Die vorliegende Studie untersuchte emotionale Reaktionen im Experimentaldesign einer aversiven, differentiellen klassischen Konditionierung (CS = zwei männliche, neutral valente Gesichter; olfaktorischer UCS = vergorene Hefe) bei je vierzehn männlichen generalisierten Sozialphobikern (DSM-VI) und gesunden Kontrollpersonen. In Erwartung einer erhöhten Konditionierbarkeit, einer Extinktionsresistenz sowie einer Generalisierung auf störungsrelevante Fazialreize bei den Sozialphobikern wurden die konditionierten Reaktionen über subjektiv-verbale Urteile (Valenz, Erregung, Kontingenz), den Schreckreflex (M. orbicularis oculi links, Indikator subcorticaler Reizverarbeitung der Angst), die bilateral erhobene Aktivität des M. corrugator supercilii (Indikator für den negativ emotionalen Fazialausdruck) sowie die Herzrate (Indikator der allgemeinen psychophysiologischen Aktivierung) gemessen. Die Konditionierung verlief in beiden Experimentalgruppen erfolgreich (Valenz, Erregung, Kontingenz) und hypothesenkonform. Im Gegensatz zu den Gesunden resultierten für die Sozialphobiker eine erhöhte Konditionierbarkeit (Schreckreflexlatenz und -amplitude, Herzratendezeleration), eine Extinktionsresistenz (Erregung, Schreckreflexnullreaktionen, Corrugator) sowie eine Reizgeneralisierung (Erregung, Kontingenz, Schreckreflexlatenz, Corrugator, Herzratendezeleration). Die Befunde sprechen außerdem für eine unterschiedliche emotionale Reizverarbeitung über den Experimentalverlauf. Die Sozialphobiker reagierten in der Akquisition vorrangig in den Parametern Erregung, Kontingenz, Schreckreflex und Herzrate (Gesunde: Corrugator) sowie in der Extinktion hinsichtlich Erregung, Schreckreflex und Corrugator (Gesunde: Kontingenz). Das Valenzurteil ergab hingegen keine Gruppenspezifik. / The present study investigated the emotional responses of aversive differential Pavlovian conditioning with two male neutral faces as conditioned stimuli (CS) and a foul odor (fermented yeast) as unconditioned stimulus (UCS) in fourteen male generalized social phobics (DSM-VI) and healthy controls. The aim of this investigation was to examine the hypotheses of enhanced acquisition, delayed extinction and generalization of faces, as they represented socially relevant stimuli, concerning social phobics. Subjective indicators of conditioned response were valence, arousal and awareness. The startle reflex (recorded from left m. orbicularis oculi) was used as a measure of subcortical emotional processing. Bilaterally corrugator muscle activity (as an indicator of negative emotional facial response) and heart rate (as an indicator of general physiological activation) served as psychophysiological assessment of conditioning. Both groups were successfully conditioned as reflected by differential responses of all three subjective parameters. The results were consistent with the hypotheses. Compared to controls, social phobics showed an increased acquisition (startle latency and magnitude, heart rate deceleration), an extinction resistance (arousal, startle zero reactions, corrugator) as well as a generalization of CS types (arousal, awareness, startle latency, corrugator, heart rate deceleration). In addition the findings suggested that the emotional stimuli processing in participants are distinct. The social phobics in particular reacted to arousal, contingency awareness, startle and heart rate in acquisition (controls: corrugator) and to arousal, startle and corrugator in extinction (controls: awareness). There was no difference between groups regarding valence judgement.

