Impact of predatory threat on fear extinction in Lewis rats

Humans with post-traumatic stress disorder (PTSD) are deficient at extinguishing conditioned fear responses. A study of identical twins concluded that this extinction deficit does not predate trauma but develops as a result of trauma. The present study tested whether the Lewis rat model of PTSD reproduces these features of the human syndrome. Lewis rats were subjected to classical auditory fear conditioning before or after exposure to a predatory threat that mimics a type of traumatic stress that leads to PTSD in humans. Exploratory behavior on the elevated plus maze 1 wk after predatory threat exposure was used to distinguish resilient vs. PTSD-like rats. Properties of extinction varied depending on whether fear conditioning and extinction occurred before or after predatory threat. When fear conditioning was carried out after predatory threat, PTSD-like rats showed a marked extinction deficit compared with resilient rats. In contrast, no differences were seen between resilient and PTSD-like rats when fear conditioning and extinction occurred prior to predatory threat. These findings in Lewis rats closely match the results seen in humans with PTSD, thereby suggesting that studies comparing neuronal interactions in resilient vs. at-risk Lewis rats might shed light on the causes and pathophysiology of human PTSD.Following a severe traumatic event, some individuals manifest a syndrome, known as post-traumatic stress disorder (PTSD), characterized by repeated painful recollection of the trauma, avoidance of trauma reminders, intrusive thoughts, startle, hyperarousal, and disturbed sleep. Lifetime prevalence of PTSD ranges from 1.4% to 11.2% in representative samples (Afifi et al. 2010). Review of heritability studies indicate that there is a significant genetic component to PTSD (Nugent et al. 2008) as shared genes explain approximately 25%–38% of variability in PTSD symptom clusters and total symptoms (Afifi et al. 2010). Moreover, PTSD heritability coincides with that of other psychiatric conditions such as generalized anxiety, panic disorder, and depression (Chantarujikapong et al. 2001; Fu et al. 2007), suggesting that these disorders gain expression through common biological pathways.Although our understanding of PTSD has improved recently, we still have a limited grasp of the factors that predispose some to be at risk for PTSD, as well as those contributing to PTSD expression following trauma. In part, this situation results from the ethical limitations associated with human studies. For example, humans cannot be randomly assigned to trauma, and, importantly, the invasive techniques required to study the pathophysiology of PTSD can be used only in animals. Thus, a promising approach toward understanding the underlying pathophysiology of PTSD would be to study the disease in a valid animal model of the human syndrome.Fortunately, much work has already been performed to define an animal model of PTSD that reproduces the salient features of the human syndrome (see Adamec et al. 2006; Cohen et al. 2006a; Siegmund and Wotjak 2006). The most promising research has focused on the impact of exposing rodents to species-relevant threatening stimuli that mimic the kind of life-and-death circumstances that precipitates PTSD in humans. Indeed, rodents exposed to predators or their odor develop long-lasting (3 wk or more) manifestations of anxiety as seen in a variety of behavioral assays including the elevated plus maze (EPM), social interaction test, and acoustic startle (Adamec and Shallow 1993; Blanchard et al. 2003; Adamec et al. 2006). The inherent strength of this species-relevant stimulus was demonstrated in studies where predator odor served as an unconditioned stimulus to support cued or contextual fear conditioning (Blanchard et al. 2001; McGregor et al. 2002). As is the case with human PTSD, differential vulnerability to predatory threat was also observed in rodents. In one study, for instance, the propensity of different strains of rats to develop extreme behavioral manifestations of anxiety (EBMAs) as a result of predatory threat has been characterized, revealing that a much higher proportion (50%) of Lewis rats (an inbred strain) develops EBMAs as a result of an intense predatory threat compared with 10% of Fisher rats and 20% of Sprague–Dawley rats (Cohen et al. 2006b).Although these results are promising, it remains unclear whether Lewis rats also exhibit traits that parallel the pathophysiology of human PTSD. One such factor, thought to play a particularly critical role in the persistence of PTSD, is a compromised ability to extinguish fear memories (for review, see Quirk and Mueller 2008). Two main lines of evidence support this notion. First, in functional imaging studies, the brain structures that normally support fear expression and extinction (for review, see Pape and Pare 2010) show abnormal activity patterns in PTSD (Rauch et al. 2006; Shin et al. 2006; Bremner et al. 2008; Milad et al. 2009). Second, several studies have reported that individuals with PTSD are deficient at extinguishing classically conditioned fear responses (Orr et al. 2000; Peri et al. 2000; Blechert et al. 2007; Milad et al. 2008, 2009). Of particular interest, a study of identical twins discordant for trauma exposure has revealed that this extinction deficit was not a pre-existing condition but developed as a result of trauma (Milad et al. 2008). Given the possibility that an inability to extinguish fear might contribute to the maintenance of PTSD, we therefore tested whether Lewis rats reproduced the properties of extinction seen in human PTSD.     

