Evidence map›Paper›PMID 32620740›Full record

ArticleTranslational psychiatry2020

Prolonged avoidance training exacerbates OCD-like behaviors in a rodent model.

Freddyson J Martínez-Rivera, Marcos J Sánchez-Navarro, Carlos I Huertas-Pérez, Benjamin D Greenberg, Steven A Rasmussen, Gregory J Quirk

Abstract read
In one paragraph

Article in Translational psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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.

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

13 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Measuring maladaptive avoidance: from animal models to clinical anxiety.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2022
    Review
  12. Adolescent alcohol exposure alters threat avoidance in adulthood.Frontiers in behavioral neuroscience · 2022
    Article
  13. Review
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.

Freddyson J Martínez-RiveraDepartments of Psychiatry and Anatomy & Neurobiology, School of Medicine, Medical Sciences Campus, University of Puerto Rico, San Juan, PR, 00936, USA. freddyson.martinez-rivera@mssm.edu.ORCID http://orcid.org/0000-0001-6062-2205
Marcos J Sánchez-NavarroDepartments of Psychiatry and Anatomy & Neurobiology, School of Medicine, Medical Sciences Campus, University of Puerto Rico, San Juan, PR, 00936, USA.
Carlos I Huertas-PérezDepartments of Psychiatry and Anatomy & Neurobiology, School of Medicine, Medical Sciences Campus, University of Puerto Rico, San Juan, PR, 00936, USA.
Benjamin D GreenbergDepartment of Psychiatry and Human Behavior, Alpert Medical School of Brown University and Butler Hospital and the Providence VA Medical Center, Providence, RI, 02906, USA.
Steven A RasmussenDepartment of Psychiatry and Human Behavior, Alpert Medical School of Brown University and Butler Hospital and the Providence VA Medical Center, Providence, RI, 02906, USA.
Gregory J QuirkDepartments of Psychiatry and Anatomy & Neurobiology, School of Medicine, Medical Sciences Campus, University of Puerto Rico, San Juan, PR, 00936, USA.

Funding

Using microstimulation to map prefrontal fear modules in the ratP50MH086400 · NIMH · UNIVERSITY OF ROCHESTER · PI CONNORS, BARRY W · 2009 to 2013
$10.3M
Neuroscience Research Opportunities to Increase Diversity (NeuroID)R25NS080687 · NINDS · UNIVERSITY OF PUERTO RICO RIO PIEDRAS · PI GARCIA-ARRARAS, JOSE E, MALDONADO-VLAAR, CARMEN SARA · 2012 to 2024
$5.3M
Prefrontal-Amygdala Interactions in Fear ConditioningR37MH058883 · NIMH · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI QUIRK, GREGORY J · 2013 to 2020
$3.0M
NIMH NIH HHS P50 MH086400NIMH NIH HHS R37 MH058883NINDS NIH HHS R25 NS080687
6 · The paper itself

Abstract

Obsessive-compulsive disorder (OCD) is characterized by compulsive behaviors that often resemble avoidance of perceived danger. OCD can be treated with exposure-with-response prevention (ERP) therapy in which patients are exposed to triggers but are encouraged to refrain from compulsions, to extinguish compulsive responses. The compulsions of OCD are strengthened by many repeated exposures to triggers, but little is known about the effects of extended repetition of avoidance behaviors on extinction. Here we assessed the extent to which overtraining of active avoidance affects subsequent extinction-with-response prevention (Ext-RP) as a rodent model of ERP, in which rats are extinguished to triggers, while the avoidance option is prevented. Male rats conditioned for 8d or 20d produced similar avoidance behavior to a tone paired with a shock, however, the 20d group showed a severe impairment of extinction during Ext-RP, as well as heightened anxiety. Furthermore, the majority of overtrained (20d) rats (75%) exhibited persistent avoidance following Ext-RP. In the 8d group, only a minority of rats (37%) exhibited persistent avoidance, and this was associated with elevated activity (c-Fos) in the prelimbic cortex and nucleus accumbens. In the 20d group, the minority of non-persistent rats (25%) showed elevated activity in the insular-orbital cortex and paraventricular thalamus. Lastly, extending the duration of Ext-RP prevented the deleterious effects of overtraining on extinction and avoidance. These rodent findings suggest that repeated expression of compulsion-like behaviors biases individuals toward persistent avoidance and alters avoidance circuits, thereby reducing the effectiveness of current extinction-based therapies.

Indexed as

Implosive TherapyObsessive-Compulsive DisorderAnimalsAnxietyAvoidance LearningHumansMaleRatsRodentia

Identifiers

PMID32620740
PMCPMC7334221

What OpenQuestion holds

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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.