Department of Psychiatry, New York University School of Medicine, New York, NY, United States.
Department of Psychiatry, New York University School of Medicine, New York, NY, United States; Department of Neuroscience and Physiology, New York University School of Medicine, New York, NY, United States; The Neuroscience Institute, New York University School of Medicine, New York, NY, United States.
Neuroimage. 2021 Sep;238:118261. doi: 10.1016/j.neuroimage.2021.118261. Epub 2021 Jun 11.
Exploring the neural circuits of the extinction of conditioned fear is critical to advance our understanding of fear- and anxiety-related disorders. The field has focused on examining the role of various regions of the medial prefrontal cortex, insular cortex, hippocampus, and amygdala in conditioned fear and its extinction. The contribution of this 'fear network' to the conscious awareness of fear has recently been questioned. And as such, there is a need to examine higher/multiple cortical systems that might contribute to the conscious feeling of fear and anxiety. Herein, we studied functional connectivity patterns across the entire brain to examine the contribution of multiple networks to the acquisition of fear extinction learning and its retrieval. We conducted trial-by-trial analyses on data from 137 healthy participants who underwent a two-day fear conditioning and extinction paradigm in a functional magnetic resonance imaging (fMRI) scanner. We found that functional connectivity across a broad range of brain regions, many of which are part of the default mode, frontoparietal, and ventral attention networks, increased from early to late extinction learning only to a conditioned cue. The increased connectivity during extinction learning predicted the magnitude of extinction memory tested 24 h later. Together, these findings provide evidence supporting recent studies implicating distributed brain regions in learning, consolidation and expression of fear extinction memory in the human brain.
探索条件性恐惧消除的神经回路对于深入了解恐惧和焦虑相关障碍至关重要。该领域一直专注于研究内侧前额叶皮层、岛叶皮层、海马体和杏仁核等各种区域在条件性恐惧及其消除中的作用。这个“恐惧网络”对恐惧的意识贡献最近受到了质疑。因此,有必要研究可能有助于恐惧和焦虑的意识体验的更高/多个皮质系统。在此,我们研究了整个大脑的功能连接模式,以检查多个网络对恐惧消退学习的获取及其检索的贡献。我们对 137 名健康参与者的数据进行了逐试分析,这些参与者在功能磁共振成像(fMRI)扫描仪中进行了为期两天的恐惧条件反射和消退范式。我们发现,只有在条件性线索下,来自广泛脑区的功能连接(其中许多是默认模式网络、额顶叶网络和腹侧注意网络的一部分)才会从早期消退学习增加到晚期消退学习。在消退学习期间增加的连接性预测了 24 小时后测试的消退记忆的幅度。总之,这些发现为最近的研究提供了证据,这些研究表明在人类大脑中,分布式脑区参与了恐惧消退记忆的学习、巩固和表达。
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