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理解人类恐惧的消除:心理生理学的启示。

Understanding Human Fear Extinction: Insights from Psychophysiology.

机构信息

Department of Psychiatry and Behavioral Neurosciences, Neuroscience Center for Anxiety, Stress, and Trauma, Wayne State University School of Medicine, Detroit, MI, USA.

Department of Behavioral Sciences and Leadership, United States Air Force Academy, Colorado Springs, CO, USA.

出版信息

Curr Top Behav Neurosci. 2023;64:59-77. doi: 10.1007/7854_2023_435.

DOI:10.1007/7854_2023_435
PMID:37528308
Abstract

The study of fear extinction has been driven largely by Pavlovian fear conditioning methods across the translational spectrum. The primary methods used to study these processes in humans have been recordings of skin conductance (historically termed galvanic skin response) and fear-potentiation of the acoustic startle reflex. As outlined in the following chapter, the combined corpus of this work has demonstrated the value of psychophysiology in better understanding the underlying neurobiology of extinction learning in healthy humans as well as those with psychopathologies. In addition, psychophysiological approaches, which allow for the preservation of methods between species, have shown their applicability to the assessment of wide-ranging treatment effects. The chapter concludes with potential trajectories for future study in this area.

摘要

恐惧消退的研究在很大程度上受到了跨翻译谱的巴甫洛夫式恐惧条件作用方法的推动。在人类中研究这些过程的主要方法是记录皮肤电导(历史上称为皮肤电反应)和听觉惊跳反射的恐惧增强。正如以下章节所概述的,这项工作的综合研究成果证明了心理生理学在更好地理解健康人群和精神病理人群中消退学习的潜在神经生物学方面的价值。此外,心理生理学方法允许在物种之间保留方法,这表明它们适用于评估广泛的治疗效果。该章节最后提出了该领域未来研究的潜在方向。

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本文引用的文献

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Comparison of behavioral and brain indices of fear renewal during a standard vs. novel immersive reality Pavlovian fear extinction paradigm in healthy adults.比较健康成年人在标准与新颖沉浸式虚拟现实条件下,条件性恐惧消退范式中恐惧再学习的行为和大脑指标。
Behav Brain Res. 2023 Feb 2;437:114154. doi: 10.1016/j.bbr.2022.114154. Epub 2022 Oct 13.
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Enhancing exposure therapy for posttraumatic stress disorder (PTSD): a randomized clinical trial of virtual reality and imaginal exposure with a cognitive enhancer.增强创伤后应激障碍(PTSD)的暴露疗法:虚拟现实和想象暴露联合认知增强剂的随机临床试验。
Transl Psychiatry. 2022 Jul 27;12(1):299. doi: 10.1038/s41398-022-02066-x.
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Measuring extinction learning across the lifespan - Adaptation of an optimized paradigm to closely match exposure treatment procedures.
测量一生中的消退学习——优化范式的调整以紧密匹配暴露疗法程序。
Biol Psychol. 2022 Apr;170:108311. doi: 10.1016/j.biopsycho.2022.108311. Epub 2022 Mar 12.
4
A randomized controlled trial of 3,4-methylenedioxymethamphetamine (MDMA) and fear extinction retention in healthy adults.一项关于 3,4-亚甲二氧基甲基苯丙胺(MDMA)和健康成年人的恐惧消退保持的随机对照试验。
J Psychopharmacol. 2022 Mar;36(3):368-377. doi: 10.1177/02698811211069124. Epub 2022 Feb 15.
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Hippocampal activation during contextual fear inhibition related to resilience in the early aftermath of trauma.创伤后早期,与韧性相关的情境性恐惧抑制过程中海马激活。
Behav Brain Res. 2021 Jun 25;408:113282. doi: 10.1016/j.bbr.2021.113282. Epub 2021 Apr 2.
6
An analysis of fear inhibition and fear extinction in a sample of veterans with obstructive sleep apnea (OSA): Implications for co-morbidity with post-traumatic stress disorder (PTSD).一项关于阻塞性睡眠呼吸暂停(OSA)退伍军人群体中恐惧抑制和恐惧消除的分析:对创伤后应激障碍(PTSD)共病的影响。
Behav Brain Res. 2021 Apr 23;404:113172. doi: 10.1016/j.bbr.2021.113172. Epub 2021 Feb 9.
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Measuring fear: Association among different measures of fear learning.测量恐惧:不同恐惧学习测量方法之间的关联。
J Behav Ther Exp Psychiatry. 2021 Mar;70:101618. doi: 10.1016/j.jbtep.2020.101618. Epub 2020 Sep 23.
8
L-DOPA and consolidation of fear extinction learning among women with posttraumatic stress disorder.L-DOPA 可增强 PTSD 女性的恐惧消退学习。
Transl Psychiatry. 2020 Aug 15;10(1):287. doi: 10.1038/s41398-020-00975-3.
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Changes in Dosing and Dose Timing of D-Cycloserine Explain Its Apparent Declining Efficacy for Augmenting Exposure Therapy for Anxiety-related Disorders: An Individual Participant-data Meta-analysis.D-环丝氨酸给药剂量和时间的变化解释了其增强焦虑相关障碍暴露疗法的疗效似乎逐渐下降的原因:一项个体参与者数据的荟萃分析。
J Anxiety Disord. 2019 Dec;68:102149. doi: 10.1016/j.janxdis.2019.102149. Epub 2019 Sep 23.
10
Changes in trauma-potentiated startle, skin conductance, and heart rate within prolonged exposure therapy for PTSD in high and low treatment responders.创伤性惊吓、皮肤电导和心率在 PTSD 延长暴露治疗中高和低治疗反应者中的变化。
J Anxiety Disord. 2019 Dec;68:102147. doi: 10.1016/j.janxdis.2019.102147. Epub 2019 Sep 21.