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Baczkowski BM, Haaker J, Schwabe L. Inferring danger with minimal aversive experience. Trends Cogn Sci 2023; 27:456-467. [PMID: 36941184 DOI: 10.1016/j.tics.2023.02.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2022] [Revised: 01/11/2023] [Accepted: 02/23/2023] [Indexed: 03/22/2023]
Abstract
Learning about threats is crucial for survival and fundamentally rests upon Pavlovian conditioning. However, Pavlovian threat learning is largely limited to detecting known (or similar) threats and involves first-hand exposure to danger, which inevitably poses a risk of harm. We discuss how individuals leverage a rich repertoire of mnemonic processes that operate largely in safety and significantly expand our ability to recognize danger beyond Pavlovian threat associations. These processes result in complementary memories - acquired individually or through social interactions - that represent potential threats and the relational structure of our environment. The interplay between these memories allows danger to be inferred rather than directly learned, thereby flexibly protecting us from potential harm in novel situations despite minimal prior aversive experience.
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Affiliation(s)
- Blazej M Baczkowski
- Department of Cognitive Psychology, Universität Hamburg, Von-Melle-Park 5, 20146 Hamburg, Germany
| | - Jan Haaker
- Department of Systems Neuroscience, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany
| | - Lars Schwabe
- Department of Cognitive Psychology, Universität Hamburg, Von-Melle-Park 5, 20146 Hamburg, Germany.
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2
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van Dis EAM, Krypotos AM, Zondervan-Zwijnenburg MAJ, Tinga AM, Engelhard IM. Safety behaviors toward innocuous stimuli can maintain or increase threat beliefs. Behav Res Ther 2022; 156:104142. [PMID: 35752012 DOI: 10.1016/j.brat.2022.104142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2021] [Revised: 05/24/2022] [Accepted: 06/03/2022] [Indexed: 11/02/2022]
Abstract
Safety behaviors can prevent or minimize a feared outcome. However, in relatively safe situations, they may be less adaptive, presumably because people will misattribute safety to these behaviors. This research aimed to investigate whether safety behaviors in safe situations can lead to increased threat beliefs. In Study 1, we aimed to replicate a fear conditioning study (N = 68 students) in which the experimental, but not the control group, received the opportunity to perform safety behavior to an innocuous stimulus. From before to after the availability of the safety behavior, threat beliefs persisted in the experimental group, while they decreased in the control group. In Study 2, we examined whether threat beliefs had actually increased for some individuals in the experimental group, using a multi-dataset latent class analysis on data from Study 1 and two earlier studies (N = 213). Results showed that about a quarter of individuals who performed safety behavior toward the innocuous stimulus showed increased threat expectancy to this cue, while virtually nobody in the control group exhibited an increase. Taken together, safety behavior in relatively safe situations may have maladaptive effects as it generally maintains and sometimes even increases threat beliefs.
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Affiliation(s)
- Eva A M van Dis
- Department of Clinical Psychology, Utrecht University, the Netherlands.
| | - Angelos-Miltiadis Krypotos
- Department of Clinical Psychology, Utrecht University, the Netherlands; Department of Health Psychology, KU Leuven, Belgium
| | | | - Angelica M Tinga
- Department of Clinical Psychology, Utrecht University, the Netherlands
| | - Iris M Engelhard
- Department of Clinical Psychology, Utrecht University, the Netherlands
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Atlas LY, Sandman CF, Phelps EA. Rating expectations can slow aversive reversal learning. Psychophysiology 2021; 59:e13979. [PMID: 34837385 PMCID: PMC8810599 DOI: 10.1111/psyp.13979] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2021] [Revised: 10/24/2021] [Accepted: 11/03/2021] [Indexed: 12/01/2022]
Abstract
The process of learning allows organisms to develop predictions about outcomes in the environment, and learning is sensitive to both simple associations and higher order knowledge. However, it is unknown whether consciously attending to expectations shapes the learning process itself. Here, we directly tested whether rating expectations shapes arousal during classical conditioning. Participants performed an aversive learning paradigm wherein one image (CS+) was paired with shock on 50% of trials, while a second image (CS-) was never paired with shock. Halfway through the task, contingencies reversed. One group of participants rated the probability of upcoming shock on each trial, while the other group made no online ratings. We measured skin conductance response (SCR) evoked in response to the CS and used traditional analyses as well as quantitative models of reinforcement learning to test whether rating expectations influenced arousal and aversive reversal learning. Participants who provided online expectancy ratings displayed slower learning based on a hybrid model of adaptive learning and reduced reversal of SCR relative to those who did not rate expectations. Mediation analysis revealed that the effect of associative learning on SCR could be fully explained through its effects on subjective expectancy within the group who provided ratings. This suggests that the act of rating expectations reduces the speed of learning, likely through changes in attention, and that expectations directly influence arousal. Our findings indicate that higher order expectancy judgments can alter associative learning.
