Table 3. Overview of important specifications of the sample for the experimental and clinical studies.
Authorref. | Polymorphism | Ethnicity | Screening | Study | N | F/M | Genotypes | HWE | Age | Genotyping | Measure | Results |
---|---|---|---|---|---|---|---|---|---|---|---|---|
Garpenstrand et al.27 | 5-HTTLPR | Swedish Caucasian | No | E | 40 | 14/26 | 24s+/16ll | ? | 29.7 | Post | SCR | • Participants good in acquisition had a higher frequency of the s-allele as compared to those with bad acquisition performance • No differences during (immediate) extinction |
Lonsdorf et al.36 | 5-HTTLPR | German Caucasian | Yesa | E | 48 | 25/23 | 30s+/18ll | N/Aa | 23.9 | Pre and post | FPS SCR | • CS+ potentiation s-carriers >l/l (FPS) during acquisition and (delayed) extinction • CS− inhibition s-carriers <l/l (FPS) during extinction |
Crisan et al.29 | 5-HTTLPR | Probably Romanian Caucasian | Yesa | E | 32 | 6/26 | 18s+/14ll | Yes | 26.8 | Post | SCR | • Observational fear learning s-carrier >l/l • SCR reactivity during observation s-carrier >l/l |
Bryant et al.35 | 5-HTTLPRb | Australian Caucasian | N/A | C | 42c | 30/15d | 29s+/13lle | Yes | ∼42 | Post | CAPS | • More s-carriers than l/l fulfill criteria for PTSD diagnosis 6 months after CBT, despite no differences right after treatment |
Lonsdorf et al.73 | 5-HTTLPR | Swedish Caucasian | N/A | C | 73 | 26/43 | 51s+/22ll 60s+/13lle | Yes | 35.4 | Post | HADS | • No differences in response to exposure-based CBT after treatment or at 6 months follow-up • Main effect of symptom severity over time (s-carrier >l/l) |
Kilpatrick et al.32 | 5-HTTLPRb | Mainly Caucasian | N/A | C | Total:589 PTSD:19 | 36.5%/63/5% | ss: 120/sl:315/ll:154 | ? | ? | Post | PTSD risk | • An association of the s/s genotype with PTSD in highly exposed adults with low social support |
Koenen et al.33 | 5-HTTLPR | Mainly Caucasian | N/A | C | Total:590 PTSD:19 | 375 female | ss: 120/sl:316/ll:154 | ? | ? | Post | PTSD risk | • The s/s genotype to be associated with PTSD in high-risk environments (e.g., crime, unemployment), whereas the opposite was found for low-risk environments |
Kolassa et al.34 | 5-HTTLPR | African | N/A | C | Total:408 | 190/218 | ss:16/sl:109/ll:283 (whereof 8 ultra-l/l) | Yes | 34.7 | Post | PTSD risk | • s-carriers exhibited an enhanced risk for lifetime PTSD irrespective of trauma load, whereas non-carriers exhibited a dose–response relationship |
Lonsdorf et al.36 | COMTv158met | German Caucasian | Yesa | E | 48 | 25/23 | 39val+/9mm | N/A | 23.9 | Pre and post | FPS, SCR | • No differences during acquisition • CS+ potentiation met/met>val-carrier during extinction (FPS) |
Kolassa et al.48 | COMTv158met | African | N/A | C | 424 | 198/226 | 188vv/190vm/46mm | ? | 34.8 | Post | PTSD risk | • met/met higher risk for lifetime PTSD even at low trauma load |
Lonsdorf et al.73 | COMTv158met | Swedish Caucasian | N/A | C | 69 | 26/43 | 40val+/29mm | No | 35.4 | Post | HADS | • met/met less reactive to exposure-based CBT as compared to val-carrier |
Valente et al.50 | COMTv158met | Brazilian | Yesf | C | 99 PTSD 335 CSg | 50/59 ?/? | 20mm42vm/37vv 26mm/185vm/124vv | Yes/Noh Yes | 18–60 | Post | CAPS | • Significantly higher frequency of the COMT met-allele in Brazilians that had developed PTSD as compared to those that had not developed PTSD after being exposed to a single urban trauma, as well as compared to a general community sample |
Hajcak et al.72 | BDNFv66met | ? | No | E | 57 | 26/31 | 44vv/13m+ | ? | ? | Post | FPS Shock likelihood | • FPS to the CS+ only in val/val- not in met-carriers |
Lonsdorf et al.37 | BDNFv66met | German Caucasian | Yesa | E | 48 | 25/23 | 43vv/14m+ | Yes | 23.9 | Post | FPS, SCR | • CS+ potentiation and CS discrimination val/val>met-carrier during late acquisition (FPS) • CS+ potentiation val/val>met-carriers during early extinction (FPS) |
