Alcohol stress response dampening: selective reduction of anxiety in the face of uncertain threat
Open accessPublished version of a preprint
Abstract
Problematic alcohol use and stress response dampening (SRD) are intimately interconnected. Recent evidence suggests that alcohol produces selective SRD during uncertain but not certain threat. We systematically varied shock probability in a novel task assessing alcohol SRD during low probable/uncertain threat, while holding temporal precision of threat constant. Intoxicated (0.08% target blood alcohol concentration) and placebo participants completed a cued shock threat task in which probability of shock administration at the offset of brief visual cues varied parametrically. High probability (100%) shock cues represented certain threat as used in earlier research, while lower probability (20% and 60%) shock cues provided novel uncertain threat conditions. Startle potentiation during cues and inter-trial intervals (ITIs) served as the measure of affective response. General linear model analysis indicated that alcohol SRD magnitude increased monotonically as threat uncertainty increased. Alcohol SRD was significantly greater during 20% and 60% shock threat relative to 100% shock threat. Alcohol also significantly reduced startle potentiation during distal threat in shock-free ITIs. Alcohol SRD magnitude during distal/uncertain threat was meaningfully moderated by individual differences in negative affectivity and weekly alcohol consumption. This work advances understanding of which properties of uncertainty are relevant to anxiety and anxiolytic effects of alcohol.
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?
Laboratory studies show that alcohol selectively dampens stress responses to unpredictable threat.
“Laboratory studies show that alcohol selectively dampens stress responses to unpredictable threat (Moberg And Curtin 2009; Hefner And Curtin 2012; Bradford et al. 2013).”
From Decoding the bidirectional links between alcohol misuse and aggression: toward a unified translational framework (2026) · cites this paper as Hefner And Curtin 2012
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
Addiction motivation reformulated: an affective processing model of negative reinforcement
Baker, T. B., Piper, M. E., McCarthy, D. E., Majeskie, M. R., & Fiore, M. C. (2004) · Psychological Review · doi:10.1037/0033-295x.111.1.33 · Cited by 2,162 · see citing works
Alcohol myopia: Its prized and dangerous effects.
Steele, C. M., & Josephs, R. A. (1990) · American Psychologist · doi:10.1037/0003-066x.45.8.921 · Cited by 2,070 · see citing works
Drinking to regulate positive and negative emotions: A motivational model of alcohol use
Cooper, M. L., Frone, M. R., Russell, M., & Mudar, P. (1995) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.69.5.990 · Cited by 1,975 · see citing works
Emotion and Cognition: Insights from Studies of the Human Amygdala
Phelps, E. A. (2006) · Annual Review of Psychology · doi:10.1146/annurev.psych.56.091103.070234 · Cited by 1,798 · cited 1× · see citing works
“In contrast, affective neuroscientists have made considerable progress explicating psychological and neurobiological mechanisms involved in affective response to stressors using cued threat of electric shock (Davis et al., 2010; Delgado et al., 2006; LeDoux, 1998; Phelps, 2006).”
Phasic vs Sustained Fear in Rats and Humans: Role of the Extended Amygdala in Fear vs Anxiety
Davis, M., Walker, D. L., Miles, L., & Grillon, C. (2010) · Neuropsychopharmacology · doi:10.1038/npp.2009.109 · Cited by 1,488 · cited 2× · see citing works
“As reviewed earlier, a growing body of evidence has suggested that fear and anxiety are distinct, dissociable processes both phenomenologically and neurobiologically (Davis et al., 2010).”
Processing of Temporal Unpredictability in Human and Animal Amygdala
Herry, C., Bach, D. R., Esposito, F., Di Salle, F., Perrig, W. J., Scheffler, K., Lüthi, A., & Seifritz, E. (2007) · The Journal of Neuroscience · doi:10.1523/jneurosci.5218-06.2007 · Cited by 401 · see citing works
Anxious 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
An appraisal-disruption model of alcohol’s effects on stress responses in social drinkers
Sayette, M. A. (1993) · Psychological Bulletin · doi:10.1037/0033-2909.114.3.459 · Cited by 320 · cited 2× · see citing works
“Similarly, Sayette (1993) suggested that alcohol reduces negative emotional response in contexts where threats would not be adequately appraised due to the nature and timing of these threats.”
