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Article ; Online: Social support and fear-inhibition: an examination of underlying neural mechanisms.

Hornstein, E A / Leschak, C J / Parrish, M H / Byrne-Haltom, K E / Fanselow, M S / Craske, M G / Eisenberger, N I

Social cognitive and affective neuroscience

2024 Volume 19, Issue 1

Abstract: Recent work has demonstrated that reminders of those we are closest to have a unique combination of effects on fear learning and represent a new category of fear inhibitors, termed prepared fear suppressors. Notably, social-support-figure images have ... ...

Abstract	Recent work has demonstrated that reminders of those we are closest to have a unique combination of effects on fear learning and represent a new category of fear inhibitors, termed prepared fear suppressors. Notably, social-support-figure images have been shown to resist becoming associated with fear, suppress conditional-fear-responding and lead to long-term fear reduction. Due to the novelty of this category, understanding the underlying neural mechanisms that support these unique abilities of social-support-reminders has yet to be investigated. Here, we examined the neural correlates that enable social-support-reminders to resist becoming associated with fear during a retardation-of-acquisition test. We found that social-support-figure-images (vs stranger-images) were less readily associated with fear, replicating prior work, and that this effect was associated with decreased amygdala activity and increased ventromedial prefrontal cortex (VMPFC) activity for social-support-figure-images (vs stranger-images), suggesting that social-support-engagement of the VMPFC and consequent inhibition of the amygdala may contribute to unique their inhibitory effects. Connectivity analyses supported this interpretation, showing greater connectivity between the VMPFC and left amygdala for social-support-figure-images (vs stranger-images).
MeSH term(s)	Humans ; Magnetic Resonance Imaging/methods ; Fear/physiology ; Prefrontal Cortex/diagnostic imaging ; Prefrontal Cortex/physiology ; Amygdala/diagnostic imaging ; Amygdala/physiology ; Social Support ; Extinction, Psychological/physiology
Language	English
Publishing date	2024-01-12
Publishing country	England
Document type	Journal Article
ZDB-ID	2236933-8
ISSN	1749-5024 ; 1749-5016
ISSN (online)	1749-5024
ISSN	1749-5016
DOI	10.1093/scan/nsae002
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Introducing the Fear Learning and Anxiety Response (FLARe) app and web portal for the remote delivery of fear conditioning experiments.

McGregor, T / Purves, K L / Barry, T / Constantinou, E / Craske, M G / Breen, G / Young, K S / Eley, T C

Behavior research methods

2022 Volume 55, Issue 6, Page(s) 3164–3178

Abstract: Experimental paradigms measuring key psychological constructs can enhance our understanding of mechanisms underlying human psychological well-being and mental health. Delivering such paradigms remotely affords opportunities to reach larger, more ... ...

Abstract	Experimental paradigms measuring key psychological constructs can enhance our understanding of mechanisms underlying human psychological well-being and mental health. Delivering such paradigms remotely affords opportunities to reach larger, more representative samples than is typically possible with in-person research. The efficiency gained from remote delivery makes it easier to test replication of previously established effects in well-powered samples. There are several challenges to the successful development and delivery of remote experimental paradigms, including use of an appropriate delivery platform, identifying feasible outcome measures, and metrics of participant compliance. In this paper, we present FLARe (Fear Learning and Anxiety Response), open-source software in the form of a smartphone app and web portal for the creation and delivery of remote fear conditioning experiments. We describe the benefits and challenges associated with the creation of a remote delivery platform for fear conditioning, before presenting in detail the resultant software suite, and one instance of deploying this using the FLARe Research infrastructure. We provide examples of the application of FLARe to several research questions which illustrate the benefits of the remote approach to experiment delivery. The FLARe smartphone app and web portal are available for use by other researchers and have been designed to be user-friendly and intuitive. We hope that FLARe will be a useful tool for those interested in conducting well-powered fear conditioning studies to inform our understanding of the development and treatment of anxiety disorders.
MeSH term(s)	Humans ; Mobile Applications ; Anxiety/psychology ; Fear/psychology ; Learning ; Anxiety Disorders/psychology ; Anxiety Disorders/therapy ; Extinction, Psychological/physiology
Language	English
Publishing date	2022-09-07
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	231560-9
ISSN	1554-3528 ; 0743-3808 ; 1554-351X
ISSN (online)	1554-3528
ISSN	0743-3808 ; 1554-351X
DOI	10.3758/s13428-022-01952-y
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Book: Kognitive Verhaltenstherapie

Craske, Michelle G.

