Abstract
Background
Fear-related disorders are characterized by hyperexcitability in reflexive circuits
and maladaptive associative learning mechanisms. The startle reflex is suited to investigate
both processes, either by probing it under baseline conditions or by deriving it in
fear conditioning studies. In anxiety research, the amplitude of the fear-potentiated
startle has been shown to be influenced by amygdalar circuits and has typically been
the readout of interest. In schizophrenia research, prolonged startle peak latency
under neutral conditions is an established readout, thought to reflect impaired processing
speed. We therefore explored whether startle latency is an informative readout for
human anxiety research.
Methods
We investigated potential similarities and differences of startle peak latency and
amplitude derived from a classical fear conditioning task in a sample of 206 participants
with varying severity levels of anxiety disorders and healthy control subjects. We
first reduced startle response to stable components and regressed individual amygdala
gray matter volumes onto the resulting startle measures. We then probed time, stimulus,
and group effects of startle latency.
Results
We showed that startle latency and startle amplitude were 2 largely uncorrelated measures;
startle latency, but not amplitude, showed a sex-specific association with gray matter
volume of the amygdala; startle latencies showed a fear-dependent task modulation;
and patients with fear-related disorders displayed shorter startle latencies throughout
the fear learning task.
Conclusions
These data provide support for the notion that probing startle latencies under threat
may engage amygdala-modulated threat processing, making them a complementary marker
for human anxiety research.
Keywords
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References
- Stress, glucocorticoids and memory: Implications for treating fear-related disorders.Nat Rev Neurosci. 2016; 18: 7-19
- Fear extinction as a model for translational neuroscience: Ten years of progress.Annu Rev Psychol. 2012; 63: 129-151
- Neurocircuitry models of posttraumatic stress disorder and extinction: Human neuroimaging research—past, present, and future.Biol Psychiatry. 2006; 60: 376-382
- Autonomic dysfunction in posttraumatic stress disorder indexed by heart rate variability: A meta-analysis.Psychol Med. 2020; 50: 1937-1948
- Startle during threat longitudinally predicts functional impairment independent of DSM diagnoses.Psychiatry Res. 2019; 279: 207-215
- EEG spectral analysis in insomnia disorder: A systematic review and meta-analysis.Sleep Med Rev. 2021; 59101457
- Updated meta-analysis of classical fear conditioning in the anxiety disorders.Depress Anxiety. 2015; 32: 239-253
- Phasic vs sustained fear in rats and humans: Role of the extended amygdala in fear vs anxiety.Neuropsychopharmacology. 2010; 35: 105-135
- Committee report: Guidelines for human startle eyeblink electromyographic studies.Psychophysiology. 2005; 42: 1-15
- Emotion, attention, and the startle reflex.Psychol Rev. 1990; 97: 377-395
- Don’t fear ‘fear conditioning’: Methodological considerations for the design and analysis of studies on human fear acquisition, extinction, and return of fear.Neurosci Biobehav Rev. 2017; 77: 247-285
- Measuring learning in human classical threat conditioning: Translational, cognitive and methodological considerations.Neurosci Biobehav Rev. 2020; 114: 1-56
- Lesions of the amygdala, but not of the cerebellum or red nucleus, block conditioned fear as measured with the potentiated startle paradigm.Behav Neurosci. 1986; 100: 11-22
- A direct projection from the central nucleus of the amygdala to the acoustic startle pathway: Anterograde and retrograde tracing studies.Behav Neurosci. 1991; 105: 817-825
- The central extended amygdala in fear and anxiety: Closing the gap between mechanistic and neuroimaging research.Neurosci Lett. 2019; 693: 58-67
