Effects of cortisol on retrieval of extinction memory in individuals with social anxiety

While exposure-based treatment for social anxiety disorder (SAD) has been shown to be effective, the high relapse rate remains a problem. Although relapse has been understood as the inability to retrieve extinction memory, the factors that influence the extent of retrieval of extinction memory have...

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Main Authors: Chihiro Moriishi, Maeda Shunta, Hiroyoshi Ogishima, Hironori Shimada
Format: Article
Language:English
Published: Elsevier 2021-08-01
Series:Comprehensive Psychoneuroendocrinology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666497621000345
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author Chihiro Moriishi
Maeda Shunta
Hiroyoshi Ogishima
Hironori Shimada
author_facet Chihiro Moriishi
Maeda Shunta
Hiroyoshi Ogishima
Hironori Shimada
author_sort Chihiro Moriishi
collection DOAJ
description While exposure-based treatment for social anxiety disorder (SAD) has been shown to be effective, the high relapse rate remains a problem. Although relapse has been understood as the inability to retrieve extinction memory, the factors that influence the extent of retrieval of extinction memory have not been determined. This study aimed to examine whether the cortisol response to acute stressors in socially anxious individuals inhibits the retrieval of extinction memory, focusing on the cortisol response to acute stressors as a factor. Thirty-nine participants who scored 42 or more on the Liebowitz Social Anxiety Scale participated in the experiment for two consecutive days. On the first day, a fear conditioning task aimed at learning fear and extinction memory was administered, and on the second day, a psychosocial stress task (Trier Social Stress Test; TSST) was conducted, followed by an extinction retrieval test. The results indicated that cortisol responsiveness (Responder/Non-responder) was not associated with the retrieval of extinction memory indexed by subjective and physiological measures. However, a supplementary analysis revealed that the total amount of cortisol secretion was associated with attenuated retrieval of extinction memory. These findings suggest that the total cortisol secretions, rather than cortisol responsiveness to the acute stressor, may play a role in relapse.
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spelling doaj.art-f15d737577b040698b246f39057f2bf42022-12-21T19:57:29ZengElsevierComprehensive Psychoneuroendocrinology2666-49762021-08-017100060Effects of cortisol on retrieval of extinction memory in individuals with social anxietyChihiro Moriishi0Maeda Shunta1Hiroyoshi Ogishima2Hironori Shimada3Graduate School of Human Sciences, Waseda University, 15-579-2 Mikajima, Tokorozawa, Saitama, 359-1192, Japan; Corresponding author.Graduate School of Education, Tohoku University, 1-27 Kawauchi, Aoba-ku, Sendai, Miyagi, 980-8576, JapanResearch Center for Future Design, Kochi University of Technology, 22-2 Eikokuji-cho, Kochi, Kochi, 780-8515, JapanFaculty of Human Sciences, Waseda University, 15-579-2 Mikajima, Tokorozawa, Saitama, 359-1192, JapanWhile exposure-based treatment for social anxiety disorder (SAD) has been shown to be effective, the high relapse rate remains a problem. Although relapse has been understood as the inability to retrieve extinction memory, the factors that influence the extent of retrieval of extinction memory have not been determined. This study aimed to examine whether the cortisol response to acute stressors in socially anxious individuals inhibits the retrieval of extinction memory, focusing on the cortisol response to acute stressors as a factor. Thirty-nine participants who scored 42 or more on the Liebowitz Social Anxiety Scale participated in the experiment for two consecutive days. On the first day, a fear conditioning task aimed at learning fear and extinction memory was administered, and on the second day, a psychosocial stress task (Trier Social Stress Test; TSST) was conducted, followed by an extinction retrieval test. The results indicated that cortisol responsiveness (Responder/Non-responder) was not associated with the retrieval of extinction memory indexed by subjective and physiological measures. However, a supplementary analysis revealed that the total amount of cortisol secretion was associated with attenuated retrieval of extinction memory. These findings suggest that the total cortisol secretions, rather than cortisol responsiveness to the acute stressor, may play a role in relapse.http://www.sciencedirect.com/science/article/pii/S2666497621000345CortisolRelapseExtinction memorySocial anxiety
spellingShingle Chihiro Moriishi
Maeda Shunta
Hiroyoshi Ogishima
Hironori Shimada
Effects of cortisol on retrieval of extinction memory in individuals with social anxiety
Comprehensive Psychoneuroendocrinology
Cortisol
Relapse
Extinction memory
Social anxiety
title Effects of cortisol on retrieval of extinction memory in individuals with social anxiety
title_full Effects of cortisol on retrieval of extinction memory in individuals with social anxiety
title_fullStr Effects of cortisol on retrieval of extinction memory in individuals with social anxiety
title_full_unstemmed Effects of cortisol on retrieval of extinction memory in individuals with social anxiety
title_short Effects of cortisol on retrieval of extinction memory in individuals with social anxiety
title_sort effects of cortisol on retrieval of extinction memory in individuals with social anxiety
topic Cortisol
Relapse
Extinction memory
Social anxiety
url http://www.sciencedirect.com/science/article/pii/S2666497621000345
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