two groups of male Vietnam veterans with combat experience: one with diagnoses of PTSD (N = 15) and one with no mental disorder (N = 6). Results showed a significant 30% rise in plasma norepinephrine for the PTSD group, with no change in the comparison group.
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“and following exposure to threatening stimuli (Blanchard et al, 1991;Geracioti et al, 2008).”
From Inflammation in Fear- and Anxiety-Based Disorders: PTSD, GAD, and Beyond (2017) · cites this paper as Blanchard et al, 1991
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Biological studies of post-traumatic stress disorder
Pitman, R. K., Rasmusson, A. M., Koenen, K. C., Shin, L. M., Orr, S. P., Gilbertson, M. W., Milad, M. R., & Liberzon, I. (2012) · Nature Reviews Neuroscience · doi:10.1038/nrn3339 · Cited by 1,529
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Michopoulos, V., Powers, A., Gillespie, C. F., Ressler, K. J., & Jovanovic, T. (2017) · Neuropsychopharmacology · doi:10.1038/npp.2016.146 · Cited by 786
“Peripheral and central concentrations of norepinephrine are augmented in individuals with PTSD at baseline (Delahanty et al, 2005; Geracioti et al, 2001; Southwick et al, 1999) and following exposure to threatening stimuli (Blanchard et al, 1991; Geracioti et al, 2008).”
BackgroundRole of norepinephrine in the pathophysiology and treatment of posttraumatic stress disorder
Southwick, S. M., Bremner, J. D., Rasmusson, A., Morgan, C. A., Arnsten, A., & Charney, D. S. (1999) · Biological Psychiatry · doi:10.1016/s0006-3223(99)00219-x · Cited by 573
Elzinga, B. (2002) · Journal of Affective Disorders · doi:10.1016/s0165-0327(01)00351-2 · Cited by 473
“Furthermore, plasma noradrenaline was enhanced in veterans with PTSD after exposure to auditory stimuli reminiscent of combat (McFall et al., 1990; Blanchard et al., 1991).”
BackgroundCSF Norepinephrine Concentrations in Posttraumatic Stress Disorder
Geracioti, T. D., Baker, D. G., Ekhator, N. N., West, S. A., Hill, K. K., Bruce, A. B., Schmidt, D., Rounds-Kugler, B., Yehuda, R., Keck, P. E., et al. (2001) · American Journal of Psychiatry · doi:10.1176/appi.ajp.158.8.1227 · Cited by 462
Cohen, H., Benjamin, J., Geva, A. B., Matar, M. A., Kaplan, Z., & Kotler, M. (2000) · Psychiatry Research · doi:10.1016/s0165-1781(00)00195-5 · Cited by 390
Maes, M., Lin, A.-H., Delmeire, L., Van Gastel, A., Kenis, G., De Jongh, R., & Bosmans, E. (1999) · Biological Psychiatry · doi:10.1016/s0006-3223(98)00131-0 · Cited by 387
“…that PTSD is associated with i) increased central catecholaminergic or peripheral sympathetic nervous system (SNS) activity (Kosten et al 1987; Blanchard et al 1991; Hammer and Diamond 1993; Southwick et al 1993; Grillon et al 1996); ii) neuroendocrine disorders, such as an enhanced negative…”
BackgroundPsychophysiologic assessment of aversive conditioning in posttraumatic stress disorder
Peri, T., Ben‐Shakhar, G., Orr, S. P., & Shalev, A. Y. (2000) · Biological Psychiatry · doi:10.1016/s0006-3223(99)00144-4 · Cited by 349
Resilience: research evidence and conceptual considerations for posttraumatic stress disorder
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“Other groups reported an increased release of catecholamines in PTSD subjects after exposure to combat-related stimuli, such as films or evocative sounds [Blanchard et al., 1991; Liberzon et al., 1999; McFall et al., 1990].”
BackgroundNoradrenergic and Serotonergic Function in Posttraumatic Stress Disorder
Southwick, S. M. (1997) · Archives of General Psychiatry · doi:10.1001/archpsyc.1997.01830200083012 · Cited by 319
Trauma and substance abuse: Causes, consequences, and treatment of comorbid disorders.