Uncertainty during anticipation modulates neural responses to aversion in human insula and amygdala
Sarinopoulos, I., Grupe, D. W., Mackiewicz, K. L., Herrington, J. D., Lor, M., Steege, E. E., & Nitschke, J. B. (2010) · Cerebral Cortex · doi:10.1093/cercor/bhp155 · Cited by 241 · see citing works
Shaham, Y., Highfield, D., Delfs, J., Leung, S., & Stewart, J. (2000) · European Journal of Neuroscience · doi:10.1046/j.1460-9568.2000.00899.x · Cited by 201 · see citing works
Darkness facilitates the acoustic startle reflex in humans
Grillon, C., Pellowski, M., Merikangas, K. R., & Davis, M. (1997) · Biological Psychiatry · doi:10.1016/s0006-3223(96)00466-0 · Cited by 193 · see citing works
Life before and after quitting smoking: An electronic diary study.
McCarthy, D. E., Piasecki, T. M., Fiore, M. C., & Baker, T. B. (2006) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.115.3.454 · Cited by 168 · see citing works
Cerebral blood flow in immediate and sustained anxiety
Hasler, G., Fromm, S., Alvarez, R. P., Luckenbaugh, D. A., Drevets, W. C., & Grillon, C. (2007) · Journal of Neuroscience · doi:10.1523/jneurosci.5369-06.2007 · Cited by 163 · see citing works
Benzodiazepines have no effect on fear-potentiated startle in humans
Baas, J., Grillon, C., Böcker, K., Brack, A., Morgan, C., Kenemans, L., & Verbaten, M. (2002) · Psychopharmacology · doi:10.1007/s00213-002-1011-8 · Cited by 116 · see citing works
Flagged first, then by citations
Research works printed but not linked: 70
- Adinoff B Junghanns K Kiefer F Krishnan-Sarin S 2005 Supression of HPA Axis Stress Response: Implications for Relapse Alcoholism, Clinical, and Experimental Research 24 12 1836 1849 PMC2584966 16088999
- Blumenthal TD Cuthbert BN Filion DL Hackley S Lipp OV van Boxtel A 2005 Committee report: Guidelines for human startle eyeblink electromyographic studies Psychophysiology 42 1 1 15 15720576
- Bopp JM Miklowitz DJ Goodwin GM Stevens W Rendell JM Geddes JR 2010 The longitudinal course of of bipolar disorder as revealed through weekly text messaging: a feasibility study Bipolar Disorders 12 327 334 20565440 PMC2921773
- Breese GR Singha R Heilig M 2010 Chronic alcohol neuroadaptation and stress contribute to susceptibility to alcohol craving and relapse Pharmacology and Therapeutics Epub ahead of print PMC3026093 20951730
- Brown SA Vik PW McQuaid JR Patterson TL Irwin MR Grant I 1990 Severity of psychosocial stress and outcome of alcoholism treatment Journal of Abnormal Psychology 99 4 344 348 2266207
- Brown SA Vik PW Patterson TL Grant I Schuckit MA 1995 Stress, vulnerability, and adult alcohol relapse Journal of Studies on Alcohol 56 538 545 7475034
- Cacioppo JT Berntson GG 1994 Relationships between attitudes and evaluative space: A critical review with emphasis on the separability of positive and negative substrates Psychological Bulletin 115 401 423
- Cornwell BR Echiverri AM Covington MF Grillon C 2008 Modality-specific attention under imminent but not remote threat of shock Psychological Science 19 6 615 622 18578853 PMC2680742
- Curtin JJ Lang AR Patrick CJ Stritzke WGK 1998 Alcohol and fear-potentiated startle: The role of competing cognitive demands in the stress-reducing effects of intoxication Journal of Abnormal Psychology 107 4 547 565 9830242
- Curtin JJ Lang AR Patrick CJ Cacioppo JT Birbaumer N 2001 Alcohol affects emotion through cognition Psychological Science 12 6 527 531 11760143
- Curtin JJ Fairchild BA 2003 Alcohol and cognitive control: Implications for regulation of behavior during response conflict Journal of Abnormal Psychology 112 3 424 436 12943021
- Davis M 2006 Neural systems involved in fear and anxiety measured with fear-potentiated startle American Psychologist 61 8 741 756 17115806
- Davis M Antoniadis EA Amaral DG Winslow JT 2008 Acoustic startle reflex in rhesus monkeys: A review Reviews in the Neurosciences 19 171 185 18751523
- Delgado MR Olsson A Phelps EA 2006 Extending animal models of fear conditioning to humans Biological Psychology 73 39 48 16472906
- Donohue KF Curtin JJ Patrick CJ Lang AR 2007 Intoxication Level and Emotional Response Emotion 7 103 112 17352567