2012

Abstract: Grundlagen, Methoden und Anwendungen der kognitiven Verhaltenstherapie werden in einem umfassenden Überblick dargestllt. - Inhalt: (1) Geschichte der kognitiven Verhaltenstherapie. (2) Theorie [Ziele und Kernkonzepte: Klassische Konditionierung; ... ...

Title translation	Cognitive behavioral therapy
Abstract	Grundlagen, Methoden und Anwendungen der kognitiven Verhaltenstherapie werden in einem umfassenden Überblick dargestllt. - Inhalt: (1) Geschichte der kognitiven Verhaltenstherapie. (2) Theorie [Ziele und Kernkonzepte: Klassische Konditionierung; Instrumentelle Konditionierung; Selbstwirksamkeitstheorie; kognitive Bewertungstheorie; Theorie des Erwartungslernens; die kognitivbehaviorale Theorie]. (3) Der therapeutische Prozess [Die Rolle der therapeutischen Beziehung; die Rolle des Therapeuten/der Therapeutin; die Rolle des Klienten/der Klientin]. (4) Strategien und Techniken [Fertigkeiten- und verstärkungsbasierte Strategien; expositionsbasierte Strategien; kognitionsbasierte Strategien]. (5) Anwendungsbereiche [Angsterkrankungen; Depression; Alkoholmissbrauch; Bulimia nervosa; der Fall Maria: Beschreibung einer kultursensiblen Therapie9. (6) Erschwernisse und Probleme bei der Arbeit mit diesem Ansatz. Evaluation [Wirkmechanismen: Rolle veränderter Kognitionen; wie funktioniert die KVT bei verschiedenen kulturellen Gruppen?] (7) Ausblick auf künftige Entwicklungen [Kognitionen: Funktion versus Inhalt; Lerntheorie: fächerübergreifende Fortschritte; Effektivitäts- und Effizienzforschung].
Keywords	Cognitive Behavior Therapy ; Kognitive Verhaltenstherapie ; Psychotherapeutic Outcomes ; Psychotherapeutic Processes ; Psychotherapeutic Techniques ; Psychotherapeutische Prozesse ; Psychotherapeutische Techniken ; Psychotherapieergebnisse
Language	German
Size	176 S.
Publisher	Reinhardt
Publishing place	München
Document type	Book
Note	Original: 2010. Cognitive-behavioral therapy. Washington: American Psychological Association
ISBN	978-3-497-02279-3 ; 3-497-02279-9
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Article ; Online: Evidence for distinct genetic and environmental influences on fear acquisition and extinction.

Purves, K L / Krebs, G / McGregor, T / Constantinou, E / Lester, K J / Barry, T J / Craske, M G / Young, K S / Breen, G / Eley, T C

Psychological medicine

2021 Volume 53, Issue 3, Page(s) 1106–1114

Abstract: Background: Anxiety disorders are highly prevalent with an early age of onset. Understanding the aetiology of disorder emergence and recovery is important for establishing preventative measures and optimising treatment. Experimental approaches can serve ...

