Mental threat rehearsal increases fear generalization.

Anxiety disorders Fear generalization Mental imagery Rehearsal Threat inflation

Journal

Journal of behavior therapy and experimental psychiatry
ISSN: 1873-7943
Titre abrégé: J Behav Ther Exp Psychiatry
Pays: Netherlands
ID NLM: 0245075

Informations de publication

Date de publication:
Mar 2024
Historique:
received: 17 02 2022
revised: 11 05 2023
accepted: 28 09 2023
medline: 4 12 2023
pubmed: 21 11 2023
entrez: 20 11 2023
Statut: ppublish

Résumé

Fear generalization to harmless stimuli characterizes anxiety-related disorders, but much remains unknown about its determinants. Based on studies showing that mental imagery of threat can increase conditioned fear responding, we tested whether it also facilitates fear generalization, and whether threat inflation moderates this effect. In a fear conditioning study, 120 participants first completed an acquisition phase, in which one of two pictures was followed by an aversive sound (human scream). Then, the sound was presented 11 times at an increasing (threat inflation) or constant volume (no threat inflation). Finally, a generalization stimulus was presented, and some participants were asked to imagine the last sound (threat rehearsal) and others were not (no threat rehearsal). Bayesian informative hypotheses tests indicated that imagery-based threat rehearsal increased generalization of threat expectancy, and, combined with threat inflation, it also resulted in stronger generalized distress. due to the absence of a test phase, it is unclear whether our effects would transfer to other GSs and whether they would persist beyond the manipulation phase. Mental imagery of threat may put individuals at risk for fear generalization. Future studies should examine whether modulating imagery may prevent clinical anxiety.

Sections du résumé

BACKGROUND AND OBJECTIVES OBJECTIVE
Fear generalization to harmless stimuli characterizes anxiety-related disorders, but much remains unknown about its determinants. Based on studies showing that mental imagery of threat can increase conditioned fear responding, we tested whether it also facilitates fear generalization, and whether threat inflation moderates this effect.
METHODS METHODS
In a fear conditioning study, 120 participants first completed an acquisition phase, in which one of two pictures was followed by an aversive sound (human scream). Then, the sound was presented 11 times at an increasing (threat inflation) or constant volume (no threat inflation). Finally, a generalization stimulus was presented, and some participants were asked to imagine the last sound (threat rehearsal) and others were not (no threat rehearsal).
RESULTS RESULTS
Bayesian informative hypotheses tests indicated that imagery-based threat rehearsal increased generalization of threat expectancy, and, combined with threat inflation, it also resulted in stronger generalized distress.
LIMITATIONS CONCLUSIONS
due to the absence of a test phase, it is unclear whether our effects would transfer to other GSs and whether they would persist beyond the manipulation phase.
CONCLUSIONS CONCLUSIONS
Mental imagery of threat may put individuals at risk for fear generalization. Future studies should examine whether modulating imagery may prevent clinical anxiety.

Identifiants

pubmed: 37984086
pii: S0005-7916(23)00084-8
doi: 10.1016/j.jbtep.2023.101917
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

101917

Informations de copyright

Copyright © 2023 The Authors. Published by Elsevier Ltd.. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of competing interest We have no conflicts of interest with respect to the authorship or the publication of this article.

Auteurs

Eva A M van Dis (EAM)

Department of Clinical Psychology, Utrecht University, the Netherlands. Electronic address: e.a.m.vandis@amsterdamumc.nl.

Muriel A Hagenaars (MA)

Department of Clinical Psychology, Utrecht University, the Netherlands.

Iris M Engelhard (IM)

Department of Clinical Psychology, Utrecht University, the Netherlands.

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