Training discrimination diminishes maladaptive avoidance of innocuous stimuli in a fear conditioning paradigm

Anxiety disorders are the most common mental disorder worldwide. Although anxiety disorders differ in the nature of feared objects or situations, they share a common mechanism by which fear generalizes to related but innocuous objects, eliciting avoidance of objects and situations that pose no objec...

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Main Authors: Lommen, M, Duta, M, Vanbrabant, K, de Jong, R, Juechems, K, Ehlers, A
Format: Journal article
Language:English
Published: Public Library of Science 2017
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author Lommen, M
Duta, M
Vanbrabant, K
de Jong, R
Juechems, K
Ehlers, A
author_facet Lommen, M
Duta, M
Vanbrabant, K
de Jong, R
Juechems, K
Ehlers, A
author_sort Lommen, M
collection OXFORD
description Anxiety disorders are the most common mental disorder worldwide. Although anxiety disorders differ in the nature of feared objects or situations, they share a common mechanism by which fear generalizes to related but innocuous objects, eliciting avoidance of objects and situations that pose no objective risk. This overgeneralization appears to be a crucial mechanism in the persistence of anxiety psychopathology. In this study we test whether an intervention that promotes discrimination learning reduces generalization of fear, in particular, harm expectancy and avoidance compared to an irrelevant (control) training. Healthy participants (N = 80) were randomly allocated to a training condition. Using a fear conditioning paradigm, participants first learned visual danger and safety signals (set 1). Baseline level of stimulus generalization was tested with ambiguous stimuli on a spectrum between the danger and safety signals. There were no differences between the training groups. Participants then received the stimulus discrimination training or a control training. After training, participants learned a new set of danger and safety signals (set 2), and the level of harm expectancy generalization and behavioural avoidance of ambiguous stimuli was tested. Although the training groups did not differ in fear generalization on a cognitive level (harm expectancy), the results showed a different pattern of avoidance of ambiguous stimuli, with the discrimination training group showing less avoidance of stimuli that resembled the safety signals. These results support the potential of interventions that promote discrimination learning in the treatment of anxiety disorders.
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spelling oxford-uuid:2293bd69-7561-4caf-8cd3-0c1167f872de2022-03-26T11:39:36ZTraining discrimination diminishes maladaptive avoidance of innocuous stimuli in a fear conditioning paradigmJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:2293bd69-7561-4caf-8cd3-0c1167f872deEnglishSymplectic Elements at OxfordPublic Library of Science2017Lommen, MDuta, MVanbrabant, Kde Jong, RJuechems, KEhlers, AAnxiety disorders are the most common mental disorder worldwide. Although anxiety disorders differ in the nature of feared objects or situations, they share a common mechanism by which fear generalizes to related but innocuous objects, eliciting avoidance of objects and situations that pose no objective risk. This overgeneralization appears to be a crucial mechanism in the persistence of anxiety psychopathology. In this study we test whether an intervention that promotes discrimination learning reduces generalization of fear, in particular, harm expectancy and avoidance compared to an irrelevant (control) training. Healthy participants (N = 80) were randomly allocated to a training condition. Using a fear conditioning paradigm, participants first learned visual danger and safety signals (set 1). Baseline level of stimulus generalization was tested with ambiguous stimuli on a spectrum between the danger and safety signals. There were no differences between the training groups. Participants then received the stimulus discrimination training or a control training. After training, participants learned a new set of danger and safety signals (set 2), and the level of harm expectancy generalization and behavioural avoidance of ambiguous stimuli was tested. Although the training groups did not differ in fear generalization on a cognitive level (harm expectancy), the results showed a different pattern of avoidance of ambiguous stimuli, with the discrimination training group showing less avoidance of stimuli that resembled the safety signals. These results support the potential of interventions that promote discrimination learning in the treatment of anxiety disorders.
spellingShingle Lommen, M
Duta, M
Vanbrabant, K
de Jong, R
Juechems, K
Ehlers, A
Training discrimination diminishes maladaptive avoidance of innocuous stimuli in a fear conditioning paradigm
title Training discrimination diminishes maladaptive avoidance of innocuous stimuli in a fear conditioning paradigm
title_full Training discrimination diminishes maladaptive avoidance of innocuous stimuli in a fear conditioning paradigm
title_fullStr Training discrimination diminishes maladaptive avoidance of innocuous stimuli in a fear conditioning paradigm
title_full_unstemmed Training discrimination diminishes maladaptive avoidance of innocuous stimuli in a fear conditioning paradigm
title_short Training discrimination diminishes maladaptive avoidance of innocuous stimuli in a fear conditioning paradigm
title_sort training discrimination diminishes maladaptive avoidance of innocuous stimuli in a fear conditioning paradigm
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