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经皮迷走神经刺激与预备性恐惧的消除:概念性非复制。

Transcutaneous vagus nerve stimulation and extinction of prepared fear: A conceptual non-replication.

机构信息

Institute of Psychology, Leiden University, Wassenaarseweg 52, 2333, AK, Leiden, The Netherlands.

Faculty of Psychology, Katholieke Universiteit Leuven, Tiensestraat 102, 3000, Leuven, Belgium.

出版信息

Sci Rep. 2018 Jul 31;8(1):11471. doi: 10.1038/s41598-018-29561-w.


DOI:10.1038/s41598-018-29561-w
PMID:30065275
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6068181/
Abstract

Transcutaneous stimulation of the auricular branch of the vagus nerve (tVNS) may accelerate fear extinction in healthy humans. Here, we aimed to investigate this hypothesis in healthy young participants in a prepared learning paradigm, using spider pictures as conditioned stimuli. After a fear conditioning phase, participants were randomly allocated to receive tVNS (final N = 42) or sham stimulation (final N = 43) during an extinction phase. Conditioned fear was assessed using US expectancy ratings, skin conductance and fear potentiated startle responses. After successful fear acquisition, participants in both groups showed a reduction of fear over the course of the extinction phase. There were no between-group differences in extinction rates for physiological indices of fear. Contrary to previous findings, participants in the tVNS condition also did not show accelerated declarative extinction learning. Participants in the tVNS condition did have lower initial US expectancy ratings for the CS- trials than those who received sham stimulation, which may indicate an enhanced processing of safety cues due to tVNS. In conclusion, the expected accelerated extinction due to tVNS was not observed. The results from this study call for more research on the optimal tVNS stimulation intensity settings.

摘要

经皮刺激迷走神经耳支(tVNS)可能会加速健康人群的恐惧消退。在这里,我们旨在使用蜘蛛图片作为条件刺激,在准备好的学习范式中调查健康年轻参与者的这一假设。在恐惧条件反射阶段之后,参与者被随机分配在消退阶段接受 tVNS(最终 N=42)或假刺激(最终 N=43)。使用 US 预期评分、皮肤电导和恐惧增强的 startle 反应来评估条件恐惧。在成功获得恐惧后,两组参与者在消退阶段都表现出恐惧的减少。在恐惧的生理指标的消退率方面,两组之间没有差异。与之前的发现相反,tVNS 组的参与者也没有表现出加速的陈述性消退学习。与接受假刺激的参与者相比,tVNS 组的参与者对 CS-试验的初始 US 预期评分较低,这可能表明由于 tVNS 而增强了对安全线索的处理。总之,由于 tVNS 而预期的加速消退并未观察到。本研究的结果呼吁对最佳 tVNS 刺激强度设置进行更多研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cd9/6068181/78b9c8abff6c/41598_2018_29561_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cd9/6068181/453ee3ea37da/41598_2018_29561_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cd9/6068181/78b9c8abff6c/41598_2018_29561_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cd9/6068181/453ee3ea37da/41598_2018_29561_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cd9/6068181/78b9c8abff6c/41598_2018_29561_Fig2_HTML.jpg

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[1]
Transcutaneous vagus nerve stimulation and extinction of prepared fear: A conceptual non-replication.

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[6]
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[7]
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引用本文的文献

[1]
A vagal route to memory: evidence from invasive and non-invasive electrical vagus nerve stimulation studies and areas for future clinical application.

Front Hum Neurosci. 2025-7-8

[2]
Transcutaneous Auricular Vagus Nerve Stimulation Enhances Emotional Processing and Long-Term Recognition Memory: Electrophysiological Evidence Across Two Studies.

Psychophysiology. 2025-3

[3]
Neuropsychobiology of fear-induced bradycardia in humans: progress and pitfalls.

Mol Psychiatry. 2024-12

[4]
Evaluation of taVNS for extreme environments: an exploration study of health benefits and stress operationality.

Front Neurol. 2023-11-22

[5]
Cardiovascular effects of auricular stimulation -a systematic review and meta-analysis of randomized controlled clinical trials.

Front Neurosci. 2023-9-1

[6]
Transcutaneous Vagus Nerve Stimulation (tVNS) applications in cognitive aging: a review and commentary.

Front Aging Neurosci. 2023-7-11

[7]
Immediate effects and duration of a short and single application of transcutaneous auricular vagus nerve stimulation on P300 event related potential.

Front Neurosci. 2023-3-27

[8]
The gut-brain axis and cognitive control: A role for the vagus nerve.

Semin Cell Dev Biol. 2024-3-15

[9]
Effect of transcutaneous cervical vagus nerve stimulation on the pituitary adenylate cyclase-activating polypeptide (PACAP) response to stress: A randomized, sham controlled, double blind pilot study.

Compr Psychoneuroendocrinol. 2020-10-27

[10]
Evaluation of different vagus nerve stimulation anatomical targets in the ear by vagus evoked potential responses.

Brain Behav. 2021-11

本文引用的文献

[1]
Noradrenergic Modulation of Fear Conditioning and Extinction.

Front Behav Neurosci. 2018-3-13

[2]
Reinstatement of contextual conditioned anxiety in virtual reality and the effects of transcutaneous vagus nerve stimulation in humans.

Sci Rep. 2017-12-20

[3]
Effects of vagus nerve stimulation on extinction of conditioned fear and post-traumatic stress disorder symptoms in rats.

Transl Psychiatry. 2017-8-22

[4]
Mixed evidence for the potential of non-invasive transcutaneous vagal nerve stimulation to improve the extinction and retention of fear.

Behav Res Ther. 2017-7-8

[5]
Don't fear 'fear conditioning': Methodological considerations for the design and analysis of studies on human fear acquisition, extinction, and return of fear.

Neurosci Biobehav Rev. 2017-6

[6]
Parametric characterization of neural activity in the locus coeruleus in response to vagus nerve stimulation.

Exp Neurol. 2017-3

[7]
Vagus Nerve Stimulation Enhances Extinction of Conditioned Fear in Rats and Modulates Arc Protein, CaMKII, and GluN2B-Containing NMDA Receptors in the Basolateral Amygdala.

Neural Plast. 2016

[8]
Sex differences in morphometric aspects of the peripheral nerves and related diseases.

NeuroRehabilitation. 2016-7-15

[9]
Exposed to events that never happen: Generalized unsafety, the default stress response, and prolonged autonomic activity.

Neurosci Biobehav Rev. 2016-7-25

[10]
The default response to uncertainty and the importance of perceived safety in anxiety and stress: An evolution-theoretical perspective.

J Anxiety Disord. 2016-5-7

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