Direct effects of diazepam on emotional processing in healthy volunteers.

RATIONALE: Pharmacological agents used in the treatment of anxiety have been reported to decrease threat relevant processing in patients and healthy controls, suggesting a potentially relevant mechanism of action. However, the effects of the anxiolytic diazepam have typically been examined at sedati...

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Egile Nagusiak: Murphy, SE, Downham, C, Cowen, P, Harmer, C
Formatua: Journal article
Hizkuntza:English
Argitaratua: 2008
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author Murphy, SE
Downham, C
Cowen, P
Harmer, C
author_facet Murphy, SE
Downham, C
Cowen, P
Harmer, C
author_sort Murphy, SE
collection OXFORD
description RATIONALE: Pharmacological agents used in the treatment of anxiety have been reported to decrease threat relevant processing in patients and healthy controls, suggesting a potentially relevant mechanism of action. However, the effects of the anxiolytic diazepam have typically been examined at sedative doses, which do not allow the direct actions on emotional processing to be fully separated from global effects of the drug on cognition and alertness. OBJECTIVES: The aim of this study was to investigate the effect of a lower, but still clinically effective, dose of diazepam on emotional processing in healthy volunteers. MATERIALS AND METHODS: Twenty-four participants were randomised to receive a single dose of diazepam (5 mg) or placebo. Sixty minutes later, participants completed a battery of psychological tests, including measures of non-emotional cognitive performance (reaction time and sustained attention) and emotional processing (affective modulation of the startle reflex, attentional dot probe, facial expression recognition, and emotional memory). Mood and subjective experience were also measured. RESULTS: Diazepam significantly modulated attentional vigilance to masked emotional faces and significantly decreased overall startle reactivity. Diazepam did not significantly affect mood, alertness, response times, facial expression recognition, or sustained attention. CONCLUSIONS: At non-sedating doses, diazepam produces effects on attentional vigilance and startle responsivity that are consistent with its anxiolytic action. This may be an underlying mechanism through which benzodiazepines exert their therapeutic effects in clinical anxiety.
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spelling oxford-uuid:5c2de3b8-9237-4665-b70f-2e901b74c64c2022-03-26T17:26:30ZDirect effects of diazepam on emotional processing in healthy volunteers.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:5c2de3b8-9237-4665-b70f-2e901b74c64cEnglishSymplectic Elements at Oxford2008Murphy, SEDownham, CCowen, PHarmer, CRATIONALE: Pharmacological agents used in the treatment of anxiety have been reported to decrease threat relevant processing in patients and healthy controls, suggesting a potentially relevant mechanism of action. However, the effects of the anxiolytic diazepam have typically been examined at sedative doses, which do not allow the direct actions on emotional processing to be fully separated from global effects of the drug on cognition and alertness. OBJECTIVES: The aim of this study was to investigate the effect of a lower, but still clinically effective, dose of diazepam on emotional processing in healthy volunteers. MATERIALS AND METHODS: Twenty-four participants were randomised to receive a single dose of diazepam (5 mg) or placebo. Sixty minutes later, participants completed a battery of psychological tests, including measures of non-emotional cognitive performance (reaction time and sustained attention) and emotional processing (affective modulation of the startle reflex, attentional dot probe, facial expression recognition, and emotional memory). Mood and subjective experience were also measured. RESULTS: Diazepam significantly modulated attentional vigilance to masked emotional faces and significantly decreased overall startle reactivity. Diazepam did not significantly affect mood, alertness, response times, facial expression recognition, or sustained attention. CONCLUSIONS: At non-sedating doses, diazepam produces effects on attentional vigilance and startle responsivity that are consistent with its anxiolytic action. This may be an underlying mechanism through which benzodiazepines exert their therapeutic effects in clinical anxiety.
spellingShingle Murphy, SE
Downham, C
Cowen, P
Harmer, C
Direct effects of diazepam on emotional processing in healthy volunteers.
title Direct effects of diazepam on emotional processing in healthy volunteers.
title_full Direct effects of diazepam on emotional processing in healthy volunteers.
title_fullStr Direct effects of diazepam on emotional processing in healthy volunteers.
title_full_unstemmed Direct effects of diazepam on emotional processing in healthy volunteers.
title_short Direct effects of diazepam on emotional processing in healthy volunteers.
title_sort direct effects of diazepam on emotional processing in healthy volunteers
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