- Erb S Stewart J 1999 A role for the bed nucleus of the stria terminalis, but not the amygdala, in the effects of corticotropin-releasing factor on stress-induced reinstatement of cocaine seeking Journal of Neuroscience 19 RC35 1 6 10516337 PMC6782764
- Goldman MS Brown SA Christiansen BA 1987 Expectancy theory: Thinking about drinking Blane HT Leonard KE Psychological theories of drinking and alcoholism 181 226 Guilford Press New York
- Grant BF Stintson FS Dawson DA Chou P Dufour MC Compton W Pickering RP Kaplan K 2004 Prevalence and co-occurrence of substance use disorders and independent mood and anxiety disorders Archives of General Psychiatry 61 807 816 15289279
- Grillon C Sinha R O’Malley SS 1994 Effects of ethanol on the acoustic startle reflex in humans Psychopharmacology (Berlin) 114 1 167 71 7846199
- Grillon C Sinha R Ameli R O’Malley SS 2000 Effects of alcohol on baseline startle and prepulse inhibition in young men at risk for alcoholism and/or anxiety disorders Journal of Studies on Alcohol 61 1 46 54 10627096
- Grillon C 2002 Startle reactivity and anxiety disorders: Aversive conditioning, context, and neurobiology Biological Psychiatry 52 10 958 975 12437937
- Grillon C Baas JM Cornwell B Johnson L 2006a Context conditioning and behavioral avoidance in a virtual reality environment: effect of predictability Biological Psychiatry 60 7 752 759 16950216
- Grillon C Baas JM Pine DS Lissek S Lawley M Ellis V Levine J 2006b The benzodiazepine alprazolam dissociates contextual fear from cued fear in humans as assessed by fear-potentiated startle Biological Psychiatry 60 7 760 766 16631127
- Grillon C Duncko R Covington MF Kopperman L Kling MA 2007a Acute stress potentiates anxiety in humans Biological Psychiatry 62 1183 1186 17692829 PMC2093988
- Grillon C Avenevoli S Daurignac E Merikangas KR 2007b Fear-potentiated startle to threat, and prepulse inhibition among young adult nonsmokers, abstinent smokers, and nonabstinent smokers Biological Psychiatry 62 10 1155 1161 17543892 PMC2111055
- Grillon C 2008 Models and mechanisms of anxiety: evidence from startle studies Psychopharmacology 199 421 437 18058089 PMC2711770
- Hogle JM Kaye J Curtin JJ 2010 Nicotine withdrawal increases threat-induced anxiety but not fear: Neuroadaptation in human addiction Biological Psychiatry 68 8 719 725 20673878 PMC2949532
- Hogle JM Curtin JJ 2006 Sex differences in negative affective response during nicotine withdrawal Psychophysiology 43 344 356 16916430
- Hsu M Bhatt M Adolphs R Tranel D Camerer CF 2005 Neural systems responding to degrees of uncertainty in human decision-making Science 310 1680 1683 16339445
- Huettel SA Stowe CJ Gordon EM Warner BT Platt ML 2006 Neural signatures of economic preferences for risk and ambiguity Neuron 49 765 775 16504951
- Hurlbut SC Sher KJ 1992 Assessing alcohol problems in college students Journal of American College Health 41 2 49 58 1460173
- Jonkman S Risbrough VB Geyer MA Markou A 2008 Spontaneous nicotine withdrawal potentiates the effects of stress in rats Neuropsychopharmacology 33 2131 2138 18033237 PMC2648847
- Kessler RC Sonnega A Bromet E Hughes M Nelson CB 1995 Posttraumatic stress disorder in the National Comorbidity Survey Archives of General Psychiatry 52 1048 1060 7492257
- Lang PJ 1995 The emotion probe: Studies of motivation and attention American Psychologist 50 372 385 7762889
- Koob GF LeMoal M 2001 Drug addiction, dysregulation of reward, and allostasis Neuropsychopharmacology 24 2 97 129 11120394
- Koob GF Le Moal M 2008 Addiction and the brain antireward system Annual Reviews of Psychology 59 29 53 18154498
- Lê AD Quan B Juzytch W Fletcher PJ Joharchi N Shaham Y 1998 Reinstatement of alcohol-seeking by priming injections of alcohol and exposure to stress in rats Psychopharmacology 135 169 174 9497022
- LeDoux J 1998 The neural circuits underlying anxiety and fear. Fear and the brain: Where have we been, and where are we going? Biological Psychiatry 44 1229 1238 9861466
- Liang KC Melia KR Miserendino MJ Falls WA Campeau S Davis M 1992 Corticotropin-releasing factor: Long-lasting facilitation of the acoustic startle reflex The Journal of Neuroscience 12 2303 2312 1351540 PMC6575911
