Evidence map›Paper›PMID 36811021›Full record

ReviewNature reviews psychology2023

Understanding clinical fear and anxiety through the lens of human fear conditioning.

Tom Beckers, Dirk Hermans, Iris Lange, Laura Luyten, Sara Scheveneels, Bram Vervliet

Open access · bronzeAbstract readReview
In one paragraph

Review in Nature reviews psychology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 2 pooled it
23.8field-weighted citation impact, top 1% 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

53 citing papers in PubMed, 2 syntheses or guidelines pooled it, 136 citations in OpenAlex.

  1. Reducing distress during vaccine injections: 2026 clinical practice guideline update.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
    Guideline
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Anxiety disorders: a cross-sectional study of clinical and biological associations.Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Article
  9. Article
  10. Review
  11. Imagery-based fear conditioning enhances the late positive potential.Cognitive, affective & behavioral neuroscience · 2026
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. 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

6 authors at 2 institutions in 1 country.

Tom BeckersFaculty of Psychology and Educational Sciences, KU Leuven, Leuven, Belgium.ORCID 0000-0002-9581-1505
Dirk HermansFaculty of Psychology and Educational Sciences, KU Leuven, Leuven, Belgium.ORCID 0000-0003-4497-3982
Iris LangeFaculty of Psychology and Educational Sciences, KU Leuven, Leuven, Belgium.
Laura LuytenFaculty of Psychology and Educational Sciences, KU Leuven, Leuven, Belgium.ORCID 0000-0001-5380-0851
Sara ScheveneelsFaculty of Psychology and Educational Sciences, KU Leuven, Leuven, Belgium.
Bram VervlietFaculty of Psychology and Educational Sciences, KU Leuven, Leuven, Belgium.ORCID 0000-0002-5904-4257
VIB-KU Leuven Center for Brain & Disease Research · BEKU Leuven · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fear is an adaptive emotion that mobilizes defensive resources upon confrontation with danger. However, fear becomes maladaptive and can give rise to the development of clinical anxiety when it exceeds the degree of threat, generalizes broadly across stimuli and contexts, persists after the danger is gone or promotes excessive avoidance behaviour. Pavlovian fear conditioning has been the prime research instrument that has led to substantial progress in understanding the multi-faceted psychological and neurobiological mechanisms of fear in past decades. In this Perspective, we suggest that fruitful use of Pavlovian fear conditioning as a laboratory model of clinical anxiety requires moving beyond the study of fear acquisition to associated fear conditioning phenomena: fear extinction, generalization of conditioned fear and fearful avoidance. Understanding individual differences in each of these phenomena, not only in isolation but also in how they interact, will further strengthen the external validity of the fear conditioning model as a tool with which to study maladaptive fear as it manifests in clinical anxiety.

Indexed as

AnxietyFear conditioningHuman behaviourPsychology

Identifiers

PMID36811021
PMCPMC9933844
OpenAlexW4321075960

What OpenQuestion holds

Textmetadata
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.