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Affiliation(s)
- Lauren Y Atlas
- National Center for Complementary and Integrative Health, National Institutes of Health, Bethesda, Maryland, USA.,National Institute of Mental Health, National Institutes of Health, Bethesda, Maryland, USA.,National Institutes on Drug Abuse, National Institutes of Health, Baltimore, Maryland, USA
| | - Christina F Sandman
- Department of Psychology, University of California, Los Angeles, California, USA
| | - Elizabeth A Phelps
- Department of Psychology, Harvard University, Cambridge, Massachusetts, USA
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van Dis EAM, Landkroon E, Hagenaars MA, van der Does FHS, Engelhard IM. Old Fears Die Hard: Return of Public Speaking Fear in a Virtual Reality Procedure. Behav Ther 2021; 52:1188-1197. [PMID: 34452672 DOI: 10.1016/j.beth.2021.01.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/27/2020] [Revised: 01/13/2021] [Accepted: 01/17/2021] [Indexed: 01/04/2023]
Abstract
Exposure-based therapy is an effective treatment for social anxiety, but some patients relapse. We used a novel virtual reality procedure to examine spontaneous recovery (i.e., a return of fear over time) and fear renewal (i.e., the return of fear after a context switch) in individuals with fear of public speaking. On Day 1, 32 participants received exposure training before a virtual audience. On Day 8, participants completed a spontaneous recovery phase, followed by a fear renewal test, in which they gave a presentation in front of a new (context switch) or the same audience (no context switch). After exposure, participants exhibited a lower heart rate, subjective distress, negative valence, and arousal. One week later, participants showed spontaneous recovery of heart rate, and the context switch group showed renewal of subjective distress, negative valence, and arousal. Future studies can use this procedure to test interventions aimed at improving long-term exposure effects in individuals with public speaking fear.
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Akhrif A, Roy A, Peters K, Lesch KP, Romanos M, Schmitt-Böhrer A, Neufang S. REVERSE phenotyping-Can the phenotype following constitutive Tph2 gene inactivation in mice be transferred to children and adolescents with and without adhd? Brain Behav 2021; 11:e02054. [PMID: 33523602 PMCID: PMC8119824 DOI: 10.1002/brb3.2054] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/18/2020] [Revised: 01/12/2021] [Accepted: 01/18/2021] [Indexed: 12/17/2022] Open
Abstract
INTRODUCTION Experimental models of neuropsychiatric disorders, for example, ADHD, are used to mimic specific phenotypic traits of a complex human disorder. However, it remains unresolved to what extent the animal phenotype reflects the specific human trait. The null mutant mouse of the serotonin-synthesizing tryptophan hydroxylase-2 (Tph2-/- ) gene has been proposed as experimental model for ADHD with high face validity for impulsive, aggressive, and anxious behaviors. To validate this ADHD-like model, we examined the Tph2-/- phenotype in humans when considering allelic variation of TPH2 function ("reverse phenotyping"). METHODS 58 participants (6 females, 8-18 years) were examined, of whom 32 were diagnosed with ADHD. All participants were phenotyped for impulsivity, aggression, and anxiety using questionnaires, behavioral tests, and MRI scanning while performing the 4-choice serial reaction time task. Additionally, participants were genotyped for the TPH2 G-703T (rs4570625) polymorphism. To analyze the relation between TPH2 G-703T variants and the impulsive/aggressive/anxious phenotype, mediation analyses were performed using behavioral and MRI data as potential mediators. RESULTS We found that the relation between TPH2 G-703T and aggression as part of the reverse Tph2- /- phenotype was mediated by structure and function of the right middle and inferior frontal gyrus. CONCLUSION At the example of trait aggression, our results support the assumption that the Tph2 null mutant mouse reflects the TPH2 G-703T-dependent phenotype in humans. Additionally, we conclude that "reverse phenotyping" is a promising method to validate experimental models and human findings for refined analysis of disease mechanisms.
