Journal of Anxiety Disorders,
Год журнала:
2024,
Номер
103, С. 102855 - 102855
Опубликована: Март 8, 2024
Excessive
fear
generalization
has
been
associated
with
pathological
anxiety,
including
posttraumatic
stress
disorder
(PTSD).
However,
studies
investigating
the
longitudinal
relationship
between
and
development
of
anxiety
symptomatology
are
scarce.
This
study
aims
to
test
predictive
value
for
PTSD
symptoms
in
a
high-risk
profession
sample
explore
neuroticism,
which
both
linked
PTSD.
Longitudinal
data
from
multi-wave
529
Dutch
fire-fighters
were
used.
Fear
generalization,
neuroticism
assessed
at
baseline.
reevaluated
six,
12,
18,
24
months.
Generalization
was
differential
conditioning
paradigm
by
measuring
expectancies
an
aversive
outcome
when
presented
stimuli
similar
previously
conditioned
stimuli.
Higher
expectancy
ratings
towards
most
safety
signals
predicted
follow-up
after
controlling
baseline
symptoms,
whereas
higher
danger
neuroticism.
Neuroticism
weakened
power
considered
simultaneously.
These
findings
suggest
that
heightened
is
trauma-related
symptoms.
Targeting
problematic
may
be
promising
intervention
approach.
Translational Psychiatry,
Год журнала:
2020,
Номер
10(1)
Опубликована: Июль 21, 2020
Post-traumatic
stress
disorder
(PTSD)
is
a
psychiatric
whose
pathogenesis
relies
on
maladaptive
expression
of
the
memory
for
life-threatening
experience,
characterized
by
over-consolidation,
generalization,
and
impaired
extinction,
which
are
responsible
dramatic
changes
in
arousal,
mood,
anxiety,
social
behavior.
Even
if
subjects
experiencing
traumatic
event
during
lifetime
all
show
an
acute
response
to
trauma,
only
subset
them
(susceptible)
ultimately
develops
PTSD,
meanwhile
others
(resilient)
fully
recover
after
first
response.
However,
dynamic
relationships
between
interacting
brain
circuits
that
might
potentially
link
trauma-related
experiences
emergence
susceptible
resilient
PTSD
phenotypes
individuals
not
well
understood.
Toward
step
reach
this
goal,
we
have
implemented
our
experimental
model
previously
developed,
making
it
suitable
differentiate
(high
responders,
HR)
(low
LR)
rats
terms
impairment
long
trauma.
Rats
were
exposed
five
footshocks
paired
with
isolation.
One
week
trauma
but
before
animals
tested
Open
Field
Social
Interaction
tasks
identification
predictive
variable
identify
possible
appearance
PTSD-like
phenotype.
Our
findings
exploratory
activity
novel
environment
very
robust
predict
susceptibility
towards
This
thus
able
screen
differentiate,
extinction
learning
potential
therapeutic
intervention,
rats.
Psychopharmacology,
Год журнала:
2023,
Номер
240(11), С. 2335 - 2359
Опубликована: Фев. 27, 2023
Abstract
Rationale
Selective
serotonin
reuptake
inhibitors
(SSRIs)
are
considered
first-line
medication
for
anxiety-like
disorders
such
as
panic
disorder,
generalized
anxiety
and
post-traumatic
stress
disorder.
Fear
learning
plays
an
important
role
in
the
development
treatment
of
these
disorders.
Yet,
effect
SSRIs
on
fear
not
well
known.
Objective
We
aimed
to
systematically
review
six
clinically
effective
acquisition,
expression,
extinction
cued
contextual
conditioned
fear.
Methods
searched
Medline
Embase
databases,
which
yielded
128
articles
that
met
inclusion
criteria
reported
9
human
275
animal
experiments.
Results
Meta-analysis
showed
significantly
reduced
expression
facilitated
cue.
Bayesian-regularized
meta-regression
further
suggested
chronic
exerts
a
stronger
anxiolytic
than
acute
treatment.
Type
SSRI,
species,
disease-induction
model,
type
test
used
did
seem
moderate
SSRIs.
The
number
studies
was
relatively
small,
level
heterogeneity
high,
publication
bias
has
likely
occurred
may
have
resulted
overestimation
overall
sizes.
Conclusions
This
suggests
efficacy
be
related
their
effects
cue,
rather
acquisition.
However,
due
more
general
inhibition
fear-related
emotions.
Therefore,
additional
meta-analyses
unconditioned
responses
provide
insight
into
actions
Abstract
Exposure
to
adverse
experiences
is
a
well‐established
major
risk
factor
for
affective
psychopathology.
The
vulnerability
of
deleterious
sequelae
assumed
in
maladaptive
processes
the
defensive
system,
particularly
emotional
processing.
More
specifically,
childhood
maltreatment
has
been
suggested
be
associated
with
recruitment
specific
and
distinct
response
profiles.
To
date,
it
remains
unclear
whether
these
are
or
generalizable
recent
adversity
adulthood.
This
pre‐registered
study
aimed
investigate
impact
exposure
on
processing
685
healthy
adults
“Affective
Startle
Modulation”
Paradigm
(ASM).
First,
we
replicated
higher
trait
anxiety
depression
levels
individuals
exposed
both
types
adversity.
Second,
observed
increased
general
skin
conductance
reactivity
Third,
showed
reduced,
while
discrimination
between
pictures
negative
neutral
valence,
compared
non‐exposed
SCR.
No
association
fear
potentiated
startle
was
observed.
Furthermore,
explorative
analyses
revealed
moderate
dimensional
categorical
agreement
two
questionnaires
provide
insight
into
potential
adversity‐type
effects.
