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Cited by 67Vestibular and auditory disordersAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesMemory and Neural Mechanisms

Visuo-vestibular contributions to anxiety and fear

Coelho, Carlos M., Balaban, Carey D.·2015·Neuroscience & Biobehavioral Reviews
DOI 10.1016/j.neubiorev.2014.10.023
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Abstract

The interactive roles of the visual and vestibular systems allow for postural control within boundaries of perceived safety. In specific circumstances, visual vestibular and postural interactions act as a cue that trigger fear, similarly to what occurs in motion sickness. Unusual patterns of visuo-vestibular interaction that emerge without warning can elicit fear, which can then become associated to a certain stimuli or situation, creating a CS-US association, (i.e., phobia), or can emerge without warning but also without becoming associated to a particular concomitant event (i.e., panic). Depending on the individual sensitivity to visuo-vestibular unusual patterns and its impact in postural control, individuals will be more or less vulnerable to develop these disorders. As such, the mechanism we here propose is also sufficient to explain the lack of certain fears albeit exposure. Following this rationale, a new subcategory of anxiety disorders, named visuo-vestibular fears can be considered. This model brings important implications for developmental and evolutionary psychological science, and invites to place visuo-vestibular fears in a particular subtype or specification within the DSM-5 diagnostic criteria.

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  • Some experimental studies have found subclinical abnormalities in balance systems and postural instability particularly related to impaired visuovestibular interactions in panic disorder patients; this feature is thought to influence the development and course of agoraphobia.

    “Some experimental studies have found subclinical abnormalities in these patients’ balance systems and postural instability particularly related to impaired visuovestibular interactions; this feature is thought to influence the development and course of agoraphobia [60–64].”

    From Management of Treatment-Resistant Panic Disorder (2017) · cites this paper as [64]

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Authors
Coelho, C. M., & Balaban, C. D.
Affiliations
  • The University of Queensland (AU)
  • University of Pittsburgh (US)
Corresponding author
Coelho, Carlos M.
ORCID
Venue
Neuroscience & Biobehavioral Reviews
Publisher
Elsevier BV
Published
2015-01
Volume
48
Pages
148-159
ISSN
0149-7634 (ISSN-L)
DOI
10.1016/j.neubiorev.2014.10.023
OpenAlex
W2010725732
Cited by
67
References
224
Citations by year
2026: 3 · 2025: 4 · 2024: 6 · 2023: 5 · 2022: 7 · 2021: 9 · 2020: 7 · 2019: 9 · 2018: 4 · 2017: 4 · 2016: 4 · 2015: 5
FWCI
0.35
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Neuroscience & Biobehavioral Reviews (publishedVersion)
  • PubMed (publishedVersion)
Funders
Foundation for Science and Technology
Topics
  • Life Sciences › Neuroscience › Neurology › Vestibular and auditory disorders
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Memory and Neural Mechanisms
Keywords
visual-vestibular interaction, anxiety, fear, postural control, phobia, panic, motion sickness, classical conditioning, fear conditioning, anxiety disorders, DSM-5 diagnostic criteria, evolutionary psychology
MeSH terms
Animals, Anxiety Disorders, Postural Balance, Fear, Humans, Visual Perception

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