Background: The learning perspective of panic disorder distinguishes between acute panic and anxious apprehension as distinct emotional states. Following animal models, these clinical entities reflect different stages of defensive reactivity depending upon the imminence of interoceptive or exteroceptive threat cues. The current study tested this model by investigating the dynamics of defensive reactivity in a large group of patients with panic disorder and agoraphobia (PD/AG). Methods: Three hundred forty-five PD/AG patients participated in a standardized behavioral avoidance test (being entrapped in a small, dark chamber for 10 minutes). Defense reactivity was assessed measuring avoidance and escape behavior, self-reports of anxiety and panic symptoms, autonomic arousal (heart rate and skin conductance), and potentiation of the startle reflex before and during exposure of the behavioral avoidance test. Results: Panic disorder and agoraphobia patients differed substantially in their defensive reactivity. While 31.6% of the patients showed strong anxious apprehension during this task (as indexed by increased reports of anxiety, elevated physiological arousal, and startle potentiation), 20.9% of the patients escaped from the test chamber. Active escape was initiated at the peak of the autonomic surge accompanied by an inhibition of the startle response as predicted by the animal model. These physiological responses resembled the pattern observed during the 34 reported panic attacks. Conclusions: We found evidence that defensive reactivity in PD/AG patients is dynamically organized ranging from anxious apprehension to panic with increasing proximity of interoceptive threat. These data support the learning perspective of panic disorder.

No description available.

Extensos dados na literatura têm assinalado a importância da serotonina (5-HT) na modulação de comportamentos de medo e ansiedade em roedores, a grande maioria utilizando ratos machos como sujeitos experimentais. No presente trabalho, foi analisada a influência da neurotransmissão 5-HT periférica e central sobre a expressão da resposta de medo condicionado e incondicionado de ratos machos e fêmeas, previamente selecionados pelo fenótipo como animais de baixa (BA) ou de alta (AA) reatividade emocional. Para este fim foi utilizado o teste do sobressalto potencializado pelo medo (SPM). A influência global e central de 5-HT foi avaliada pela utilização da administração sistêmica ou intraventricular aguda do inibidor irreversível da enzima triptofano hidroxilase PCPA (p-clorofenilalanina) nas doses de 200 mg/mL (i.p.) e 200 µg/5 µL (i.v.), ou através de infusões locais de 5-HT (10 nmol/0.2 µL) ou do agonista seletivo de receptores 5-HT1A 8-hidroxi-2-(di-n-propilamino)-tetralina (8-OH-DPAT) na dose de 0,3 µg/0.2 µL, diretamente em áreas encefálicas conhecidas por sua influência na modulação do medo e ansiedade a saber: o córtex pré-limbico (CPL), o núcleo basolateral da amígdala (BLA), e a substância cinzenta periaqueductal dorsal (SCPd) do mesencéfalo. As variáveis dependentes registradas foram a amplitude e a latência das respostas incondicionadas e condicionadas de sobressalto e a amplitude do SPM. / Extensive data in the literature have signaled the importance of serotonin (5-HT) on the modulation of fear and anxiety-like behaviors in rodents. In the present study, we have analyzed the influence of peripheral and central 5-HT neurotransmission on the expression of the conditioned and unconditioned fear, and on the fear-potentiated startle in male and female rats previously selected as low- (LA) or high-anxiety (HA). For this purpose, we used the fear-potentiated startle (FPS) test. The global and central influence of 5-HT was evaluated by using the acute systemic or intraventricular administration of the irreversible tryptophan hydroxylase inhibitor PCPA (p-chlorophenylalanine - 200 mg/mL i.p., or 200 µg/5 µL i.v.). Local effects were evaluated through local infusions of 5-HT itself (10 nmol/0.2 µL) or the selective 5-HT1A receptors agonist 8-hydroxy-2-(di-n-propylamino)-tetralin (8-OH-DPAT 0.3 µg/0.2 µL) in the prelimbic cortex (PrL), basolateral amygdala (BLA) or the dorsal periaqueductal gray (DPAG). These brain regions were chosen for the present study based on their great importance in the modulation and expression of conditioned and unconditioned fear. Dependent variables recorded were the amplitude and latency of unconditioned and conditioned fear, and fear-potentiated startle (FPS).

