Conditioned Fear Extinction and Generalization in Post-Traumatic Stress Disorder

Abstract

Post-traumatic stress disorder (PTSD) can affect an individual following exposure to a traumatic event. The exposure to trauma can evoke intense physical and emotional responses. Psychophysiological symptoms of PTSD can include an enhanced startle response; an effect that may result from an inability to inhibit fear. Conditioned fear can be measured using paradigms such as fear conditioning and fear extinction. Fear-potentiated startle is the process by which an individual's acoustic startle response is enhanced upon presentation of a conditioned stimulus (e.g., a colored shape) that was paired with an unpleasant unconditioned stimulus (e.g., an aversive airblast to the throat). We have analyzed fear-processing in a population of PTSD patients from recent conflicts in the Middle East and healthy volunteers. One colored shape served as the reinforced conditioned stimulus (CS+, danger) and another colored shape served as the nonreinforced condition stimulus (CS-, safety). A 140 p.s.i airblast to the throat was used as the unconditioned stimulus. Subjects were fearconditioned and, after a 10 minute interval, the subjects were trained to extinguish the fear. PTSD patients from the OIF theaters displayed greater fear-potentiated startle to the safety cue as well as delayed extinction of fear-potentiated startle in comparison to the healthy volunteers.

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Document Details

Document Type
Technical Report
Publication Date
Aug 01, 2009
Accession Number
ADA515208

Entities

People

  • Erica Duncan
  • Joseph Cubells
  • Kerry J. Ressler
  • Seth D. Norrholm

Organizations

  • Emory University

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Acquisition
  • Afghanistan Conflict
  • Anxiety Disorders
  • Brain Injuries
  • Department Of Defense
  • Diseases And Disorders
  • Extinction
  • Health Care
  • Health Services
  • Institutional Review Board
  • Iraqi-War
  • Medical Personnel
  • Middle East
  • Psychiatry
  • Psychology
  • Traumatic Stress Disorder
  • Volunteers

Fields of Study

  • Biology
  • Psychology

Readers

  • Brain and Cognitive Science; Experimental Psychology; Cognitive Neuroscience
  • Mental Health of Military Veterans with Posttraumatic Stress Disorder (PTSD): Risk Factors, Prevalence, Symptoms, and Treatment.