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What can we learn on rodent fearfulness/anxiety from the genetically heterogeneous NIH-HS rat stock?
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作者 Sira Diaz-Moran Esther Martinez-Membrives +7 位作者 Regina Lopez-Aumatell Toni Canete Gloria Blazquez Marta Palencia Carme Mont-Cardona Celio Estanislau Adolf Tobena Alberto Fernandez-Teruel 《Open Journal of Psychiatry》 2013年第2期238-250,共13页
The “National Institutes of Health” genetically heterogeneous (NIH-HS) rat stock was created in the 1980s through an eight-way cross of as much as possible separate inbred rat strains (i.e. the MR/N, WN/N, WKY/N, M5... The “National Institutes of Health” genetically heterogeneous (NIH-HS) rat stock was created in the 1980s through an eight-way cross of as much as possible separate inbred rat strains (i.e. the MR/N, WN/N, WKY/N, M520/N, F344/N, ACI/N, BN/SsN and BUF/N strains) which were readily available at that time. Hansen and Spuhler [1] developed a more naturalistic, genetically heterogeneous rat stock with the aim of optimizing the distribution of genotypic frequencies and recombination and under the hypothesis that the NIH-HS stock could yield a broad-range distribution of responses (broader than commonly used laboratory rat strains) to experimental conditions, and thus serve as a base population for selection studies. Along the last decade, in a series of studies we have phenotypically characterized the NIH-HS rat stock (a colony exists at our laboratory since 2004) for their anxiety/fearfulness profiles (using a battery of both unconditioned and conditioned tests/tasks), as well as regarding their stress-induced hormonal responses, coping style under inescapable stress and spatial learning ability. We have also compared the phenotypic profiles of NIH-HS rats with those of the low anxious RHA-I and the high anxious RLA-I rat strains. The NIH-HS rat stock is, as a population, a rather anxious type of rat, with predominantly reactive/passive coping style in unlearned and learned anxiety/fear tests, and elevated stress hormone responses (as well as enhanced “depressive” symptoms in the forced swimming test). Genetic studies currently under way have thus far revealed that the genetically heterogeneous NIH-HS rat stock constitutes a unique tool for fine mapping of QTL (for multiple behavioural and biological complex traits) to megabase resolution levels, thus enabling candidate gene identification. We give some examples of this in the present paper, while also highlighting that microarray gene expression studies reveal that HPA-axis- and prolactin-related genes (among others) in the amygdala appear to be related with (or associated to) the coping style and anxiety/fearfulness responses of NIH-HS rats. 展开更多
关键词 ANXIETY fearfulness Stress Hormones HPA Axis Responses Forced Swimming Test Genetically Heterogeneous NIH-HS Stock RHA-I/RLA-I Rats
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A Transient Fear Reduction by Pair-Exposure with a Non-Fearful Partner during Fear Extinction Independent from Corticosterone Level in Mice
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作者 Haruna Tomizawa Daisuke Matsuzawa +3 位作者 Shingo Matsuda Daisuke Ishii Chihiro Sutoh Eiji Shimizu 《Journal of Behavioral and Brain Science》 2013年第5期415-421,共7页
Social interaction is known to alter behavior and emotional responses to various events. It has been reported that when fear-conditioned animals are put in a fear extinction paradigm with non-fearful conspecifics (pai... Social interaction is known to alter behavior and emotional responses to various events. It has been reported that when fear-conditioned animals are put in a fear extinction paradigm with non-fearful conspecifics (pair-exposure), freezing behavior decreases compared to a solitary situation. However, it remains unclear whether pair-exposure during fear extinction is persistently effective in reducing the freezing response. In this study, we examined whether the effect of pair-exposure could be persistently effective on cued and contextual fear extinction. The reduction of the fear compared to the solitary condition was transiently observed only in the cued fear extinction with no difference in the subsequent recall session. We also found that the correlation between corticosterone levels and freezing behavior during extinction was disrupted in the pair-exposure situation. These results suggest that pair-exposure reduces freezing behavior in cued fear extinction, although this fear response reduction is not persistent. The pair-exposure changed an association between corticosterone levels and freezing behavior during extinction. 展开更多