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Affiliation(s)
- Atae Akhrif
- Department of Child and Adolescent Psychiatry, Center of Mental Health, University of Würzburg, Würzburg, Germany.,Comparative Psychology, Institute of Experimental Psychology, Heinrich-Heine University of Düsseldorf, Düsseldorf, Germany
| | - Arunima Roy
- The Royal's Institute of Mental Health Research, University of Ottawa, Ottawa, Canada
| | - Katharina Peters
- Department of Child and Adolescent Psychiatry, Center of Mental Health, University of Würzburg, Würzburg, Germany
| | - Klaus-Peter Lesch
- Division of Molecular Psychiatry, Center of Mental Health, University of Würzburg, Würzburg, Germany.,Laboratory of Psychiatric Neurobiology, Institute of Molecular Medicine, Sechenov First Moscow State Medical University, Moscow, Russia.,Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, Maastricht University, Maastricht, The Netherlands
| | - Marcel Romanos
- Department of Child and Adolescent Psychiatry, Center of Mental Health, University of Würzburg, Würzburg, Germany
| | - Angelika Schmitt-Böhrer
- Department of Psychiatry, Psychosomatics and Psychotherapy, Center of Mental Health, University of Würzburg, Würzburg, Germany
| | - Susanne Neufang
- Comparative Psychology, Institute of Experimental Psychology, Heinrich-Heine University of Düsseldorf, Düsseldorf, Germany.,Department of Psychiatry and Psychotherapy, Medical Faculty Heinrich, Heine University of Düsseldorf, Düsseldorf, Germany
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McGlade AL, Craske MG. Optimizing exposure: Between-session mental rehearsal as an augmentation strategy. Behav Res Ther 2021; 139:103827. [PMID: 33607459 DOI: 10.1016/j.brat.2021.103827] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2020] [Revised: 01/20/2021] [Accepted: 02/06/2021] [Indexed: 11/18/2022]
Abstract
Exposure therapy is widely empirically supported as a treatment for anxiety disorders, but clinically significant response rates hover around 50%. This study explores strategies for consolidating the exposure memory as a way of improving efficacy. Between-session mental rehearsal of exposure learning was examined as a way of enhancing the effects of exposure therapy. Sixty-two spider-fearful individuals completed baseline questionnaires and a behavioral approach test with a live tarantula, followed by two sessions of in vivo exposures, and a post-assessment one-week later that repeated the baseline questionnaires and behavioral approach test. Skin conductance, subjective distress, and number of steps completed were recorded at each behavioral approach test. Participants were randomized to mental rehearsal or control (non-specific) rehearsal that was prompted on three occasions after each exposure session. Participants in both conditions improved from baseline to post-assessment, but mental rehearsal participants showed significantly greater improvement than control participants across questionnaire measurements of spider fear, subjective distress, and number of steps completed during the behavioral approach test. Findings suggest that between-session mental rehearsal is an effective supplement to exposure therapy. As such, mental rehearsal may be a promising avenue toward increasing treatment response rates across many psychiatric disorders that benefit from exposure therapy.
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Affiliation(s)
- Anastasia L McGlade
- Department of Psychology, University of California Los Angeles, Los Angeles, CA, USA.
| | - Michelle G Craske
- Department of Psychology, University of California Los Angeles, Los Angeles, CA, USA.
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Measuring fear: Association among different measures of fear learning. J Behav Ther Exp Psychiatry 2021; 70:101618. [PMID: 33039814 PMCID: PMC7689577 DOI: 10.1016/j.jbtep.2020.101618] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/29/2019] [Revised: 09/15/2020] [Accepted: 09/21/2020] [Indexed: 02/06/2023]
Abstract
BACKGROUND AND OBJECTIVES Fear conditioning paradigms use various measures to assess learned fear, including autonomic arousal responses like skin conductance, and self-reports of both associative (US-expectancies) and evaluative (affective ratings) learning. The present study uses a dimensional approach to examine associations among fear indices directly. METHODS Seventy-three participants completed a differential fear conditioning experiment, during which a neutral stimulus (CS+) was paired with an electric shock (US), while another stimulus (CS-) was never paired with the shock (partially instructed fear acquisition). Ten minutes later, both stimuli were presented without any shocks (fear extinction). Skin conductance responses and US-expectancy ratings were recorded during each phase, while self-reported negative affect was assessed for each CS at the end of extinction. RESULTS Results showed a positive association among US-expectancy ratings and skin conductance responses during acquisition and early extinction. US-expectancy ratings during overall extinction were positively associated with post-extinction negative affect. LIMITATIONS The lack of affective ratings post-acquisition may have obscured associations between associative and evaluative learning indices. CONCLUSIONS Results provide evidence for the expected correspondence among different indices of associative fear learning. Findings emphasize the need for incorporating both associative and evaluative learning measures in fear conditioning paradigms.