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Noradrenergic dysfunction and the psychopharmacology of posttraumatic stress disorder
Strawn, J. R., & Geracioti, T. D. (2007) · Depression and Anxiety · doi:10.1002/da.20292 · Cited by 325
“Plasma norepinephrine concentrations (or levels of MHPG) are most often within normal limits or even reduced at baseline in patients with PTSD [Blanchard et al., 1991; Jensen et al., 1997; Liberzon et al., 1999a, b; McFall et al., 1992; Murburg et al., 1995; Pitmann and Orr, 1990; Southwick et al., 1993; Yehuda et al.…”
BackgroundInfluentialBremner, J. D. (1997) · Archives of General Psychiatry · doi:10.1001/archpsyc.1997.01830150070011 · Cited by 299
Neuroanatomical circuits modulating fear and anxiety behaviors
Charney, D. S. (2003) · Acta Psychiatrica Scandinavica · doi:10.1034/j.1600-0447.108.s417.3.x · Cited by 293
“combat films or sounds) produces greater increases in plasma, epinephrine, NE and cortisol in PTSD patients than controls (93, 95, 96), although baseline concentrations of catecholamines are not consistently altered in combat-related PTSD (90, 91).”
BackgroundNeuroendocrine and Psychophysiologic Responses in PTSD: A Symptom Provocation Study
Liberzon, I. (1999) · Neuropsychopharmacology · doi:10.1016/s0893-133x(98)00128-6 · Cited by 292
“Prior studies found similar elevations in one or the other, but not both, of these hormones (Blanchard et al. 1991b; McFall et al. 1990).”
BackgroundResultA Meta-Analytic Examination of Basal Cardiovascular Activity in Posttraumatic Stress Disorder
Buckley, T. C., & Kaloupek, D. G. (2001) · Psychosomatic Medicine · doi:10.1097/00006842-200107000-00011 · Cited by 288
“It is likely that these cardiovascular responses to trauma cues are mediated by the sympathetic branch of the autonomic nervous system, because individuals diagnosed with PTSD show elevated catecholamine levels, relative to comparison subjects without PTSD, after exposure to stressors (15, 16).”
BackgroundChapter 23 Role of the locus coeruleus in emotional activation
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Low baseline and yohimbine-stimulated plasma neuropeptide Y (NPY) levels in combat-related PTSD
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Androgen modulates N-methyl-D-aspartate-mediated depolarization in CA1 hippocampal pyramidal cells
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PTSD and stress sensitisation: A tale of brain and body
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“Exposure to traumatic reminders in the form of combat films resulted in increased epinephrine [McFall et al., 1990] and norepinephrine [Blanchard et al., 1991] release, and increased MHPG with physical exercise [Hamner et Increased symptomatology with Bz-antagonist + Decreased Bz-receptor binding…”
BackgroundMichopoulos, V., Norrholm, S. D., & Jovanovic, T. (2015) · Biological Psychiatry · doi:10.1016/j.biopsych.2015.01.005 · Cited by 206
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“In the group of subjects tested at baseline and immediately after interrogation stress, a repeated-measures ANOVA of the NE values revealed significant within-subject effects for time (F(1,17) 5 150.”
BackgroundMethodResultInfluentialNoradrenergic Mechanisms in the Pathophysiology of Post-Traumatic Stress Disorder
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“…significantly greater increases in heart rate (HR), blood pressure (BP), skin conductance, epinephrine and norepinephrine than do control subjects (Blanchard et al. 1982, 1991; Casada et al. 1998; Kolb and Mutalipassi 1992; Malloy et al. 1983; McFall et al. 1990; Orr et al. 1998; Pitman et al.…”
Vagal modulation of responses to mental challenge in posttraumatic stress disorder
Sahar, T., Shalev, A. Y., & Porges, S. W. (2001) · Biological Psychiatry · doi:10.1016/s0006-3223(00)01045-3 · Cited by 162
“…monitored during rest is consistent with previous reports suggesting that PTSD is primarily associated with increased phasic response to challenge, and mainly with responses to trauma-related cues or to sudden loud tones (e.g., Blanchard et al 1991; McFall et al 1990, 1992; Murburg et al 1995).”
ResultCardiovascular manifestations of posttraumatic stress disorder.