关键词 Social BUFFERING Pair-Exposure FEAR Extinction CORTICOSTERONE
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DNA methylation regulates the extinction of fear memory 被引量:1
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作者 Le Jiang Rui-Xue Ma +11 位作者 Er-Shu He Xiao-Ye Zheng Xin Peng Wen-Hao Ma Ying Li Han-Wei li Xue-Yan Zhang Jie-Yu Ji Yan-Jiao Li Shang-Lan Qu Li-Juan Li Zhi-Ting Gong 《World Journal of Psychiatry》 2025年第7期273-283,共11页
BACKGROUND Fear-related disorders,such as post-traumatic stress disorder(PTSD),significantly impact patients and families.Exposure therapy is a common treatment,but imp-roving its effectiveness remains a key challenge... BACKGROUND Fear-related disorders,such as post-traumatic stress disorder(PTSD),significantly impact patients and families.Exposure therapy is a common treatment,but imp-roving its effectiveness remains a key challenge.Fear conditioning and extinction in animal models offer insights into its mechanisms.Our previous research indi-cates that DNA methyltransferases play a role in fear memory renewal.AIM To investigate the role of DNA methylation in the extinction of fear memory,with the goal of identifying potential strategies to enhance the efficacy of exposure therapy for fear-related disorders.METHODS This study investigated the role of DNA methylation in fear memory extinction in mice.DNA methylation was manipulated using N-phthalyl-L-tryptophan(RG108)to reduce methylation and L-methionine injections to enhance it.Neuronal activity,and dendritic spine density was measured following extinction training.RESULTS RG108 suppressed extinction,reduced spine density,and inhibited neuronal activity.Methionine injections facilitated extinction.CONCLUSION DNA methylation is crucial for fear memory extinction.Enhancing methylation may improve the efficacy of exposure therapy,offering a potential strategy to treat fear-related disorders. 展开更多
关键词 RG108 DNA methylation Fear memory Exposure therapy EXTINCTION
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Return to work in young and middle-aged colorectal cancer survivors:Factors influencing self-efficacy,fear,resilience,and financial toxicity
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作者 Dan Hu Yue Li +6 位作者 Hua Zhang Lian-Lian Wang Wen-Wen Liu Xin Yang Ming-Zhao Xiao Hao-Ling Zhang Juan Li 《World Journal of Gastroenterology》 SCIE CAS 2025年第1期79-92,共14页
BACKGROUND Return to work(RTW)serves as an indication for young and middle-aged colorectal cancer(CRC)survivors to resume their normal social lives.However,these survivors encounter significant challenges during their... BACKGROUND Return to work(RTW)serves as an indication for young and middle-aged colorectal cancer(CRC)survivors to resume their normal social lives.However,these survivors encounter significant challenges during their RTW process.Hence,scientific research is necessary to explore the barriers and facilitating factors of returning to work for young and middle-aged CRC survivors.AIM To examine the current RTW status among young and middle-aged CRC survivors and to analyze the impact of RTW self-efficacy(RTW-SE),fear of progression(FoP),eHealth literacy(eHL),family resilience(FR),and financial toxicity(FT)on their RTW outcomes.METHODS A cross-sectional investigation was adopted in this study.From September 2022 to February 2023,a total of 209 participants were recruited through a convenience sampling method from the gastrointestinal surgery department of a class A tertiary hospital in Chongqing.The investigation utilized a general information questionnaire alongside scales assessing RTW-SE,FoP,eHL,FR,and FT.To analyze the factors that influence RTW outcomes among young and middle-aged CRC survivors,Cox regression modeling and Kaplan-Meier survival analysis were used.RESULTS A total of 43.54%of the participants successfully returned to work,with an average RTW time of 100 days.Cox regression univariate analysis revealed that RTW-SE,FoP,eHL,FR,and FT were significantly different between the non-RTW and RTW groups(P<0.05).Furthermore,Cox regression multivariate analysis identified per capita family monthly income,job type,RTW-SE,and FR as independent influencing factors for RTW(P<0.05).CONCLUSION The RTW rate requires further improvement.Elevated levels of RTW-SE and FR were found to significantly increase RTW among young and middle-aged CRC survivors.Health professionals should focus on modifiable factors,such as RTW-SE and FR,to design targeted RTW support programs,thereby facilitating their timely reintegration into mainstream society. 展开更多
