Timing of extinction relative to acquisition: a parametric analysis of fear extinction in humans
Open accessAbstract
Fear extinction is a reduction in conditioned fear following repeated exposure to the feared cue in the absence of any aversive event. Extinguished fear often reappears after extinction through spontaneous recovery. Animal studies suggest that spontaneous recovery can be abolished if extinction occurs within minutes of acquisition. However, a limited number of human extinction studies have shown that short interval extinction does not prevent the return of fear. For this reason, we performed an in-depth parametric analysis of human fear extinction using fear-potentiated startle. Using separate single-cue and differential conditioning paradigms, participants were fear conditioned and then underwent extinction either 10 min (Immediate) or 72 hr (Delayed) later. Testing for spontaneous recovery occurred 96 hr after acquisition. In the single cue paradigm, the Immediate and Delayed groups exhibited differences in context, but not fear, conditioning. With differential conditioning, there were no differences in context conditioning and the Immediate group displayed less spontaneous recovery. Thus, the results remain inconclusive regarding spontaneous recovery and the timing of extinction and are discussed in terms of performing translational studies of fear in humans.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The finding that immediate extinction training prevents return of learned fear was only weakly observed in humans.
“This finding was not well replicated in rodents [see Ref. (88, 89)] and was only weakly observed in humans [see Ref. (90)].”
From Conditioned fear associated phenotypes as robust, translational indices of trauma-, stressor-, and anxiety-related behaviors (2014) · cites this paper as [90]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Effects of an expanding-spaced vs massed exposure schedule on fear reduction and return of fear
Rowe, M. K., & Craske, M. G. (1998) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(97)10016-x · Cited by 1,778 · see citing works
A modern learning theory perspective on the etiology of panic disorder.
Bouton, M. E., Mineka, S., & Barlow, D. H. (2001) · Psychological Review · doi:10.1037/0033-295x.108.1.4 · Cited by 1,017 · see citing works
Behavioral and Neural Analysis of Extinction
Myers, K. M., & Davis, M. (2002) · Neuron · doi:10.1016/s0896-6273(02)01064-4 · Cited by 918 · see citing works
Self-citationHandbook of Contemporary Learning Theories
Mowrer, R. R. (2000) · Psychology Press eBooks · doi:10.4324/9781410600691 · Cited by 789 · see citing works
Reinstatement of fear to an extinguished conditioned stimulus.
Rescorla, R. A., & Heth, C. D. (1975) · Journal of Experimental Psychology Animal Behavior Processes · doi:10.1037/0097-7403.1.1.88 · Cited by 768 · see citing works
Fear extinction in rats: Implications for human brain imaging and anxiety disorders
Milad, M. R., Rauch, S. L., Pitman, R. K., & Quirk, G. J. (2006) · Biological Psychology · doi:10.1016/j.biopsycho.2006.01.008 · Cited by 597 · cited 1× · see citing works
“It has been suggested that animal models of PTSD should incorporate deficits in fear extinction ( Milad, Rauch, Pitman, & Quirk, 2006 ), and a recent study by Bush, Sotres-Bayon, and LeDoux (2007) emphasized the importance of examining individual differences, as opposed to central tendencies, in rat studies of fear ex…”
BackgroundStartle reactivity and anxiety disorders: aversive conditioning, context, and neurobiology
Grillon, C. (2002) · Biological Psychiatry · doi:10.1016/s0006-3223(02)01665-7 · Cited by 498 · see citing works
Role of conditioned contextual stimuli in reinstatement of extinguished fear.
Bouton, M. E., & Bolles, R. C. (1979) · Journal of Experimental Psychology Animal Behavior Processes · doi:10.1037//0097-7403.5.4.368 · Cited by 481 · see citing works
The role of the amygdala in conditioned and unconditioned fear and anxiety
Davis, M. (2000) · The Amygdala · doi:10.1093/oso/9780198505013.003.0006 · Cited by 384 · see citing works
Self-citationRole of conditioned contextual stimuli in reinstatement of extinguished fear.
