Cited by 1,513Memory and Neural MechanismsStress Responses and CortisolAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

The DOI matches its Crossref record; 338 of the 343 references it cites were found in a registry or an index; 58 of the 294 sources its claims cite were checked for support.

Phasic vs Sustained Fear in Rats and Humans: Role of the Extended Amygdala in Fear vs Anxiety

Open access
Davis, Michael, Walker, David L, Miles, Leigh, Grillon, Christian·2010·Neuropsychopharmacology

Abstract

Data will be reviewed using the acoustic startle reflex in rats and humans based on our attempts to operationally define fear vs anxiety. Although the symptoms of fear and anxiety are very similar, they also differ. Fear is a generally adaptive state of apprehension that begins rapidly and dissipates quickly once the threat is removed (phasic fear). Anxiety is elicited by less specific and less predictable threats, or by those that are physically or psychologically more distant. Thus, anxiety is a more long-lasting state of apprehension (sustained fear). Rodent studies suggest that phasic fear is mediated by the amygdala, which sends outputs to the hypothalamus and brainstem to produce symptoms of fear. Sustained fear is also mediated by the amygdala, which releases corticotropin-releasing factor, a stress hormone that acts on receptors in the bed nucleus of the stria terminalis (BNST), a part of the so-called 'extended amygdala.' The amygdala and BNST send outputs to the same hypothalamic and brainstem targets to produce phasic and sustained fear, respectively. In rats, sustained fear is more sensitive to anxiolytic drugs. In humans, symptoms of clinical anxiety are better detected in sustained rather than phasic fear paradigms.

Overview

Integrity signals

Registry

Crossref · 10.1038/npp.2009.109

Cites

338 of 338 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

58 of 294 cited sources checked · 31 supported · 2 flagged · accuracy not yet measured

Show all 175 claims

  • It may state two separate claims as one. 123
  • Probably not a substantial claim. 31
146 of 146
  • The authors state this as an assumption.

    Fear and anxiety are distinct states that differ in key dimensions, with fear being phasic and anxiety sustained.

    “The major premise of this study is that although the symptoms of fear and anxiety are very similar, they differ in terms of certain key dimensions.”
    “Although the symptoms of fear and anxiety are very similar, they also differ.”
  • The paper relies on this without support.

    The acoustic startle reflex is mediated by a simple brainstem and spinal cord pathway that can be measured in several species, including humans.

    “The review will focus on studies that use the acoustic startle reflex, a very short latency reflex that is mediated by a simple brainstem and spinal cord pathway that can be measured in several species, including humans.”
  • The paper relies on this without support.

    Rats only freeze in a state of fear.

    “because rats only freeze in a state of fear”
  • The authors state this as an assumption.

    A serial circuit from the central amygdala to the bed nucleus of the stria terminalis is critical for the behavior under study.

    “Assuming that a serial CeA-to-BNST circuit is critical for the behavior in question, one would predict that the effect of the ipsilateral CeA plus BNST treatments would equal in magnitude to that obtained by unilaterally manipulating either structure alone and less than that of contralateral CeA plus BNST treatments.”
  • The authors state this as an assumption.

    The neurotoxic lesions in the later studies completely destroyed cells in the lateral central amygdala.

    “assuming the later lesions fully destroyed cells in the CeAL.”
5 of 5

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Each contradiction between two passages listed here was confirmed by an independent check.

  • Figure 12 is described with conflicting cue types

    Minor

    The paper describes both experiments in Figure 12 as using auditory cues, but later identifies a 3.7-s light as a result shown in that figure.

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Citations

Cites

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Show all 343 references

5 of the 343 references couldn’t be matched to a known paper.

Research works printed but not linked: 6

  1. Costa PT, McCrae RR (1992). Revised NEO Personality Inventory (NEO-PI-R) and NEO Five Factor Inventory (NEO-FFI) Professional Manual. Psychological Assessment Resources: Odessa, FL.
  2. Grillon C, Ameli R (1998a). Effects of threat and safety signals on startle during anticipation of aversive shocks, sounds, or airblasts. J Psychophysiol 12: 329–337.
  3. Grillon C, Baas JMP, Pine DS, Lissek S, Lawley M, Ellis V et al (2006c). The benzodiazepine alprazolam dissociates contextual fear from cued fear in humans as assessed by fear-potentiated startle. Biol Psychiatry 60: 760–766. · DOI · Paper page
  4. Hamm AO, Globisch J, Cuthbert BN, Vaitl D (1991a). Startle modulation in simple phobics and controls. Psychophysiology 28: s28.
  5. Riba J, Rodriguez-Fornells A, Urbano G, Antonijoan R, Barbanoj MJ (1999). Fear potentiated startle of the acoustic startle response is preserved after lorazepam administration to human subjects. Psychophysiology 36 (Suppl 1): S94.
  6. Scaife JJC, Langley RRW, Bradshaw CCM, Szabadi EE (2005). Diazepam suppresses the acquisition but not the expression of ‘fear-potentiation’ of the acoustic startle response in man. J Psychopharmacol 19: 347–356. · DOI · Paper page

Cited by

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Metadata

Authors
Davis, M., Walker, D. L., Miles, L., & Grillon, C.
Affiliations
  • Emory University (US)
  • National Institutes of Health (US)
Corresponding author
Davis, Michael
Venue
Neuropsychopharmacology
Published
2009-08-19
Volume
35
Issue
1
Pages
105-135
ISSN
  • 0893-133X (ISSN-L)
  • 1740-634X
OpenAlex
W1972489844
Cited by
1,513
References
343
Citations by year
2026: 64 · 2025: 76 · 2024: 80 · 2023: 97 · 2022: 83 · 2021: 98 · 2020: 124 · 2019: 113 · 2018: 102 · 2017: 100 · 2016: 134 · 2015: 103 · 2014: 85 · 2013: 83 · 2012: 80
FWCI
4.10
Type
journal article
Language
en
Open access
Locations
  • Neuropsychopharmacology (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Science Foundation (9876754)
  • GlaxoSmithKline
  • American Psychological Association
  • Emory University
  • National Alliance for Research on Schizophrenia and Depression
  • National Institutes of Health (5u19mh069056-10, 86-23, IBN-9876754, MH47840)
  • National Institute of Mental Health (ZIAMH002798, R01MH057250, R01MH059906, U19-MH069056, MH 47840, R37MH047840, T32MH018882, R01MH047840)
Topics
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Memory and Neural Mechanisms
  • Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
anxiety, extended amygdala, bed nucleus of the stria terminalis, amygdala, acoustic startle response, corticotropin-releasing factor, hypothalamus, brainstem, anxiolytics, rats, human
MeSH terms
Amygdala, Animals, Anxiety, Fear, Humans, Models, Neurological, Neural Pathways, Reflex, Startle, Rats

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