关键词 Return to work Colorectal neoplasms Return-to-work self-efficacy Fear of progression Family resilience Financial toxicity
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Glutamatergic CYLD deletion leads to aberrant excitatory activity in the basolateral amygdala:association with enhanced cued fear expression
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作者 Huidong Li Faqin Li +8 位作者 Zhaoyi Chen Erwen Wu Xiaoxi Dai Danni Li Haojie An Shiyi Zeng Chunyan Wang Li Yang Cheng Long 《Neural Regeneration Research》 SCIE CAS 2025年第11期3259-3272,共14页
Neuronal activity,synaptic transmission,and molecular changes in the basolateral amygdala play critical roles in fear memory.Cylindromatosis(CYLD)is a deubiquitinase that negatively regulates the nuclear factor kappa-... Neuronal activity,synaptic transmission,and molecular changes in the basolateral amygdala play critical roles in fear memory.Cylindromatosis(CYLD)is a deubiquitinase that negatively regulates the nuclear factor kappa-B pathway.CYLD is well studied in non-neuronal cells,yet underinvestigated in the brain,where it is highly expressed.Emerging studies have shown involvement of CYLD in the remodeling of glutamatergic synapses,neuroinflammation,fear memory,and anxiety-and autism-like behaviors.However,the precise role of CYLD in glutamatergic neurons is largely unknown.Here,we first proposed involvement of CYLD in cued fear expression.We next constructed transgenic model mice with specific deletion of Cyld from glutamatergic neurons.Our results show that glutamatergic CYLD deficiency exaggerated the expression of cued fear in only male mice.Further,loss of CYLD in glutamatergic neurons resulted in enhanced neuronal activation,impaired excitatory synaptic transmission,and altered levels of glutamate receptors accompanied by over-activation of microglia in the basolateral amygdala of male mice.Altogether,our study suggests a critical role of glutamatergic CYLD in maintaining normal neuronal,synaptic,and microglial activation.This may contribute,at least in part,to cued fear expression. 展开更多
关键词 basolateral amygdala cued fear expression cylindromatosis deubiquitinase glutamate receptor 1 glutamatergic neuron microglial activation N-methyl-D-aspartate receptor 1 neuronal activation synaptic transmission
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Mapping Fear-Related Neural Activity and Circuitry Changes Following Prophylactic Administration of(R,S)-Ketamine and(2S,6S)-Hydroxynorketamine
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作者 Minzhu Li Li Cheng 《Neuroscience Bulletin》 2025年第5期925-928,共4页
Fear memory,a predictive and protective mechanism in potentially hostile environments,elicits defensive behavioral responses that have evolved to help organisms avoid harm and ensure survival.However,excessive fear me... Fear memory,a predictive and protective mechanism in potentially hostile environments,elicits defensive behavioral responses that have evolved to help organisms avoid harm and ensure survival.However,excessive fear memories may contribute to the onset of various psychological disorders,such as panic disorder,phobias,and post-traumatic stress disorder(PTSD). 展开更多
关键词 fear memories prophylactic administration psychological disorderssuch fear memorya fear related circuitry changes panic disorderphobiasand neural activity
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Stress-Induced Endogenous Cannabinoid Signaling Contributes to Fear Generalization
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作者 Yanan Yue Xia Zhang Yuan Dong 《Neuroscience Bulletin》 2025年第6期1123-1126,共4页
The phenomenon of fear memory generalization can be defined as the expansion of an individual's originally specific fear responses to a similar yet genuinely harmless stimulus or situation subsequent to the occurr... The phenomenon of fear memory generalization can be defined as the expansion of an individual's originally specific fear responses to a similar yet genuinely harmless stimulus or situation subsequent to the occurrence of a traumatic event[1].Fear generalization within the normal range represents an adaptive evolutionary mechanism to facilitate prompt reactions to potential threats and to enhance the likelihood of survival. 展开更多
关键词 STRESS adaptive mechanism originally specific fear responses fear memory generalization endogenous cannabinoid signaling fear generalization adaptive evolutionary mechanism enhance likelihood survival
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Histamine H1 Receptor in Medial Septum Cholinergic Circuit: New Hope for Fear-related Disorders?
