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新颖性促进灭绝和条件性人类恐惧的恢复。

Novelty-facilitated extinction and the reinstatement of conditional human fear.

机构信息

School of Psychology, Curtin University, Australia.

School of Psychology, Curtin University, Australia; ARC-SRI: Science of Learning Research Centre, University of Queensland, Australia.

出版信息

Behav Res Ther. 2018 Oct;109:68-74. doi: 10.1016/j.brat.2018.08.002. Epub 2018 Aug 8.


DOI:10.1016/j.brat.2018.08.002
PMID:30120999
Abstract

Although contemporary treatments for anxiety disorders are very efficient in reducing anxiety, return of fear after successful treatment is common which signifies a need for interventions that have a more enduring outcome. A recent laboratory study suggested that novelty-facilitated extinction, a simple modification of standard extinction which involves presenting a novel non-aversive stimulus during extinction, prevents spontaneous recovery, one laboratory analogue of return of fear. The current study assessed whether novelty-facilitated extinction can also prevent reinstatement, a second laboratory analogue of return of fear. Following differential fear conditioning, one group of participants underwent standard extinction training whereas the second was presented with a novel tone after the conditional stimulus that previously predicted the aversive unconditional stimulus (US). Three presentations of the USs alone reinstated differential electrodermal fear responses after standard extinction, but not after novelty-facilitated extinction. Moreover, replicating previous findings, the extent of return of fear was correlated with self-reported intolerance of uncertainty after standard extinction, but not after novelty-facilitated extinction. These results support the proposal that novelty-facilitated extinction training can reduce the extent of return of fear.

摘要

尽管当代治疗焦虑症的方法在降低焦虑方面非常有效,但成功治疗后的恐惧复发很常见,这表明需要干预措施来获得更持久的效果。最近的一项实验室研究表明,新颖性促进的消退,即标准消退的一种简单修改,涉及在消退期间呈现新颖的非惩罚性刺激,可以防止自发恢复,这是恐惧复发的一种实验室模拟。本研究评估了新颖性促进的消退是否也可以防止重新确立,这是恐惧复发的另一种实验室模拟。在差异恐惧条件作用后,一组参与者接受标准消退训练,而另一组则在先前预测厌恶无条件刺激(US)的条件刺激后呈现新的音调。在标准消退后,仅 3 次呈现 US 即可重新建立差异皮肤电恐惧反应,但在新颖性促进的消退后则不行。此外,与之前的发现相重复,标准消退后的恐惧复发程度与报告的不确定性耐受力相关,而在新颖性促进的消退后则不相关。这些结果支持了新颖性促进的消退训练可以减少恐惧复发程度的假设。

相似文献

[1]
Novelty-facilitated extinction and the reinstatement of conditional human fear.

Behav Res Ther. 2018-8-8

[2]
Enhancing extinction learning: Occasional presentations of the unconditioned stimulus during extinction eliminate spontaneous recovery, but not necessarily reacquisition of fear.

Behav Res Ther. 2018-7-3

[3]
Novelty-facilitated extinction: providing a novel outcome in place of an expected threat diminishes recovery of defensive responses.

Biol Psychiatry. 2015-8-1

[4]
Presentation of unpaired unconditional stimuli during extinction reduces renewal of conditional fear and slows re-acquisition.

Psychophysiology. 2021-10

[5]
Signalling unpaired unconditional stimuli during extinction does not impair their effect to reduce renewal of conditional fear.

Int J Psychophysiol. 2024-10

[6]
To remove or not to remove? Removal of the unconditional stimulus electrode does not mediate instructed extinction effects.

Psychophysiology. 2015-9

[7]
Reinstatement of fear in humans: autonomic and experiential responses in a differential conditioning paradigm.

Acta Psychol (Amst). 2012-5

[8]
Building physiological toughness: Some aversive events during extinction may attenuate return of fear.

J Behav Ther Exp Psychiatry. 2018-3

[9]
Secondary extinction reduces reinstatement of threat expectancy and conditioned skin conductance responses in human fear conditioning.

J Behav Ther Exp Psychiatry. 2018-10-1

[10]
Reinstatement of conditioned responses in human differential fear conditioning.

J Behav Ther Exp Psychiatry. 2007-9

引用本文的文献

[1]
Contextual modulation of human associative learning following novelty-facilitated extinction, counterconditioning, and conventional extinction.

J Exp Psychol Anim Learn Cogn. 2024-10

[2]
Neural circuitry involved in conditioned inhibition via safety signal learning is sensitive to trauma exposure.

Neurobiol Stress. 2022-10-17

[3]
I Doubt It Is Safe: A Meta-analysis of Self-reported Intolerance of Uncertainty and Threat Extinction Training.

Biol Psychiatry Glob Open Sci. 2021-6-5

[4]
A Preliminary Test of Novelty-Facilitated Extinction in Individuals With Pathological Anxiety.

Front Behav Neurosci. 2022-4-25

[5]
Conditional stimulus choices affect fear learning: Comparing fear conditioning with neutral faces and shapes or angry faces.

Psychophysiology. 2022-10

[6]
Elevated activity in the dorsal dentate gyrus reduces expression of fear memory after fear extinction training.

J Psychiatry Neurosci. 2021-6-2

[7]
Effect of Tryptophan Depletion on Conditioned Threat Memory Expression: Role of Intolerance of Uncertainty.

Biol Psychiatry Cogn Neurosci Neuroimaging. 2021-5

[8]
Behavioral and neural processes in counterconditioning: Past and future directions.

Behav Res Ther. 2020-2

[9]
Role of Human Ventromedial Prefrontal Cortex in Learning and Recall of Enhanced Extinction.

J Neurosci. 2019-2-19

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