- Opposing roles of the amygdala and dorsolateral periaqueductal gray in fear-potentiated startle.Neurosci Biobehav Rev. 1997; 21: 743-753
- The neurofunctional basis of affective startle modulation in humans: Evidence from combined facial electromyography and functional magnetic resonance imaging.Biol Psychiatry. 2020; 87: 548-558
- A meta-analysis of sex differences in human brain structure.Neurosci Biobehav Rev. 2014; 39: 34-50
- Meta-analysis reveals a lack of sexual dimorphism in human amygdala volume.Neuroimage. 2017; 147: 282-294
- Sex differences in the adult human brain: Evidence from 5216 UK biobank participants.Cereb Cortex. 2018; 28: 2959-2975
- Dump the “dimorphism”: Comprehensive synthesis of human brain studies reveals few male-female differences beyond size.Neurosci Biobehav Rev. 2021; 125: 667-697
- Structural, functional, and behavioral significance of sex and gonadal hormones in the basolateral amygdala: A review of preclinical literature.Alcohol. 2022; 98: 25-41
- From circuits to behaviour in the amygdala.Nature. 2015; 517: 284-292
- Sex differences in anxiety disorders: Interactions between fear, stress, and gonadal hormones.Horm Behav. 2015; 76: 106-117
- Test-retest reliability of FreeSurfer-derived volume, area and cortical thickness from MPRAGE and MP2RAGE brain MRI images.Neuroimage Rep. 2022; 2100086
- Affective startle modulation and psychopathology: Implications for appetitive and defensive brain systems.Neurosci Biobehav Rev. 2019; 103: 230-266
- Impaired fear inhibition is a biomarker of PTSD but not depression.Depress Anxiety. 2010; 27: 244-251
- Fear extinction in traumatized civilians with posttraumatic stress disorder: Relation to symptom severity.Biol Psychiatry. 2011; 69: 556-563
- Enhancing effects of contingency instructions on fear acquisition and extinction in anxiety disorders.J Abnorm Psychol. 2017; 126: 378-391
- Anticipatory threat responding: Associations with anxiety, development, and brain structure.Biol Psychiatry. 2020; 87: 916-925
- No robust differences in fear conditioning between patients with fear-related disorders and healthy controls.Behav Res Ther. 2020; 129103610
- Conditioned fear and extinction learning performance and its association with psychiatric symptoms in active duty Marines.Psychoneuroendocrinology. 2015; 51: 495-505
- Latent class growth analyses reveal overrepresentation of dysfunctional fear conditioning trajectories in patients with anxiety-related disorders compared to controls.J Anxiety Disord. 2021; 78102361
- Fear-potentiated startle response as an endophenotype: Evaluating metrics and methods for genetic applications.Psychophysiology. 2019; 56: 1-16
- Heritability of acoustic startle magnitude and latency from the consortium on the genetics of schizophrenia.Schizophr Res. 2020; 224: 33-39
- Heritability of acoustic startle magnitude, prepulse inhibition, and startle latency in schizophrenia and control families.Psychiatry Res. 2010; 178: 236-243
- Habituation of the blink reflex in normals and schizophrenic patients.Psychophysiology. 1982; 19: 1-6
- Stability of the acoustic startle reflex, prepulse inhibition, and habituation in schizophrenia.Schizophr Res. 2002; 55: 129-137
- Startle modification and P50 gating in schizophrenia patients and controls: Russian population.Span J Psychol. 2016; 19: E8
- Affective individual differences and startle reflex modulation.J Abnorm Psychol. 1991; 100: 5-13
- Fear-potentiated startle in humans: Effects of anticipatory anxiety on the acoustic blink reflex.Psychophysiology. 1991; 28: 588-595
- Norepinephrine and impulsivity: Effects of acute yohimbine.Psychopharmacology (Berl). 2013; 229: 83-94
- Yohimbine-facilitated acoustic startle reflex in humans.Psychopharmacology (Berl). 1993; 110: 342-346
- Hyperekplexia, a cause of neonatal apnea: A case report.Brain Dev. 1995; 17: 114-116
- Effects of lorazepam on fear-potentiated startle responses in man.J Psychopharmacol. 2005; 19: 249-258
- Effects of alprazolam on the acoustic startle response in humans.Psychopharmacology (Berl). 1999; 143: 280-285