- Miller GA Chapman JP 2001 Misunderstanding analysis of covariance Journal of Abnormal Psychology 110 1 40 48 11261398
- Moberg CA Curtin JJ 2009 Alcohol selectively reduces anxiety but not fear: startle response during unpredictable versus predictable threat Journal of Abnormal Psychology 118 2 335 347 19413408 PMC2756160
- Moberg CA Weber S Curtin JJ 2011 Alcohol dose effects on stress response to cued threat vary by threat intensity Psychopharmacology PMC3413308 21503605
- Mol N Baas JMP Grillon C van Ooijen L Kenemans JL 2007 Startle potentiation in rapidly alternating conditions of high and low predictability of threat Biological Psychiatry 76 43 51 17644240
- Overstreet DH Knapp DJ Breese GR 2007 Drug challenges reveal differences in mediation of stress facilitation of voluntary alcohol drinking and withdrawal-induced anxiety in alcohol-preferring P rats Alcoholism: Clinical and Experimental Research 31 9 1473 1481 PMC3010749 17624999
- Patrick CJ Curtin JJ Tellegen A 2002 Development and validation of a brief form of the Multidimensional Personality Questionnaire Psychological Assessment 14 2 150 163 12056077
- Piper ME Federmen EB McCarthy DE Bolt DM Smith SS Fiore MC Baker TB 2008 Using mediational models to explore the nature of tobacco motivation and tobacco treatment effects Journal of Abnormal Psychology 117 94 105 18266488
- Plaza-Zabala A Martín-Garcia E de Lecea L Maldonado R Berrendero F 2010 Hypocretins regulate the anxiogenic-like effects of nicotine and induced reinstatement of nicotine-seeking behavior The Journal of Neuroscience 30 2300 2310 20147556 PMC2829191
- Rau V Fanselow MS 2007 Neurobiological and neuroethological perspectives on fear and anxiety Kirmayer LJ Lemesom R Barad M Understanding trauma: integrating biological, clinical, and cultural perspectives 27 40 Cambridge UP New York
- Richardson HN Lee SY O’Dell LE Koob GE Rivier CL 2008 Alcohol self-administration acutely stimulates the hypothalamic-pituitary-adrenal axis, but alcohol dependence leads to a dampened neuroendocrine state European Journal of Neuroscience 28 8 1641 1653 18979677 PMC2748838
- Schroder KE Perrine MW 2007 Covariations of emotional states and alcohol consumption: evidence from 2 years of daily data collection Social Science & Medicine 65 12 2588 2602 17761376 PMC2777711
- Selzer ML Vinokur A van Rooijen L 1975 A self-administered short Michigan alcoholism screening test Journal of Studies on Alcohol 36 1 117 126 238068
- Shaham Y Erb S Stewart J 2000 Stress-induced relapse to heroin and cocaine seeking in rats: a review Brain Research Reviews 33 13 33 10967352
- Shaham Y Hope BT 2005 The role of neuroadaptations in relapse to drug seeking Nature Neuroscience 8 1437 1439 16251983
- Sher KJ 1987 Stress response dampening Blane HT Leonard KE Psychological theories of drinking and alcoholism 227 271 Guilford Press New York
- Sher KJ Walitzer KS 1986 Individual differences in the stress-response dampening effect of alcohol: A dose-response study Journal of Abnormal Psychology 95 159 167 3711440
- Sinha R 2008 Chronic stress, drug use, and vulnerability to addiction Annals of the New York Academy of Science 1141 105 130 PMC2732004 18991954
- Solomon RL Corbit JD 1974 An opponent-process theory of motivation: temporal dynamics of affect Psychological Review 81 2 119 145 4817611
- Smith RJ Aston-Jones G 2008 Noradrenergic transmission in the extended amygdala: role in increased drug-seeking and relapse during protracted abstinence Brain Structure and Function 213 43 61 18651175 PMC3632504
- Stewart SH Finn PR Pihl RO 1992 The effects of alcohol on the cardiovascular stress response in men at high risk for alcoholism: A dose response study Journal of Studies on Alcohol 53 499 506 1405644
- Swerdlow NR Geyer MA Vale WW Koob GF 1986 Corticotropin-releasing factor potentiates acoustic startle in rats: blockade by chlordiazepoxide Psychopharmacology 88 147 152 3081925
- Upile T Sipaul F Jerjes W Singh S Nouraei SA El Maaytah M 2007 The acute effects of alcohol on auditory thresholds BMC Ear, Nose, and Throat Disorders 7 4 PMC2031886 17877829