A substância cinzenta periaquedutal dorsal (dPAG) e o hipotálamo medial (MH) são duas estruturas encefálicas que estão envolvidas na elaboração de estados aversivos e expressão de respostas defensivas. A estimulação elétrica da dPAG ou do MH produz uma série de respostas comportamentais que se assemelham às respostas defensivas induzidas pela presença de um predador. Esses mesmos comportamentos podem ser eliciados com a microinjeção local de agonistas glutamatérgicos nessas estruturas, indicando o envolvimento de aminoácidos excitatórios na expressão das respostas defensivas incondicionadas. Apesar disso, a participação destas estruturas no medo condicionado ainda é pouco conhecida. Assim, o objetivo deste estudo foi avaliar o envolvimento da mediação glutamatérgica da dPAG e de núcleos do MH núcleo anterior (AH) e núcleo pré-mamilar dorsal (PMd) na expressão do medo condicionado à luz. Para isso, foram avaliados os efeitos de agonistas e antagonistas glutamatérgicos (AMPA/Cainato e NMDA) administrados nessas estruturas no teste do sobressalto potencializado pelo medo (SPM) e na medida de congelamento condicionado. Ratos Wistar machos com cânulas-guias implantadas na dPAG, AH ou PMd foram submetidos ao condicionamento aversivo (pareamentos luz+choque). Vinte e quatro horas depois, esses animais receberam injeções intra-dPAG, AH ou PMd de NMDA ou ácido caínico (agonistas NMDA e AMPA/Cainato, respectivamente) ou AP7 ou NBQX (antagonistas NMDA e AMPA/Cainato, respectivamente) e foram submetidos ao teste do SPM. A resposta de congelamento condicionado foi avaliada na mesma sessão. Eventuais alterações motoras foram avaliadas no teste do campo aberto. A administração dos agonistas glutamatérgicos na dPAG promoveu efeitos pró-aversivos no SPM e congelamento condicionado. NBQX sozinho não produziu nenhum efeito significativo, ao passo que o AP7 diminuiu somente o congelamento condicionado. Entretanto, ambos os antagonistas bloquearam os efeitos dos respectivos agonistas. Já a administração dos agonistas e antagonistas glutamatérgicos no AH e PMd, em doses que não afetaram a atividade motora, não produziu efeitos significativos na resposta de congelamento condicionado e SPM. Os presentes resultados sugerem a participação de aminoácidos excitatórios da dPAG, mas não do MH, na expressão do medo condicionado à luz. / The dorsal periaqueductal gray matter (dPAG) and the medial hypothalamus (MH) are two brain structures that are involved in the elaboration of aversive states and expression of defensive responses. Electrical stimulation of the dPAG or MH produces a series of behavioral responses that resemble those defensive responses triggered in the presence of a predator. These same behaviors can be elicited with the local microinjection of glutamate agonists into these structures, indicating the involvement of excitatory amino acids in the expression of unconditioned fear responses. Nevertheless, the involvement of these structures in fear conditioning is still unknown. The objective of this study was to evaluate the involvement of glutamatergic mediation of the dPAG and MH nuclei anterior nucleus (AH) and dorsal pre-mammillary nucleus (PMd) in the expression of conditioned fear to the light. Thus, we evaluated the effects of glutamatergic agonists and antagonists (AMPA/Kainate and NMDA) administered into these structures in fear potentiated startle (FPS) and conditioned freezing responses to the light. Male Wistar rats with guide-cannulae implanted in the dPAG, AH or PMd were subjected to aversive conditioning (light+shock pairings). Twenty-four hours later, the animals were injected intra-dPAG, AH or PMd with NMDA or kainic acid (NMDA and AMPA/Kainate agonists, respectively) or AP7 or NBQX (NMDA and AMPA/Kainate antagonists, respectively) and were subjected to the FPS test. The conditioned freezing response was measured in the same session. Potential motor effects were evaluated with the open-field test. The administration of glutamate agonists into the dPAG promoted pro-aversive effects in the FPS and conditioned freezing. NBQX produced no significant effect per se, whereas AP7 only decreased conditioned freezing. Both antagonists blocked the effects of the respective agonist. On the other hand, the administration of glutamatergic agonists and antagonists into AH and PMd, in doses that did not affect motor activity, produced no significant effects on conditioned fear responses. The present results suggest the involvement of mechanisms mediated by excitatory amino acids of the dPAG, but not of the MH, in the expression of conditioned fear responses to light.

