Reinstatement of extinguished fear by an unextinguished conditional stimulus

Anxiety disorders are often treated using extinction-based exposure therapy, but relapse is common and can occur as a result of reinstatement, whereby an aversive trigger can reinstate extinguished fear. Animal models of reinstatement commonly utilize a Pavlovian fear conditioning procedure, in whi...

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Main Authors: Lindsay R Halladay, Moriel eZelikowsky, Hugh T Blair, Michael S Fanselow
Format: Article
Language:English
Published: Frontiers Media S.A. 2012-05-01
Series:Frontiers in Behavioral Neuroscience
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fnbeh.2012.00018/full
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author Lindsay R Halladay
Moriel eZelikowsky
Hugh T Blair
Michael S Fanselow
Michael S Fanselow
author_facet Lindsay R Halladay
Moriel eZelikowsky
Hugh T Blair
Michael S Fanselow
Michael S Fanselow
author_sort Lindsay R Halladay
collection DOAJ
description Anxiety disorders are often treated using extinction-based exposure therapy, but relapse is common and can occur as a result of reinstatement, whereby an aversive trigger can reinstate extinguished fear. Animal models of reinstatement commonly utilize a Pavlovian fear conditioning procedure, in which subjects are first trained to fear a conditional stimulus (CS) by pairing it with an aversive unconditional stimulus (US), and then extinguished by repeated presentations of the CS alone. Reinstatement is typically induced by exposing subjects to an aversive US after extinction, but here we show that exposure to a non-extinguished CS can reinstate conditional fear responding to an extinguished CS, a phenomenon we refer to as conditional reinstatement. Rats were trained to fear two CSs (light and tone) and subsequently underwent extinction training to only one CS (counterbalanced). Presenting the unextinguished CS (but not a novel cue) immediately after extinction reinstated conditional fear responding to the extinguished CS in a test session given 24h later. These findings indicate that reinstatement of extinguished fear can be triggered by exposure to conditional as well as unconditional aversive stimuli, and this may help to explain why relapse is common following clinical extinction therapy in humans. Further study of conditional reinstatement using animal models may prove useful for developing refined extinction therapies that are more resistant to reinstatement.
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spelling doaj.art-d968135afd9d4014b2025e6338123f4e2022-12-22T02:18:34ZengFrontiers Media S.A.Frontiers in Behavioral Neuroscience1662-51532012-05-01610.3389/fnbeh.2012.0001823740Reinstatement of extinguished fear by an unextinguished conditional stimulusLindsay R Halladay0Moriel eZelikowsky1Hugh T Blair2Michael S Fanselow3Michael S Fanselow4University of California, Los AngelesUniversity of California, Los AngelesUniversity of California, Los AngelesUniversity of California, Los AngelesUniversity of California, Los AngelesAnxiety disorders are often treated using extinction-based exposure therapy, but relapse is common and can occur as a result of reinstatement, whereby an aversive trigger can reinstate extinguished fear. Animal models of reinstatement commonly utilize a Pavlovian fear conditioning procedure, in which subjects are first trained to fear a conditional stimulus (CS) by pairing it with an aversive unconditional stimulus (US), and then extinguished by repeated presentations of the CS alone. Reinstatement is typically induced by exposing subjects to an aversive US after extinction, but here we show that exposure to a non-extinguished CS can reinstate conditional fear responding to an extinguished CS, a phenomenon we refer to as conditional reinstatement. Rats were trained to fear two CSs (light and tone) and subsequently underwent extinction training to only one CS (counterbalanced). Presenting the unextinguished CS (but not a novel cue) immediately after extinction reinstated conditional fear responding to the extinguished CS in a test session given 24h later. These findings indicate that reinstatement of extinguished fear can be triggered by exposure to conditional as well as unconditional aversive stimuli, and this may help to explain why relapse is common following clinical extinction therapy in humans. Further study of conditional reinstatement using animal models may prove useful for developing refined extinction therapies that are more resistant to reinstatement.http://journal.frontiersin.org/Journal/10.3389/fnbeh.2012.00018/fullFear conditioningreinstatementextinctionpavlovian
spellingShingle Lindsay R Halladay
Moriel eZelikowsky
Hugh T Blair
Michael S Fanselow
Michael S Fanselow
Reinstatement of extinguished fear by an unextinguished conditional stimulus
Frontiers in Behavioral Neuroscience
Fear conditioning
reinstatement
extinction
pavlovian
title Reinstatement of extinguished fear by an unextinguished conditional stimulus
title_full Reinstatement of extinguished fear by an unextinguished conditional stimulus
title_fullStr Reinstatement of extinguished fear by an unextinguished conditional stimulus
title_full_unstemmed Reinstatement of extinguished fear by an unextinguished conditional stimulus
title_short Reinstatement of extinguished fear by an unextinguished conditional stimulus
title_sort reinstatement of extinguished fear by an unextinguished conditional stimulus
topic Fear conditioning
reinstatement
extinction
pavlovian
url http://journal.frontiersin.org/Journal/10.3389/fnbeh.2012.00018/full
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