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Effects of sleep on memory for conditioned fear and fear extinction.
Open accessAbstract
Learning and memory for extinction of conditioned fear is a basic mammalian mechanism for regulating negative emotion. Sleep promotes both the consolidation of memory and the regulation of emotion. Sleep can influence consolidation and modification of memories associated with both fear and its extinction. After brief overviews of the behavior and neural circuitry associated with fear conditioning, extinction learning, and extinction memory in the rodent and human, interactions of sleep with these processes will be examined. Animal and human studies suggest that sleep can serve to consolidate both fear and extinction memory. In humans, sleep also promotes generalization of extinction memory. Time-of-day effects on extinction learning and generalization are also seen. Rapid eye movement (REM) may be a sleep stage of particular importance for the consolidation of both fear and extinction memory as evidenced by selective REM deprivation experiments. REM sleep is accompanied by selective activation of the same limbic structures implicated in the learning and memory of fear and extinction. Preliminary evidence also suggests extinction learning can take place during slow wave sleep. Study of low-level processes such as conditioning, extinction, and habituation may allow sleep effects on emotional memory to be identified and inform study of sleep's effects on more complex, emotionally salient declarative memories. Anxiety disorders are marked by impairments of both sleep and extinction memory. Improving sleep quality may ameliorate anxiety disorders by strengthening naturally acquired extinction. Strategically timed sleep may be used to enhance treatment of anxiety by strengthening therapeutic extinction learned via exposure therapy. (PsycINFO Database Record
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“Which of these competing memory representations is selectively strengthened depends on contextual factors such a recency of learning and replay [109].”
From Prefrontal cortex, amygdala, and threat processing: implications for PTSD (2022) · cites this paper as [109]
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“Novel research with adults has found that sleep following exposure therapy strengthens extinction learning, which is the learning thought to underlie exposure therapy (Pace‐Schott et al., 2015).”
From Using sleep to enhance exposure treatment for anxious children: A pilot study. (2026) · cites this paper as Pace‐Schott et al., 2015
In the citing paper
“Neuroimaging research using de novo fear-conditioning and extinction paradigms has revealed areas in the brain associated with experiencing conditioned fear (a “fear expression network”) in the amygdala and dorsal anterior cingulate cortex (dACC) and other areas associated with memory for the extinction (inhibition) of this fear (an “extinction memory network”) that includes the hippocampus and”
From Sleep and REM sleep disturbance in the pathophysiology of PTSD: the role of extinction memory (2015) · cites this paper as [8]
In the citing paper
“Rapid eye movement (REM) sleep is associated with consolidation of emotional memory (reviewed in [8–10]), and REM sleep has been suggested to be the stage of sleep during which emotion is regulated [75].”
From Sleep and REM sleep disturbance in the pathophysiology of PTSD: the role of extinction memory (2015) · cites this paper as [8]
In the citing paper
“The effects of limbic hyperarousal in REM sleep on consolidation of conditioned fear and its extinction may be to bias consolidation processes taking place via neuronal replay and other mechanisms during sleep (reviewed in reference [8]) toward the fear expression and away from the fear extinction networks described above.”
From Sleep and REM sleep disturbance in the pathophysiology of PTSD: the role of extinction memory (2015) · cites this paper as [8]
In the citing paper
“Deprivation, curtailment, and fragmentation of sleep, and specifically REM sleep, can affect the processing of emotional memory including the consolidation and generalization of extinction (reviewed in [8]).”
From Sleep and REM sleep disturbance in the pathophysiology of PTSD: the role of extinction memory (2015) · cites this paper as [8]
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Citations
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Emotional trait and memory associates of sleep timing and quality
Pace-Schott, E. F., Rubin, Z. S., Tracy, L. E., Spencer, R. M. C., Orr, S. P., & Verga, P. W. (2015) · Psychiatry Research · doi:10.1016/j.psychres.2015.05.069 · Cited by 29
“Sleep promotes consolidation in multiple memory systems (Diekelmann and Born, 2010) and thus could also promote consolidation of fear-extinction recall (Pace-Schott et al., 2015).”
