New Findings on Extinction of Conditioned Fear Early in Development: Theoretical and Clinical Implications

被引:149
|
作者
Kim, Jee Hyun [1 ]
Richardson, Rick [1 ]
机构
[1] Univ New S Wales, Sch Psychol, Sydney, NSW, Australia
基金
澳大利亚研究理事会;
关键词
Anxiety disorders; development; exposure therapy; extinction; fear; MEDIAL PREFRONTAL CORTEX; HIPPOCAMPAL INACTIVATION DISRUPTS; DSM-IV DISORDERS; DIFFERENTIAL CONTRIBUTION; SYNAPTIC PLASTICITY; POTENTIATED STARTLE; EXTINGUISHED FEAR; ANXIETY DISORDERS; OPIOID RECEPTORS; CONTEXTUAL FEAR;
D O I
10.1016/j.biopsych.2009.09.003
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Research with adult animals suggests that extinction depends, at least partly, on new inhibitory learning that is specific to the context in which it is learned. However, several recent studies show that extinction processes are dissociated across development. The present article reviews research on the behavioral and neurobiological mechanisms underlying extinction in developing rats. To summarize, postweanling aged rats (i.e., 24-day-olds) display adult-like extinction in that they show renewal, reinstatement, spontaneous recovery, and compound summation of extinguished stimuli. However, preweanling aged rats (i.e., 17-day-olds) do not show any of those behavioral phenomena. Pharmacological studies also show that reducing N-methyl-D-aspartate, gamma-aminobutryic acid, and opioid neurotransmission impairs extinction in 24-day-old rats, but extinction in P17 rats is only affected by the blocking of opioid neurotransmission. Lastly, extinction in 24-day-old rats involves the amygdala and the ventromedial prefrontal cortex (vmPFC), which are critical brain areas in the neural circuitry of extinction in adult rats. Interestingly, extinction in 17-day-old rats involves the amygdala but not the vmPFC. The existing models of extinction cannot account for these developmental differences. These findings showing that distinct processes mediate extinction at different stages of development may have significant clinical implications, which are discussed in this review.
引用
收藏
页码:297 / 303
页数:7
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