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分心/抑制和困扰耐受会降低泛化条件性恐惧与适应不良的行为回避之间的关联程度。

Distraction/Suppression and Distress Endurance diminish the extent to which generalized conditioned fear is associated with maladaptive behavioral avoidance.

机构信息

Clinical Science and Psychopathology Research Program, Department of Psychology, University of Minnesota-Twin City Campus, United States.

Clinical Science and Psychopathology Research Program, Department of Psychology, University of Minnesota-Twin City Campus, United States.

出版信息

Behav Res Ther. 2017 Sep;96:90-105. doi: 10.1016/j.brat.2017.04.013. Epub 2017 Apr 27.

Abstract

A central conditioning correlate of clinical anxiety is the over-generalization of Pavlovian fear to safe stimuli resembling conditioned danger cues (CS+). Though much of the pathogenic influence of such generalization may lie in the unnecessary behavioral avoidance it evokes, few studies have examined maladaptive avoidance associated with Pavlovian generalization. Lab-based assessments of this process, here referred to as instrumental avoidance from Pavlovian generalization (IAP-G), have recently begun. The current study represents a next step in this line of work by examining personality factors that may reduce maladaptive IAP-G. This is a clinically relevant effort, as such traits may reflect resilience factors, with high levels reducing the likelihood of maladaptive generalized avoidance following Pavlovian generalization. Here we focus on the effects of Distraction/Suppression (DS) and Distress Endurance (DE) on IAP-G. Results indicate that both DS and DE moderate IAP-G by weakening relations between Pavlovian generalization of fear-potentiated startle and maladaptive generalized avoidance. Further, moderating effects of DS were most pronounced for more ambiguous cues of threat (i.e., stimuli moderately resembling CS+), while moderating effects of DE were most pronounced for more certain cues of threat (i.e., stimuli highly resembling CS+, as well as the CS + itself). Results implicate DS and DE as protective factors against the maladaptive behavioral consequences of Pavlovian generalization, and further indicate that the protective influence of these traits may depend on the ambiguity of the threat at hand.

摘要

临床焦虑的一个核心调节相关因素是,将条件性恐惧过度泛化到类似于条件性危险线索(CS+)的安全刺激上。尽管这种泛化的许多致病影响可能在于它引起的不必要的行为回避,但很少有研究检查与条件性恐惧泛化相关的适应不良回避。实验室中对这一过程的评估,在这里被称为基于条件性恐惧泛化的工具性回避(IAP-G),最近已经开始。本研究是这一研究方向的下一步,旨在检查可能降低适应不良 IAP-G 的人格因素。这是一项具有临床意义的努力,因为这些特征可能反映出适应能力因素,高水平的这些特征降低了在条件性恐惧泛化后出现适应不良的泛化回避的可能性。在这里,我们关注分心/抑制(DS)和痛苦耐受力(DE)对 IAP-G 的影响。结果表明,DS 和 DE 都通过削弱恐惧条件化启动的惊吓反应和适应不良的泛化回避之间的关系来调节 IAP-G。此外,DS 的调节作用在威胁的更模糊线索(即,中等程度类似于 CS+的刺激)中最为明显,而 DE 的调节作用在更确定的威胁线索(即,高度类似于 CS+的刺激,以及 CS+本身)中最为明显。结果表明 DS 和 DE 是对条件性恐惧泛化的适应不良行为后果的保护因素,并进一步表明这些特征的保护作用可能取决于当前威胁的模糊性。

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