Soliman et al.74 | BDNFv66met | Mixed | Yesd | E | 70/−72i | 34/36 33/39 | 35vv/35m+ 36vv/36m+ | ? | 25.9 25.6 | Post?j | SCR, fMRI | • Resistance to extinction in met/met (fMRI, SCR see text for severe problems interpreting these results due to methodological shortcomings) |
Garpenstrand et al.27 | DRD4 exon III | Swedish Caucasian | No | E | 40° | 14/26 | 29 Short/11 long+ | ? | 29.7 | Post | SCR | • No differences during acquisition • CS discrimination during extinction long allele <short/short |
Garpenstrand et al.27 | MAO-A VNTR | Swedish Caucasian | No | E | 40° | 14/26 | 15 low/25 high | ? | 29.7 | Post | SCR | • Differences during either acquisition or extinction |
Huertas et al.79 | DRD2 C957T | Spanish Caucasian | No | E | 63 | 31/32 | 51T+/9CC | ? | 19–27 | Post | SCR | • Differential conditioning during acquisition CC>T-carriers • NS for extinction |
Huertas et al.79 | DRD2 Taq1A/ANKK1 Taq1A | Spanish Caucasian | No | E | 63 | 31/32 | 18A1−/42A1+ | ? | 19–27 | Post | SCR | • Differences during either acquisition or extinction |
Domschke et al.83 | NPSR1 A/T | German Caucasian | ? | E/C | 205 | 151/54 | 25AA/150T+ | ? | 35.4 | Post | Subjective anxiety | • Symptom reports during exposure (but not anticipation and recovery) T-carrier>AA |
Raczka et al.75 | NPSR1 A/T | German Caucasian | Yesk,l | E | 66 | 0/66 | 28AA/38T+ (13TT) | ? | 27.8 | Post | SCR, fear ratings, fMRI | • Fear ratings to the CSs T-carrier>AA • CS− evoked brain activity in the rdmPFC T-carrier>AA |
Ressler et al.87 | ADCYAP1R1 rs2267735 | ? | ? | E | ? | ? | ? | ? | ? | ? | FPS | • CS+/CS− discrimination in female CC<G-carriers • No differences in men |
Abbreviations: ADCYAP1R1, pituitary adenylate cyclase 1 receptor; ANKK1, ankyrin repeat and kinase domain containing; BDNF, brain-derived neurotrophic factor; CAPS, Clinician-Administered PTSD Scale; COMT, catechol-o-methyltransferase; CS, conditioned stimulus; FPS, fear-potentiated startle; fMRI, functional magnetic resonance imaging, 5-HTTLPR, 5-HTT linked polymorphic region; HWE, Hardy–Weinberg equilibrium; ITI, Inter-trial interval; MAO-A, monoamine oxidase A; NPS, neuropeptide S; SCR, skin conductance response; UCS, unconditioned stimulus; VNTR, variable number of tandem repeat region.
?, Not specified in the respective publication.
+, Mean carriers, for example, s+=carriers of the s-allele.
Note: For some studies HWE was not applicable (N/A) as individuals were selected or partly selected based on their respective genotype group.
Screening based on a questionnaire, telephone interview or interview, but not a clinical diagnostic interview.
Triallelic classification.
N=42 for the follow-up analyses that yielded genotype-specific findings, but N=45 in total, number of females and males is given for the post-treatment sample.
Drug screening using urine toxicological test.
Genotypes defined by the triallelic method (5-HTTLPR/rs25531). ‘High expression'=LA/LA; ‘low expression'=all other genotypes.
PTSD patients: The presence of lifetime history of bipolar disorder, psychotic disorders and the presence of substance dependence or abuse disorders (excluding nicotine and caffeine) in the previous 6 months were exclusion criteria. Community sample: Past history of drug abuse, use of an illegal drug, lifetime history of a psychiatric disorder or suffering from a psychiatric condition at the time of the evaluation was excluded. The presence of previous traumatic experiences was not evaluated in this group.
Community sample.
HWE PTSD+: yes; HWE PTSD−: no.
N=70 for the fMRI sample and N=72 for the SCR sample.
Although the genotype distributions suggest an a priori selection, as they do not reflect population allele frequencies, no information about participant selection is given, leaving open the possibility of a selective drop out, particularly in the light of the high drop-out rates reported.
Clinical diagnostic interview, for example, MINI.
Unclear as to how screening was performed.