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作者 Kang Liu 《Neuroscience Bulletin》 2025年第4期737-740,共4页
Fear memory is crucial for survival and adaptation in complex and dynamically changing environments that enables individuals to avoid or escape from potentially dangerous situations.However,excessive fear memories can... Fear memory is crucial for survival and adaptation in complex and dynamically changing environments that enables individuals to avoid or escape from potentially dangerous situations.However,excessive fear memories can significantly contribute to emotional disabilities and mental disorders,including panic disorder,phobias,social anxiety disorder,and post-traumatic stress disorder(PTSD). 展开更多
关键词 cholinergic circuit medial septum fear memories panic disorderphobiassocial fear related disorders histamine H receptor fear memory mental disordersincluding
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Progress in spatiotemporal regulation of fear memory:neural circuit mechanisms and implications for PTSD
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作者 Ruoshui Xu Dongdong Shi +3 位作者 Kai Wang Qian Yang Peng Cao Zhen Wang 《General Psychiatry》 2025年第4期260-267,共8页
Post-traumatic stress disorder(PTSD)is a severe neuropsychiatric disorder characterised by reexperiencing,avoidance and hyperarousal.Memory abnormalities manifested as intrusive thoughts and prolonged distressful emot... Post-traumatic stress disorder(PTSD)is a severe neuropsychiatric disorder characterised by reexperiencing,avoidance and hyperarousal.Memory abnormalities manifested as intrusive thoughts and prolonged distressful emotions are postulated as key roles in PTSD development and persistence.Over the past decades,convergent results from human and animal studies have systematically investigated contributions of the amygdala,hippocampus and medial prefrontal cortex(mPFC)in fear memory processes,including fear acquisition,storage,reconsolidation and extinction.These findings provide mechanistic insights for cognitive-behavioural therapy and aid in developing pathological region-targeted neuromodulation treatment for PTSD.Taking advantage of advances in cell-type selective labelling and manipulation technologies,recent studies have focused on the spatiotemporal regulation of neural circuits underlying distinct phases of fear memory processes.These findings have revealed that multiple distributed brain areas participate in the fear memory encoding network.Moreover,the functional role of distinct neuronal ensembles within the amygdala-hippocampus-mPFC pathway,identified by genetic markers and projection profiles,has been assigned to temporally separate features of fear processing,demonstrating the sophistication of the fear encoding circuit.These results provide mechanistic insights into PTSD pathology and might shed light on aetiology-based clinical interventions for PTSD.Therefore,the present review will mainly focus on the recent progress in elucidating neural circuit mechanisms underlying the dynamic regulation of fear memory,with an emphasis on the spatial distribution of fear memory encoding neural networks and the temporal coherence between neuronal ensemble activity and fear expression. 展开更多
关键词 human animal studies spatiotemporal regulation intrusive thoughts neural circuit mechanisms fear memory medial prefrontal cortex mpfc PTSD fear acquisit
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Effect of Family-Centered Prenatal Education on Anticipatory Fear of Childbirth Among Primigravida Mothers
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作者 Min Fang Josefina E.Florendo 《Journal of Clinical and Nursing Research》 2025年第12期396-412,共17页
Objectives:Childbirth fear affects 34.2%of Chinese primigravida women,leading to adverse birth outcomes.Family-centered prenatal education(FCPE)may reduce fear through enhanced support systems.Methods:This quasiexperi... Objectives:Childbirth fear affects 34.2%of Chinese primigravida women,leading to adverse birth outcomes.Family-centered prenatal education(FCPE)may reduce fear through enhanced support systems.Methods:This quasiexperimental study examined the effectiveness of FCPE among 120 primigravida women(14–20 weeks’gestation)at Yancheng Third People’s Hospital.Participants with elevated Childbirth Fear Questionnaire(CFQ)scores(≥81)were assigned to either the experimental group(FCPE+standard care,n=60)or the control group(standard care only,n=60).FCPE consisted of five weekly 2-hour sessions involving pregnant women and family members.Results:Both groups showed moderate baseline fear levels(experimental:85.68±6.30;control:88.57±6.41,p=0.112).Post-intervention,the experimental group achieved significantly lower fear scores(80.43±8.53 vs.87.35±6.91,p=0.001,Cohen’s d=0.88).58.3%of experimental participants transitioned to low fear levels,compared to 16.7%in the control group.Educational level significantly moderated the outcomes within the experimental group(p=0.031).Conclusion:FCPE effectively reduces anticipatory childbirth fear with a large effect size,supporting implementation in Chinese prenatal care for improving maternal psychological well-being. 展开更多
关键词 Anticipatory childbirth fear Family-centered prenatal education PRIMIGRAVIDA Childbirth fear questionnaire China
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Effects of the“Internet+”nursing model based on user profilingon postoperative recovery in breast cancer:A prospective randomized controlled clinical trial