A substância cinzenta periaquedutal dorsal (dPAG) e o hipotálamo medial (MH) são duas estruturas encefálicas que estão envolvidas na elaboração de estados aversivos e expressão de respostas defensivas. A estimulação elétrica da dPAG ou do MH produz uma série de respostas comportamentais que se assemelham às respostas defensivas induzidas pela presença de um predador. Esses mesmos comportamentos podem ser eliciados com a microinjeção local de agonistas glutamatérgicos nessas estruturas, indicando o envolvimento de aminoácidos excitatórios na expressão das respostas defensivas incondicionadas. Apesar disso, a participação destas estruturas no medo condicionado ainda é pouco conhecida. Assim, o objetivo deste estudo foi avaliar o envolvimento da mediação glutamatérgica da dPAG e de núcleos do MH núcleo anterior (AH) e núcleo pré-mamilar dorsal (PMd) na expressão do medo condicionado à luz. Para isso, foram avaliados os efeitos de agonistas e antagonistas glutamatérgicos (AMPA/Cainato e NMDA) administrados nessas estruturas no teste do sobressalto potencializado pelo medo (SPM) e na medida de congelamento condicionado. Ratos Wistar machos com cânulas-guias implantadas na dPAG, AH ou PMd foram submetidos ao condicionamento aversivo (pareamentos luz+choque). Vinte e quatro horas depois, esses animais receberam injeções intra-dPAG, AH ou PMd de NMDA ou ácido caínico (agonistas NMDA e AMPA/Cainato, respectivamente) ou AP7 ou NBQX (antagonistas NMDA e AMPA/Cainato, respectivamente) e foram submetidos ao teste do SPM. A resposta de congelamento condicionado foi avaliada na mesma sessão. Eventuais alterações motoras foram avaliadas no teste do campo aberto. A administração dos agonistas glutamatérgicos na dPAG promoveu efeitos pró-aversivos no SPM e congelamento condicionado. NBQX sozinho não produziu nenhum efeito significativo, ao passo que o AP7 diminuiu somente o congelamento condicionado. Entretanto, ambos os antagonistas bloquearam os efeitos dos respectivos agonistas. Já a administração dos agonistas e antagonistas glutamatérgicos no AH e PMd, em doses que não afetaram a atividade motora, não produziu efeitos significativos na resposta de congelamento condicionado e SPM. Os presentes resultados sugerem a participação de aminoácidos excitatórios da dPAG, mas não do MH, na expressão do medo condicionado à luz. / The dorsal periaqueductal gray matter (dPAG) and the medial hypothalamus (MH) are two brain structures that are involved in the elaboration of aversive states and expression of defensive responses. Electrical stimulation of the dPAG or MH produces a series of behavioral responses that resemble those defensive responses triggered in the presence of a predator. These same behaviors can be elicited with the local microinjection of glutamate agonists into these structures, indicating the involvement of excitatory amino acids in the expression of unconditioned fear responses. Nevertheless, the involvement of these structures in fear conditioning is still unknown. The objective of this study was to evaluate the involvement of glutamatergic mediation of the dPAG and MH nuclei anterior nucleus (AH) and dorsal pre-mammillary nucleus (PMd) in the expression of conditioned fear to the light. Thus, we evaluated the effects of glutamatergic agonists and antagonists (AMPA/Kainate and NMDA) administered into these structures in fear potentiated startle (FPS) and conditioned freezing responses to the light. Male Wistar rats with guide-cannulae implanted in the dPAG, AH or PMd were subjected to aversive conditioning (light+shock pairings). Twenty-four hours later, the animals were injected intra-dPAG, AH or PMd with NMDA or kainic acid (NMDA and AMPA/Kainate agonists, respectively) or AP7 or NBQX (NMDA and AMPA/Kainate antagonists, respectively) and were subjected to the FPS test. The conditioned freezing response was measured in the same session. Potential motor effects were evaluated with the open-field test. The administration of glutamate agonists into the dPAG promoted pro-aversive effects in the FPS and conditioned freezing. NBQX produced no significant effect per se, whereas AP7 only decreased conditioned freezing. Both antagonists blocked the effects of the respective agonist. On the other hand, the administration of glutamatergic agonists and antagonists into AH and PMd, in doses that did not affect motor activity, produced no significant effects on conditioned fear responses. The present results suggest the involvement of mechanisms mediated by excitatory amino acids of the dPAG, but not of the MH, in the expression of conditioned fear responses to light.