Bouton, M. E., & Bolles, R. C. (1979) · Journal of Experimental Psychology Animal Behavior Processes · doi:10.1037/0097-7403.5.4.368 · Cited by 376 · see citing works
Quirk, G. J. (2002) · Learning & Memory · doi:10.1101/lm.49602 · Cited by 360 · cited 1× · see citing works
“Quirk (2002) observed spontaneous recovery of conditioned freezing in rats in which fear was extinguished 1 hr after fear conditioning, suggesting that the critical time period for disrupting the return of conditioned fear in this species is between 10 min and 1 hr (Quirk, 2002).”
BackgroundAnxious Responses to Predictable and Unpredictable Aversive Events.
Grillon, C., Baas, J. P., Lissek, S., Smith, K., & Milstein, J. (2004) · Behavioral Neuroscience · doi:10.1037/0735-7044.118.5.916 · Cited by 349 · see citing works
Davis, M. (1986) · Behavioral Neuroscience · doi:10.1037//0735-7044.100.6.814 · Cited by 345 · see citing works
Self-citationDifferent mechanisms of fear extinction dependent on length of time since fear acquisition
Myers, K. M., Ressler, K. J., & Davis, M. (2006) · Learning & Memory · doi:10.1101/lm.119806 · Cited by 334 · see citing works
Context modulation of memory for fear extinction in humans.
Milad, M., Orr, S., Pitman, R., & Rauch, S. (2005) · Psychophysiology · doi:10.1111/j.1469-8986.2005.00302.x · Cited by 289 · see citing works
Davis, M. T. (1986) · Behavioral Neuroscience · doi:10.1037/0735-7044.100.6.814 · Cited by 265 · see citing works
Self-citationSensitization of the acoustic startle reflex by footshock.
Davis, M. (1989) · Behavioral Neuroscience · doi:10.1037/0735-7044.103.3.495 · Cited by 226 · see citing works
Self-citationGrillon, C., & Davis, M. E. (1997) · Psychophysiology · doi:10.1111/j.1469-8986.1997.tb02389.x · Cited by 220 · see citing works
Self-citationReinstatement of fear responses in human aversive conditioning.
Hermans, D., Dirikx, T., Vansteenwegenin, D., Baeyens, F., den Bergh, O. V., & Eelen, P. (2005) · Behaviour Research and Therapy · doi:10.1016/j.brat.2004.03.013 · Cited by 217 · see citing works
Psychosocial treatment of posttraumatic stress disorder.
Foa, E. B. (2000) · PubMed · Cited by 210 · see citing works
Extinction Learning Before Trauma and Subsequent Posttraumatic Stress
Guthrie, R. M., & Bryant, R. A. (2006) · Psychosomatic Medicine · doi:10.1097/01.psy.0000208629.67653.cc · Cited by 198 · see citing works
Vansteenwegen, D., Hermans, D., Vervliet, B., Francken, G., Beckers, T., Baeyens, F., & Eelen, P. (2005) · Behaviour Research and Therapy · doi:10.1016/j.brat.2004.01.001 · Cited by 188 · see citing works
Self-citationRecent fear is resistant to extinction
Maren, S., & Chang, C.-H. (2006) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0608398103 · Cited by 184 · cited 3× · see citing works
“More recently, Maren and Chang (2006) also reported resistance to spontaneous recovery after immediate (15 min) extinction of conditioned freezing, provided that conditioned fear expression during extinction training is not so high as to prevent extinction from occurring ( Maren & Chang, 2006 ).”
BackgroundInfluentialReinstatement of Conditioned Fear in Humans Is Context Dependent and Impaired in Amnesia.
