Evidence map›Paper›PMID 30962423›Full record

Trial reportTranslational psychiatry2019

Cortisol administration after extinction in a fear-conditioning paradigm with traumatic film clips prevents return of fear.

Alexandra H Brueckner, Johanna Lass-Hennemann, Frank H Wilhelm, Diana S Ferreira de Sá, Tanja Michael

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Translational psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05453162 (Circadian Influence on Fear Extinction Resulting From Prolonged Exposure Therapy for PTSD), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.5field-weighted citation impact, top 22% 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.

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
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 29 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Effects of intranasal insulin as an enhancer of fear extinction: a randomized, double-blind, placebo-controlled experimental study.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2020
    Trial
  4. Article
  5. Article
  6. Review
  7. Review
  8. Stimulus-Based Extinction Generalization: Neural Correlates and Modulation by Cortisol.The international journal of neuropsychopharmacology · 2021
    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

5 authors at 2 institutions in 2 countries.

Alexandra H BruecknerDivision of Clinical Psychology and Psychotherapy, Department of Psychology, Saarland University, Saarbrücken, Germany. alexandra.brueckner@uni-saarland.de.
Johanna Lass-HennemannDivision of Clinical Psychology and Psychotherapy, Department of Psychology, Saarland University, Saarbrücken, Germany.
Frank H WilhelmDivision of Clinical Psychology, Psychotherapy and Health Psychology, Department of Psychology, University of Salzburg, Salzburg, Austria.
Diana S Ferreira de SáDivision of Clinical Psychology and Psychotherapy, Department of Psychology, Saarland University, Saarbrücken, Germany.ORCID http://orcid.org/0000-0001-6557-5743
Tanja MichaelDivision of Clinical Psychology and Psychotherapy, Department of Psychology, Saarland University, Saarbrücken, Germany.
Saarland University · DEUniversity of Salzburg · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cortisol is a stress hormone and potent modulator of learning and memory processes. If administered after learning, cortisol can enhance memory consolidation. Yet it is unknown whether cortisol administration after fear extinction learning strengthens extinction memory. Extinction is a crucial mechanism underlying psychotherapy of posttraumatic stress disorder (PTSD). The present study examined whether extinction can be enhanced by administering cortisol after extinction training. In a registered, randomized, double-blind and placebo controlled trial, 50 healthy participants were exposed to a differential fear-conditioning paradigm with neutral faces as conditioned stimuli (CS) and traumatic film clips as unconditioned stimuli (US). They received either cortisol (n = 25) or placebo (n = 25) immediately after extinction. The cortisol group showed less fear during a return of fear manipulation (reinstatement) evidenced by attenuated fear potentiated startle responses and US-expectancy ratings than the placebo group. Results indicate that cortisol administration after fear extinction strengthens extinction memory and suggest that it might be advantageous to administer cortisol subsequent to successful exposure treatment sessions.

Indexed as

Conditioning, ClassicalExtinction, PsychologicalAdultDouble-Blind MethodFearFemaleHealthy VolunteersHumansHydrocortisoneMaleMental RecallMotion PicturesReflex, StartleStress Disorders, Post-TraumaticYoung AdultHydrocortisone

Identifiers

PMID30962423
PMCPMC6453889
OpenAlexW2927322585

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.