Abstract：
:One of the central problems in posttraumatic stress disorder (PTSD) is the inability to suppress fear even under safe conditions. The neural underpinnings of fear are clinically relevant but poorly understood. This study assessed fear potentiation and fear inhibition using fear-potentiated startle in a conditional discrimination procedure (AX+/BX-). We hypothesized that patients with PTSD would show normal fear potentiation and impaired fear inhibition. Subjects comprised 28 healthy volunteers and 27 PTSD patients (14 with low current symptoms, 13 with high current symptoms) who were presented with one set of colored lights (AX trials) paired with aversive air blasts to the throat, and a different series of lights (BX trials) presented without air blasts. We then presented A and B together (AB trials) to see whether B would inhibit fear potentiation to A. All groups showed robust fear potentiation in that they had significantly greater startle magnitude on AX trials than on noise-alone trials. However, the high-symptom PTSD group did not show fear inhibition: these subjects had significantly greater fear potentiation on the AB trials than both the controls and the low-symptom PTSD patients.
journal_name
Psychiatry Resjournal_title
Psychiatry researchauthors
Jovanovic T,Norrholm SD,Fennell JE,Keyes M,Fiallos AM,Myers KM,Davis M,Duncan EJdoi
10.1016/j.psychres.2007.12.014subject
Has Abstractpub_date
2009-05-15 00:00:00pages
151-60issue
1-2eissn
0165-1781issn
1872-7123pii
S0165-1781(08)00006-1journal_volume
167pub_type
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