Self-citationA more generalized fear response after a daytime nap
Davidson, P., Carlsson, I., Jönsson, P., & Johansson, M. (2018) · Neurobiology of Learning and Memory · doi:10.1016/j.nlm.2018.03.005 · Cited by 27
Sleep’s contribution to memory formation
Lutz, N. D., Harkotte, M., & Jan Born, A. (2025) · Physiological Reviews · doi:10.1152/physrev.00054.2024 · Cited by 51
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“40 Because PTSD is characterized by impairments of both sleep and extinction memory, improving sleep quality may improve these symptoms by strengthening naturally acquired extinction.”
Sleep and the recovery from stress
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“Poor sleep quality may worsen fatigue, anxiety, depression, and lower pain tolerance by impairing emotional regulation [41].”
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“Recent humans and animals research suggest that REM sleep may be of particular importance for the emotional processing [24].”
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Infralimbic activity during REM sleep facilitates fear extinction memory
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Network-Oriented Modeling and Its Conceptual Foundations
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Love is a physiological motivation (like hunger, thirst, sleep or sex)
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Examining the effects of time of day and sleep on generalization
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“In addition, the tendency to generalize fear extinction responses across contexts is stronger in the morning [15, 21].”
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Characterizing human safety learning via Pavlovian conditioned inhibition
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Tracking Eye Movements During Sleep in Mice
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Alpha-2 Adrenoreceptor Antagonist Yohimbine Potentiates Consolidation of Conditioned Fear
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“Compared with the placebo, yohimbine administration was associated with significantly elevated predominantly during sleep (Pace-Schott et al., 2015); therefore, yohimbine effects would be expected especially on day 2.”
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A prolonged stress rat model recapitulates some PTSD-like changes in sleep and neuronal connectivity
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Sleep and Processing of Trauma Memories
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“In a recent review, Pace-Schott et al. (2015) Correspondence concerning this article should be addressed to Thomas A. Mellman, Howard University College of Medicine, 520 W Street, NW, Washington, DC 20059. tmellman@howard.edu.”
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The Fate of Emotional Memories Over a Week: Does Sleep Play Any Role?
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Sleep disturbance and suicide risk among sexual and gender minority people
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Metadata
- Authors
- Pace-Schott, E. F., Germain, A., & Milad, M. R.
- Affiliations
- Harvard University (US)
- University of Pittsburgh (US)
- Venue
- Psychological Bulletin
- Published
- 2015-07
- Volume
- 141
- Issue
- 4
- Pages
- 835-857
- ISSN
- 0033-2909 (ISSN-L)
- 1939-1455
- PMC
- PMC4486610
- OpenAlex
- W2024057471
- Cited by
- 218
- References
- 267
- Citations by year
- 2026: 12 · 2025: 20 · 2024: 21 · 2023: 18 · 2022: 28 · 2021: 21 · 2020: 19 · 2019: 19 · 2018: 17 · 2017: 18 · 2016: 20 · 2015: 5
- FWCI
- 12.03
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psychological Bulletin (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Sponsor name not included (MH090357; USAMRAA Log11293006; MH097965)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Life Sciences › Neuroscience › Cognitive Neuroscience › Memory and Neural Mechanisms
- Life Sciences › Neuroscience › Cognitive Neuroscience › Memory Processes and Influences
- Keywords
- sleep, fear extinction, fear conditioning, extinction memory consolidation, REM sleep, slow-wave sleep, emotional memory, anxiety disorders, exposure therapy, time of day effects, limbic system, memory generalization
- MeSH terms
- Animals, Conditioning, Psychological, Extinction, Psychological, Fear, Humans, Learning, Memory, Sleep, Models, Animal
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