(2007) · PubMed Central · Cited by 160
Noradrenergic dysregulation in the pathophysiology of PTSD
Hendrickson, R. C., & Raskind, M. A. (2016) · Experimental Neurology · doi:10.1016/j.expneurol.2016.05.014 · Cited by 185
“…have found higher levels both at baseline (Israel Liberzon et al. 1999) and in response to trauma-related cues in those with PTSD as compared to traumaexposed individuals without PTSD (Blanchard et al. 1991; Israel Liberzon et al. 1999) (see also study by Southwick and colleagues, described below).”
Gander, M., & von Känel, R. (2006) · European Journal of Cardiovascular Prevention & Rehabilitation · doi:10.1097/01.hjr.0000214606.60995.46 · Cited by 156
Posttraumatic stress disorder: A metabolic disorder in disguise?
Michopoulos, V., Vester, A., & Neigh, G. (2016) · Experimental Neurology · doi:10.1016/j.expneurol.2016.05.038 · Cited by 152
PSYCHONEUROENDOCRINOLOGY OF POST-TRAUMATIC STRESS DISORDER
Yehuda, R. (1998) · Psychiatric Clinics of North America · doi:10.1016/s0193-953x(05)70010-1 · Cited by 148
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Neurobiology of comorbid post‐traumatic stress disorder and alcohol‐use disorder
Gilpin, N. W., & Weiner, J. L. (2016) · Genes Brain & Behavior · doi:10.1111/gbb.12349 · Cited by 154
“Several studies have observed higher urinary (De Bellis et al. 1997; Kosten et al. 1987) and plasma (Blanchard et al. 1991; McFall et al. 1990; Yehuda et al. 1998) levels of epinephrine and NE in PTSD patients compared with healthy controls or even individuals with other psychiatric illnesses.”
BackgroundBowers, M. E., & Ressler, K. J. (2015) · Biological Psychiatry · doi:10.1016/j.biopsych.2015.06.008 · Cited by 155
Neuroendocrinology of Post-Traumatic Stress Disorder
Pervanidou, P., & Chrousos, G. P. (2010) · Progress in brain research · doi:10.1016/s0079-6123(10)82005-9 · Cited by 143
Psychobiologic Research in Post-Traumatic Stress Disorder
Southwick, S. M., Bremner, J. D., Krystal, J. H., & Charney, D. S. (1994) · Psychiatric Clinics of North America · doi:10.1016/s0193-953x(18)30112-6 · Cited by 137
Subtypes of social phobia in adolescents
Hofmann, S. G., Albano, A. M., Heimberg, R. G., Tracey, S. A., Chorpita, B. F., & Barlow, D. H. (1999) · Depression and Anxiety · doi:10.1002/(sici)1520-6394(1999)9:1 · Cited by 121
Neylan, T. C., Fletcher, D. J., Lenoci, M., McCallin, K., Weiss, D. S., Schoenfeld, F. B., Marmar, C. R., & Fein, G. (1999) · Biological Psychiatry · doi:10.1016/s0006-3223(99)00047-5 · Cited by 134
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Post‐traumatic stress disorder: a review of psychobiology and pharmacotherapy
Hageman, I., Andersen, H. S., & Jørgensen, M. B. (2001) · Acta Psychiatrica Scandinavica · doi:10.1034/j.1600-0447.2001.00237.x · Cited by 123
“Heightened reactivity of the sympathetic nervous system, though has generally been reported in combat veterans with trauma-related symptoms (24, 25).”
BackgroundInslicht, S. S., Marmar, C. R., Neylan, T. C., Metzler, T. J., Hart, S. L., Otte, C., McCaslin, S. E., Larkin, G. L., Hyman, K. B., & Baum, A. E. (2006) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2006.03.007 · Cited by 118
Psychopharmacologic Treatment of Posttraumatic Stress Disorder in Children and Adolescents
Strawn, J. R., Keeshin, B. R., DelBello, M. P., Geracioti, T. D., & Putnam, F. W. (2010) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.09r05446blu · Cited by 116
Pervanidou, P., Kolaitis, G., Charitaki, S., Lazaropoulou, C., Papassotiriou, I., Hindmarsh, P., Bakoula, C., Tsiantis, J., & Chrousos, G. P. (2007) · Biological Psychiatry · doi:10.1016/j.biopsych.2007.02.008 · Cited by 110
Power Spectral Analysis of Heart Rate Variability in Psychiatry
Cohen, H., Matar, M. A., Kaplan, Z., & Kotler, M. (1999) · Psychotherapy and Psychosomatics · doi:10.1159/000012314 · Cited by 112
“showed that cardiovascular measures, such as spectral derivatives of HRV, change in relation to clinical recovery in the treatment of PD patients treated with either imipramine or cognitive therapy. These findings can be interpreted as indicating changes in baroreflex modulation, an important feature of the cardiovasc…”
Posttraumatic stress disorder, allostatic load, and medical illness.
