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Accepted manuscript

A whole-brain voxel-based analysis of structural abnormalities in PTSD: an ENIGMA-PGC study

Published online by Cambridge University Press:  22 July 2025

Cheryl R Z See*
Affiliation:
Department of Psychosis, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, London, United Kingdom.
Shuqing Si
Affiliation:
Department of Psychosis, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, London, United Kingdom.
C. Lexi Baird
Affiliation:
Brain Imaging and Analysis Center, Duke University, Durham, NC, USA. Department of Veteran Affairs Mid-Atlantic Mental Illness Research, Education and Clinical Center, Durham, NC, USA.
Courtney C. Haswell
Affiliation:
Brain Imaging and Analysis Center, Duke University, Durham, NC, USA. Department of Veteran Affairs Mid-Atlantic Mental Illness Research, Education and Clinical Center, Durham, NC, USA.
Ahmed Hussain
Affiliation:
Brain Imaging and Analysis Center, Duke University, Durham, NC, USA. Department of Veteran Affairs Mid-Atlantic Mental Illness Research, Education and Clinical Center, Durham, NC, USA.
Miranda Olff
Affiliation:
Department of Psychiatry, Amsterdam University Medical Center, Amsterdam, The Netherlands. ARQ National Psychotrauma Centre, Diemen, The Netherlands.
Dick J. Veltman
Affiliation:
Department of Psychiatry, Amsterdam University Medical Center, Amsterdam, The Netherlands.
Jessie Frijling
Affiliation:
De Viersprong Mental Health Specialist in Personality Disorders, Family and Behavior, Amsterdam, The Netherlands.
Mirjam van Zuiden
Affiliation:
Department of Psychiatry, Amsterdam University Medical Center, Amsterdam, The Netherlands. Clinical Psychology, Utrecht University, Utrecht, The Netherlands.
Saskia B.J. Koch
Affiliation:
Department of Psychiatry, Amsterdam University Medical Center, Amsterdam, The Netherlands. Donders Center for Cognitive Neuroimaging, Radboud University Nijmegen, The Netherlands.
Laura Nawijn
Affiliation:
Department of Psychiatry, Amsterdam University Medical Center, Amsterdam, The Netherlands. Institute of Psychology, Clinical Psychology, Leiden University, Leiden, The Netherlands.
Li Wang
Affiliation:
Laboratory for Traumatic Stress Studies, Chinese Academy of Sciences Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China. Department of Psychology, University of Chinese Academy of Sciences, Beijing, China.
Ye Zhu
Affiliation:
Laboratory for Traumatic Stress Studies, Chinese Academy of Sciences Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China. Department of Psychology, University of Chinese Academy of Sciences, Beijing, China.
Gen Li
Affiliation:
Laboratory for Traumatic Stress Studies, Chinese Academy of Sciences Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China. Center for Global Health Equity, New York University Shanghai, Shanghai, China.
Yuval Neria
Affiliation:
Department of Psychiatry, Columbia University Medical Center, New York, NY, USA. New York State Psychiatric Institute, New York, NY, USA.
Xi Zhu
Affiliation:
Department of Psychiatry, Columbia University Medical Center, New York, NY, USA. New York State Psychiatric Institute, New York, NY, USA.
Benjamin Suarez-Jimenez
Affiliation:
Department of Neuroscience, University of Rochester Medical Center, Rochester, NY, USA.
Sigal Zilcha-Mano
Affiliation:
Department of Psychology, University of Haifa, Haifa, Israel.
Amit Lazarov
Affiliation:
Department of Psychiatry, Columbia University Medical Center, New York, NY, USA. School of Psychological Sciences, Tel-Aviv University, Tel-Aviv, Israel.
Jennifer Stevens
Affiliation:
Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA.
Kerry Ressler
Affiliation:
Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA. Division of Depression and Anxiety Disorders, McLean Hospital, Belmont, MA, USA. Department of Psychiatry, Harvard Medical School, Boston, MA, USA.
Negar Fani
Affiliation:
Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA.
Tanja Jovanovic
Affiliation:
Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA. Department of Psychiatry and Behavioral Neuroscience, Wayne State University School of Medicine, Detroit, MI, USA.
Sanne van Rooij
Affiliation:
Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA.
Milissa Kaufman
Affiliation:
Department of Psychiatry, Harvard Medical School, Boston, MA, USA. Division of Women’s Mental Health, McLean Hospital, Belmont, MA, USA.
Lauren Lebois
Affiliation:
Division of Depression and Anxiety Disorders, McLean Hospital, Belmont, MA, USA. Department of Psychiatry, Harvard Medical School, Boston, MA, USA.
Isabelle Rosso
Affiliation:
Department of Psychiatry, Harvard Medical School, Boston, MA, USA. Center for Depression, Anxiety, and Stress Research, McLean Hospital, Belmont, MA, USA.
