Evidence map›Paper›PMID 23945999›Full record

Trial reportSocial cognitive and affective neuroscience2014

Cortisol modifies extinction learning of recently acquired fear in men.

Christian Josef Merz, Andrea Hermann, Rudolf Stark, Oliver Tobias Wolf

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Social cognitive and affective neuroscience, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
3.1field-weighted citation impact, top 8% of its field
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

25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 62 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Neural Underpinnings of Cortisol Effects on Fear Extinction.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2018
    Trial
  7. Article
  8. Article
  9. Review
  10. Impact of Stress and Exercise on Fear Extinction.Current topics in behavioral neurosciences · 2023
    Article
  11. Article
  12. Article
  13. Article
  14. The immediate extinction deficit occurs in a nonemotional learning paradigm.Learning & memory (Cold Spring Harbor, N.Y.) · 2019
    Article
  15. Review
  16. Stress promotes generalization of older but not recent threat memories.Proceedings of the National Academy of Sciences of the United States of America · 2017
    Article
  17. Neural correlates of appetitive extinction in humans.Social cognitive and affective neuroscience · 2017
    Article
  18. Article
  19. Neuroimaging of Fear-Associated Learning.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2016
    Review
  20. Effects of Cortisol on Reconsolidation of Reactivated Fear Memories.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2015
    Article
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

4 authors at 2 institutions in 1 country.

Christian Josef MerzDepartment of Cognitive Psychology, Institute of Cognitive Neuroscience, Ruhr-University Bochum, Universitätsstr. 150, 44780 Bochum, Bender Institute of Neuroimaging, and Department of Psychotherapy and Systems Neuroscience, Justus Liebig University Giessen, Otto-Behaghel-Str. 10F, 35394 Giessen, Germany Department of Cognitive Psychology, Institute of Cognitive Neuroscience, Ruhr-University Bochum, Universitätsstr. 150, 44780 Bochum, Bender Institute of Neuroimaging, and Department of Psychotherapy and Systems Neuroscience, Justus Liebig University Giessen, Otto-Behaghel-Str. 10F, 35394 Giessen, Germany Christian.J.Merz@ruhr-uni-bochum.de.
Andrea HermannDepartment of Cognitive Psychology, Institute of Cognitive Neuroscience, Ruhr-University Bochum, Universitätsstr. 150, 44780 Bochum, Bender Institute of Neuroimaging, and Department of Psychotherapy and Systems Neuroscience, Justus Liebig University Giessen, Otto-Behaghel-Str. 10F, 35394 Giessen, Germany Department of Cognitive Psychology, Institute of Cognitive Neuroscience, Ruhr-University Bochum, Universitätsstr. 150, 44780 Bochum, Bender Institute of Neuroimaging, and Department of Psychotherapy and Systems Neuroscience, Justus Liebig University Giessen, Otto-Behaghel-Str. 10F, 35394 Giessen, Germany.
Rudolf StarkDepartment of Cognitive Psychology, Institute of Cognitive Neuroscience, Ruhr-University Bochum, Universitätsstr. 150, 44780 Bochum, Bender Institute of Neuroimaging, and Department of Psychotherapy and Systems Neuroscience, Justus Liebig University Giessen, Otto-Behaghel-Str. 10F, 35394 Giessen, Germany Department of Cognitive Psychology, Institute of Cognitive Neuroscience, Ruhr-University Bochum, Universitätsstr. 150, 44780 Bochum, Bender Institute of Neuroimaging, and Department of Psychotherapy and Systems Neuroscience, Justus Liebig University Giessen, Otto-Behaghel-Str. 10F, 35394 Giessen, Germany.
Oliver Tobias WolfDepartment of Cognitive Psychology, Institute of Cognitive Neuroscience, Ruhr-University Bochum, Universitätsstr. 150, 44780 Bochum, Bender Institute of Neuroimaging, and Department of Psychotherapy and Systems Neuroscience, Justus Liebig University Giessen, Otto-Behaghel-Str. 10F, 35394 Giessen, Germany.
Ruhr University Bochum · DEUniversity of Giessen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Exposure therapy builds on the mechanism of fear extinction leading to decreased fear responses. How the stress hormone cortisol affects brain regions involved in fear extinction in humans is unknown. For this reason, we tested 32 men randomly assigned to receive either 30 mg hydrocortisone or placebo 45 min before fear extinction. In fear acquisition, a picture of a geometrical figure was either partially paired (conditioned stimulus; CS+) or not paired (CS-) with an electrical stimulation (unconditioned stimulus; UCS). In fear extinction, each CS was presented again, but no UCS occurred. Cortisol increased conditioned skin conductance responses in early and late extinction. In early extinction, higher activation towards the CS- than to the CS+ was found in the amygdala, hippocampus and posterior parahippocampal gyrus. This pattern might be associated with the establishment of a new memory trace. In late extinction, the placebo compared with the cortisol group displayed enhanced CS+/CS- differentiation in the amygdala, medial frontal cortex and nucleus accumbens. A change from early deactivation to late activation of the extinction circuit as seen in the placebo group seems to be needed to enhance extinction and to reduce fear. Cortisol appears to interfere with this process thereby impairing extinction of recently acquired conditioned fear.

Indexed as

AdolescentAdultAnalysis of VarianceBrainConditioning, ClassicalExtinction, PsychologicalFearGalvanic Skin ResponseHumansHydrocortisoneImage Processing, Computer-AssistedMagnetic Resonance ImagingMaleOxygenYoung AdultHydrocortisoneOxygenamygdalafear conditioningfMRIprefrontal cortexstress hormones

Identifiers

PMID23945999
PMCPMC4158382
OpenAlexW2121928072

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.