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Publication : Dissociation of within- and between-session extinction of conditioned fear.

First Author  Plendl W Year  2010
Journal  J Neurosci Volume  30
Issue  14 Pages  4990-8
PubMed ID  20371819 Mgi Jnum  J:159620
Mgi Id  MGI:4452170 Doi  10.1523/JNEUROSCI.6038-09.2010
Citation  Plendl W, et al. (2010) Dissociation of within- and between-session extinction of conditioned fear. J Neurosci 30(14):4990-8
abstractText  Recent findings obtained in patients with phobias or trauma-related anxiety disorders raise doubts concerning the interrelation between acute fear relief during an exposure-based therapeutic session and beneficial treatment progress. In a mouse model explicit for exposure therapy, we challenge the view that within-session fear reduction is the turning point for relearning of a stimulus-threat association. Even though within-session extinction of auditory-cued fear memory was identical for prolonged and spaced tone presentations, only the latter caused between-session extinction. Furthermore, spaced tone presentations led to between-session extinction even in the complete absence of within-session extinction, as observed for remote fear memories and in case of abolished cannabinoid receptor type 1 signaling. Induction of between-session extinction was accompanied by an increase in the number of c-Fos-positive neurons within the basolateral amygdala, the cingulate cortex, and the dentate gyrus, independent of the level of within-session extinction. Together, our findings demonstrate that within-session extinction is neither sufficient nor essential for between-session extinction, thus calling for a reconsideration of current concepts underlying exposure-based therapies.
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