Barad Mark
Department of Psychiatry and Biobehavioral Sciences, Semel Institute for Neuroscience and Human Behavior, UCLA, 635 Charles Young Drive South, Los Angeles, CA 90095, USA.
Curr Opin Neurobiol. 2005 Dec;15(6):710-5. doi: 10.1016/j.conb.2005.10.005. Epub 2005 Nov 2.
Fear extinction, the reduction of fear by repeated exposure to the object of fear, is a crucial paradigm of inhibitory learning and the acknowledged preclinical model for behavior therapy of human anxiety. Recent insights have clarified roles for infralimbic prefrontal cortex, hippocampus and periaqueductal gray in extinction learning, while maintaining a central role for the basolateral amygdaloid nucleus in the acquisition and storage of this learning. Simultaneously, molecular insights have implicated several neurotransmitter and second messenger systems in extinction learning, and revealed that extinction is surprisingly easy to improve, yielding the promise of a novel approach to improved psychiatric treatments for a variety of human anxiety disorders.
恐惧消退,即通过反复暴露于恐惧对象来减轻恐惧,是抑制性学习的关键范式,也是公认的人类焦虑行为治疗的临床前模型。最近的研究见解阐明了腹内侧前额叶皮层、海马体和导水管周围灰质在消退学习中的作用,同时杏仁核基底外侧核在这种学习的获得和存储中仍起着核心作用。与此同时,分子层面的见解表明几种神经递质和第二信使系统参与了消退学习,并揭示出消退现象出人意料地易于改善,这为改进针对多种人类焦虑症的精神治疗方法带来了新途径。