Friedman, M. J., & McEwen, B. S. (2004) · American Psychological Association eBooks · doi:10.1037/10723-007 · Cited by 113
Sympathoneural and Adrenomedullary Responses to Mental Stress
Carter, J. R., & Goldstein, D. S. (2014) · Comprehensive physiology · doi:10.1002/cphy.c140030 · Cited by 119
“Posttraumatic stress disorder (PTSD) is associated with increased plasma NE (21), elevated urinary excretion rates of NE and EPI (159) and exaggerated catecholamine responses to yohimbine (253).”
Predicting PTSD Prospectively Based on Prior Trauma History and Immediate Biological Responses
Delahanty, D. L., & Nugent, N. R. (2006) · Annals of the New York Academy of Sciences · doi:10.1196/annals.1364.003 · Cited by 104
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The Neurobiology of Emotionally Influenced Memory Implications for Understanding Traumatic Memory
Cahill, L. F. (1997) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.1997.tb48283.x · Cited by 92
Application of Noninvasive Vagal Nerve Stimulation to Stress-Related Psychiatric Disorders
Bremner, J. D., Gurel, N. Z., Wittbrodt, M. T., Shandhi, M. M. H., Rapaport, M. H., Nye, J. A., Pearce, B. D., Vaccarino, V., Shah, A. J., Park, J., et al. (2020) · Journal of Personalized Medicine · doi:10.3390/jpm10030119 · Cited by 100
Measures of endothelial dysfunction in plasma of patients with posttraumatic stress disorder
von Känel, R., Hepp, U., Traber, R., Kraemer, B., Mica, L., Keel, M. J. B., Mausbach, B. T., & Schnyder, U. (2008) · Psychiatry Research · doi:10.1016/j.psychres.2006.12.003 · Cited by 90
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Altered Blood Coagulation in Patients With Posttraumatic Stress Disorder
von Känel, R., Hepp, U., Buddeberg, C., Keel, M., Mica, L., Aschbacher, K., & Schnyder, U. (2006) · Psychosomatic Medicine · doi:10.1097/01.psy.0000221229.43272.9d · Cited by 86
Maes, M. H. J. (1999) · Neuropsychopharmacology · doi:10.1016/s0893-133x(98)00058-x · Cited by 87
“Second, combat veterans show a significantly higher rise than normal volunteers in plasma NE and peripheral SNS activity following acute laboratory stressors with stimuli reminiscent of the trauma (Blanchard et al. 1991; Krystal et al. 1989).”
BackgroundBasal sympathoadrenal function in posttraumatic distress disorder
McFall, M., Veith, R. C., & Murburg, M. M. (1992) · Biological Psychiatry · doi:10.1016/0006-3223(92)90097-j · Cited by 79
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Increased Cortisol in Women With Intimate Partner Violence‐Related Posttraumatic Stress Disorder
Inslicht, S. S., Marmar, C. R., Neylan, T. C., Metzler, T. J., Hart, S. L., Otte, C., McCaslin, S. E., Larkin, G. L., Hyman, K. B., & Baum, A. E. (2006) · Annals of the New York Academy of Sciences · doi:10.1196/annals.1364.035 · Cited by 72
“This was surprising, since previous studies have found altered plasma and urinary catecholamines in PTSD (Blanchard et al., 1991; Hawk et al., 2000), and platelet catecholamine levels correlate with plasma catecholamine levels (Smith et al.”