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作者 Xiuyuan Xie Yuanfang Ren +8 位作者 Jia Yao Yujie Fei Fenghe Liu Qian Tong Juanjuan Huang Meihong Kou Cuifeng Jin Weijuan Yang Haiping Xu 《International Journal of Nursing Sciences》 2025年第4期361-368,I0003,I0004,共10页
Objectives:This study aimed to explore the effectiveness and advantages of an“Internet+”nursing model based on user profilingin the rehabilitation of postoperative breast cancer patients.Methods:Breast cancer patien... Objectives:This study aimed to explore the effectiveness and advantages of an“Internet+”nursing model based on user profilingin the rehabilitation of postoperative breast cancer patients.Methods:Breast cancer patients admitted to the hospital from July 2023 to September 2024 were enrolled.These patients were randomly assigned to a control group and an intervention group,with 52 patients in each group.The control group received routine nursing care,while the intervention group received an“Internet+”nursing intervention based on user profilingin addition to routine care.The intervention period lasted for one month following discharge.Before and one month after the intervention,the Fear of Progression Questionnaire-Short Form(FOP-Q-SF),the Fear of Cancer Recurrence Inventory-Short Form(FCRI-SF),Chinese Posttraumatic Growth Inventory(C-PTGI),and the Functional Assessment of Cancer Therapy-Breast(FACT-B)were applied to assess the effects of interventions.Results:A total of 104 patients were analyzed.After the intervention,FOP-Q-SF and FCRI-SF scores were significantlylower in the intervention group compared to the control group,with statistical significance(t=3.98,P<0.001;t=-7.59,P<0.001),and Cohen’s d of 0.781 and 1.49,respectively.Additionally,CPTGI and FACT-B scores in the intervention group were significantly higher than those in the control group(t=-6.534,P<0.001;t=-4.579,P<0.001),with Cohen’s d of 0.585 and 0.656.Conclusions:An“Internet+”nursing model based on user profilingcould reduce postoperative breast cancer patients fear of disease progression and cancer recurrence,also enhancing posttraumatic growth and overall quality of life. 展开更多
关键词 User profiling Internet+ Breast cancer Fear of disease progression Fear of cancer recurrence Post-traumatic growth Quality of life
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Prevalence of fear of childbirth,its risk factors and birth outcomes in Australian multiparous women
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作者 Rui-Xin Li Farnoosh Asgharvahedi Marjan Khajehei 《World Journal of Obstetrics and Gynecology》 2025年第1期1-16,共16页
BACKGROUND Fear of childbirth(FoC)is a widespread issue that impacts the health and well-being of mothers and newborns.However,there is inconsistency regarding the prevalence of FoC in the and there is limited researc... BACKGROUND Fear of childbirth(FoC)is a widespread issue that impacts the health and well-being of mothers and newborns.However,there is inconsistency regarding the prevalence of FoC in the and there is limited research on the prevalence of FoC among Australian pregnant women.AIM To investigate the prevalence of FoC,its risk factors and birth outcomes in Aust-ralian multiparous women.METHODS In this prospective cohort quantitative study,212 multiparous women were re-cruited from antenatal clinics at Westmead Hospital in western Sydney from 2019 to 2022.Pregnant women who attended antenatal visits and met the inclusion criteria signed the consent forms and completed several online questionnaires at baseline.After they gave birth,their birth outcomes were collected from the hospital’s medical record database.The data were analyzed using SPSS software and descriptive statistics,χ^(2)test,independent samples t-test,and multivariable logistic regression analysis.RESULTS Out of 212 participants,24%experienced a high level of FoC and 7%experienced severe FoC.Theχ^(2)test results revealed that a family income of≤$100000,no alcohol intake during pregnancy,pre-existing health problems,previous caesarean section(emergency or planned),and previous neutral/traumatic childbirth experiences were significantly associated with higher levels of FoC(P<0.05).Other risk factors included being moderately to very worried and fearful about the upcoming birth,having severe to extremely severe anxiety throughout pregnancy,and expressing low relationship satisfaction.According to multivariable logistic regression,the odds of a high level of FoC were higher in women with anxiety,a history of traumatic childbirth experience,a history of sexual assault during childhood,pre-existing health problems,and lower relationship satisfaction(P<0.05).CONCLUSION High-severe levels of FoC are experienced by pregnant multiparous women and are affected by several demo-graphic factors.However,due to the small sample size in the present study,further studies with larger sample sizes are required to draw a firm conclusion on the prevalence of severe FoC among multiparous women and its associated risk factors and birth outcomes. 展开更多
关键词 ANTENATAL ANXIETY Depression Fear of childbirth Mental health PREGNANCY PREVALENCE Stress
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Efficacy of relaxation techniques in reducing preoperative anxiety and fear in general surgery patients:A quasi-experimental study
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作者 Seyed Ali RAZAVINASAB Batool ZEIDABADI +3 位作者 Reza SADEGH Iman NOSRATABADI Parniya ABOLGHASEMINEJAD Mohammd Moqaddasi AMIRI 《Journal of Integrative Nursing》 2025年第4期211-218,共8页