Our
results
support
experience‐dependent
plasticity
sympathetic
nervous
system
suggest
profiles
modulation
early
versus
We
emphasize
need
further
explore
our
understanding
psychophysiological
their
implication
prevention
intervention.
Early-life
stress
can
have
lifelong
consequences,
enhancing
susceptibility
and
resulting
in
behavioural
cognitive
deficits.
While
the
effects
of
early-life
on
neuronal
function
been
well-described,
we
still
know
very
little
about
contribution
non-neuronal
brain
cells.
Investigating
complex
interactions
between
distinct
cell
types
is
critical
to
fully
understand
how
cellular
changes
manifest
as
deficits
following
stress.
Here,
using
male
female
mice
report
that
induces
anxiety-like
behaviour
fear
generalisation
an
amygdala-dependent
learning
memory
task.
These
were
associated
with
impaired
synaptic
plasticity,
increased
neural
excitability,
astrocyte
hypofunction.
Genetic
perturbation
amygdala
by
either
reducing
calcium
activity
or
network
was
sufficient
replicate
cellular,
synaptic,
Our
data
reveal
a
role
astrocytes
tuning
emotionally
salient
provide
mechanistic
links
stress,
hypofunction,
Oxford University Press eBooks,
Год журнала:
2025,
Номер
unknown, С. 523 - 540
Опубликована: Янв. 1, 2025
Abstract
Despite
the
pervasiveness
of
anxiety
and
trauma-related
disorders,
there
is
no
mechanistic
explanation
for
their
causes,
search
ongoing
therapeutic
interventions
that
are
effective
do
not
cause
undesirable
side
effects.
Given
evolutionarily
advantageous
function
fear
responses,
multiple
redundant
circuits.
However,
robustness
this
redundancy
provides
also
represents
a
challenge
targeted
anxiolytic
therapies
to
penetrate
layers
circuitry.
To
find
new
targets,
preclinical
models
required
delve
into
neural
underpinnings
anxiety.
The
most
utilized
have
historically
been
demonstrated
various
degrees
face,
predictive,
construct
validity
but
only
assess
limited
range
behaviors.
Broader
use
assays
combined
with
unsupervised
machine
learning
discovery
behavioral
motifs
using
computer
vision
tools
will
allow
researchers
parse
phenotyping
greater
granularity.
Early-life
stress
can
have
lifelong
consequences,
enhancing
susceptibility
and
resulting
in
behavioural
cognitive
deficits.
While
the
effects
of
early-life
on
neuronal
function
been
well-described,
we
still
know
very
little
about
contribution
non-neuronal
brain
cells.
Investigating
complex
interactions
between
distinct
cell
types
is
critical
to
fully
understand
how
cellular
changes
manifest
as
deficits
following
stress.
Here,
using
male
female
mice
report
that
induces
anxiety-like
behaviour
fear
generalisation
an
amygdala-dependent
learning
memory
task.
These
were
associated
with
impaired
synaptic
plasticity,
increased
neural
excitability,
astrocyte
hypofunction.
Genetic
perturbation
amygdala
by
either
reducing
calcium
activity
or
network
was
sufficient
replicate
cellular,
synaptic,
Our
data
reveal
a
role
astrocytes
tuning
emotionally
salient
provide
mechanistic
links
stress,
hypofunction,
Childhood
adversity
is
a
strong
predictor
of
developing
psychopathological
conditions.
Multiple
theories
on
the
mechanisms
underlying
this
association
have
been
suggested
which,
however,
differ
in
operationalization
‘exposure.’
Altered
(threat)
learning
represent
central
by
which
environmental
inputs
shape
emotional
and
cognitive
processes
ultimately
behavior.
1402
healthy
participants
underwent
fear
conditioning
paradigm
(acquisition
training,
generalization),
while
acquiring
skin
conductance
responses
(SCRs)
ratings
(arousal,
valence,
contingency).
was
operationalized
as
(1)
dichotomization,
following
(2)
specificity
model,
(3)
cumulative
risk
(4)
dimensional
model.
Individuals
exposed
to
childhood
showed
blunted
physiological
reactivity
SCRs,
but
not
ratings,
reduced
CS+/CS-
discrimination
during
both
phases,
mainly
driven
attenuated
CS+
responding.
The
latter
evident
across
different
operationalizations
‘exposure’
theories.
None
tested
clear
explanatory
superiority.
Notably,
remarkably
pattern
increased
responding
CS-
reported
literature
for
anxiety
patients,
suggesting
that
individuals
may
specific
sub-sample.
We
highlight
linking
(vulnerability
to)
psychopathology
need
refinement.
Frontiers in Psychiatry,
Год журнала:
2021,
Номер
12
Опубликована: Май 28, 2021
Past
decades
have
witnessed
substantial
progress
in
understanding
of
neurobiological
mechanisms
that
contribute
to
generation
various
PTSD
symptoms,
including
intrusive
memories,
physiological
arousal
and
avoidance
trauma
reminders.
However,
the
neurobiology
anhedonia
emotional
numbing
PTSD,
been
conceptualized
as
reward
processing
deficits
-
wanting
(anticipation
reward)
liking
(satisfaction
with
outcome),
respectively,
remains
largely
unexplored.
Empirical
evidence
on
is
rather
limited,
no
studies
examined
association
abnormalities
neurocircuitry-based
models
pathophysiology.
The
manuscript
briefly
summarizes
“state
science”
both
human
processing,
implicated
neurocircuitry,
well
empirical
PTSD.
We
then
summarize
current
gaps
literature
outline
key
future
directions,
further
illustrating
it
by
example
two
alternative
explanations
pathophysiology
potentially
affecting
via
different
pathways.
Studying
will
not
only
advance
their
link,
but
also
could
enhance
treatment
approaches
specifically
targeting
symptoms
patients.