Does performance on the standard antisaccade task meet the co-familiality criterion for an endophenotype?

The “co-familiality” criterion for an endophenotype has two requirements: (1) clinically unaffected relatives as a group should show both a shift in mean performance and an increase in variance compared with controls; (2) performance scores should be heritable. Performance on the antisaccade task is one of several candidate endophenotypes for schizophrenia. In this paper we examine whether the various measures of performance on the standard version of the antisaccade task meet the co-familiality criterion for an endophenotype. The three measures of performance—reflexive saccade errors, latency of correct antisaccades, and gain—show a wide range of effect sizes and variance ratios as well as evidence of significant or near significant heterogeneity. The estimated mean effect sizes [Cohen’s d: error rate: 0.34 (SD: 0.29); latency: 0.33 (SD: 0.30); gain: 0.54 (SD: 0.38)] are significantly greater than 0, but the magnitude of the departures from 0 is relatively small, corresponding to modest effect sizes. The width of the 95% confidence intervals for the estimated effect sizes (error rate: 0.2–0.49; latency: 0.17–0.50; gain: 0.23–0.85) and the coefficients of variation in effect sizes (error rate: 85.3%; latency: 90.9%; gain: 68.4%) reflect heterogeneity in effect sizes. The effect sizes for error rate showed statistically significant heterogeneity and those for latency (P = .07) and gain (P = .09) showed a trend toward heterogeneity. These results indicate that the effect sizes are not consistent with a single mean and that the average effect size may be a biased estimate of the magnitude of differences in performance between relatives of schizophrenics and controls. Relatives of schizophrenics show a small but significant increase in variance in error rate, but the confidence interval is broad, perhaps reflecting the heterogeneity in effect size. The variance ratios for latency and gain did not differ in relatives of schizophrenics and controls. Performance, as measured by error rate, is moderately heritable. The data do not provide compelling support for a consistent shift in mean or variance in relatives of schizophrenia patients compared with nonpsychiatric controls, both of which are required for a major gene involved in co-familial transmission. This set of findings suggests that although intra-familial resemblance in antisaccade performance is due in part to genetic factors, it may not be related to a schizophrenia genotype. Based on the current literature, it would be premature to conclude that any of the measures of antisaccade performance unambiguously meets the co-familiality criterion for an endophenotype.     

An exploration of health-seeking behaviours among Nigerian Christians in the UK: towards enhanced health services utilisation

Migration from different cultures carries with it some acclimatisation challenges. This study explored various health-seeking behaviours and potential barriers to healthcare utilisation among Nigerian Christians in the UK. This qualitative study involved 10 adult male and female participants, with both interviews and focus group discussion (FG) for data collection (Interviews: n?=?4, FG: n?=?6). Thematic analysis revealed that religious and cultural beliefs were barriers to healthcare utilisation. The implication is that further research on cultural matching between care providers and service users is needed; where religious leaders and health providers from Nigeria can influence health decisions among this migrant community. Limitations of the current study are discussed, with directions for further research identified.     