- Volkow ND Li TK 2004 Drug addiction: The neurobiology of behavior gone awry Nature Reviews Neuroscience 5 963 970 15550951
- Walker DL Davis M 2008 Role of the extended amygdala in short-duration versus sustained fear: a tribute to Dr. Lennart Heimer Brain Structure & Function 213 29 42 18528706
- Walker DL Toufexis DJ Davis M 2003 Role of the bed nucleus of the stria terminalis versus amygdala in fear, stress, and anxiety European Journal of Pharmacology 463 199 216 12600711
- Walker DL Davis M 1997 Anxiogenic effects of high illumination levels assessed with the acoustic startle response in rats Biol Psychiatry 42 461 471 9285082
- Watson D Wiese D Vaidya J Tellegen A 1999 The two general activation systems of affect: Structural findings, evolutionary considerations, and psychobiological evidence Journal of Personality and Social Psychology 76 820 838
- Weiss F Ciccocioppo R Parsons LH Katner S Liu X Zorrilla EP 2001 Compulsive drug-seeking behavior and relapse: Neuroadaptation, stress, and conditioning factors Annals of the New York Academy of Sciences 937 1 26 11458532
- Witvliet CV Vrana SR 1995 Psychophysiological responses as indices of affective dimensions Psychophysiology 32 436 443 7568637
- Zvolensky MJ Eifert GH Lejuez CW McNeil DW 1999 The effects of offset control over 20% carbon-dioxide-enriched air on anxious responding Journal of Abnormal Psychology 108 4 624 632 10609427
- Zvolensky M Lejuez C Eifert G 2000 Prediction and control: operational definitions for the experimental analysis of anxiety Behaviour Research and Therapy 38 653 663 10875188
Cited by
Sorted by citations
Uncertainty and anticipation in anxiety: an integrated neurobiological and psychological perspective
Grupe, D. W., & Nitschke, J. B. (2013) · Nature Reviews Neuroscience · doi:10.1038/nrn3524 · Cited by 2,007 · see citing works
Schmitz, A., & Grillon, C. (2012) · Nature Protocols · doi:10.1038/nprot.2012.001 · Cited by 383 · see citing works
Uncertainty is associated with increased selective attention and sustained stimulus processing
Dieterich, R., Endrass, T., & Kathmann, N. (2016) · Cognitive, Affective, & Behavioral Neuroscience · doi:10.3758/s13415-016-0405-8 · Cited by 76 · see citing works
Gorka, S. M., Fitzgerald, D. A., King, A. C., & Phan, K. L. (2013) · Psychopharmacology · doi:10.1007/s00213-013-3090-0 · Cited by 71 · see citing works
Gorka, S. M., Lieberman, L., Phan, K. L., & Shankman, S. A. (2016) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2016.04.034 · Cited by 47 · see citing works
Biback, C., & Zack, M. (2015) · Current Addiction Reports · doi:10.1007/s40429-015-0064-9 · Cited by 20 · see citing works
Russell, N. M., Frier, M. D., Bortolato, M., & Mangieri, R. A. (2026) · Psychopharmacology · doi:10.1007/s00213-025-06938-0 · Cited by 3 · see citing works
- Authors
- Hefner, K. R., & Curtin, J. J.
- Affiliations
- University of Wisconsin–Madison (US)
- Corresponding author
- Curtin, John J
- Venue
- Journal of Psychopharmacology
- Publisher
- SAGE Publications
- Published
- 2011-09-21
- Volume
- 26
- Issue
- 2
- Pages
- 232-244
- ISSN
- 0269-8811 (ISSN-L)
- 1461-7285
- PMC
- PMC3413306
- OpenAlex
- W1989618781
- Cited by
- 74
- References
- 14
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 6 · 2023: 3 · 2022: 6 · 2021: 3 · 2020: 4 · 2019: 3 · 2018: 11 · 2017: 10 · 2016: 8 · 2015: 3 · 2014: 5 · 2013: 7 · 2012: 1
- FWCI
- 1.72
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Psychopharmacology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- OSF Preprints (OSF Preprints) (submittedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (R01AA015384, R01 AA15384)
- Topics
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- uncertainty, threat probability, anxiety, startle potentiation, poisoning, negative affectivity, weekly alcohol consumption, individual differences
- MeSH terms
- Adult, Alcohol Drinking, Ethanol, Alcoholic Intoxication, Anxiety, Female, Humans, Individuality, Male, Reflex, Startle, Stress, Psychological, Linear Models, Uncertainty, Young Adult
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