Abstract	Background: Anxiety disorders are highly prevalent with an early age of onset. Understanding the aetiology of disorder emergence and recovery is important for establishing preventative measures and optimising treatment. Experimental approaches can serve as a useful model for disorder and recovery relevant processes. One such model is fear conditioning. We conducted a remote fear conditioning paradigm in monozygotic and dizygotic twins to determine the degree and extent of overlap between genetic and environmental influences on fear acquisition and extinction. Methods: In total, 1937 twins aged 22-25 years, including 538 complete pairs from the Twins Early Development Study took part in a fear conditioning experiment delivered remotely via the Fear Learning and Anxiety Response (FLARe) smartphone app. In the fear acquisition phase, participants were exposed to two neutral shape stimuli, one of which was repeatedly paired with a loud aversive noise, while the other was never paired with anything aversive. In the extinction phase, the shapes were repeatedly presented again, this time without the aversive noise. Outcomes were participant ratings of how much they expected the aversive noise to occur when they saw either shape, throughout each phase. Results: Twin analyses indicated a significant contribution of genetic effects to the initial acquisition and consolidation of fear, and the extinction of fear (15, 30 and 15%, respectively) with the remainder of variance due to the non-shared environment. Multivariate analyses revealed that the development of fear and fear extinction show moderate genetic overlap (genetic correlations 0.4-0.5). Conclusions: Fear acquisition and extinction are heritable, and share some, but not all of the same genetic influences.
MeSH term(s)	Humans ; Fear/physiology ; Extinction, Psychological/physiology ; Conditioning, Classical/physiology ; Anxiety ; Twins, Dizygotic/genetics
Language	English
Publishing date	2021-09-03
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	217420-0
ISSN	1469-8978 ; 0033-2917
ISSN (online)	1469-8978
ISSN	0033-2917
DOI	10.1017/S0033291721002580
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Article ; Online: Computer therapy for the anxiety and depression disorders is effective, acceptable and practical health care: An updated meta-analysis.

Andrews, G / Basu, A / Cuijpers, P / Craske, M G / McEvoy, P / English, C L / Newby, J M

Journal of anxiety disorders

2018 Volume 55, Page(s) 70–78

Abstract: Background: A 2010 meta-analysis of internet-delivered CBT (iCBT) RCTs argued 'computer therapy for the anxiety and depressive disorders was effective, acceptable and practical health care' without data on effectiveness or practicality in routine ... ...

Abstract	Background: A 2010 meta-analysis of internet-delivered CBT (iCBT) RCTs argued 'computer therapy for the anxiety and depressive disorders was effective, acceptable and practical health care' without data on effectiveness or practicality in routine practice. Methods: Databases, reviews and meta-analyses were searched for randomised controlled trials of cCBT or iCBT versus a control group (care as usual, waitlist, information control, psychological placebo, pill placebo, etc.) in people who met diagnostic criteria for major depression, panic disorder, social anxiety disorder or generalised anxiety disorder. Number randomised, superiority of treatment versus control (Hedges'g) on primary outcome measure, length of follow-up, follow up outcome, patient adherence and satisfaction/harm were extracted; risk of bias was assessed. A search for studies on effectiveness of iCBT in clinical practice was conducted. Results: 64 trials were identified. The mean effect size (efficacy) was g = 0.80 (NNT 2.34), and benefit was evident across all four disorders. Improvement was maintained at follow-with good acceptability. Research probity was good, and bias risk low. In addition, nine studies comparing iCBT with traditional face-to-face CBT and three comparing iCBT with bibliotherapy were identified. All three modes of treatment delivery appeared equally beneficial. The results of effectiveness studies were congruent with the results of the efficacy trials. Limitations: Studies variably measured changes in quality of life and disability, and the lack of comparisons with medications weakens the field. Conclusions: The conclusions drawn in the original meta-analysis are now supported: iCBT for the anxiety and depressive disorders is effective, acceptable and practical health care.
MeSH term(s)	Adult ; Anxiety Disorders/psychology ; Anxiety Disorders/therapy ; Cognitive Behavioral Therapy ; Depressive Disorder/psychology ; Depressive Disorder/therapy ; Humans ; Internet ; Male ; Patient Compliance ; Personal Satisfaction ; Quality of Life ; Therapy, Computer-Assisted
Language	English
Publishing date	2018-02-01
Publishing country	Netherlands
Document type	Journal Article ; Meta-Analysis ; Review
ZDB-ID	619417-5
ISSN	1873-7897 ; 0887-6185
ISSN (online)	1873-7897
ISSN	0887-6185
DOI	10.1016/j.janxdis.2018.01.001
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Article: Fear and anxiety in children and adolescents.

Craske, M G

Bulletin of the Menninger Clinic

1997 Volume 61, Issue 2 Suppl A, Page(s) A4–36

Abstract: The author reviews fears and anxiety in children and adolescents. In particular, the nature and prevalence of fears and anxiety disorders, including panic disorder, are described. This is followed by a description of comorbidity and gender differences, ... ...