LaBar, K. S., & Phelps, E. A. (2005) · Behavioral Neuroscience · doi:10.1037/0735-7044.119.3.677 · Cited by 184 · cited 2× · see citing works
“However, the majority of previous studies of the return of fear after extinction have used skin conductance response (LaBar & Phelps, 2005; Milad, Orr, Pitman, & Rauch, 2005; Vansteenwegen et al., 2005), reaction time task performance (Hermans et al., 2005), and verbal ratings of fear and US…”
BackgroundA Twin Study of the Genetics of Fear Conditioning
Hettema, J. M., Annas, P., Neale, M. C., Kendler, K. S., & Fredrikson, M. (2003) · Archives of General Psychiatry · doi:10.1001/archpsyc.60.7.702 · Cited by 175 · see citing works
Identification of Calcineurin as a Key Signal in the Extinction of Fear Memory
Lin, C.-H., Yeh, S.-H., Leu, T.-H., Chang, W.-C., Wang, S.-S., & Gean, P. (2003) · Journal of Neuroscience · doi:10.1523/jneurosci.23-05-01574.2003 · Cited by 174 · see citing works
Conditioned fear extinction and reinstatement in a human fear-potentiated startle paradigm
Norrholm, S. D., Jovanovic, T., Vervliet, B., Myers, K. M., Davis, M., Rothbaum, B. O., & Duncan, E. J. (2006) · Learning & Memory · doi:10.1101/lm.393906 · Cited by 167 · see citing works
Self-citationInvolvement of a Calcineurin Cascade in Amygdala Depotentiation and Quenching of Fear Memory
Lin, C.-H., Lee, C.-C., & Gean, P. (2003) · Molecular Pharmacology · doi:10.1124/mol.63.1.44 · Cited by 158 · see citing works
Fear-potentiated startle in adolescent offspring of parents with anxiety disordersf
Grillon, C., Dierker, L., & Merikangas, K. R. (1998) · Biological Psychiatry · doi:10.1016/s0006-3223(98)00188-7 · Cited by 150 · see citing works
Fear potentiation and fear inhibition in a human fear-potentiated startle paradigm
Jovanovic, T., Keyes, M., Fiallos, A., Myers, K. M., Davis, M., & Duncan, E. J. (2005) · Biological Psychiatry · doi:10.1016/j.biopsych.2005.02.025 · Cited by 150 · see citing works
Self-citationIndividual differences in fear: Isolating fear reactivity and fear recovery phenotypes
Bush, D. E. A., Sotres-Bayón, F., & LeDoux, J. E. (2007) · Journal of Traumatic Stress · doi:10.1002/jts.20261 · Cited by 135 · see citing works
Neural Systems Involved in Fear Inhibition: Extinction and Conditioned Inhibition
Davis, M., Falls, W., & Gewirtz, J. C. (2000) · Neurobiological foundation of aberrant behaviors · doi:10.1007/978-1-4757-4860-4_8 · Cited by 115 · see citing works
Self-citationMao, S.-C., Hsiao, Y., & Gean, P. (2006) · Journal of Neuroscience · doi:10.1523/jneurosci.0365-06.2006 · Cited by 112 · see citing works
Alvarez, R. P., Johnson, L., & Grillon, C. (2007) · Learning & Memory · doi:10.1101/lm.493707 · Cited by 110 · see citing works
Contemporary Issues in Modeling Psychopathology
Myslobodsky, M. S. (2000) · Neurobiological foundation of aberrant behaviors · doi:10.1007/978-1-4757-4860-4 · Cited by 92 · see citing works
Neumann, D. L., Lipp, O. V., & Cory, S. E. (2006) · Behaviour Research and Therapy · doi:10.1016/j.brat.2006.02.001 · Cited by 90 · see citing works
Spontaneous recovery varies inversely with the training-extinction interval
Rescorla, R. A. (2004) · Learning & Behavior · doi:10.3758/bf03196037 · Cited by 81 · see citing works
Blockade of amygdala metabotropic glutamate receptor subtype 1 impairs fear extinction
Kim, J., Lee, S., Park, H., Song, B., Hong, I., Geum, D., Shin, K., & Choi, S. (2007) · Biochemical and Biophysical Research Communications · doi:10.1016/j.bbrc.2007.01.125 · Cited by 78 · see citing works
Contingency awareness and fear inhibition in a human fear-potentiated startle paradigm.
