Evidence map›Paper›PMID 28207912›Full record

Trial reportAnnals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists2017

Fear conditioning and extinction in pediatric obsessive-compulsive disorder.

Daniel A Geller, Joseph F McGuire, Scott P Orr, Daniel S Pine, Jennifer C Britton, Brent J Small, Tanya K Murphy, Sabine Wilhelm, Eric A Storch

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 4% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

  1. Pooled it
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  4. Symptom Dimension Response in Children and Adolescents with Obsessive-Compulsive Disorder.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
    Trial
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  19. Pediatric OCD in the era of RDoC.Journal of obsessive-compulsive and related disorders · 2019
    Article
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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

9 authors at 5 institutions in 1 country.

Daniel A GellerGeneral Hospital Harvard University Medical School, Boston, MA, USA. E-mail: dan.geller@mgh.harvard.edu.
Joseph F McGuire
Scott P Orr
Daniel S Pine
Jennifer C Britton
Brent J Small
Tanya K Murphy
Sabine Wilhelm
Eric A Storch
University of South Florida · USMassachusetts General Hospital · USNational Institute of Mental Health · USTampa Bay Research Institute · USUniversity of Miami · US

Funding

fMRI Studies Of Pediatric Mood And Anxiety DisordersZIAMH002781 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI PINE, DANIEL · 2009 to 2025
$41.5M
Obsessive-compulsive disorder (OCD) Collaborative Genetics Association StudyR01MH079489 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI GELLER, DANIEL A · 2007 to 2010
$3.4M
2/2-D-Cycloserine Augmentation of CBT for Pediatric OCDR01MH093402 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI GELLER, DANIEL A · 2011 to 2014
$1.7M
1/2-D-Cycloserine Augmentation of CBT for Pediatric OCDR01MH093381 · NIMH · UNIVERSITY OF SOUTH FLORIDA · PI STORCH, ERIC A. · 2011 to 2014
$1.2M
Neuroimaging of Extinction Recall in Development and Adolescent Social AnxietyR00MH091183 · NIMH · UNIVERSITY OF MIAMI CORAL GABLES · PI BRITTON, JENNIFER CHRISTINA · 2012 to 2014
$708k
NIMH NIH HHS R00 MH091183NIMH NIH HHS R01 MH079489NIMH NIH HHS R01 MH093381NIMH NIH HHS R01 MH093402
6 · The paper itself

Abstract

backgroundFear acquisition and extinction are central constructs in the cognitive-behavioral model of obsessive-compulsive disorder (OCD), which underlies exposure-based cognitive-behavioral therapy. Youths with OCD may have impairments in fear acquisition and extinction that carry treatment implications.

methodsEighty youths (39 OCD, 41 healthy controls [HC]) completed clinical interviews, rating scales, and a differential conditioning task that included habituation, acquisition, and extinction phases. Skin conductance response (SCR) served as the primary dependent measure.

resultsDuring habituation, participants with OCD exhibited a stronger orienting SCR to initial stimuli relative to HC participants. During acquisition, differential fear conditioning was observed for both groups as evidenced by larger SCRs to the visual conditioned stimulus paired with an aversive unconditioned stimulus (CS+) compared with a CS-; OCD participants exhibited a larger SCR to the CS+ relative to HC participants. The absolute magnitude of the unconditioned fear response was significantly larger in participants with OCD, compared with HC participants. During extinction, OCD participants continued to exhibit a differential SCR to the CS+ and CS-, whereas HC participants exhibited diminished SCR to both stimuli.

conclusionsParticipants with OCD exhibit a different pattern of fear extinction relative to HC participants, suggestive of greater fear acquisition and impaired inhibitory learning.

Indexed as

AdolescentChildConditioning, PsychologicalExtinction, PsychologicalFearFemaleHumansMaleObsessive-Compulsive Disorder

Identifiers

PMID28207912
PMCPMC5964984
OpenAlexW2885723671

What OpenQuestion holds

Textmetadata
LicenceTDM
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.