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Haaker J, Maren S, Andreatta M, Merz CJ, Richter J, Richter SH, Meir Drexler S, Lange MD, Jüngling K, Nees F, Seidenbecher T, Fullana MA, Wotjak CT, Lonsdorf TB. Making translation work: Harmonizing cross-species methodology in the behavioural neuroscience of Pavlovian fear conditioning. Neurosci Biobehav Rev 2019; 107:329-345. [PMID: 31521698 PMCID: PMC7822629 DOI: 10.1016/j.neubiorev.2019.09.020] [Citation(s) in RCA: 51] [Impact Index Per Article: 10.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2019] [Revised: 07/08/2019] [Accepted: 09/11/2019] [Indexed: 12/22/2022]
Abstract
Translational neuroscience bridges insights from specific mechanisms in rodents to complex functions in humans and is key to advance our general understanding of central nervous function. A prime example of translational research is the study of cross-species mechanisms that underlie responding to learned threats, by employing Pavlovian fear conditioning protocols in rodents and humans. Hitherto, evidence for (and critique of) these cross-species comparisons in fear conditioning research was based on theoretical viewpoints. Here, we provide a perspective to substantiate these theoretical concepts with empirical considerations of cross-species methodology. This meta-research perspective is expected to foster cross-species comparability and reproducibility to ultimately facilitate successful transfer of results from basic science into clinical applications.
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Affiliation(s)
- Jan Haaker
- Department of Systems Neuroscience, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
| | - Stephen Maren
- Department of Psychological and Brain Sciences and Institute for Neuroscience, Texas A&M University, College Station, TX, 77843, USA
| | - Marta Andreatta
- Department of Psychology, University of Würzburg, Würzburg, Germany; Department of Psychology, Education & Child Studies, Erasmus University Rotterdam, Netherlands
| | - Christian J Merz
- Ruhr University Bochum, Faculty of Psychology, Institute of Cognitive Neuroscience, Department of Cognitive Psychology, Germany
| | - Jan Richter
- Department of Biological and Clinical Psychology/Psychotherapy, University of Greifswald, Greifswald, Germany
| | - S Helene Richter
- Department of Behavioural Biology, University of Münster, Münster, Germany
| | - Shira Meir Drexler
- Ruhr University Bochum, Faculty of Psychology, Institute of Cognitive Neuroscience, Department of Cognitive Psychology, Germany
| | - Maren D Lange
- Institute of Physiology I, University of Münster, Münster, Germany
| | - Kay Jüngling
- Institute of Physiology I, University of Münster, Münster, Germany
| | - Frauke Nees
- Department of Cognitive and Clinical Neuroscience, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany
| | | | - Miquel A Fullana
- Institute of Neurosciences, Hospital Clinic, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Barcelona, Spain
| | - Carsten T Wotjak
- Neuronal Plasticity Research Group, Department of Stress Neurobiology and Neurogenetics, Max Planck Institute of Psychiatry, 80804, Munich, Germany
| | - Tina B Lonsdorf
- Department of Systems Neuroscience, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
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9
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Landkroon E, Mertens G, Sevenster D, Dibbets P, Engelhard IM. Renewal of conditioned fear responses using a film clip as the aversive unconditioned stimulus. J Behav Ther Exp Psychiatry 2019; 65:101493. [PMID: 31203173 DOI: 10.1016/j.jbtep.2019.101493] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/28/2018] [Revised: 05/28/2019] [Accepted: 06/02/2019] [Indexed: 10/26/2022]
Abstract
BACKGROUND AND OBJECTIVES Pavlovian fear conditioning paradigms are valuable to investigate fear learning and the return of extinguished fear in the lab. However, their validity is limited, because the aversive stimuli (e.g., electric shocks) typically lack the modalities and complexity of real-world aversive experiences. To overcome this limitation, we examined fear acquisition, extinction and contextual renewal using an audiovisual unconditioned stimulus (US). METHOD On day 1, 50 healthy participants completed an acquisition phase in a specific context (i.e., desk or bookcase, 'context A'). Pictures of colored lamps served as conditioned stimuli and an aversive film clip was used as US. On day 2, extinction took place in the same context ('context A') or in a different context ('context B'). Afterwards, renewal was tested in the acquisition context (AAA vs. ABA design). RESULTS As hypothesized, fear acquisition and extinction, as measured by US expectancy ratings, fear potentiated startle (FPS), and skin conductance responses (SCRs), were successful. Most importantly, conditioned responding was renewed on all measures in the ABA condition, but not in the AAA condition. Differential renewal (i.e., larger renewal for CS + than for CS-) was only observed for US expectancy ratings. LIMITATIONS The return of conditioned responses was non-differential for FPS and SCR. CONCLUSIONS The current set-up enables investigation of fear renewal using an audiovisual US. Future studies can utilize this paradigm to investigate interventions that aim to reduce fear renewal by modifying the US memory, such as Eye Movement Desensitization and Reprocessing and imagery rescripting.