Abstract	The author reviews fears and anxiety in children and adolescents. In particular, the nature and prevalence of fears and anxiety disorders, including panic disorder, are described. This is followed by a description of comorbidity and gender differences, and the stability or chronicity of these disorders. Factors believed to contribute to the development of childhood fear and anxiety are outlined, and finally the treatments for these disorders are reviewed.
MeSH term(s)	Adolescent ; Anxiety Disorders/epidemiology ; Anxiety Disorders/etiology ; Anxiety Disorders/physiopathology ; Anxiety Disorders/therapy ; Child ; Fear ; Female ; Humans ; Male ; Sex Factors
Language	English
Publishing date	1997
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Review
ZDB-ID	390416-7
ISSN	0025-9284
ISSN	0025-9284
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Article: The role of associative fear and avoidance learning in anxiety disorders

Pittig, Andre / Treanor, Michael / LeBeau, Richard T. / Craske, Michelle G.

Neuroscience and Biobehavioral Reviews

Gaps and directions for future research

2018 Volume 88, Page(s) 117–140

Abstract: Examines advances made in the understanding of associative fear and avoidance learning in anxiety disorders, illustrating the role of the acquisition, generalization, persistence, extinction, and return of fear and avoidance. First, aversive associative ... ...

Title translation	Die Rolle des Assoziationslernens von Furcht und Vermeidung bei Angststörungen: Lücken und Richtungen für die zukünftige Forschung
Abstract	Examines advances made in the understanding of associative fear and avoidance learning in anxiety disorders, illustrating the role of the acquisition, generalization, persistence, extinction, and return of fear and avoidance. First, aversive associative learning processes and corresponding experimental models are described. Subsequently, links between anxiety disorders and imbalances in the specific processes are addressed. Individual differences relevant to anxiety disorders as well as methodological issues, research gaps, and future research directions are highlighted. It is concluded that distinct mechanisms of fear as well as individual differences pertinent to anxiety disorders need to be investigated. Paradigms involving ambiguity and conflict should be targeted. Clinical translation studies are suggested for treatment optimization.
Keywords	Angststörungen ; Anxiety Disorders ; Associative Processes ; Assoziative Prozesse ; Avoidance ; Conditioned Fear ; Extinction (Learning) ; Extinktion (Lernen) ; Generalisierung ; Generalization (Learning) ; Genetics ; Genetik ; Geschlechtsunterschiede beim Menschen ; Human Sex Differences ; Individual Differences ; Individuelle Unterschiede ; Konditionierte Furcht ; Major Depression ; Vermeidung
Language	English
Document type	Article
ZDB-ID	282464-4
ISSN	1873-7528 ; 0149-7634
ISSN (online)	1873-7528
ISSN	0149-7634
DOI	10.1016/j.neubiorev.2018.03.015
Database	PSYNDEX

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Article: Building physiological toughness

Culver, Najwa C. / Stevens, Stephan / Fanselow, Michael S. / Craske, Michelle G.

Journal of Behavior Therapy and Experimental Psychiatry

Some aversive events during extinction may attenuate return of fear

2018 Volume 58, Page(s) 18–28

Abstract: Investigated the effect of occasionally reinforced extinction trials on fear. Using a fear-conditioning and extinction paradigm, 39 participants either underwent traditional extinction procedures or partially reinforced extinction during which several ... ...

Title translation	Aufbau physiologischer Belastbarkeit: Aversive Ereignisse während der Löschung können die Rückkehr von Angst abschwächen
Abstract	Investigated the effect of occasionally reinforced extinction trials on fear. Using a fear-conditioning and extinction paradigm, 39 participants either underwent traditional extinction procedures or partially reinforced extinction during which several unpredicted pairings of paired conditional stimulus and unconditional stimulus appeared. Participants who experienced partially reinforced extinction showed elevated physiological fear responding during extinction, as measured by skin conductance responses. Results also indicate protection from rapid reacquisition effects and protection from recovery effects. As measured by valence ratings, it remained unclear whether partially reinforced extinction played a protective role regarding fear recovery effects. Findings were limited due to significantly higher levels of physiological fear responding during extinction in participants who experienced partially reinforced extinction. With regard to the protective effect of occasional pairings of conditional and unconditional stimulus during extinction against return of fear effects, clinical implications are discussed.
Keywords	Angstbewältigung ; Angststörungen ; Anxiety Disorders ; Anxiety Management ; Conditioned Fear ; Conditioning ; Exposition ; Exposure ; Extinction (Learning) ; Extinktion (Lernen) ; Fear ; Furcht ; Konditionierte Furcht ; Konditionierung ; Reinforcement ; Relapse Prevention ; Rückfallprävention ; Therapie ; Treatment ; Verstärkung
Language	English
Document type	Article
ZDB-ID	280250-8
ISSN	1873-7943 ; 0005-7916
ISSN (online)	1873-7943
ISSN	0005-7916
DOI	10.1016/j.jbtep.2017.07.003
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Article: An integrated treatment approach to panic disorder.