During pregnancy, the basal activity is increased in both of our major stress response systems: the sympathetic nervous system and the hypothalamic-pituitary-adrenal axis. At the same time, the reactivity towards stressors is reduced. These alterations sustain maternal and fetal homeostasis, and are involved in the regulation of gestational length. Although the feto-placental hormone synthesis produces the main endocrinological changes, also the central nervous system undergoes adaptation. Together, these profound adjustments have been suggested to make women’s mental health more vulnerable during pregnancy and postpartum period. The aim of this thesis was to examine factors connected to physiological stress responses during the late pregnancy in relation to pain, labour onset, emotional reactivity, and mental health. The first study examined the pain and sympathetic response during cold stress, in relation to time to delivery. Women with fewer days to spontaneous delivery had lower sympathetic reactivity, while no pain measure was associated with time to delivery. In the second study, acoustic startle response modulation was employed to study emotional reactivity during late gestation, and at four to six weeks postpartum. The startle response was measured by eye-blink electromyography, while the participants watched pleasant and unpleasant pictures, and positive and negative anticipation stimuli. A significant reduction in startle modulation by anticipation was found during the postpartum assessment. However, no startle modulation by pleasant, or unpleasant, pictures was detected at either time-point. The serum level of allopregnanolone, a neurosteroid implied in pregnancy-induced hyporeactivity, was analysed in relation to self-reported symptoms of anxiety and depression. Although the participants reported low levels of depression, the women with the highest depression scores had significantly lower levels of serum allopregnanolone. There was no correlation between allopregnanolone and anxiety scores. In the fourth study, the cortisol awakening response was compared between women with depression during pregnancy, women with depression prior to pregnancy, and women who had never suffered from depression. No group differences in cortisol awakening response during late pregnancy were found. The results are in line with the previously described pregnancy-induced hyporesponsiveness, and add to the knowledge on maternal stress hyporeactivity, gestational length, and maternal mental health.

Une des théories actuellement prépondérante pour expliquer le déclin cognitif observé chez les personnes âgées est une perte généralisée de la fonction inhibitrice. En revanche, de plus en plus d’études révèlent un maintien et même un gain sur le plan émotionnel chez les âgés. Afin de caractériser l’effet de l’âge sur la fonction inhibitrice et sur les émotions, nous avons utilisé le paradigme bien connu du réflexe acoustique de sursaut et de son inhibition par le prépulse, un phénomène reconnu comme reflétant le filtrage sensorimoteur, soit une mesure pré-attentionnelle d’inhibition. Le réflexe acoustique de sursaut est une réponse du corps tout entier à un bruit fort et inattendu et a été mesuré via la magnitude et la latence du clignement des yeux. La présentation d’un son faible (prépulse) quelques millisecondes avant le bruit de sursaut réduit la réponse de sursaut. Deux groupes de participants (jeunes adultes et âgés) ont visionné des images plaisantes, neutres et déplaisantes issues du International Affective Picture System (IAPS), lesquelles étaient associées à des stimuli auditifs évaluant le réflexe acoustique de sursaut et son inhibition par le prépulse. Les résultats démontrent que le réflexe de sursaut est modulé différemment par les émotions chez les jeunes adultes et les âgés. Plus particulièrement, les adultes âgés ont un plus grand réflexe de sursaut que les jeunes adultes lorsqu’ils visionnent des images plaisantes et neutres. Le processus d’inhibition par le prépulse est également modulé différemment par les émotions chez les âgés et les jeunes adultes: les âgés ont une plus grande inhibition du réflexe de sursaut que les jeunes adultes lorsqu’ils visionnent des images plaisantes et déplaisantes, mais ils ne diffèrent pas des jeunes adultes pour les images neutres. Dans l’ensemble, les résultats obtenus ne sont pas compatibles avec une perte d’inhibition chez les adultes âgés, et supportent plutôt un biais émotionnel positif. / Aging is often characterized by a decline in cognitive abilities and a loss of inhibitory function. At the same time there is promising, yet limited to date, evidence of a better emotion regulation with aging. In order to characterize the effect of age on inhibitory function and emotions, in this study the well-known acoustic startle paradigm and its inhibition by a prepulse, a phenomenon known to engage sensorimotor gating, were used. The acoustic startle reflex, a whole-body reflex in response to a loud and unexpected sound, was measured through eye blink magnitude and latency. The inhibition of this acoustic startle response by the presentation of a weak sound, a prepulse, was also measured. Two groups of 30 adults (young and older adults) viewed pleasant, neutral, and unpleasant images from the International Affective Picture System (IAPS) while startle and prepulse trials were presented. The results show that the startle response is differently modulated in the two groups, with the elderly displaying a greater startle reflex while viewing pleasant and neutral pictures compared to young adults. Prepulse inhibition is also differently modulated by emotions in young adults and their older counterparts, with the latter exhibiting a greater inhibition of the startle reflex when viewing pleasant and unpleasant pictures (but not for neutral pictures) compared to young adults. In summary, the present data do not support a decline of the inhibitory function with increasing age, but rather support a positivism effect.

