Fear inhibition in high trait anxiety

PLoS One. 2014 Jan 16;9(1):e86462. doi: 10.1371/journal.pone.0086462. eCollection 2014.

Abstract

Trait anxiety is recognized as an individual risk factor for the development of anxiety disorders but the neurobiological mechanisms remain unknown. Here we test whether trait anxiety is associated with impaired fear inhibition utilizing the AX+/BX- conditional discrimination procedure that allows for the independent evaluation of startle fear potentiation and inhibition of fear. Sixty undergraduate students participated in the study--High Trait Anxious: n = 28 and Low Trait Anxious: n = 32. We replicated earlier findings that a transfer of conditioned inhibition for startle responses requires contingency awareness. However, contrary to the fear inhibition hypothesis, our data suggest that high trait anxious individuals show a normal fear inhibition of conditioned startle responding. Only at the cognitive level the high trait anxious individuals showed evidence for impaired inhibitory learning of the threat cue. Together with other findings where impaired fear inhibition was only observed in those PTSD patients who were either high on hyperarousal symptoms or with current anxiety symptoms, we question whether impaired fear inhibition is a biomarker for the development of anxiety disorders.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Anxiety / psychology*
  • Blinking
  • Conditioning, Psychological
  • Electric Stimulation
  • Fear / psychology*
  • Humans
  • Middle Aged
  • Photic Stimulation
  • Reflex, Startle
  • Risk Factors
  • Young Adult

Grants and funding

MK and MS are funded by a Vici grant (MK) from the Netherlands Organization for Scientific Research. The funders had no role in study design, decision to publish, or preparation of the manuscript.