Jovanović, T., Norrholm, S. D., Keyes, M. D., Fiallos, A. M., Jovanovic, S., Myers, K. M., Davis, M., & Duncan, E. (2006) · Behavioral Neuroscience · doi:10.1037/0735-7044.120.5.995 · Cited by 73 · see citing works
Self-citationCain, C. K., Godsil, B., Jami, S. A., & Barad, M. (2005) · Learning & memory (Cold Spring Harbor, N.Y.) · doi:10.1101/lm.88805 · Cited by 73 · see citing works
Contextual fear‐potentiated startle conditioning in humans: Replication and extension
Ameli, R., Ip, C., & Grillon, C. (2001) · Psychophysiology · doi:10.1111/1469-8986.3830383 · Cited by 55 · see citing works
Lin, C.-H., Lee, C.-C., Huang, Y.-C., Wang, S., & Gean, P. (2005) · Learning & Memory · doi:10.1101/lm.85304 · Cited by 45 · see citing works
Rescorla, R. A. (2000) · PsycEXTRA Dataset · doi:10.1037/e413792005-865 · Cited by 33 · see citing works
Contextual fear-potentiated startle conditioning in humans: Replication and extension
Ameli, R., IP, C., & Grillon, C. (2001) · Psychophysiology · doi:10.1017/s0048577201981776 · Cited by 8 · see citing works
Flagged first, then by citations
Research works printed but not linked: 2
- Falls WA Davis M Friedman MJ Charney DS Deutch AY Behavioral and physiological analysis of fear inhibition Neurobiological and clinical consequences of stress: From normal adaptation to PTSD 1995 177 202 Lippincott-Raven Philadelphia
- Pavlov IP Conditioned reflexes 1927 Oxford University Press Oxford, England
Cited by
Sorted by citations
Lonsdorf, T. B., Menz, M. M., Andreatta, M., Fullana, M. A., Golkar, A., Haaker, J., Heitland, I., Hermann, A., Kuhn, M., Kruse, O., et al. (2017) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2017.02.026 · Cited by 837 · see citing works
Self-citationFear Extinction and Relapse: State of the Art
Vervliet, B., Craske, M. G., & Hermans, D. (2013) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-050212-185542 · Cited by 671 · see citing works
Self-citationNeuronal circuits of fear extinction
Herry, C., Ferraguti, F., Singewald, N., Letzkus, J. J., Ehrlich, I., & Lüthi, A. (2010) · European Journal of Neuroscience · doi:10.1111/j.1460-9568.2010.07101.x · Cited by 484 · see citing works
Norrholm, S. D., Jovanovic, T., Olin, I. W., Sands, L. A., Karapanou, I., Bradley, B., & Ressler, K. J. (2011) · Biological Psychiatry · doi:10.1016/j.biopsych.2010.09.013 · Cited by 397 · see citing works
Self-citationEARLY INTERVENTIONS FOR PTSD: A REVIEW: Review: Early Intervention
Kearns, M. C., Ressler, K. J., Zatzick, D., & Rothbaum, B. O. (2012) · Depression and Anxiety · doi:10.1002/da.21997 · Cited by 310 · see citing works
Self-citationFear extinction in the human brain: A meta-analysis of fMRI studies in healthy participants
Fullana, M. A., Albajes-Eizagirre, A., Soriano-Mas, C., Vervliet, B., Cardoner, N., Benet, O., Radua, J., & Harrison, B. J. (2018) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2018.03.002 · Cited by 308 · see citing works
Self-citationRothbaum, B. O., Kearns, M. C., Price, M., Malcoun, E., Davis, M., Ressler, K. J., Lang, D., & Houry, D. (2012) · Biological Psychiatry · doi:10.1016/j.biopsych.2012.06.002 · Cited by 305 · see citing works
Self-citationExtinction, generalization, and return of fear: A critical review of renewal research in humans
Vervliet, B., Baeyens, F., Van den Bergh, O., & Hermans, D. (2013) · Biological Psychology · doi:10.1016/j.biopsycho.2012.01.006 · Cited by 178 · see citing works
Self-citationGlover, E. M., Phifer, J. E., Crain, D. F., Norrholm, S. D., Davis, M., Bradley, B., Ressler, K. J., & Jovanovic, T. (2011) · Depression and Anxiety · doi:10.1002/da.20880 · Cited by 130 · see citing works
Self-citationGolkar, A., Bellander, M., Olsson, A., & Öhman, A. (2012) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2012.00080 · Cited by 120 · see citing works