Thesis (Ph. D.)--Uniformed Services University of the Health Sciences, 2005. / Typescript (photocopy).

Extensos dados na literatura têm assinalado a importância da serotonina (5-HT) na modulação de comportamentos de medo e ansiedade em roedores, a grande maioria utilizando ratos machos como sujeitos experimentais. No presente trabalho, foi analisada a influência da neurotransmissão 5-HT periférica e central sobre a expressão da resposta de medo condicionado e incondicionado de ratos machos e fêmeas, previamente selecionados pelo fenótipo como animais de baixa (BA) ou de alta (AA) reatividade emocional. Para este fim foi utilizado o teste do sobressalto potencializado pelo medo (SPM). A influência global e central de 5-HT foi avaliada pela utilização da administração sistêmica ou intraventricular aguda do inibidor irreversível da enzima triptofano hidroxilase PCPA (p-clorofenilalanina) nas doses de 200 mg/mL (i.p.) e 200 µg/5 µL (i.v.), ou através de infusões locais de 5-HT (10 nmol/0.2 µL) ou do agonista seletivo de receptores 5-HT1A 8-hidroxi-2-(di-n-propilamino)-tetralina (8-OH-DPAT) na dose de 0,3 µg/0.2 µL, diretamente em áreas encefálicas conhecidas por sua influência na modulação do medo e ansiedade a saber: o córtex pré-limbico (CPL), o núcleo basolateral da amígdala (BLA), e a substância cinzenta periaqueductal dorsal (SCPd) do mesencéfalo. As variáveis dependentes registradas foram a amplitude e a latência das respostas incondicionadas e condicionadas de sobressalto e a amplitude do SPM. / Extensive data in the literature have signaled the importance of serotonin (5-HT) on the modulation of fear and anxiety-like behaviors in rodents. In the present study, we have analyzed the influence of peripheral and central 5-HT neurotransmission on the expression of the conditioned and unconditioned fear, and on the fear-potentiated startle in male and female rats previously selected as low- (LA) or high-anxiety (HA). For this purpose, we used the fear-potentiated startle (FPS) test. The global and central influence of 5-HT was evaluated by using the acute systemic or intraventricular administration of the irreversible tryptophan hydroxylase inhibitor PCPA (p-chlorophenylalanine - 200 mg/mL i.p., or 200 µg/5 µL i.v.). Local effects were evaluated through local infusions of 5-HT itself (10 nmol/0.2 µL) or the selective 5-HT1A receptors agonist 8-hydroxy-2-(di-n-propylamino)-tetralin (8-OH-DPAT 0.3 µg/0.2 µL) in the prelimbic cortex (PrL), basolateral amygdala (BLA) or the dorsal periaqueductal gray (DPAG). These brain regions were chosen for the present study based on their great importance in the modulation and expression of conditioned and unconditioned fear. Dependent variables recorded were the amplitude and latency of unconditioned and conditioned fear, and fear-potentiated startle (FPS).