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Mapping the Neurobiological Mechanisms of Trauma Interventions: A Scoping Review of Large-Scale Brain Network Perspectives (2020–2025)

Hui Fan

Open Mind 2026 preprint DOI: 10.17605/osf.io/kgwq7 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Scoping review
Topics Default mode network
Keywords Psychological intervention Cognition Intervention counseling Salience neuroscience Neuroimaging Interpretation philosophy Cognitive psychology Cognitive map Perspective graphical Psychotherapist
Key findings The review will develop a mechanism-based classification of PTSD interventions based on their primary network target and dominant pathway of effect within the triple-network model.

Abstract

This scoping review aims to systematically map the neurobiological evidence for psychological and pharmacologically-assisted interventions for post-traumatic stress disorder (PTSD) published between 2020 and 2025. Grounded in the triple-network model (default mode network, salience network, and central executive network), the review will synthesize findings across a range of intervention types, including cognitive behavioral/exposure therapies, somatic/mindfulness-based approaches, imagery rescripting, EMDR, and targeted pharmacological augmentations such as MDMA-assisted and ketamine-assisted psychotherapy. A mechanism-based classification will be developed based on each intervention's primary network target and dominant pathway of effect (e.g., top-down regulation, bottom-up modulation, or multi-network integration). The review is conducted within a participatory framework, involving researchers with lived trauma experience in data interpretation and validation of ecological validity.

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