Can glucose facilitate fear exposure? Randomized, placebo-controlled trials on the effects of glucose administration on fear extinction processes

IF 4.2 2区 心理学 Q1 PSYCHOLOGY, CLINICAL
Alexander Hauck, Tanja Michael, Tobias C. Issler, Steven Klein, Johanna Lass-Hennemann, Diana S. Ferreira de Sá
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Abstract

Previous studies showed that glucose has beneficial effects on memory function and can enhance contextual fear learning. To derive potential therapeutic interventions, further research is needed regarding the effects of glucose on fear extinction. In two experimental studies with healthy participants (Study 1: N = 68, 39 females; Study 2: N = 89, 67 females), we investigated the effects of glucose on fear extinction learning and its consolidation. Participants completed a differential fear conditioning paradigm consisting of acquisition, extinction, and return of fear tests: reinstatement, and extinction recall. US-expectancy ratings, skin conductance response (SCR), and fear potentiated startle (FPS) were collected. Participants were pseudorandomized and double-blinded to one of two groups: They received either a drink containing glucose or saccharine 20 min before (Study 1) or immediately after extinction (Study 2). The glucose group showed a significantly stronger decrease in differential FPS during extinction (Study 1) and extinction recall (Study 2). Additionally, the glucose group showed a significantly lower contextual anxiety at test of reinstatement (Study 2). Our findings provide first evidence that glucose supports the process of fear extinction, and in particular the consolidation of fear extinction memory, and thus has potential as a beneficial adjuvant to extinction-based treatments.

Registered through the German Clinical Trials Registry (https://www.bfarm.de/EN/BfArM/Tasks/German-Clinical-Trials-Register/_node.html; Study 1: DRKS00010550; Study 2: DRKS00018933).

葡萄糖能促进恐惧暴露吗?关于服用葡萄糖对恐惧消退过程的影响的随机安慰剂对照试验
先前的研究表明,葡萄糖对记忆功能有益处,并能增强情境恐惧学习。为了得出潜在的治疗干预措施,还需要进一步研究葡萄糖对恐惧消退的影响。在两项以健康参与者为对象的实验研究中(研究 1:68 人,39 名女性;研究 2:89 人,67 名女性),我们调查了葡萄糖对恐惧消退学习及其巩固的影响。参与者完成了一个由获得、消退和恐惧恢复测试组成的差异化恐惧条件反射范式:恢复和消退回忆。研究人员收集了美国预期评分、皮肤传导反应(SCR)和恐惧电位惊吓(FPS)。参与者被伪随机双盲分为两组:他们在消退前 20 分钟(研究 1)或消退后立即饮用含有葡萄糖或糖精的饮料(研究 2)。葡萄糖组在绝境(研究 1)和绝境回忆(研究 2)期间表现出明显更强的差异 FPS 下降。此外,葡萄糖组在恢复测试(研究 2)中表现出明显较低的情境焦虑。我们的研究结果首次证明,葡萄糖支持恐惧消减过程,尤其是支持恐惧消减记忆的巩固,因此有可能成为基于消减的治疗方法的有益辅助剂。该研究已在德国临床试验注册中心注册(https://www.bfarm.de/EN/BfArM/Tasks/German-Clinical-Trials-Register/_node.html;研究1:DRKS00010550;研究2:DRKS00018933)。
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来源期刊
Behaviour Research and Therapy
Behaviour Research and Therapy PSYCHOLOGY, CLINICAL-
CiteScore
7.50
自引率
7.30%
发文量
148
期刊介绍: The major focus of Behaviour Research and Therapy is an experimental psychopathology approach to understanding emotional and behavioral disorders and their prevention and treatment, using cognitive, behavioral, and psychophysiological (including neural) methods and models. This includes laboratory-based experimental studies with healthy, at risk and subclinical individuals that inform clinical application as well as studies with clinically severe samples. The following types of submissions are encouraged: theoretical reviews of mechanisms that contribute to psychopathology and that offer new treatment targets; tests of novel, mechanistically focused psychological interventions, especially ones that include theory-driven or experimentally-derived predictors, moderators and mediators; and innovations in dissemination and implementation of evidence-based practices into clinical practice in psychology and associated fields, especially those that target underlying mechanisms or focus on novel approaches to treatment delivery. In addition to traditional psychological disorders, the scope of the journal includes behavioural medicine (e.g., chronic pain). The journal will not consider manuscripts dealing primarily with measurement, psychometric analyses, and personality assessment.
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