School of Psychology, UNSW Sydney, Sydney, 2052, NSW, Australia; eCentreClinic, School of Psychological Sciences, Faculty of Medicine and Health, Macquarie University, Sydney, 2109, NSW, Australia.
School of Psychology, UNSW Sydney, Sydney, 2052, NSW, Australia.
Neurosci Biobehav Rev. 2021 Dec;131:1264-1274. doi: 10.1016/j.neubiorev.2021.10.044. Epub 2021 Nov 2.
Despite exposure-based treatments being recommended for anxiety disorders, these treatments are ineffective for over half of all adolescents who receive them. The limited efficacy of exposure during adolescence may be driven by a deficit in extinction. Although indications of diminished extinction learning during adolescence were first reported over 10 years ago, these findings have yet to be reviewed and compared. This review (k = 34) found a stark inter-species difference in extinction performance: studies of adolescent mice reported deficits in extinction learning and retention of both cued and context fear. In contrast, studies of adolescent rats only reported poor extinction retention specific to cued fear. Adolescent mice and rats appeared to have only one behavioral outcome in common, being poor extinction retention of cued fear. These findings suggest that different behavioral phenotypes are present across rodent species in adolescence and highlight that preclinical work in rats and mice is not interchangeable. Further investigation of these differences offers the opportunity to better understand the etiology, maintenance, and treatment of fear-based disorders.
尽管暴露疗法被推荐用于治疗焦虑症,但这些治疗方法对接受治疗的一半以上青少年都无效。青少年时期暴露治疗效果有限的原因可能是消退不足。尽管青春期消退学习能力下降的迹象早在 10 多年前就有报道,但这些发现尚未得到审查和比较。这项综述(k=34)发现,在消退表现方面存在明显的种间差异:对青春期小鼠的研究报告称,它们在条件性和情境性恐惧的消退学习和保持方面都存在缺陷。相比之下,对青春期大鼠的研究仅报告了特定于条件性恐惧的不良消退保持。青春期的小鼠和大鼠似乎只有一种共同的行为结果,即条件性恐惧的消退保持不佳。这些发现表明,在青春期,不同的行为表型存在于不同的啮齿动物物种中,并强调了在大鼠和小鼠中进行的临床前工作不能互换。进一步研究这些差异为更好地理解基于恐惧的障碍的病因、维持和治疗提供了机会。