Cain Christopher K
Department of Child and Adolescent Psychiatry, NYU Langone Health, New York, NY, USA.
Emotional Brain Institute, Nathan Kline Institute for Psychiatric Research, Orangeburg, NY, USA.
Curr Top Behav Neurosci. 2023;64:19-57. doi: 10.1007/7854_2023_434.
Translational neuroscience for anxiety has had limited success despite great progress in understanding the neurobiology of Pavlovian fear conditioning and extinction. This chapter explores the idea that conditioning paradigms have had a modest impact on translation because studies in animals and humans are misaligned in important ways. For instance, animal conditioning studies typically use imminent threats to assess short-duration fear states with single behavioral measures (e.g., freezing), whereas human studies typically assess weaker or more prolonged anxiety states with physiological (e.g., skin conductance) and self-report measures. A path forward may be more animal research on conditioned anxiety phenomena measuring dynamic behavioral and physiological responses in more complex environments. Exploring transitions between defensive brain states during extinction, looming threats, and post-threat recovery may be particularly informative. If care is taken to align paradigms, threat levels, and measures, this strategy may reveal stable patterns of non-conscious defense in animals and humans that correlate better with conscious anxiety. This shift in focus is also warranted because anxiety is a bigger problem than fear, even in disorders defined by dysfunctional fear or panic reactions.
尽管在理解巴甫洛夫恐惧条件反射和消退的神经生物学方面取得了巨大进展,但焦虑症的转化神经科学取得的成功有限。本章探讨了这样一种观点,即条件反射范式对转化的影响不大,因为动物和人类研究在重要方面存在偏差。例如,动物条件反射研究通常使用迫在眉睫的威胁,通过单一行为测量(如僵住)来评估短期恐惧状态,而人类研究通常使用生理测量(如皮肤电导)和自我报告测量来评估较弱或持续时间更长的焦虑状态。未来的方向可能是进行更多关于条件性焦虑现象的动物研究,在更复杂的环境中测量动态行为和生理反应。探索消退、逼近的威胁和威胁后恢复过程中防御性脑状态之间的转变可能会特别有启发性。如果注意使范式、威胁水平和测量方法保持一致,这种策略可能会揭示动物和人类中与有意识焦虑相关性更好的无意识防御的稳定模式。这种重点的转变也是有必要的,因为即使在由功能失调的恐惧或惊恐反应定义的疾病中,焦虑也是比恐惧更大的问题。