Objective:The study aimed to investigate the effect of relaxation techniques in reducing fear and anxiety in patients in need of general surgery.Materials and Methods:This quasi-experimental study with a pre-post cont... Objective:The study aimed to investigate the effect of relaxation techniques in reducing fear and anxiety in patients in need of general surgery.Materials and Methods:This quasi-experimental study with a pre-post control group design was conducted on 120 patients requiring general surgery at Saman Al-Hojjaj Hospital in Sirjan County.Patients were selected using convenience sampling and randomly assigned to the intervention group(n=60)and control group(n=60).The intervention group was taught box breathing and progressive muscle relaxation techniques by a senior psychiatric nursing expert for 15-20 min every 4 h until surgery.The control group received routine care for surgery.Data on fear and anxiety outcomes were collected using the Spielberger State-Trait Anxiety Inventory and the Surgical Fear Questionnaire.Results:The intervention group had a mean total fear score of 29.27±12.69 compared to 37.20±16.39 in the control group(P=0.012),with significant reductions in both short-term(13.57±5.93 vs.15.98±8.90;P=0.209,Cohen’s d=0.32)and long-term(15.70±7.19 vs.21.22±9.11;P=0.001,Cohen’s d=0.66)fear components(total fear:P=0.012,Cohen’s d=0.54).The total anxiety score was 91.88±6.28 in the control group and 93.60±3.62 in the intervention group,with trait anxiety significantly reduced in the intervention group(P=0.039,Cohen’s d=0.41)postintervention,but no significant change in state anxiety(P=0.577,Cohen’s d=0.16).Conclusions:Relaxation techniques significantly alleviate preoperative psychological distress,effectively reducing fear and anxiety in general surgery patients.These cost-effective,non-invasive methods enhance recovery and reduce healthcare costs.We recommend training healthcare providers to implement these techniques for optimal patient outcomes. 展开更多
关键词 ANXIETY FEAR general surgery psychological distress relaxation techniques
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How Fear Memory is Updated:From Reconsolidation to Extinction?
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作者 Jiahui Chen Zhuowen Fang +2 位作者 Xiaolan Zhang Yanrong Zheng Zhong Chen 《Neuroscience Bulletin》 2025年第6期1054-1084,共31页
Post-traumatic stress disorder(PTSD)is a psychiatric disorder caused by traumatic past experiences,rooted in the neurocircuits of fear memory formation.Memory processes include encoding,storing,and recalling to forget... Post-traumatic stress disorder(PTSD)is a psychiatric disorder caused by traumatic past experiences,rooted in the neurocircuits of fear memory formation.Memory processes include encoding,storing,and recalling to forgetting,suggesting the potential to erase fear memories through timely interventions.Conventional strategies such as medications or electroconvulsive therapy often fail to provide permanent relief and come with significant side-effects.This review explores how fear memory may be erased,particularly focusing on the mnemonic phases of reconsolidation and extinction.Reconsolidation strengthens memory,while extinction weakens it.Interfering with memory reconsolidation could diminish the fear response.Alternatively,the extinction of acquired memory could reduce the fear memory response.This review summarizes experimental animal models of PTSD,examines the nature and epidemiology of reconsolidation to extinction,and discusses current behavioral therapy aimed at transforming fear memories to treat PTSD.In sum,understanding how fear memory updates holds significant promise for PTSD treatment. 展开更多
关键词 Post-traumatic stress disorder Fear memory RECONSOLIDATION EXTINCTION Engram
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Construction of a psychological intervention program to support fear of recurrence in patients with cervical cancer
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作者 Jiao Ma Hui Xu +4 位作者 Bin Yang Xue Han Qin Chen Xin-Ying He Cheng-Ping Qiao 《World Journal of Psychiatry》 2025年第12期326-337,共12页
BACKGROUND Cervical cancer,a prevalent gynecological malignancy,exhibits recurrence rates of 30%-50%post-treatment,with recurrent cases facing a dire 10%-20%long-term survival rate,severely impacting patients’mental ... BACKGROUND Cervical cancer,a prevalent gynecological malignancy,exhibits recurrence rates of 30%-50%post-treatment,with recurrent cases facing a dire 10%-20%long-term survival rate,severely impacting patients’mental health and quality of life.Fear of cancer recurrence(FCR)emerges as a critical psychological challenge,often leading to anxiety,social avoidance,and even suicidal tendencies.Despite its high prevalence,structured,evidence-based interventions for FCR in cervical cancer remain scarce,with most studies focusing on general psychological support rather than targeted strategies.The fear of progression theory provides a theoretical framework,highlighting cognitive-emotional conflicts arising from perceived threats of disease recurrence.Addressing this gap,this study developed a specialized,phased psychological intervention program grounded in fear of progression theory,aiming to reduce FCR and enhance resilience in cervical cancer survivors through multi-disciplinary strategies.AIM To establish a psychological intervention program to support the fear of cervical cancer recurrence and to alleviate the psychological pressure of patients after cervical cancer surgery.METHODS Thirteen experts were selected to conduct two rounds of correspondence through literature review and group discussions to amend the psychological intervention draft and form the basis for the psychological intervention.The selected experts also