Max Planck Institute of Psychiatry, Research Group Neuronal Plasticity, Kraepelinstr. 2, D-80804, Munich, Germany.
Neuroscience. 2012 Mar 1;204:159-85. doi: 10.1016/j.neuroscience.2011.11.057. Epub 2011 Dec 3.
The endocannabinoid system seems to play very specific roles in fear extinction, which can only be described within a well-defined model of the various fear relief processes. We, therefore, seek to clarify the current conceptual framework of fear relief within classical and operant fear conditioning paradigms as well as propose new clarifications within this framework where necessary. Based on these revisions as well as previous research involving the endocannabinoid system and fear relief, we are able to pinpoint the processes in which endocannabinoids seem to play a significant role. Following auditory-cued fear conditioning, this applies in particular to habituation and its involvement in acute and long-lasting fear relief. Following contextual conditioning, in contrast, endocannabinoids seem to affect relearning processes as well. Furthermore, we describe how the involvement of the endocannabinoid system develops over the course of the fear relief process and what this may imply for the clinical use of pharmacotherapies targeting the endocannabinoid system in treating fear and anxiety disorders.
内源性大麻素系统似乎在恐惧消退中发挥非常特定的作用,这只能在各种恐惧缓解过程的明确定义模型内进行描述。因此,我们试图阐明经典和操作性条件恐惧条件作用范式中恐惧缓解的当前概念框架,并在必要时在该框架内提出新的澄清。基于这些修订以及涉及内源性大麻素系统和恐惧缓解的先前研究,我们能够确定内源性大麻素似乎发挥重要作用的过程。在听觉线索恐惧条件作用之后,这尤其适用于习惯化及其在急性和长期恐惧缓解中的参与。相比之下,在上下文条件作用之后,内源性大麻素似乎影响重新学习过程。此外,我们描述了内源性大麻素系统的参与如何在恐惧缓解过程中发展,以及这对临床使用针对内源性大麻素系统的药物疗法治疗恐惧和焦虑障碍意味着什么。