New anticonvulsant medication uses in bipolar disorder

Therapy of bipolar disorders is a rapidly evolving field. Lithium has efficacy in classic bipolar disorders whereas divalproex sodium and carbamazepine may have broader spectrum efficacy that includes non-classic bipolar disorder. In the last 10 years, a series of anticonvulsants have been approved for marketing in the United States. Gabapentin has indirect g-aminobuytric acid-ergic actions, is generally well tolerated, and appears to have anxiolytic, analgesic, and hypnotic effects. Lamotrigine has antiglutamatergic actions and is generally well tolerated (aside from rash in 1 in 10, and serious rash in 1 in 1,000 patients). Lamotrigine is indicated for maintenance treatment in bipolar disorder. Emerging evidence suggests lamotrigine may have utility in bipolar disorder patients with depression and treatment-refractory rapid cycling, as well as analgesic effects. Topiramate and zonisamide may allow both weight loss, while topiramate may have specific efficacy in bulimia, binge eating disorder, and alcohol dependence. Two small studies found oxcarbazepine had similar efficacy to lithium and haloperidol in acute mania. Phenytoin, an older anticonvulsant, may have adjunctive acute mania efficacy. Levetiracetam, a newer anticonvulsant, may be worth exploring and has minimal drug-drug interactions. None of these newer agents has been shown effective in a large placebo controlled trial for acute mania. Although the clinical profiles of these newer anticonvulsants do not appear to overlap markedly with divalproex and carbamazepine (except perhaps for oxcarbazepine), these novel agents may still offer important new options in relieving a variety of specific target symptoms in patients with bipolar disorder.     

The relationship of positive and negative expressiveness to the processing of emotion information

The tendency to express emotions non-verbally is positively related to perception of emotions in oneself. This study examined its relationship to perception of emotions in others. In 40 healthy adults, EEG theta synchronization was used to indicate emotion processing following presentation of happy, angry, and neutral faces. Both positive and negative expressiveness were associated with higher emotional sensitivity, as shown by cortical responses to facial expressions during the early, unconscious processing stage. At the late, conscious processing stage, positive expressiveness was associated with higher sensitivity to happy faces but lower sensitivity to angry faces. Thus, positive expressiveness predisposes people to allocate fewer attentional resources for conscious perception of angry faces. In contrast, negative expressiveness was consistently associated with higher sensitivity. The effects of positive expressiveness occurred in cortical areas that deal with emotions, but the effects of negative expressiveness occurred in areas engaged in self-referential processes in the context of social relationships.     

Relational learning in a context of transposition: a review

In a typical transposition task, an animal is presented with a single pair of stimuli (for example, S3+ S4−, where plus and minus denote reward and nonreward and digits denote stimulus location on a sensory dimension such as size). Subsequently, an animal is presented with a testing pair that contains a previously reinforced or nonreinforced stimulus and a novel stimulus (for example, S2–S3 and S4–S5). Does the choice of a novel S2 instead of previously reinforced S3 in a testing pair S2–S3 indicate that the animal has learned a relation (i.e., “select smaller”)? This review of empirical evidence and theoretical accounts shows that an organism''s behavior in a transposition task is undoubtedly influenced by prior reinforcement history of the training stimuli (Spence, 1937). However, it is also affected by two other factors that are relational in nature—a similarity of two testing stimuli to each other and an overall similarity of the testing pair as a whole to the training pair as a whole. The influence of the two latter factors is especially evident in studies that use multiple pairs of training stimuli and a wide range of testing pairs comprising nonadjacent stimuli (Lazareva, Miner, Young, & Wasserman, 2008; Lazareva, Wasserman, & Young, 2005). In sum, the evidence suggests that both prior reinforcement history and relational information affect an animal''s behavior in a typical transposition task.     

Cognitive control moderates early childhood temperament in predicting social behavior in 7‐year‐old children: an ERP study