Elizabeth Olson
Affiliation:
Department of Psychiatry, Harvard Medical School, Boston, MA, USA. Center for Depression, Anxiety, and Stress Research, McLean Hospital, Belmont, MA, USA.
Justin Baker
Affiliation:
Department of Psychiatry, Harvard Medical School, Boston, MA, USA. Institute for Technology in Psychiatry, McLean Hospital, Belmont, MA, USA.
Scott Sponheim
Affiliation:
Minneapolis VA Health Care System, Minneapolis, MN, USA. Department of Psychiatry and Behavioral Sciences, University of Minnesota, Minneapolis, MN, USA.
Seth Disner
Affiliation:
Minneapolis VA Health Care System, Minneapolis, MN, USA. Department of Psychiatry and Behavioral Sciences, University of Minnesota, Minneapolis, MN, USA.
Nicholas Davenport
Affiliation:
Minneapolis VA Health Care System, Minneapolis, MN, USA. Department of Psychiatry and Behavioral Sciences, University of Minnesota, Minneapolis, MN, USA.
Amit Etkin
Affiliation:
Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USA. VA Palo Alto Health Care System, Palo Alto, CA, USA.
Adi Maron-Katz
Affiliation:
Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USA.
Murray Stein
Affiliation:
Department of Psychiatry, University of California San Diego, La Jolla, CA, USA.
Martha Shenton
Affiliation:
Department of Psychiatry, Neuroimaging Laboratory, Brigham and Women’s Hospital and Harvard Medical School, Boston, MA, USA. Department of Radiology, Brigham and Women’s Hospital, Boston, MA, USA. Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Dan Stein
Affiliation:
South African Medical Research Council Unit on Risk & Resilience in Mental Disorders, Department of Psychiatry and Neuroscience Institute, University of Cape Town, Cape Town, South Africa.
Jonathan Ipser
Affiliation:
South African Medical Research Council Unit on Risk & Resilience in Mental Disorders, Department of Psychiatry and Neuroscience Institute, University of Cape Town, Cape Town, South Africa.
Sheri-Michelle Koopowitz
Affiliation:
South African Medical Research Council Unit on Risk & Resilience in Mental Disorders, Department of Psychiatry and Neuroscience Institute, University of Cape Town, Cape Town, South Africa.
Soraya Seedat
Affiliation:
Department of Psychiatry, Stellenbosch University, Stellenbosch, South Africa. South African Medical Research Council Unit on the Genomics of Brain Disorders (GBD), Department of Psychiatry, Stellenbosch University, Stellenbosch, South Africa.
Stefan du Plessis
Affiliation:
Department of Psychiatry, Stellenbosch University, Stellenbosch, South Africa. South African Medical Research Council Unit on the Genomics of Brain Disorders (GBD), Department of Psychiatry, Stellenbosch University, Stellenbosch, South Africa.
Leigh van den Huevel
Affiliation:
Department of Psychiatry, Stellenbosch University, Stellenbosch, South Africa. South African Medical Research Council Unit on the Genomics of Brain Disorders (GBD), Department of Psychiatry, Stellenbosch University, Stellenbosch, South Africa.
Shmuel Lissek
Affiliation:
Department of Psychology, University of Minnesota, Minneapolis, MN, USA.
Hannah Berg
Affiliation:
Department of Psychology, University of Minnesota, Minneapolis, MN, USA.
Thomas Straube
Affiliation:
Institute of Medical Psychology and Systems Neuroscience, University of Mu¨nster, Mu¨nster, Germany.
David Hoffman
Affiliation:
Institute of Medical Psychology and Systems Neuroscience, University of Mu¨nster, Mu¨nster, Germany.
Lee Baugh
Affiliation:
Division of Basic Biomedical Sciences, Sanford School of Medicine, University of South Dakota, Vermillion, SD, USA. Center for Brain and Behavior Research, University of South Dakota, Vermillion, SD, USA. Sioux Falls VA Health Care System, Sioux Falls, SD, USA.
Gina Forster
Affiliation:
Division of Basic Biomedical Sciences, Sanford School of Medicine, University of South Dakota, Vermillion, SD, USA. Center for Brain and Behavior Research, University of South Dakota, Vermillion, SD, USA. Brain Health Research Centre, Department of Anatomy, University of Otago, Dunedin, New Zealand.
Raluca Simons
Affiliation:
Center for Brain and Behavior Research, University of South Dakota, Vermillion, SD, USA. Department of Psychology, University of South Dakota, Vermillion, SD, USA. Disaster Mental Health Institute, Vermillion, SD, USA.
