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Looking beyond fear: the extinction of other emotions implicated in anxiety disorders.
J Anxiety Disord. 2010 Jan; 24(1):63-70.JA

Abstract

Previous research examining anxiety has traditionally focused on models of fear. More recently, attention has been directed to the role of disgust as an important emotion in the context of certain anxiety disorders. Further, it has been suggested that disgust, a form of evaluative responding, may be resistant to extinction and may contribute to relapse. However, previous work on this has largely relied on self-report ratings. In the current experiment, using a disgust conditioning and extinction procedure, disgust reactions were indeed shown to be resistant to extinction, as indexed by both self-report and an objective behavioral measure (visual avoidance). Furthermore, our research shows that individuals with greater levels of disgust sensitivity exhibit heightened resistance to extinction. In addition, expectancy of the disgusting US during extinction was dissociated from measures of disgust responding. Given that the treatment of choice for anxiety disorders (exposure therapy) is based on models of extinction, this research suggests that current treatments for anxiety disorders may not be adequately targeting disgust reactions, a crucial maintaining factor in certain anxiety disorders. As such, this inattention to disgust reactions may reduce the effectiveness of treatment in the short-term or may leave the patient vulnerable to relapse in the long-term.

Authors+Show Affiliations

School of Psychology, University of New South Wales, Sydney, NSW 2052, Australia. emason@psy.unsw.edu.auNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19747796

Citation

Mason, Elizabeth C., and Rick Richardson. "Looking Beyond Fear: the Extinction of Other Emotions Implicated in Anxiety Disorders." Journal of Anxiety Disorders, vol. 24, no. 1, 2010, pp. 63-70.
Mason EC, Richardson R. Looking beyond fear: the extinction of other emotions implicated in anxiety disorders. J Anxiety Disord. 2010;24(1):63-70.
Mason, E. C., & Richardson, R. (2010). Looking beyond fear: the extinction of other emotions implicated in anxiety disorders. Journal of Anxiety Disorders, 24(1), 63-70. https://doi.org/10.1016/j.janxdis.2009.08.007
Mason EC, Richardson R. Looking Beyond Fear: the Extinction of Other Emotions Implicated in Anxiety Disorders. J Anxiety Disord. 2010;24(1):63-70. PubMed PMID: 19747796.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Looking beyond fear: the extinction of other emotions implicated in anxiety disorders. AU - Mason,Elizabeth C, AU - Richardson,Rick, PY - 2009/05/22/received PY - 2009/08/20/revised PY - 2009/08/20/accepted PY - 2009/9/15/entrez PY - 2009/9/15/pubmed PY - 2010/3/3/medline SP - 63 EP - 70 JF - Journal of anxiety disorders JO - J Anxiety Disord VL - 24 IS - 1 N2 - Previous research examining anxiety has traditionally focused on models of fear. More recently, attention has been directed to the role of disgust as an important emotion in the context of certain anxiety disorders. Further, it has been suggested that disgust, a form of evaluative responding, may be resistant to extinction and may contribute to relapse. However, previous work on this has largely relied on self-report ratings. In the current experiment, using a disgust conditioning and extinction procedure, disgust reactions were indeed shown to be resistant to extinction, as indexed by both self-report and an objective behavioral measure (visual avoidance). Furthermore, our research shows that individuals with greater levels of disgust sensitivity exhibit heightened resistance to extinction. In addition, expectancy of the disgusting US during extinction was dissociated from measures of disgust responding. Given that the treatment of choice for anxiety disorders (exposure therapy) is based on models of extinction, this research suggests that current treatments for anxiety disorders may not be adequately targeting disgust reactions, a crucial maintaining factor in certain anxiety disorders. As such, this inattention to disgust reactions may reduce the effectiveness of treatment in the short-term or may leave the patient vulnerable to relapse in the long-term. SN - 1873-7897 UR - https://www.unboundmedicine.com/medline/citation/19747796/Looking_beyond_fear:_the_extinction_of_other_emotions_implicated_in_anxiety_disorders_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0887-6185(09)00180-7 DB - PRIME DP - Unbound Medicine ER -