performed two rounds of correspondence to revise the psychological intervention draft and outline the first draft,and pre-experiments were conducted for further improvement of the psychological intervention program.Experiments were performed in 80 patients with cervical cancer to further improve the psychological intervention program of relapse fear support.RESULTS The expert authority coefficient of the first and second rounds was higher than 0.8,indicating high authority.The coordination coefficient>0.8 indicated high consistency with high significance(all P<0.05).The FCR Inventory,Kessler Psychological Distress Scale,Psychological Distress Thermometer,and General Hospital Anxiety and Depression Scale scores at 3 and 6 months in the study group were lower than those of the control group,and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 and Perceived Social Support Scale scores were higher than those of the control group(P<0.05).CONCLUSION The psychological intervention program of relapse fear support which considers the individual differences between patients and expert opinions,has a good scientific and practical basis,and can be used to enhance the quality of life of patients. 展开更多
关键词 Cervical cancer RECURRENCE FEAR SUPPORT Psychological intervention
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Fostering Student Metaphorical Thinking in EFL Reading Classes Through the Method of Constructing a Text Associative-Semantic Field
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作者 Daria Zhgun 《Sino-US English Teaching》 2025年第3期67-81,共15页
The present study explores the importance of developing metaphorical thinking skills in students within the framework of English as a Foreign Language(EFL)reading courses at the tertiary educational level.Metaphorical... The present study explores the importance of developing metaphorical thinking skills in students within the framework of English as a Foreign Language(EFL)reading courses at the tertiary educational level.Metaphorical thinking is viewed as the ability to envisage the world figuratively,perceive associatively,and express oneself creatively.It is crucial to recognize metaphors in texts,interpret the complex images they evoke,and generate new metaphors.It is especially needful in the current era of clip thinking and fragmented information processing when students often approach content superficially rather than comprehensively,leading to decreased cognitive activity and a diminished capacity to understand literature.To foster metaphorical thinking,the paper suggests building a text associative-semantic field focusing on metaphors.Due to its hierarchical structure,which can be envisioned as a dense nucleus surrounded by a central region of synonyms and further enveloped by a periphery of more loosely associated linguistic units,the text associative-semantic field is seen as a potent solution for facilitating improved visualization and more holistic comprehension of information,allowing students for expanding their vocabulary and strengthening associative connections.Notably,the study highlights analyzing the metaphors of emotional states as they contribute significantly to a more profound interpretation of the text,understanding the writer’s unique style,deepening the students’engagement with the book,and expanding their emotional experiences. 展开更多
关键词 EFL reading FICTION clip thinking METAPHOR metaphorical thinking emotion FEAR text associative-semantic field
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Fertility anxiety partially mediates depression and recurrence fear in reproductive-age cervical cancer patients:A cross-sectional study
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作者 Xin-Ying He Ying Huang +4 位作者 Cheng-Ping Qiao Jiao Ma Xue Han Xue-Mei Fan Qin Chen 《World Journal of Clinical Oncology》 2025年第9期177-185,共9页
BACKGROUND Cervical cancer survivors of childbearing age often face heightened reproductive anxiety due to the direct impact of the disease and its treatments on fertility.This anxiety may exacerbate psychological bur... BACKGROUND Cervical cancer survivors of childbearing age often face heightened reproductive anxiety due to the direct impact of the disease and its treatments on fertility.This anxiety may exacerbate psychological burdens,including depressive symptoms and fear of recurrence,significantly impacting quality of life.AIM To examine whether reproductive concerns partially mediate the relationship between depressive symptoms and fear of recurrence in cervical cancer patients of childbearing age.METHODS Utilizing a cross-sectional design with convenience sampling,208 eligible cervical cancer patients(aged 18-45 years,stable condition,and aware of diagnosis)from three tertiary hospitals completed validated questionnaires:The Reproductive Concerns After Cancer Scale,Patient Health Questionnaire-9,and Fear of Cancer Recurrence Questionnaire.Structural equation modeling was used to assess the mediating role of reproductive concerns in the relationship between depression and fear of recurrence.RESULTS Reproductive concerns demonstrated significant positive correlations with depression(r=0.477,P<0.001)and fear of recurrence(r=0.426,P<0.001).Structural equation modeling analysis revealed that reproductive concerns acted as a significant partial mediator between depression and fear of recurrence.The indirect effect via reproductive concerns was significant(β_indirect=0.152,P<0.001),accounting for 28.1% of the total effect of depression on fear of recurrence.CONCLUSION Identified path reveals fertility anxiety links depression to recurrence fear.Targeted psych interventions for repro concerns may ease both in childbearing cervical cancer survivors. 展开更多