Briscione, M. A., Jovanovic, T., & Norrholm, S. D. (2014) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2014.00088 · Cited by 105 · see citing works
Self-citationNorrholm, S. D., Jovanovic, T., Smith, A. K., Binder, E., Klengel, T., Conneely, K., Mercer, K. B., Davis, J. S., Kerley, K., Winkler, J., et al. (2013) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2013.00030 · Cited by 104 · see citing works
Self-citationExtinction in multiple virtual reality contexts diminishes fear reinstatement in humans
Dunsmoor, J. E., Ahs, F., Zielinski, D. J., & LaBar, K. S. (2014) · Neurobiology of Learning and Memory · doi:10.1016/j.nlm.2014.02.010 · Cited by 93 · see citing works
Raber, J., Arzy, S., Bertolus, J. B., Depue, B., Haas, H. E., Hofmann, S. G., Kangas, M., Kensinger, E., Lowry, C. A., Marusak, H. A., et al. (2019) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2019.03.015 · Cited by 62 · see citing works
Self-citationWarren, V. T., Anderson, K. M., Kwon, C., Bosshardt, L., Jovanovic, T., Bradley, B., & Norrholm, S. D. (2014) · Neurobiology of Learning and Memory · doi:10.1016/j.nlm.2013.10.014 · Cited by 62 · see citing works
Self-citationVicarious extinction learning during reconsolidation neutralizes fear memory
Golkar, A., Tjaden, C., & Kindt, M. (2017) · Behaviour Research and Therapy · doi:10.1016/j.brat.2017.02.004 · Cited by 38 · see citing works
Norrholm, S. D., Anderson, K. M., Olin, I. W., Jovanovic, T., Kwon, C., Warren, V. T., McCarthy, A., Bosshardt, L., Sabree, J., Duncan, E. J., et al. (2011) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2011.00077 · Cited by 34 · see citing works
Translational fear inhibition models as indices of trauma-related psychopathology
D. Norrholm, S., & Jovanovic, T. (2011) · Current Psychiatry Reviews · doi:10.2174/157340011797183193 · Cited by 17 · see citing works
- Authors
- Norrholm, S. D., Vervliet, B., Jovanovic, T., Boshoven, W., Myers, K. M., Davis, M., Rothbaum, B., & Duncan, E. J.
- Affiliations
- Emory University (US)
- University of Amsterdam (NL)
- Venue
- Behavioral Neuroscience
- Published
- 2008
- Volume
- 122
- Issue
- 5
- Pages
- 1016-1030
- ISSN
- 0735-7044 (ISSN-L)
- 1939-0084
- PMC
- PMC3731450
- OpenAlex
- W2145929703
- Cited by
- 120
- References
- 44
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 1 · 2023: 8 · 2022: 8 · 2021: 6 · 2020: 4 · 2019: 7 · 2018: 7 · 2017: 5 · 2016: 8 · 2015: 5 · 2014: 10 · 2013: 13 · 2012: 11
- FWCI
- 3.46
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Behavioral Neuroscience (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- UvA-DARE (University of Amsterdam) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Funders
- Atlanta VAMC
- National Science Foundation (Agreement No. IBN-9876754)
- American Psychiatric Association/GlaxoSmithKline
- National Institute of Mental Health (1R24MH067314-01A1, 2P50 MH058922 and R37 MH47840)
- Woodruff Foundation
- Emory University School of Medicine
- Yerkes National Primate Center
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Memory and Neural Mechanisms
- Life Sciences › Neuroscience › Cognitive Neuroscience › Memory Processes and Influences
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Keywords
- fear extinction, spontaneous recovery, extinction time, fear potentiation, fear conditioning, differential conditioning, contextual conditioning, fear-potentiated startle
- MeSH terms
- Acoustic Stimulation, Adolescent, Adult, Analysis of Variance, Avoidance Learning, Conditioning, Classical, Cues, Extinction, Psychological, Fear, Female, Humans, Male, Middle Aged, Reaction Time, Reflex, Startle, Time Factors
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review