Evidence map›Paper›PMID 25545818›Full record

ArticlePloS one2014

Fear extinction as a model for synaptic plasticity in major depressive disorder.

Marion Kuhn, Nora Höger, Bernd Feige, Jens Blechert, Claus Normann, Christoph Nissen

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
1.7field-weighted citation impact, top 16% 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, 65 citations in OpenAlex.

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  13. Impact of exogenous estradiol on task-based and resting-state neural signature during and after fear extinction in healthy women.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2021
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  17. The Role of BDNF on Neural Plasticity in Depression.Frontiers in cellular neuroscience · 2020
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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

6 authors at 2 institutions in 2 countries.

Marion KuhnDepartment of Psychiatry and Psychotherapy, University Medical Center Freiburg, Freiburg, Germany.
Nora HögerDepartment of Psychiatry and Psychotherapy, University Medical Center Freiburg, Freiburg, Germany.
Bernd FeigeDepartment of Psychiatry and Psychotherapy, University Medical Center Freiburg, Freiburg, Germany.
Jens BlechertDivision of Clinical Psychology, Psychotherapy, and Health Psychology, Department of Psychology, University of Salzburg, Salzburg, Austria.
Claus NormannDepartment of Psychiatry and Psychotherapy, University Medical Center Freiburg, Freiburg, Germany.
Christoph NissenDepartment of Psychiatry and Psychotherapy, University Medical Center Freiburg, Freiburg, Germany.
University Medical Center Freiburg · DEUniversity of Salzburg · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe neuroplasticity hypothesis of major depressive disorder proposes that a dysfunction of synaptic plasticity represents a basic pathomechanism of the disorder. Animal models of depression indicate enhanced plasticity in a ventral emotional network, comprising the amygdala. Here, we investigated fear extinction learning as a non-invasive probe for amygdala-dependent synaptic plasticity in patients with major depressive disorder and healthy controls.

methodsDifferential fear conditioning was measured in 37 inpatients with severe unipolar depression (International Classification of Diseases, 10th revision, criteria) and 40 healthy controls. The eye-blink startle response, a subcortical output signal that is modulated by local synaptic plasticity in the amygdala in fear acquisition and extinction learning, was recorded as the primary outcome parameter.

resultsAfter robust and similar fear acquisition in both groups, patients with major depressive disorder showed significantly enhanced fear extinction learning in comparison to healthy controls, as indicated by startle responses to conditioned stimuli. The strength of extinction learning was positively correlated with the total illness duration.

conclusionsThe finding of enhanced fear extinction learning in major depressive disorder is consistent with the concept that the disorder is characterized by enhanced synaptic plasticity in the amygdala and the ventral emotional network. Clinically, the observation emphasizes the potential of successful extinction learning, the basis of exposure therapy, in anxiety-related disorders despite the frequent comorbidity of major depressive disorder.

Indexed as

Extinction, PsychologicalFearModels, NeurologicalNeuronal PlasticityAdultAmygdalaCase-Control StudiesConditioning, ClassicalFemaleHumansMajor Depressive DisorderMaleMiddle Aged

Identifiers

PMID25545818
PMCPMC4278908
OpenAlexW2090687525

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.