Functional neuroimaging of associative learning and generalization in specific phobia

Autor: Stijn Michielse, Jim van Os, Koen Schruers, Therese van Amelsvoort, Jindra Bakker, Iris Lange, Machteld Marcelis, Marieke Wichers, Liesbet Goossens
Přispěvatelé: Interdisciplinary Centre Psychopathology and Emotion regulation (ICPE), Psychiatrie & Neuropsychologie, RS: MHeNs - R2 - Mental Health, Promovendi MHN, Ondersteunend personeel MHN, RS: MHeNs - R3 - Neuroscience, MUMC+: MA Psychiatrie (3), MUMC+: Hersen en Zenuw Centrum (3), MUMC+: MA Med Staf Spec Psychiatrie (9)
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Male
Audiology
Generalization
Psychological

Specific phobia
Extinction
Psychological

0302 clinical medicine
POSTTRAUMATIC-STRESS-DISORDER
Neural Pathways
TRAIT ANXIETY
Fear conditioning
Extinction recall
Fear learning
fMRI
Brain
Spiders
HUMANS
Magnetic Resonance Imaging
humanities
medicine.anatomical_structure
EXTINCTION
Phobic Disorders
Cerebrovascular Circulation
Visual Perception
Anxiety
Female
medicine.symptom
Cues
Psychology
Anxiety disorder
medicine.medical_specialty
ANXIETY DISORDERS
Ventromedial prefrontal cortex
CONDITIONED FEAR
Phobic disorder
03 medical and health sciences
Young Adult
ANXIETY DISORDER
medicine
Animals
Biological Psychiatry
REFLEX PHYSIOLOGY
Pharmacology
ACQUISITION
Functional Neuroimaging
Association Learning
VENTROMEDIAL PREFRONTAL CORTEX
Extinction (psychology)
medicine.disease
PANIC DISORDER
Fear generalization
030227 psychiatry
Associative learning
Oxygen
DEFAULT MODE NETWORK
Mental Recall
Extinction learning
Zdroj: Progress in Neuro-Psychopharmacology & Biological Psychiatry, 89, 275-285. PERGAMON-ELSEVIER SCIENCE LTD
Progress in Neuro-Psychopharmacology & Biological Psychiatry, 89, 275-285. Elsevier Science
Progress in Neuro-Psychopharmacology & Biological Psychiatry, 89, 275. Elsevier Inc.
Lange, I, Goossens, L, Bakker, J, Michielse, S, Marcelis, M, Wichers, M, van Os, J, van Amelsvoort, T & Schruers, K 2018, ' Functional neuroimaging of associative learning and generalization in specific phobia ', Progress in Neuro-Psychopharmacology & Biological Psychiatry . https://doi.org/10.1016/j.pnpbp.2018.09.008
ISSN: 0278-5846
DOI: 10.1016/j.pnpbp.2018.09.008
Popis: Background: Theoretical models have implicated classical fear conditioning, fear generalization, and extinction learning in the development of anxiety disorders. To date, it is largely unknown to what extent these mechanisms and the underlying neurobiology may be altered in specific phobia, a disorder characterized by focal fears. The current study systematically examined fear conditioning, fear generalization, extinction learning, and extinction recall in a sample of individuals with a specific phobia.Methods: Participants with a specific phobia (SP) of spiders (n = 46) and healthy controls (HC) (n = 48) underwent a 3-day fMRI cue-conditioning protocol, including a fear acquisition and a fear generalization phase (day 1), an extinction learning phase (day 2), and an extinction recall phase (day 3). Stimuli were phobia-irrelevant, as geometrical shapes served as conditioned threat (CS + ) and safety stimuli (CS-), and an electrical shock as the unconditioned stimulus (US). Self-reported fear, US expectancy, and blood-oxygen-level dependent responses were measured.Results: Behavioral results only revealed enhanced CS + /CS-differentiation in fear scores during acquisition retention in SP. Some neural differences were observed during other task phases. During early fear acquisition, SP showed enhanced differential activation in the angular gyrus and lateral occipital cortex, and during extinction recall, more precuneus deactivation was found in SP compared to HC. There were no clear indications of altered neural fear generalization or extinction learning mechanisms in the SP group.Conclusions: Results indicate that spider phobia may be characterized by enhanced differential fear retention and altered brain activation patterns during fear acquisition and extinction recall. The findings provide insight into the nature of fear learning alterations in specific phobia, and how these may differ from those found in disorders characterized by broad anxious distress.
Databáze: OpenAIRE