- The biological classification of mental disorders (BeCOME) study: A protocol for an observational deep-phenotyping study for the identification of biological subtypes.BMC Psychiatry. 2020; 20: 1-25
- DIA-X Interviews (M-CIDI).Swets & Zeitlinger, Frankfurt, Germany1997
- The structure of common mental disorders.Arch Gen Psychiatry. 1999; 56: 921
- Measuring the conditioned response: A comparison of pupillometry, skin conductance, and startle electromyography.Psychophysiology. 2018; 56: 1-16
- Bayesian segmentation of brainstem structures in MRI.Neuroimage. 2015; 113: 184-195
- Amygdalar nuclei and hippocampal subfields on MRI: Test-retest reliability of automated volumetry across different MRI sites and vendors.Neuroimage. 2020; 218116932
- Gating and habituation of the startle reflex in schizophrenic patients.Arch Gen Psychiatry. 1992; 49: 206-215
- Effects of antipsychotics on prepulse inhibition of the startle response in drug-naïve schizophrenic patients.Biol Psychiatry. 2002; 52: 863-873
- Impaired prepulse inhibition of acoustic startle in schizophrenia.Biol Psychiatry. 2000; 47: 662-669
- Amygdala volume correlates positively with fearfulness in normal healthy girls.Soc Cogn Affect Neurosci. 2010; 5: 424-431
- Volumetric associations between amygdala, nucleus accumbens, and socially anxious tendencies in healthy women.Neuroscience. 2018; 374: 25-32
- Smaller volumes in the lateral and basal nuclei of the amygdala in patients with panic disorder.PLoS One. 2018; 13e0207163
- Self-reported neglect, amygdala volume, and symptoms of anxiety in adolescent boys.Child Abuse Negl. 2018; 80: 80-89
- Localized gray matter volume abnormalities in generalized anxiety disorder.Eur Arch Psychiatry Clin Neurosci. 2011; 261: 303-307
- Smaller amygdala is associated with anxiety in patients with panic disorder.Psychiatry Clin Neurosci. 2009; 63: 266-276
- Amygdalar atrophy in panic disorder patients detected by volumetric magnetic resonance imaging.Neuroimage. 2003; 19: 80-90
- Spider phobia is associated with decreased left amygdala volume: A cross-sectional study.BMC Psychiatry. 2013; 13: 70
- Reduced amygdalar and hippocampal size in adults with generalized social phobia.J Psychiatry Neurosci. 2010; 35: 126-131
- Subcortical volume correlates of psychological distress in early adolescence.Dev Neurosci. 2020; 41: 193-202
- Regional gray matter reductions are associated with genetic liability for anxiety and depression: An MRI twin study.J Affect Disord. 2013; 149: 175-181
- Neural correlates of anxiety in healthy volunteers: A voxel-based morphometry study.J Neuropsychiatry Clin Neurosci. 2009; 21: 199-205
- Smaller hippocampal volume in posttraumatic stress disorder: A multisite ENIGMA-PGC study: Subcortical volumetry results from posttraumatic stress disorder consortia.Biol Psychiatry. 2018; 83: 244-253
- Developmental relations between amygdala volume and anxiety traits: Effects of informant, sex, and age.Dev Psychopathol. 2018; 30: 1503-1515
- Childhood socioeconomic status and childhood maltreatment: Distinct associations with brain structure.PLoS One. 2017; 12: 1-16
- Sex differences in trauma-related psychopathology: A critical review of neuroimaging literature (2014–2017).Curr Psychiatry Rep. 2017; 19: 104
- Concordance of genetic variation that increases risk for anxiety disorders and posttraumatic stress disorders and that influences their underlying neurocircuitry.J Affect Disord. 2019; 245: 885-896
Article info
Publication history
Published online: May 13, 2022
Accepted:
April 27,
2022
Received in revised form:
April 26,
2022
Received:
January 21,
2022
Publication stage
In Press Journal Pre-ProofFootnotes
The BeCOME working group includes Elisabeth B. Binder1, Tanja M. Brückl1, Angelika Erhardt2, Norma C. Grandi2, Susanne. Lucae2, Iven A. von Muecke-Heim2, and Julius Ziebula2
1Department of Translational Research in Psychiatry, 2Max Planck Institute of Psychiatry, Munich, Germany.
Identification
Copyright
© 2022 Society of Biological Psychiatry.