Craske, M G

Bulletin of the Menninger Clinic

1996 Volume 60, Issue 2 Suppl A, Page(s) A87–104

Abstract: After a brief description of cognitive-behavioral approaches for the treatment of panic disorder, the advantages and disadvantages of an integrated approach that combines cognitive-behavioral methods and medications are presented. This is followed by ... ...

Abstract	After a brief description of cognitive-behavioral approaches for the treatment of panic disorder, the advantages and disadvantages of an integrated approach that combines cognitive-behavioral methods and medications are presented. This is followed by presentation of outcome data regarding combined treatment, and of methods for enhancing the implementation of an integrated approach. Finally, directions for future research are listed. Other psychological treatments are not covered due to lack of evidence for their efficacy.
MeSH term(s)	Antidepressive Agents, Tricyclic/therapeutic use ; Benzodiazepines/therapeutic use ; Cognitive Therapy ; Combined Modality Therapy ; Humans ; Panic Disorder/drug therapy ; Panic Disorder/therapy
Chemical Substances	Antidepressive Agents, Tricyclic ; Benzodiazepines (12794-10-4)
Language	English
Publishing date	1996
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Review
ZDB-ID	390416-7
ISSN	0025-9284
ISSN	0025-9284
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Article ; Online: Validating the use of a smartphone app for remote administration of a fear conditioning paradigm.

Purves, K L / Constantinou, E / McGregor, T / Lester, K J / Barry, T J / Treanor, M / Sun, M / Margraf, J / Craske, M G / Breen, G / Eley, T C

Behaviour research and therapy

2019 Volume 123, Page(s) 103475

Abstract: Fear conditioning models key processes related to the development, maintenance and treatment of anxiety disorders and is associated with group differences in anxiety. However, laboratory administration of tasks is time and cost intensive, precluding ... ...

Abstract	Fear conditioning models key processes related to the development, maintenance and treatment of anxiety disorders and is associated with group differences in anxiety. However, laboratory administration of tasks is time and cost intensive, precluding assessment in large samplesnecessary for the analysis of individual differences. This study introduces a newly developed smartphone app that delivers a fear conditioning paradigm remotely using a loud human scream as an aversive stimulus. Three groups of participants (total n = 152) took part in three studies involving a differential fear conditioning experiment to assess the reliability and validity of a smartphone administered fear conditioning paradigm. This comprised of fear acquisition, generalisation, extinction, and renewal phases during which online US-expectancy ratings were collected during every trial with evaluative ratings of negative affect at three time points. We show that smartphone app delivery of a fear conditioning paradigm results in a pattern of fear learning comparable to traditional laboratory delivery and is able to detect individual differences in performance that show comparable associations with anxiety to the prior group differences literature.
MeSH term(s)	Acoustic Stimulation ; Adult ; Affect ; Anxiety/psychology ; Conditioning, Classical ; Extinction, Psychological ; Fear ; Female ; Generalization, Psychological ; Humans ; Individuality ; Male ; Mobile Applications/statistics & numerical data ; Photic Stimulation ; Reproducibility of Results ; Smartphone ; Time Factors ; Young Adult
Language	English
Publishing date	2019-09-12
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Validation Study
ZDB-ID	211997-3
ISSN	1873-622X ; 0005-7967
ISSN (online)	1873-622X
ISSN	0005-7967
DOI	10.1016/j.brat.2019.103475
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