BackgroundResultParoxetine binding in the blood platelets of post-traumatic stress disorder patients
Arora, R. C., Fichtner, C. G., O'Connor, F. L., & Crayton, J. W. (1993) · Life Sciences · doi:10.1016/0024-3205(93)90444-8 · Cited by 70
Persistent stress-induced sensitization of adrenocortical and startle responses
Servatius, R. J., Ottenweller, J. E., Bergen, M. T., Soldan, S. A., & Natelson, B. H. (1994) · Physiology & Behavior · doi:10.1016/0031-9384(94)90328-x · Cited by 70
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“…investigations using peripheral measures of resting states (Davidson et al 1985; Kosten et al 1987; Lerer et al 1987; Perry et al 1987; Yehuda et al 1992) and for stressful conditions (Blanchard et al 1991; McFall et al 1990) have provided strong support for noradrenergic dysregulation in PTSD.”
BackgroundRole of Norepinephrine in the Pathophysiology of Neuropsychiatric Disorders
Ressler, K. J., & Nemeroff, C. B. (2001) · CNS Spectrums · doi:10.1017/s1092852900001358 · Cited by 65
Thoma, M. V., Joksimovic, L., Kirschbaum, C., Wolf, J. M., & Rohleder, N. (2012) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2011.09.013 · Cited by 64
“However, just as many studies do not find differences in the sympathoadrenal function between individuals with or without PTSD (e.g. Blanchard et al., 1991; McFall et al., 1992; Pitman and Orr, 1990).”
Raber, J., Arzy, S., Bertolus, J. B., Depue, B., Haas, H. E., Hofmann, S. G., Kangas, M., Kensinger, E., Lowry, C. A., Marusak, H. A., et al. (2019) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2019.03.015 · Cited by 62
“, 2018) and persistent changes in LC function have been observed following stress/trauma (Blanchard et al., 2012; George et al., 2013).”
Noradrenergic Alterations in Posttraumatic Stress Disorder
Southwick, S. M., Morgan, C. A., Bremner, A. D., Grillon, C., Krystal, J. H., Nagy, L. M., & Charney, D. S. (1997) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.1997.tb48274.x · Cited by 64
Stress Controversies: Post-Traumatic Stress Disorder, Hippocampal Volume, Gastroduodenal Ulceration*
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Alpha-2 receptor agonists for the treatment of posttraumatic stress disorder
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“001), while the same stimuli lead to no significant change in plasma NE in healthy controls [16].”
BackgroundSex differences in post-traumatic stress disorder risk: autonomic control and inflammation
Fonkoue, I. T., Michopoulos, V., & Park, J. (2020) · Clinical Autonomic Research · doi:10.1007/s10286-020-00729-7 · Cited by 53
Stress, the brain, and trauma spectrum disorders
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“, 1998; Orr, Lasko, Shalev, & Pitman, 1995; Orr, Pitman, Lasko, & Herz, 1993; Orr & Roth, 2000), as well as increased norepinephrine and epinephrine in plasma (Blanchard et al., 1991; McFall et al., 1992), was seen in PTSD patients exposed to traumatic reminders in the form of combat slides and sounds or personalized…”
BackgroundNeurotransmitter Systems in a Mild Blast Traumatic Brain Injury Model: Catecholamines and Serotonin
Kawa, L., Arborelius, U. P., Yoshitake, T., Kehr, J., Hökfelt, T. G. M., Risling, M., & Agoston, D. V. (2014) · Journal of Neurotrauma · doi:10.1089/neu.2014.3669 · Cited by 48
“Dysfunction of the monoamine system has been found in patients suffering from PTSD. NA has a prominent role in arousal, autonomic stress responses and encoding of emotional memories in humans, thus being of central importance in PTSD. 89 Studies using yohimbine, an a 2 receptor antagonist, prompting increased NA relea…”
InfluentialBremner, J. D., Wittbrodt, M. T., Gurel, N. Z., Shandhi, M. H., Gazi, A. H., Jiao, Y., Levantsevych, O. M., Huang, M., Beckwith, J., Herring, I., et al. (2021) · Journal of Affective Disorders Reports · doi:10.1016/j.jadr.2021.100190 · Cited by 51
“…NE and its metabolites, in addition to increasing heart rate, blood pressure, and skin conductance (Blanchard et al., 1986; Blanchard et al., 1982; Blanchard et al., 1991; Malloy et al., 1983; McFall et al., 1990; McFall et al., 1992; Orr et al., 1998; Orr et al., 1995; Orr et al., 1993; Orr and…”
BackgroundIntegrating NIMH Research Domain Criteria (RDoC) into PTSD Research
Schmidt, U., & Vermetten, E. H. G. J. M. (2017) · Current topics in behavioral neurosciences · doi:10.1007/7854_2017_1 · Cited by 49
Vidović, A., Grubišić-Ilić, M., Kozarić‐Kovačić, D., Gotovac, K., Rakoš, I., Markotić, A., Rabatić, S., Dekaris, D., & Sabioncello, A. (2010) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2010.08.005 · Cited by 41
“In addition, plasma NE/EPI responses to trauma-related stimuli were more pronounced in PTSD patients when compared to controls (McFall et al., 1990; Blanchard et al., 1991; Liberzon et al., 1999).”