Jeffrey Simons
Affiliation:
Sioux Falls VA Health Care System, Sioux Falls, SD, USA. Department of Psychology, University of South Dakota, Vermillion, SD, USA.
Vincent Magnotta
Affiliation:
Departments of Radiology, Psychiatry, and Biomedical Engineering, University of Iowa, Iowa City, IA, USA.
Kelene Fercho
Affiliation:
Division of Basic Biomedical Sciences, Sanford School of Medicine, University of South Dakota, Vermillion, SD, USA. Center for Brain and Behavior Research, University of South Dakota, Vermillion, SD, USA. Sioux Falls VA Health Care System, Sioux Falls, SD, USA. Civil Aerospace Medical Institute, US Federal Aviation Administration, Oklahoma City, OK, USA.
Xin Wang
Affiliation:
Department of Psychiatry, University of Toledo, Toledo, OH, USA.
Andrew Cotton
Affiliation:
Department of Psychiatry, University of Toledo, Toledo, OH, USA.
Erin O’Leary
Affiliation:
Department of Psychiatry, University of Toledo, Toledo, OH, USA.
Hong Xie
Affiliation:
Department of Neurosciences, University of Toledo, Toledo, OH, USA.
Daniel Grupe
Affiliation:
Center for Healthy Minds, University of Wisconsin-Madison, Madison, WI, USA.
Jack Nitschke
Affiliation:
Department of Psychiatry, University of Wisconsin- Madison, Madison, WI, USA.
Richard Davidson
Affiliation:
Center for Healthy Minds, University of Wisconsin-Madison, Madison, WI, USA. Department of Psychiatry, University of Wisconsin- Madison, Madison, WI, USA. Department of Psychology, University of Wisconsin- Madison, Madison, WI, USA.
Christine Larson
Affiliation:
Department of Psychology, University of Wisconsin- Milwaukee, Milwaukee, WI, USA.
Terri deRoon-Cassini
Affiliation:
Division of Trauma and Acute Care Surgery, Department of Surgery, Medical College of Wisconsin, Milwaukee, WI, USA. Comprehensive Injury Center, Medical College of Wisconsin, Milwaukee, WI, USA.
Carissa Tomas
Affiliation:
Comprehensive Injury Center, Medical College of Wisconsin, Milwaukee, WI, USA. Division of Epidemiology and Social Sciences, Institute of Health and Equity, Medical College of Wisconsin Milwaukee, Milwaukee, WI, USA.
Jacklynn Fitzgerald
Affiliation:
Department of Psychology, Marquette University, Milwaukee, WI, USA.
Jennifer Urbano Blackford
Affiliation:
Munroe-Meyer Institute, University of Nebraska Medical Center, Omaha, NE, USA. Department of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, TN, USA.
Bunmi Olatunji
Affiliation:
Department of Psychology, Vanderbilt University, Nashville, TN, USA.
Evan Gordon
Affiliation:
Department of Radiology, Washington University School of Medicine, St. Louis, MO, USA.
Geoffrey May
Affiliation:
Veterans Integrated Service Network-17 Center of Excellence for Research on Returning War Veterans, Waco, TX, USA. Department of Psychology and Neuroscience, Baylor University, Waco, TX, USA. Center for Vital Longevity, School of Behavioral and Brain Sciences, University of Texas at Dallas, Dallas, TX, USA. Department of Psychiatry and Behavioral Science, Texas A&M University Health Science Center, Bryan, TX, USA.
Steven Nelson
Affiliation:
Masonic Institute for the Developing Brain, University of Minnesota, Minneapolis, MN, USA. Department of Pediatrics, University of Minnesota, Minneapolis, MN, USA.
Ruth Lanius
Affiliation:
Department of Neuroscience, Western University, London, ON, Canada.
Jean Théberge
Affiliation:
Departments of Psychology and Psychiatry, Neuroscience Program, Western University, London, ON, Canada.
Maria Densmore
Affiliation:
Departments of Psychology and Psychiatry, Neuroscience Program, Western University, London, ON, Canada.
Richard Neufeld
Affiliation:
Departments of Psychology and Psychiatry, Neuroscience Program, Western University, London, ON, Canada.
Chadi Abdallah
Affiliation:
Department of Psychiatry, Baylor College of Medicine, Houston, TX, USA. Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.
Christopher Averill
Affiliation:
Department of Psychiatry, Baylor College of Medicine, Houston, TX, USA.
Ilan Harpaz-Rotem
Affiliation:
Division of Clinical Neuroscience, National Center for PTSD, West Haven, CT, USA. Departments of Psychiatry and of Psychology, Wu Tsai Institute, Yale University, New Haven, CT, USA.
Ifat Levy
Affiliation:
Division of Clinical Neuroscience, National Center for PTSD, West Haven, CT, USA. Departments of Comparative Medicine, Neuroscience and Psychology, Wu Tsai Institute, Yale University, New Haven, CT, USA.
