Implicit but not explicit extinction to threat‐conditioned stimulus prevents spontaneous recovery of threat‐potentiated startle responses in humans (original) (raw)
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Behaviour research and therapy, 2015
Relapse of fear after successful intervention is a major problem in clinical practice. However, little is known about how it is mediated. The current study investigated the effects of instructed extinction and removal of the shock electrode on electrodermal responding (Experiment 1), fear potentiated startle (Experiment 2), and a continuous self-report measure of conditional stimulus valence (Experiments 1 and 2) in human differential fear conditioning. Instructed extinction and removal of the shock electrode resulted in the immediate reduction of differential fear potentiated startle and second interval electrodermal responding, but did not affect self-reported conditional stimulus valence. A separate sample of participants (Experiment 3) who were provided with a detailed description of the experimental scenario predicted the inverse outcome, reduced differential stimulus evaluations and continued differential physiological responding, rendering it unlikely that the current results...
Behaviour Research and Therapy, 2018
Background: Fears underlying anxiety disorders are commonly treated with exposure-based therapies, which are based on the principles of extinction learning. While these treatments are efficacious, fears may return after successful treatment. Past research suggested that post-extinction recovery of fear could be reduced through extinction training that involves occasional presentations of the aversive unconditioned stimulus (US), paired with the conditioned stimulus (CS). Here, we examined whether extinction training with occasionally paired or unpaired US presentations is superior in the reduction of fear recovery to non-reinforced extinction. Method: Following differential fear conditioning to neutral cues, participants (N=72; M age=21.61 years, SD=3.95) underwent either non-reinforced, partially reinforced, or unpaired extinction training. Results: Extinction involving paired or unpaired US presentations, but not non-reinforced extinction, eliminated spontaneous recovery of differential skin conductance responses (SCRs). Results further suggested that unpaired, but not paired, US presentations may guard against rapid reacquisition of differential SCRs. No benefits of US presentations during extinction were found on the reinstatement of SCRs or recovery of differential negative CS+ valence. Conclusion: Presenting USs during extinction training was more effective than non-reinforced extinction in the reduction of fear recovery, as indexed by SCRs, with unpaired extinction being more effective than partially reinforced extinction.
Extinction in fear conditioning: Effects on startle modulation and evaluative self-reports
Psychophysiology, 1998
A basic feature of human evaluative conditioning is that the reported acquired valence of a previously neutral conditioned stimulus~CS! that has been paired with a valenced unconditioned stimulus~US!, is resistant to extinction. The present study investigated whether startle modulation, sometimes presented as an index of acquired valence, reflected this basic feature. In a differential fear conditioning paradigm~n ϭ 38! with an electrocutaneous stimulus as the US, a strong extinction manipulation was conducted by removing the US-electrodes and by extended extinction trials. At the end of extinction, the results corroborated previous findings of evaluative conditioning in that the reported valence for CSϩ was still more negative than for CSϪ, despite disappearance of the differential skin conductance responses. However, startle modulation did not show resistance-to-extinction. Results were discussed in terms of recent conceptualizations of extinction.
Frontiers in Behavioral Neuroscience, 2011
Fear conditioning methodologies have often been employed as testable models for assessing learned fear responses in individuals with anxiety disorders such as post-traumatic stress disorder (PTSD) and specific phobia. One frequently used paradigm is measurement of the acoustic startle reflex under conditions that mimic anxiogenic and fear-related conditions. For example, fear-potentiated startle is the relative increase in the frequency or magnitude of the acoustic startle reflex in the presence of a previously neutral cue (e.g., colored shape; termed the conditioned stimulus or CS+) that has been repeatedly paired with an aversive unconditioned stimulus (e.g., airblast to the larynx). Our group has recently used fear-potentiated startle paradigms to demonstrate impaired fear extinction in civilian and combat populations with PTSD. In the current study, we examined the use of either auditory or visual CSs in a fear extinction protocol that we have validated and applied to human clinical conditions. This represents an important translational bridge in that numerous animal studies of fear extinction, upon which much of the human work is based, have employed the use of auditory CSs as opposed to visual CSs. Participants in both the auditory and visual groups displayed robust fear-potentiated startle to the CS+, clear discrimination between the reinforced CS+ and non-reinforced CS−, significant extinction to the previously reinforced CS+, and marked spontaneous recovery. We discuss the current results as they relate to future investigations of PTSD-related impairments in fear processing in populations with diverse medical and psychiatric histories.