Behavioral inhibition (BI) is a temperament associated with heightened vigilance and fear of novelty in early childhood, and social reticence and increased risk for anxiety problems later in development. However, not all behaviorally inhibited children develop signs of anxiety. One mechanism that might contribute to the variability in developmental trajectories is the recruitment of cognitive‐control resources. The current study measured N2 activation, an ERP (event‐related potential) associated with cognitive control, and modeled source‐space activation (LORETA; Low Resolution Brain Electromagnetic Tomography) at 7 years of age while children performed a go/no‐go task. Activation was estimated for the entire cortex and then exported for four regions of interest: ventromedial prefrontal cortex (VMPFC), ventrolateral prefrontal cortex (VLPFC), dorsal anterior cingulate cortex (dorsal ACC), and dorsal lateral prefrontal cortex (DLPFC). BI was measured in early childhood (ages 2 and 3 years). Anxiety problems and social reticence were measured at 7 years of age to ascertain stability of temperamental style. Results revealed that BI was associated with increased performance accuracy, longer reaction times, greater (more negative) N2 activation, and higher estimated dorsal ACC and DLPFC activation. Furthermore, early BI was only associated with social reticence at age 7 at higher (more negative) levels of N2 activation or higher estimated dorsal ACC or DLPFC activation. Results are discussed in the context of overcontrolled behavior contributing to social reticence and signs of anxiety in middle childhood.     

Extrapolation and direct matching mediate anticipation in infancy

Why are infants able to anticipate occlusion events and other people's actions but not the movement of self-propelled objects? This study investigated infant and adult anticipatory gaze shifts during observation of self-propelled objects and human goal-directed actions. Six-month-old infants anticipated self-propelled balls but not human actions. This demonstrates that different processes mediate the ability to anticipate human actions (direct matching) versus self-propelled objects (extrapolation).     

Well-being through learning: a systematic review of learning interventions in the workplace and their impact on well-being

The view that learning is central to well-being is widely held and the workplace is an important setting in which learning takes place. Evaluations of the effectiveness of well-being interventions in work settings are commonplace, but to date, there has been no systematic review of the effectiveness of learning interventions with regard to their impact on well-being. The review synthesizes evidence from 41 intervention studies, and although no studies report a negative impact on well-being, 14 show no effect on well-being, with 27 studies having a positive impact. We classify the studies according to the primary purpose of the learning intervention: to develop personal resources for well-being through learning; to develop professional capabilities through learning; to develop leadership skills through learning; and to improve organizational effectiveness through organizational-level learning. Although there is an abundance of workplace learning interventions, few are evaluated from a well-being perspective despite the commonly held assumption that learning yields positive emotional and psychological outcomes. The evidence indicates an important gap in our evaluation of and design of workplace learning interventions and their impact on well-being, beyond those focusing on personal resources. This raises important theoretical and practical challenges concerning the relationship between learning and well-being in the context of professional capability enhancement, leadership capability and organizational learning.     

Hybridized Indigenous Healing in the Kyrgyz Republic: Helping Survivors of Violence

ABSTRACT

Harmful consequences of civil unrest in 2010, in the Southern region of the Kyrgyz Republic in Osh, continue to have an impact on communities to the present day. One of the most significant effects has been numerous undiagnosed cases of rape and other types of gender-based violence (GBV) that occurred during the interethnic conflict. The true prevalence rate of GBV cases is still unknown. For example, according to official data from the Ministry of Internal Affairs (2011), there were only seven cases of rape during the conflict; however, crisis center reports documented 322 rapes (Molchanova, 2016 Molchanova, E. (2016). Okazanie psihologicheskoi pomoshci licam, postradavshim ot genderno-gonasiliya vo vremya krizisov i chrezvichainih situacii. Bishkek, Kyrgyz Republic: AltynPrint Publishing House.  [Google Scholar]). Cultural norms dictate that women who experience GBV hide their “shame,” which is why only a small percentage of victims with PTSD symptoms resulting from GBV seek out services from professionals, such as from crisis centers, psychologists and psychiatrists, and police. Indigenous healers are often the first and only stop for help-seeking. However, the influences of diverse religious beliefs and practices as well as the development of Western-style helping methods in the Kyrgyz Republic have shaped the practice of traditional healing. This hybridization, which is a process of including religious and even medical practices into traditional healing, started in the middle of the 1990s, and now, the extensive networks of traditional healers in the Kyrgyz Republic often combine traditional rituals with Islamic prayer, herbal treatment, massage, and other techniques. This article explores the hybridization of indigenous healing in the Kyrgyz Republic as a consequence of a variety of social transformations, and, as a result of polymorphism, the complexity and clinical variability of posttraumatic symptoms in Kyrgyz cultural settings.