Evidence map›Paper›PMID 41899778›Full record

Trial reportInternational journal of environmental research and public health2026

Effects of Transcutaneous Auricular Vagus Nerve Stimulation on Posttraumatic Stress Disorder Symptoms in World Trade Center Responders: A Feasibility and Acceptability Study.

Shubham Debnath, Haley M Cook, Pooja Shaam, Laura Ryniker, Fylaktis Fylaktou, Lynne Lieberman, Molly McCann Pineo, Kristina M Deligiannidis, Theodoros P Zanos, Rebecca M Schwartz

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in International journal of environmental research and public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05212714 (Transcutaneous Auricular Vagus Nerve Stimulation), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

NCT05212714 nacompletednot on this map

Transcutaneous Auricular Vagus Nerve Stimulation (taVNS) to Reduce Post Traumatic Stress Disorder (PTSD) Symptoms in World Trade Center (WTC) Responders

TypeinterventionalSponsorNorthwell HealthRan2022 to 2024Enrolled30ConditionsStress Disorders, Post-TraumaticArmstaVNS
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Shubham DebnathNorthwell, New Hyde Park, NY 11040, USA.ORCID 0000-0002-6225-0027
Haley M CookNorthwell, New Hyde Park, NY 11040, USA.ORCID 0009-0003-4084-3512
Pooja ShaamNorthwell, New Hyde Park, NY 11040, USA.ORCID 0009-0006-9931-9100
Laura RynikerNorthwell, New Hyde Park, NY 11040, USA.
Fylaktis FylaktouNorthwell, New Hyde Park, NY 11040, USA.
Lynne LiebermanNorthwell, New Hyde Park, NY 11040, USA.
Molly McCann PineoNorthwell, New Hyde Park, NY 11040, USA.
Kristina M DeligiannidisNorthwell, New Hyde Park, NY 11040, USA.ORCID 0000-0001-7439-2236
Theodoros P ZanosNorthwell, New Hyde Park, NY 11040, USA.ORCID 0000-0002-9204-9551
Rebecca M SchwartzNorthwell, New Hyde Park, NY 11040, USA.ORCID 0000-0002-4858-4733

Funding

Centers for Disease Control and Prevention/National Institute for Occupational Safety & Health U01OH012050
6 · The paper itself

Abstract

backgroundResponders to the September 11, 2001, WTC attacks experience high rates of PTSD, and existing treatments often lead to high dropout and low care use.

objectivesThis randomized, double-blind, sham-controlled trial assesses the feasibility and acceptability of transcutaneous auricular vagus nerve stimulation (taVNS) as a potential PTSD treatment for 9/11 responders.

methodsA total of 32 WTC responders aged 18+ with PTSD, recruited via the World Trade Center Health Program, participated; those with current psychosis, unstable medical conditions, or recent trial involvement were excluded. Participants were randomly assigned to taVNS or sham groups and asked to use the device for 15 min daily for 8 weeks, with staff and participants blinded. Primary outcomes included recruitment, adherence, retention, and feedback. Secondary outcomes examined changes in depression (PHQ-9), anxiety (GAD-7), and sleep (PSQI). Data were analyzed with mixed-effects models focusing on PTSD and mental health symptoms.

resultsThe taVNS group showed modest PTSD improvement, with a 10-point CAPS-5 reduction in 40% of stimulation participants versus 28.5% sham; no significant differences in self-reported symptoms were found. DISCUSSION: Daily taVNS over eight weeks is feasible and acceptable, warranting larger studies to detect differences and identify subgroups with greater benefit.

trial registration"taVNS to Reduce PTSD Symptoms in WTC Responders" (NCT05212714); registered 9 September 2021.

Indexed as

Emergency RespondersSeptember 11 Terrorist AttacksStress Disorders, Post-TraumaticTranscutaneous Electric Nerve StimulationVagus Nerve StimulationAdultDouble-Blind MethodFeasibility StudiesFemaleHumansMaleMiddle AgedNew York Cityacceptabilityfeasibilityposttraumatic stress disorder (PTSD)transcutaneous auricular vagus nerve stimulation (taVNS)World Trade Center (WTC) responders

Identifiers

PMID41899778
PMCPMC13026350

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.