Effects of extinction treatments on the reduction of conditioned responding and conditioned hyperarousal in a rabbit model of posttraumatic stress disorder (PTSD).

作者: Lauren B. Burhans , Carrie A. Smith-Bell , Bernard G. Schreurs

DOI: 10.1037/BNE0000092

关键词: Classical conditioningContext (language use)Conditioning (Psychology)Developmental psychologyConditioningExtinction (psychology)NeuroscienceReflexNictitating membraneVirtual reality therapyPsychologyBehavioral neuroscience

摘要: We have previously characterized a model of posttraumatic stress disorder (PTSD), based on classical conditioning the rabbit nictitating membrane response (NMR), that focuses 2 key PTSD-like features: conditioned responses to trauma-associated cues and hyperarousal. In addition development NMRs (CRs) tone stimulus (CS) associated with periorbital shock unconditioned (US), we observed rabbits also exhibit conditioning-specific reflex modification (CRM) NMR manifests as an exaggerated more complex reflexive presentations US by itself, particularly intensities elicited little prior conditioning. Previous work has demonstrated unpaired CS are successful at extinguishing CRs CRM simultaneously, even when significantly weakened version is utilized. current study, additional extinction treatments were tested, including continued pairings exposure training context alone, these contrasted effects remaining in home cages no further treatment. Results showed only slightly decreased CRM, while had effect marginal reducing CRM. Unpaired was still most effective treatment for both. Findings discussed terms applications cognitive-behavioral therapies PTSD, such incorporating mild, innately stressful stimuli into virtual reality therapy.

参考文章(56)
Jonathan R. T. Davidson, Pharmacologic treatment of acute and chronic stress following trauma: 2006. The Journal of Clinical Psychiatry. ,vol. 67, pp. 34- 39 ,(2006)
Elizabeth R. Packnett, Marlene E. Gubata, David N. Cowan, David W. Niebuhr, Temporal trends in the epidemiology of disabilities related to posttraumatic stress disorder in the U.S. Army and Marine Corps from 2005-2010 Journal of Traumatic Stress. ,vol. 25, pp. 485- 493 ,(2012) , 10.1002/JTS.21743
Dan J. Stein, Katie A. McLaughlin, Karestan C. Koenen, Lukoye Atwoli, Matthew J. Friedman, Eric D. Hill, Andreas Maercker, Maria Petukhova, Victoria Shahly, Mark van Ommeren, Jordi Alonso, Guilherme Borges, Giovanni de Girolamo, Peter de Jonge, Koen Demyttenaere, Silvia Florescu, Elie G. Karam, Norito Kawakami, Herbert Matschinger, Michail Okoliyski, Jose Posada-Villa, Kate M. Scott, Maria Carmen Viana, Ronald C. Kessler, DSM-5 AND ICD-11 DEFINITIONS OF POSTTRAUMATIC STRESS DISORDER: INVESTIGATING "NARROW" AND "BROAD" APPROACHES Depression and Anxiety. ,vol. 31, pp. 494- 505 ,(2014) , 10.1002/DA.22279
Robert A. Rescorla, C. Donald Heth, Reinstatement of fear to an extinguished conditioned stimulus. Journal of Experimental Psychology: Animal Behavior Processes. ,vol. 1, pp. 88- 96 ,(1975) , 10.1037/0097-7403.1.1.88
Bernard G. Schreurs, Carrie A. Smith-Bell, Lauren B. Burhans, Unpaired extinction: Implications for treating post-traumatic stress disorder Journal of Psychiatric Research. ,vol. 45, pp. 638- 649 ,(2011) , 10.1016/J.JPSYCHIRES.2010.10.010
Albert Rizzo, Thomas D Parsons, Belinda Lange, Patrick Kenny, John G Buckwalter, Barbara Rothbaum, JoAnn Difede, John Frazier, Brad Newman, Josh Williams, Greg Reger, None, Virtual Reality Goes to War: A Brief Review of the Future of Military Behavioral Healthcare Journal of Clinical Psychology in Medical Settings. ,vol. 18, pp. 176- 187 ,(2011) , 10.1007/S10880-011-9247-2
Rianne Stam, PTSD and stress sensitisation: A tale of brain and body Part 2: Animal models Neuroscience & Biobehavioral Reviews. ,vol. 31, pp. 558- 584 ,(2007) , 10.1016/J.NEUBIOREV.2007.01.001
Katharina Meyerbröker, Paul M.G. Emmelkamp, Virtual reality exposure therapy in anxiety disorders: a systematic review of process‐and‐outcome studies Depression and Anxiety. ,vol. 27, pp. 933- 944 ,(2010) , 10.1002/DA.20734