关键词 Uterine cervical neoplasms DEPRESSION FEAR Fertility preservation Mediation analysis Reproductive age
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DNA methylation as a new frontier in treating fear-related disorders:A need for careful evaluation
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作者 Xiao-Ling Huang De-Fang Chen +4 位作者 Ying Wang Yi-Ning Zhang Ntim Michael Yu-Song Ge Bin Wang 《World Journal of Psychiatry》 2025年第11期10-18,共9页
In the contemporary research landscape of mental illness treatment,fear-related disorders such as post-traumatic stress disorder continue to pose significant challenges.Although exposure therapy remains a fundamental ... In the contemporary research landscape of mental illness treatment,fear-related disorders such as post-traumatic stress disorder continue to pose significant challenges.Although exposure therapy remains a fundamental component of treatment,its efficacy varies considerably among individuals.DNA methylation plays a pivotal role in the extinction of fear memories,providing a promising molecular mechanism that could enhance the success of exposure-based interventions.Extensive studies have consistently demonstrated a substantial association between DNA methylation and neuronal plasticity.While DNA methylation holds potential regulatory effects on the effectiveness of exposure therapy,the bidirectional regulatory relationship between it and neuronal activity necessitates addressing several challenges before its widespread clinical application for mental disorders.First,excessive DNA methylation may suppress neural function,and non-selective enhancement of methylation could be counterproductive.Furthermore,due to potential systemic side effects,the use of methylation-modulating agents might disrupt the physiological balance and functionality of other organs and systems.Despite the dynamic interplay between DNA methylation and neuronal activity offering novel insights into the treatment of mental disorders, the strict consideration of target specificity and an appropriate dosing window requirescautious implementation in clinical practice. 展开更多
关键词 DNA methylation Fear extinction Exposure therapy Fear-related disorders Neuronal plasticity Epigenetic regulation
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Aromatherapy Combined with Emotional Freedom Techniques on Fear of Recurrence and Sleep Quality in Lung Cancer Survivors
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作者 Haiying Xu Wei Xiao 《Journal of Clinical and Nursing Research》 2025年第10期371-377,共7页
Objective:This study aimed to explore the effect of aromatherapy combined with emotional release technology on recurrence fear and sleep quality of lung cancer survivors.Methods:114 cases of lung cancer survivors were... Objective:This study aimed to explore the effect of aromatherapy combined with emotional release technology on recurrence fear and sleep quality of lung cancer survivors.Methods:114 cases of lung cancer survivors were divided into routine nursing group,emotional release technology group and aromatherapy combined with emotional release technology group.Routine nursing group received routine nursing;Emotional release technology group implemented emotional release technology for one month on the basis of routine nursing group;Aromatherapy combined with emotional release technology group used lavender aromatherapy on the basis of emotional release technology group.Results:After one month of intervention,there were statistically significant differences in the scores of fear of disease progression and sleep quality among the three groups.Conclusion:Aromatherapy combined with emotional release technology can improve the sleep quality of lung cancer survivors and reduce the economic toxicity of cancer to some extent. 展开更多
关键词 Emotional freedom technology LAVENDER Lung cancer Fear of relapse Sleep
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The sound of fear is heritable
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作者 Daniel T.Blumstein Natalie Vu +2 位作者 Megan Edic Linh Vo Julien G.A.Martin 《Current Zoology》 2025年第1期49-53,共5页
The nonlinearity and fear hypothesis predicts that highly aroused vocal mammals and birds produce vocalizations(notably alarm calls and screams)which contain a variety of nonlinear phenomena(NLP).Such vocalizations of... The nonlinearity and fear hypothesis predicts that highly aroused vocal mammals and birds produce vocalizations(notably alarm calls and screams)which contain a variety of nonlinear phenomena(NLP).Such vocalizations often sound“noisy”because vocal production systems are over-blown when animals are highly aroused.While much is known about the conditions under which animals produce vocalizations containing NLP and how species respond to them,there is little research about the heritability of such behavioral traits.Using the quantitative genetic animal model,we estimated the genetic basis of“noise”in alarm calls produced by females and found significant heritability in call entropy-our measure of the noisiness.About 9%of the variance in noisiness can be accounted for by genetic differences.Taken together,these findings suggest that the degree to which marmots produce noisy calls is modestly heritable and can be thus subject to further evolution via natural selection. 展开更多
关键词 acoustic communication animal model fear communication heritability of vocalizations yellow-bellied marmot
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