Evidence map›Paper›PMID 21074779›Full record

ArticleJournal of psychiatric research2011

Unpaired extinction: implications for treating post-traumatic stress disorder.

Bernard G Schreurs, Carrie A Smith-Bell, Lauren B Burhans

Abstract read
In one paragraph

Article in Journal of psychiatric research, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Sex differences in a rabbit eyeblink conditioning model of PTSD.Neurobiology of learning and memory · 2018
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  5. Review
  6. Article
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  11. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Bernard G SchreursBlanchette Rockefeller Neurosciences Institute and Department of Physiology and Pharmacology, West Virginia University, Morgantown, WV, USA. bschreurs@hsc.wvu.edu
Carrie A Smith-Bell
Lauren B Burhans

Funding

Developing Treatments for Hyperarousal in a Model SystemR01MH081159 · NIMH · WEST VIRGINIA UNIVERSITY · PI SCHREURS, BERNARD G. · 2009 to 2017
$3.0M
NIMH NIH HHS MH081159NIMH NIH HHS R01 MH081159
6 · The paper itself

Abstract

Extinction of fear is important for treating stress-related conditions particularly post-traumatic stress disorder (PTSD). Although traditional extinction presents the feared stimulus by itself, there is evidence from both clinical and basic research that repeatedly presenting the feared stimulus by itself does not prevent fear from returning. This renewal or relapse can be "thwarted" by unpaired extinction-presentations of the feared stimulus and the event producing the fear. However, no matter how effective standard unpaired extinction may be in the laboratory, repeated presentation of a traumatic event is untenable. To make an unpaired extinction procedure more clinically relevant, we classically conditioned the rabbit nictitating membrane response using electrical stimulation or air puff as the unconditioned stimulus and then during unpaired extinction reduced both the intensity of the unconditioned stimulus and the days of unpaired stimulus presentations. We found unpaired extinction reduced conditioned and exaggerated unconditioned responding (an animal analog of PTSD called conditioning-specific reflex modification) and could be accomplished with a weak unconditioned stimulus as long as extended presentations were used. Surprisingly, brief presentations of a weak unconditioned stimulus or extended presentations of a strong one made the exaggerated responses stronger. One implication is that brief treatment may not just be ineffectual; it may heighten the symptoms of PTSD. Another implication is that using strong stimuli may also heighten those symptoms.

Indexed as

Acoustic StimulationAnalysis of VarianceAnimalsBehavior, AnimalConditioning, ClassicalElectric StimulationExtinction, PsychologicalFactor Analysis, StatisticalFearHeart RateMaleNictitating MembraneRabbitsRandom AllocationReflex

Identifiers

PMID21074779
PMCPMC3081978

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.