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Conditioned fear extinction and reinstatement in a human fear-potentiated startle paradigm

  1. Seth D. Norrholm1,2,3,7,
  2. Tanja Jovanovic1,2,3,
  3. Bram Vervliet4,5,
  4. Karyn M. Myers3,
  5. Michael Davis1,3,6,
  6. Barbara O. Rothbaum1, and
  7. Erica J. Duncan1,2,3
  1. 1 Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia 30322, USA;
  2. 2 Atlanta Veterans Affairs Medical Center, Mental Health Service Line 116A, Decatur, Georgia 30033, USA;
  3. 3 Center for Behavioral Neuroscience, Atlanta, Georgia 30302, USA;
  4. 4 Department of Psychology, University of Leuven, Tiensestraat 102, B-3000 Leuven, Belgium;
  5. 5 Social and Behavioral Sciences, University of Amsterdam, Roetersstraat, 1018 WB Amsterdam, The Netherlands;
  6. 6 Department of Psychology, Emory University, Atlanta, Georgia 30322, USA

Abstract

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.

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