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Rhythms dysregulation: A new perspective for understanding PTSD?
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“individuals with and without PTSD (Blanchard et al., 1991; McFall et al., 1992; Pitman and Orr, 1990).”
Yeh, L.-F., Watanabe, M., Cuevas, J. N. S., & Johansen, J. P. (2017) · Current Opinion in Neurobiology · doi:10.1016/j.conb.2017.09.006 · Cited by 31
Relevance of Neuroendocrine Alterations in PTSD to Memory-Related Impairments of Trauma Survivors
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Neuroendocrine Alterations in Posttraumatic Stress Disorder
Southwick, S. M., Yehuda, R., & Wang, S. (1998) · Psychiatric Annals · doi:10.3928/0048-5713-19980801-07 · Cited by 29
Yehuda, R., Giller, E. L., & Mason, J. W. (1993) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/0278-5846(93)90004-c · Cited by 29
Goldstein, D. S. (2013) · Comprehensive physiology · doi:10.1002/cphy.c130006 · Cited by 33
“In Vietnam veterans with PTSD, exposure to auditory combat-related stimuli was reported to increase plasma NE levels, a measure of SNS activation (18), and in PTSD urinary excretion rates of NE and EPI are chronically increased (185); however, cortisol levels are if anything decreased.”
von Känel, R., Abbas, C. C., Begré, S., Saner, H. E., Gander, M., & Schmid, J. (2010) · Psychiatry Research · doi:10.1016/j.psychres.2009.06.005 · Cited by 27
“Patients with PTSD also showed exaggerated responses in heart rate, blood pressure, and catecholamines to trauma-specific stimuli (McFall et al., 1990; Blanchard et al., 1991; Bedi and Arora, 2007).”
BackgroundAnxiety Disorders: Noradrenergic Neurotransmission
Neumeister, A., Daher, R. J., & Charney, D. S. (2005) · Handbook of experimental pharmacology · doi:10.1007/3-540-28082-0_8 · Cited by 28
Vingerhoets, A. J. J. M., Ratliff-Crain, J., Jabaaij, L., Tilders, F. J. H., Moleman, P., & Menges, L. J. (1996) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(95)00528-5 · Cited by 27
On making (and turning adaptive to) maladaptive aversive memories in laboratory rodents
Gazarini, L., Stern, C. A. J., & Bertoglio, L. J. (2023) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2023.105101 · Cited by 27
Thompson, R. S., Strong, P. V., Clark, P., Maslanik, T., Wright, K., Greenwood, B. N., & Fleshner, M. (2014) · Acta Physiologica · doi:10.1111/apha.12239 · Cited by 27
“Published by John Wiley & Sons Ltd, doi: 10.1111/apha.12239 447 (Shalev et al. 1997, Rietsema 2003), as well as exaggerated hypothalamic–pituitary axis (HPA) responses in some cases (Blanchard et al. 1991, Heim et al. 2000, Morris et al. 2012).”
BackgroundInfluentialGurguis, G. N. M., Andrews, R., Antai-Otong, D., Vo, S. P., Blakeley, J. E., Orsulak, P. J., & Rush, A. J. (1999) · Psychopharmacology · doi:10.1007/s002130050928 · Cited by 24
“Psychophysiologic studies demonstrated increased heart rate, blood pressure, skin conductance and electromyographic responses to exposure to combat-related stimuli ( Blanchard et al. 1982, 1991; Kolb 1984, 1987; Pallmeyer et al. 1986; Pitman et al. 1987; McFall et al. 1990).”
