Evidence map›Paper›PMID 25894546›Full record

ReviewPsychological bulletin2015

Effects of sleep on memory for conditioned fear and fear extinction.

Edward F Pace-Schott, Anne Germain, Mohammed R Milad

3 registry-linked trialsAbstract readReview
In one paragraph

Review in Psychological bulletin, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 93 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
93citing papers in PubMed, 1 pooled it
–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.

NCT05453162 naactive not recruitingnot on this mapstarted 2022, after this paper: background citation

Circadian Influence on Fear Extinction Resulting From Prolonged Exposure Therapy for PTSD

TypeinterventionalSponsorMassachusetts General HospitalRan2022 to 2026Enrolled52ConditionsPTSDArmsProlonged Exposure Therapy for Posttraumatic Stress Disorder
NCT05663151 narecruitingnot on this mapstarted 2024, after this paper: background citation

Mechanisms Underlying the Efficacy of Prolonged Exposure

TypeinterventionalSponsorVA Boston Healthcare SystemRan2024 to 2027Enrolled50ConditionsPosttraumatic Stress DisorderArmsProlonged Exposure Therapy for Posttraumatic Stress Disorder
NCT05788302 narecruitingnot on this mapstarted 2023, after this paper: background citation

Mechanisms Underlying Efficacy of Prolonged Exposure

TypeinterventionalSponsorMassachusetts General HospitalRan2023 to 2027Enrolled50ConditionsPost Traumatic Stress DisorderArmsProlonged Exposure
3 · Its place in the literature

Who cites it

93 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
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  4. Effects of intranasal oxytocin on fear extinction learning.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2025
    Trial
  5. Alpha-2 Adrenoreceptor Antagonist Yohimbine Potentiates Consolidation of Conditioned Fear.The international journal of neuropsychopharmacology · 2022
    Trial
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  8. Article
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  10. Review
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33 more citing papers are in PubMed but not listed here.

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.

Edward F Pace-SchottDepartment of Psychiatry, Harvard Medical School and Massachusetts General Hospital.
Anne GermainDepartment of Psychiatry, University of Pittsburgh.
Mohammed R MiladDepartment of Psychiatry, Harvard Medical School.

Funding

Neural Mechanisms of Fear Extinction Across Anxiety DisordersR01MH097964 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI MILAD, MOHAMMED R · 2012 to 2016
$2.9M
Expectation and Attention in Visual CognitionR01MH097965 · NIMH · DUKE UNIVERSITY · PI EGNER, TOBIAS · 2013 to 2016
$1.4M
Sleep and the Generalization Extinction of Conditioned FearR21MH090357 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI PACE-SCHOTT, EDWARD F. · 2011 to 2012
$487k
NIMH NIH HHS MH090357NIMH NIH HHS MH097965NIMH NIH HHS R01 MH097964NIMH NIH HHS R01 MH097965NIMH NIH HHS R21 MH090357
6 · The paper itself

Abstract

Learning and memory for extinction of conditioned fear is a basic mammalian mechanism for regulating negative emotion. Sleep promotes both the consolidation of memory and the regulation of emotion. Sleep can influence consolidation and modification of memories associated with both fear and its extinction. After brief overviews of the behavior and neural circuitry associated with fear conditioning, extinction learning, and extinction memory in the rodent and human, interactions of sleep with these processes will be examined. Animal and human studies suggest that sleep can serve to consolidate both fear and extinction memory. In humans, sleep also promotes generalization of extinction memory. Time-of-day effects on extinction learning and generalization are also seen. Rapid eye movement (REM) may be a sleep stage of particular importance for the consolidation of both fear and extinction memory as evidenced by selective REM deprivation experiments. REM sleep is accompanied by selective activation of the same limbic structures implicated in the learning and memory of fear and extinction. Preliminary evidence also suggests extinction learning can take place during slow wave sleep. Study of low-level processes such as conditioning, extinction, and habituation may allow sleep effects on emotional memory to be identified and inform study of sleep's effects on more complex, emotionally salient declarative memories. Anxiety disorders are marked by impairments of both sleep and extinction memory. Improving sleep quality may ameliorate anxiety disorders by strengthening naturally acquired extinction. Strategically timed sleep may be used to enhance treatment of anxiety by strengthening therapeutic extinction learned via exposure therapy. (PsycINFO Database Record

Indexed as

AnimalsConditioning, PsychologicalExtinction, PsychologicalFearHumansLearningMemoryModels, AnimalSleep

Identifiers

PMID25894546
PMCPMC4486610

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.