Australian Journal of Psychology, 2016
Instructed extinction is an experimental manipulation which involves informing participants after the acquisition of fear learning that the unconditional stimulus will no longer be presented. It has been used as a laboratory analogue to assess the capacity of cognitive interventions to reduce experimentally induced fear. In this review we examine and integrate research on instructed extinction and discuss its implications for clinical practice. Overall, the results suggest that instructed extinction reduces conditional fear responding and facilitates extinction learning, except when conditional stimulus valence is assessed as an index of fear or when fear is conditioned to images of animal fear relevant stimuli (snakes and spiders) or with a very intense unconditional stimulus. These exceptions highlight potential boundary conditions for the reliance on cognitive interventions when treating fear in clinical settings.
Effects of Approach-Avoidance Training on the Extinction and Return of Fear Responses
PLOS ONE, 2015
Exposure therapy for anxiety involves confronting a patient with fear-evoking stimuli, a procedure based partially on Pavlovian extinction. Exposure and other extinction-based therapies usually lead to (partial) reduction of fear symptoms, but a substantial number of patients experience a return of fear after treatment. Here we tested whether the combination of fear extinction with modification of approach-avoidance tendencies using an Approach-Avoidance Task (AAT) would result in the further reduction of conditioned fear and/or help prevent return of fear after extinction.
Conditioned fear extinction and reinstatement in a human fear-potentiated startle paradigm
Learning & Memory, 2006
The purpose of this study was to analyze fear extinction and reinstatement in humans using fear-potentiated startle. Participants were fear conditioned using a simple discrimination procedure with colored lights as the conditioned stimuli (CSs) and an airblast to the throat as the unconditioned stimulus (US). Participants were extinguished 24 h after fear conditioning. Upon presentation of unsignaled USs after extinction, participants displayed significant fear reinstatement. In summary, these procedures produced robust fear-potentiated startle, significant CS+/CS− discrimination, within-session extinction, and significant reinstatement. This is the first demonstration of fear extinction and reinstatement in humans using startle measures.
Context modulation of memory for fear extinction in humans
Psychophysiology, 2005
Distinct memories are formed during fear conditioning and subsequent extinction. In animals, the expression of the latter is gated by the context. The recall of extinction memory after a long delay, and the contextual modulation thereof, has not been directly tested in humans. Mentally healthy volunteers underwent a 2-day fear conditioning and extinction protocol that examined the recall of extinction memory and its relationship to context. Conditioned stimuli were paired with an aversive electric shock in one visual context and extinguished in a different context. Extinction recall and renewal were examined 24 h after training. We found that skin conductance responses were small when the conditioned stimulus was presented in the extinction context, but responses were renewed when the conditioned stimulus was presented in the conditioning context. This finding demonstrates context dependency of extinction recall in humans.
Cognition & emotion, 2014
Exposure therapy for anxiety disorders is translated from fear conditioning and extinction. While exposure therapy is effective in treating anxiety, fear sometimes returns after exposure. One pathway for return of fear is reinstatement: unsignaled unconditional stimuli following completion of extinction. The present study investigated the extent to which valence of the conditional stimulus (CS+) after extinction predicts return of CS+ fear after reinstatement. Participants (N = 84) engaged in a differential fear conditioning paradigm and were randomised to reinstatement or non-reinstatement. We hypothesised that more negative post-extinction CS+ valence would predict higher CS+ fear after reinstatement relative to non-reinstatement and relative to extinction retest. Results supported the hypotheses and suggest that strategies designed to decrease negative valence of the CS+ may reduce the return of fear via reinstatement following exposure therapy.