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Affiliation(s)
- Elze Landkroon
- Department of Clinical Psychology, Utrecht University, Utrecht, the Netherlands.
| | - Gaëtan Mertens
- Department of Clinical Psychology, Utrecht University, Utrecht, the Netherlands
| | - Dieuwke Sevenster
- Department of Clinical Psychology, Utrecht University, Utrecht, the Netherlands
| | - Pauline Dibbets
- Department of Clinical Psychological Science, Maastricht University, the Netherlands
| | - Iris M Engelhard
- Department of Clinical Psychology, Utrecht University, Utrecht, the Netherlands
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Raeder F, Karbach L, Struwe H, Margraf J, Zlomuzica A. Low Perceived Self-Efficacy Impedes Discriminative Fear Learning. Front Psychol 2019; 10:1191. [PMID: 31275188 PMCID: PMC6591439 DOI: 10.3389/fpsyg.2019.01191] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2018] [Accepted: 05/06/2019] [Indexed: 11/29/2022] Open
Abstract
Perceived self-efficacy refers to a subject’s expectation about the outcomes his/her behavior will have in a challenging situation. Low self-efficacy has been implicated in the origins and maintenance of phobic behavior. Correlational studies suggest an association between perceived self-efficacy and learning. The experimental manipulation of perceived self-efficacy offers an interesting approach to examine the impact of self-efficacy beliefs on cognitive and emotional functions. Recently, a positive effect of an experimentally induced increased self-efficacy on associative learning has been demonstrated. Changes in associative learning constitute a central hallmark of pathological fear and anxiety. Such alterations in the acquisition and extinction of conditioned fear may be related to cognitive and neurobiological factors that predict a certain vulnerability to anxiety disorders. The present study builds on previous own work by investigating the effect of an experimentally induced low perceived self-efficacy on fear acquisition, extinction and extinction retrieval in a differential fear conditioning task. Our results suggest that a negative verbal feedback, which leads to a decreased self-efficacy, is associated with changes in the acquisition of conditioned fear. During fear acquisition, the negative verbal feedback group showed decreased discrimination of fear responses between the aversive and safe conditioned stimuli (CS) relative to a group receiving a neutral feedback. The effects of the negative verbal feedback on the acquisition of fear discrimination learning were indexed by an impaired ability to discriminate the probability of receiving a shock during acquisition upon presentation of the aversive (CS+) relative to the safe stimuli (CS−). However, the effects of low self-efficacy on discrimination learning were limited to fear acquisition. No differences between the groups were observed during extinction and extinction retrieval. Furthermore, analysis of other outcome measures, i.e., skin conductance responses and CS valence ratings, revealed no group differences during the different phases of fear conditioning. In conclusion, lower perceived self-efficacy alters cognitive/expectancy components of discrimination during fear learning but not evaluative components and physiological responding. The pattern of findings suggests a selective, detrimental role of low(er) self-efficacy on the subject’s ability to learn the association between ambiguous cues and threat/safety.
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Affiliation(s)
- Friederike Raeder
- Ruhr University Bochum, Faculty of Psychology, Mental Health Research and Treatment Center, Bochum, Germany
| | - Lioba Karbach
- Ruhr University Bochum, Faculty of Psychology, Mental Health Research and Treatment Center, Bochum, Germany
| | - Helena Struwe
- Ruhr University Bochum, Faculty of Psychology, Mental Health Research and Treatment Center, Bochum, Germany
| | - Jürgen Margraf
- Ruhr University Bochum, Faculty of Psychology, Mental Health Research and Treatment Center, Bochum, Germany
| | - Armin Zlomuzica
- Ruhr University Bochum, Faculty of Psychology, Mental Health Research and Treatment Center, Bochum, Germany
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