BackgroundAbnormal ECG Patterns in Chronic Post-War PTSD Patients: A Pilot Study
Khazaie, H., Saidi, M. R., Sepehry, A. A., Knight, D. C., Ahmadi, M., Najafi, F., Fard, A. A. P., Samadzadeh, S., & Tahmasian, M. (2011) · International Journal of Behavioral Medicine · doi:10.1007/s12529-011-9197-y · Cited by 24
“Individuals suffering from PTSD and depression appear to be at risk of developing cardiovascular disorders [20, 21, 23, 25].”
BackgroundInfluentialThe psychobiology of PTSD: Perspectives and reflections on the past, present, and future
Kolb, L. C. (1993) · Journal of Traumatic Stress · doi:10.1002/jts.2490060302 · Cited by 24
Self-citationEndocrine and inflammatory alterations in post-traumatic stress disorder
Wessa, M., & Rohleder, N. (2006) · Expert Review of Endocrinology & Metabolism · doi:10.1586/17446651.2.1.91 · Cited by 26
“…(n = 17) vs healthy controls (n = 10) medication free SCID 8 a.m. plasma after overnight fast Higher plasma NE in PTSD [95] Unchanged or lower in PTSD Blanchard et al., 1991 Cross-sectional study Vietnam veterans with PTSD (n = 15) vs Vietnam veterans without PTSD (combat controls; n = 6) DSM-IIIR…”
BackgroundMethodYatham, L. N., Sacamano, J., & Kusumakar, V. (1996) · Psychiatry Research · doi:10.1016/0165-1781(96)02896-x · Cited by 22
de Kloet, C. S., Vermetten, E. H. G. J. M., Rademaker, A. R., Geuze, E., & Westenberg, H. M. (2012) · European Journal of Psychotraumatology · doi:10.3402/ejpt.v3i0.16206 · Cited by 21
“Studies in PTSD have shown increased SNS responses to trauma related stimuli (Blanchard et al., 1991; Liberzon et al., 1999; McFall et al., 1990), and elevated salivary cortisol levels in anticipation, but not in response to traumatic scripts (Valentino, 1988), traumatic reminders (Liberzon et al.”
Backgroundvon Känel, R., Abbas, C. C., Begré, S., Gander, M., Saner, H. E., & Schmid, J. (2009) · Digestive Diseases and Sciences · doi:10.1007/s10620-009-1082-z · Cited by 22
“Moreover, military veterans with PTSD showed increased circulating levels of norepinephrine [39] and greater increase in plasma norepinephrine to trauma-specific stimuli [40].”
BackgroundPsychobiologische Aspekte der Posttraumatischen Belastungsstöung
Ehlert, U., Wagner, D., Heinrichs, M., & Heim, C. C. (1999) · Der Nervenarzt · doi:10.1007/s001150050511 · Cited by 21
Peckerman, A., Dahl, K., Chemitiganti, R., LaManca, J. J., Ottenweller, J. E., & Natelson, B. H. (2003) · Autonomic Neuroscience · doi:10.1016/s1566-0702(03)00155-3 · Cited by 19
“Autonomic changes in PTSD were reported to included an increase in sympathetic activity, as expressed in elevated plasma (Blanchard et al., 1991) and urinary (Yehuda et al.”
Background
Metadata
- Authors
- BLANCHARD, E. B., KOLB, L. C., PRINS, A., GATES, S., & McCOY, G. C.
- Affiliations
- State University of New York (US)
- Albany Medical College (US)
- ORCID
- PRINS, ANNABEL
- Venue
- The Journal of Nervous and Mental Disease
- Published
- 1991-06
- Volume
- 179
- Issue
- 6
- Pages
- 371-373
- ISSN
- 0022-3018 (ISSN-L)
- OpenAlex
- W1964972447
- Cited by
- 152
- References
- 0
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2023: 4 · 2022: 1 · 2021: 3 · 2020: 5 · 2019: 3 · 2018: 2 · 2017: 6 · 2016: 10 · 2015: 4 · 2014: 6 · 2013: 2 · 2012: 3
- FWCI
- 4.83
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Nervous and Mental Disease (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (MH-37838)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury Research
- Keywords
- plasma norepinephrine, post-traumatic stress disorder, Vietnam War veterans, autonomic arousal, combat exposure
- MeSH terms
- Acoustic Stimulation, Adult, Diagnosis, Differential, Humans, Male, Memory, Norepinephrine, Posture, Stress Disorders, Post-Traumatic, Tape Recording, Veterans, Vietnam, Warfare
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