Department of Psychology, University of Massachusetts-Amherst, MA 01003, USA.
J Psychiatr Res. 2012 Aug;46(8):1036-44. doi: 10.1016/j.jpsychires.2012.04.015. Epub 2012 May 10.
Simulated exposure therapy for spider phobia served as a clinically naturalistic model to study effects of sleep on extinction. Spider-fearing, young adult women (N = 66), instrumented for skin conductance response (SCR), heart rate acceleration (HRA) and corrugator electromyography (EMG), viewed 14 identical 1-min videos of a behaving spider before a 12-hr delay containing a normal night's Sleep (N = 20) or continuous daytime Wake (N = 23), or a 2-hr delay of continuous wake in the Morning (N = 11) or Evening (N = 12). Following the delay, all groups viewed this same video 6 times followed by six 1-min videos of a novel spider. After each video, participants rated disgust, fearfulness and unpleasantness. In all 4 groups, all measures except corrugator EMG diminished across Session 1 (extinction learning) and, excepting SCR to a sudden noise, increased from the old to novel spider in Session 2. In Wake only, summed subjective ratings and SCR to the old spider significantly increased across the delay (extinction loss) and were greater for the novel vs. the old spider when it was equally novel at the beginning of Session 1 (sensitization). In Sleep only, SCR to a sudden noise decreased across the inter-session delay (extinction augmentation) and, along with HRA, was lower to the novel spider than initially to the old spider in Session 1 (extinction generalization). None of the above differentiated Morning and Evening groups suggesting that intervening sleep, rather than time-of-testing, produced differences between Sleep and Wake. Thus, sleep following exposure therapy may promote retention and generalization of extinction learning.
模拟暴露疗法治疗蜘蛛恐惧症可作为一个临床自然模型,以研究睡眠对消退的影响。对 66 名患有蜘蛛恐惧症的年轻成年女性进行皮肤电导反应(SCR)、心率加速(HRA)和皱眉肌肌电图(EMG)监测,观看 14 段 1 分钟长的行为蜘蛛视频,然后延迟 12 小时,包括正常的一夜睡眠(N=20)或连续的白天清醒(N=23),或早上(N=11)或晚上(N=12)连续清醒 2 小时的延迟。延迟后,所有组都观看了相同的视频 6 次,然后观看了 6 个 1 分钟长的新蜘蛛视频。每次观看后,参与者都对厌恶、恐惧和不愉快程度进行评分。在所有 4 个组中,除了皱眉肌 EMG 外,所有测量指标在第 1 次(消退学习)中都有所下降,除了对突然噪音的 SCR 外,在第 2 次(新蜘蛛)中,对旧蜘蛛的 SCR 从旧蜘蛛增加到新蜘蛛。只有在清醒状态下,对旧蜘蛛的综合主观评分和 SCR 在延迟过程中显著增加(消退丧失),并且在第 1 次(敏感化)中,当新蜘蛛开始时同样新颖时,对新蜘蛛的评分明显高于对旧蜘蛛的评分。只有在睡眠状态下,对突然噪音的 SCR 在两次测试之间的延迟过程中下降(消退增强),与 HRA 一起,对新蜘蛛的评分低于第 1 次对旧蜘蛛的评分(消退泛化)。以上结果在早上和晚上组之间没有差异,这表明睡眠而不是测试时间导致睡眠和清醒之间的差异。因此,暴露治疗后睡眠可能会促进消退学习的保留和泛化。
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