Evidence map›Paper›PMID 18346997›Full record

ReviewThe American journal of psychiatry2008

Neurobiology of aggression and violence.

Larry J Siever

Abstract readReview
In one paragraph

Review in The American journal of psychiatry, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 277 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
277citing papers in PubMed, 9 pooled it
–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

277 citing papers in PubMed, 9 syntheses or guidelines pooled it.

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  10. Brain reactivity during aggressive response in women with premenstrual dysphoric disorder treated with a selective progesterone receptor modulator.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2021
    Trial
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  13. Lurasidone for the Treatment of Irritability Associated with Autistic Disorder.Journal of autism and developmental disorders · 2016
    Trial
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  16. Article
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  18. Traumatic stress recruits an excitatory orbitofrontal-amygdala pathway to drive maladaptive aggression.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
  19. Beyond the Outburst: Charting a New Frontier for Understanding and Treating Irritability in Autistic Adults.Autism research : official journal of the International Society for Autism Research · 2026
    Review
  20. Article

217 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

1 author.

Larry J SieverDepartment of Psychiatry, Mount Sinai School of Medicine, NY, USA. Larry.Siever@va.gov

Funding

ZIPRASIDONE (GEODON) AUGMENTATION IN SEROTONIN REUPTAKE INHIBITOR-RESISTANT OBM01RR000071 · NCRR · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI FAN, JIN · 1985 to 2009
$41.5M
Imaging 5-HTT &5-HT2a in Impulsive AggressionR01MH063875 · NIMH · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI KOENIGSBERG, HAROLD W · 2002 to 2012
$4.4M
Pharmacology of Cognition in Schizotypal Personality DisorderR01MH056140 · NIMH · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI SIEVER, LARRY J · 1997 to 2011
$4.0M
NCRR NIH HHS M01 RR000071NCRR NIH HHS M01-RR-00071NIMH NIH HHS MH-56140NIMH NIH HHS MH-63875NIMH NIH HHS R01 MH056140NIMH NIH HHS R01 MH063875
6 · The paper itself

Abstract

Acts of violence account for an estimated 1.43 million deaths worldwide annually. While violence can occur in many contexts, individual acts of aggression account for the majority of instances. In some individuals, repetitive acts of aggression are grounded in an underlying neurobiological susceptibility that is just beginning to be understood. The failure of "top-down" control systems in the prefrontal cortex to modulate aggressive acts that are triggered by anger provoking stimuli appears to play an important role. An imbalance between prefrontal regulatory influences and hyper-responsivity of the amygdala and other limbic regions involved in affective evaluation are implicated. Insufficient serotonergic facilitation of "top-down" control, excessive catecholaminergic stimulation, and subcortical imbalances of glutamatergic/gabaminergic systems as well as pathology in neuropeptide systems involved in the regulation of affiliative behavior may contribute to abnormalities in this circuitry. Thus, pharmacological interventions such as mood stabilizers, which dampen limbic irritability, or selective serotonin reuptake inhibitors (SSRIs), which may enhance "top-down" control, as well as psychosocial interventions to develop alternative coping skills and reinforce reflective delays may be therapeutic.

Indexed as

AggressionAmygdalaBrainCognition DisordersDisease SusceptibilityKindling, NeurologicLimbic SystemModels, NeurologicalModels, PsychologicalNeurotransmitter AgentsPrefrontal CortexTerminology as TopicViolenceNeurotransmitter Agents

Identifiers

PMID18346997
PMCPMC4176893

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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 Socratic graph.