Wenzhao Zhang , Yixia Huang , Ying Mei , Jinxia Wang , Haoran Dou , Yi Lei
{"title":"Executive functions modulate conditioned fear extinction and reinstatement: The differential roles of shifting, updating, and inhibition","authors":"Wenzhao Zhang , Yixia Huang , Ying Mei , Jinxia Wang , Haoran Dou , Yi Lei","doi":"10.1016/j.ijchp.2025.100581","DOIUrl":null,"url":null,"abstract":"<div><div>Conditioned fear learning is crucial for survival, and failure of fear extinction is closely related to the development of anxiety disorders. This study explores how different executive function (EF) subcomponents—shifting, updating, and inhibition—modulate conditioned fear extinction and reinstatement at both behavioral and neural levels. A total of 88 participants (age range: 17–23 years) completed the Stroop Task, Digit Size-Parity Switching Task, and Memory Updating Task to assess their executive function abilities. Participants underwent a classical fear extinction paradigm while their shock expectancy ratings and prefrontal cortical activity were recorded using functional near-infrared spectroscopy (fNIRS). Results indicated that individuals with higher shifting ability exhibited greater fear expectancy during fear acquisition <em>(β = -0.406, p = 0.032)</em> and reinstatement <em>(β = -0.834, p = 0.004)</em>, along with higher prefrontal cortex activity <em>(p < 0.05)</em>, suggesting heightened responses to threatening stimuli. Individuals with higher updating ability showed a slower decrease in fear expectancy during the early extinction phase <em>(β = 0.038, p = 0.002)</em>, but maintained lower expectancy during the extinction recall phase <em>(β = -0.769, p = 0.006)</em>, indicating poorer extinction learning but better extinction memory retention. Individuals with higher updating ability also exhibited more extinction recall in the prefrontal cortex regions <em>(p<sub>s</sub> < 0.045)</em>. Individuals with higher inhibitory ability showed higher expectancy for CS+ and lower expectancy for CS− during extinction learning <em>(β = -0.409, p = 0.008)</em>, along with a slower decrease in fear expectancy <em>(β = -0.022, p = 0.055)</em>. Furthermore, individuals with higher inhibition ability showed lower PFC activity in immediate extinction <em>(p<sub>s</sub> < 0.0421)</em>, suggesting slower extinction learning but better regulation of safety cues. By clarifying the roles of these executive function components, our study highlights the cognitive mechanisms that could inform interventions aimed at improving fear extinction, offering potential strategies for mitigating anxiety-related disorders.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100581"},"PeriodicalIF":5.3000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Clinical and Health Psychology","FirstCategoryId":"102","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1697260025000390","RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
引用次数: 0
Abstract
Conditioned fear learning is crucial for survival, and failure of fear extinction is closely related to the development of anxiety disorders. This study explores how different executive function (EF) subcomponents—shifting, updating, and inhibition—modulate conditioned fear extinction and reinstatement at both behavioral and neural levels. A total of 88 participants (age range: 17–23 years) completed the Stroop Task, Digit Size-Parity Switching Task, and Memory Updating Task to assess their executive function abilities. Participants underwent a classical fear extinction paradigm while their shock expectancy ratings and prefrontal cortical activity were recorded using functional near-infrared spectroscopy (fNIRS). Results indicated that individuals with higher shifting ability exhibited greater fear expectancy during fear acquisition (β = -0.406, p = 0.032) and reinstatement (β = -0.834, p = 0.004), along with higher prefrontal cortex activity (p < 0.05), suggesting heightened responses to threatening stimuli. Individuals with higher updating ability showed a slower decrease in fear expectancy during the early extinction phase (β = 0.038, p = 0.002), but maintained lower expectancy during the extinction recall phase (β = -0.769, p = 0.006), indicating poorer extinction learning but better extinction memory retention. Individuals with higher updating ability also exhibited more extinction recall in the prefrontal cortex regions (ps < 0.045). Individuals with higher inhibitory ability showed higher expectancy for CS+ and lower expectancy for CS− during extinction learning (β = -0.409, p = 0.008), along with a slower decrease in fear expectancy (β = -0.022, p = 0.055). Furthermore, individuals with higher inhibition ability showed lower PFC activity in immediate extinction (ps < 0.0421), suggesting slower extinction learning but better regulation of safety cues. By clarifying the roles of these executive function components, our study highlights the cognitive mechanisms that could inform interventions aimed at improving fear extinction, offering potential strategies for mitigating anxiety-related disorders.
期刊介绍:
The International Journal of Clinical and Health Psychology is dedicated to publishing manuscripts with a strong emphasis on both basic and applied research, encompassing experimental, clinical, and theoretical contributions that advance the fields of Clinical and Health Psychology. With a focus on four core domains—clinical psychology and psychotherapy, psychopathology, health psychology, and clinical neurosciences—the IJCHP seeks to provide a comprehensive platform for scholarly discourse and innovation. The journal accepts Original Articles (empirical studies) and Review Articles. Manuscripts submitted to IJCHP should be original and not previously published or under consideration elsewhere. All signing authors must unanimously agree on the submitted version of the manuscript. By submitting their work, authors agree to transfer their copyrights to the Journal for the duration of the editorial process.