John Krystal
Affiliation:
Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA. Division of Clinical Neuroscience, National Center for PTSD, West Haven, CT, USA.
Elbert Geuze
Affiliation:
Brain Research and Innovation Centre, Ministry of Defence, Utrecht, The Netherlands. University Medical Center, Utrecht, The Netherlands.
Remko van Lutterveld
Affiliation:
Brain Research and Innovation Centre, Ministry of Defence, Utrecht, The Netherlands. University Medical Center, Utrecht, The Netherlands.
Emily Dennis
Affiliation:
Department of Neurology, University of Utah School of Medicine, Salt Lake City, UT, USA. George E. Wahlen Veterans Affairs Medical Center, Salt Lake City, UT, USA. Imaging Genetics Center, Mark and Mary Stevens Neuroimaging & Informatics Institute, Keck School of Medicine, University of Southern California, Marina del Rey, CA, USA. Department of Radiology, Stanford University, Stanford, CA, USA.
David Tate
Affiliation:
Department of Neurology, University of Utah School of Medicine, Salt Lake City, UT, USA. George E. Wahlen Veterans Affairs Medical Center, Salt Lake City, UT, USA.
David Cifu
Affiliation:
Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, VA, USA.
William Walker
Affiliation:
Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, VA, USA. Richmond VAMC, Central Virginia VA Health Care System, Richmond, VA, USA.
Elisabeth Wilde
Affiliation:
Department of Neurology, University of Utah School of Medicine, Salt Lake City, UT, USA. George E. Wahlen Veterans Affairs Medical Center, Salt Lake City, UT, USA. H. Ben Taub Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, TX, USA.
Nic van der Wee
Affiliation:
Department of Psychiatry, Leiden University Medical Center, Leiden, The Netherlands. Leiden Institute for Brain and Cognition, Leiden, The Netherlands.
Robert Vermeiren
Affiliation:
Department of Psychiatry, Leiden University Medical Center, Leiden, The Netherlands.
Steven van der Werff
Affiliation:
Institute of Psychology, Clinical Psychology, Leiden University, Leiden, The Netherlands. Department of Psychiatry, Leiden University Medical Center, Leiden, The Netherlands. Leiden Institute for Brain and Cognition, Leiden, The Netherlands.
Katie McLaughlin
Affiliation:
Department of Psychology, Harvard University, Cambridge, MA, USA.
Kelly Sambrook
Affiliation:
Department of Radiology, University of Washington, Seattle, WA, USA.
Matthew Peverill
Affiliation:
Department of Psychology, University of Washington, Seattle, WA, USA.
Joaquim Radua
Affiliation:
Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), CIBERSAM, University of Barcelona, Barcelona, Spain.
Lauren Salminen
Affiliation:
Imaging Genetics Center, Mark and Mary Stevens Neuroimaging & Informatics Institute, Keck School of Medicine, University of Southern California, Marina del Rey, CA, USA.
Neda Jahanshad
Affiliation:
Imaging Genetics Center, Mark and Mary Stevens Neuroimaging & Informatics Institute, Keck School of Medicine, University of Southern California, Marina del Rey, CA, USA.
Sophia Thomopoulos
Affiliation:
Imaging Genetics Center, Mark and Mary Stevens Neuroimaging & Informatics Institute, Keck School of Medicine, University of Southern California, Marina del Rey, CA, USA.
Anthony James
Affiliation:
Department of Psychiatry, University of Oxford, Oxford, United Kingdom. Highfield Unit, Warneford Hospital, Oxford, United Kingdom.
Lucia Valmaggia
Affiliation:
Centre for Youth Mental Health, University of Melbourne, Parkville, Victoria, Australia. Department of Psychology, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, United Kingdom. Department of Psychiatry, KU Leuven, Leuven, Belgium.
Paul Thompson
Affiliation:
Imaging Genetics Center, Mark and Mary Stevens Neuroimaging & Informatics Institute, Keck School of Medicine, University of Southern California, Marina del Rey, CA, USA.
Rajendra Morey
Affiliation:
Brain Imaging and Analysis Center, Duke University, Durham, NC, USA. Department of Veteran Affairs Mid-Atlantic Mental Illness Research, Education and Clinical Center, Durham, NC, USA.
Matthew Kempton
Affiliation:
Department of Psychosis, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, London, United Kingdom.
*
Corresponding Author: Cheryl See, Email: cheryl.see@kcl.ac.ukDepartment of Psychosis Studies, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, 16 De Crespigny Park London SE5 8AB

Abstract

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Review/Meta-analysis
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Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - ND
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© The Author(s), 2025. Published by Cambridge University Press on behalf of European Psychiatric Association
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