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From Threat to Fear: The Neural Organization of Defensive Fear Systems in Humans

机译:从威胁到恐惧:人类防御性恐惧系统的神经组织

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摘要

Postencounter and circa-strike defensive contexts represent two adaptive responses to potential and imminent danger. In the context of a predator, the postencounter reflects the initial detection of the potential threat, whereas the circa-strike is associated with direct predatory attack. We used functional magnetic resonance imaging to investigate the neural organization of anticipation and avoidance of artificial predators with high or low probability of capturing the subject across analogous postencounter and circa-strike contexts of threat. Consistent with defense systems models, postencounter threat elicited activity in forebrain areas, including subgenual anterior cingulate cortex (sgACC), hippocampus, and amygdala. Conversely, active avoidance during circa-strike threat increased activity in mid-dorsal ACC and midbrain areas. During the circa-strike condition, subjects showed increased coupling between the midbrain and mid-dorsal ACC and decreased coupling with the sgACC, amygdala, and hippocampus. Greater activity was observed in the right pregenual ACC for high compared with low probability of capture during circa-strike threat. This region showed decreased coupling with the amygdala, insula, and ventromedial prefrontal cortex. Finally, we found that locomotor errors correlated with subjective reports of panic for the high compared with low probability of capture during the circa-strike threat, and these panic-related locomotor errors were correlated with midbrain activity. These findings support models suggesting that higher forebrain areas are involved in early-threat responses, including the assignment and control of fear, whereas imminent danger results in fast, likely “hard-wired,” defensive reactions mediated by the midbrain.
机译:遭遇后和大约罢工的防御情境代表对潜在和迫在眉睫的危险的两种适应性反应。在掠夺者的背景下,遭遇后事件反映了对潜在威胁的最初发现,而大约罢工与直接掠夺性攻击有关。我们使用功能磁共振成像来调查神经组织的预测和避免人工捕食者的可能性,这种掠食者在类似的遭遇后和大约罢工威胁的背景下捕获对象的可能性很高或很低。与防御系统模型一致,en后威胁引起前脑区域的活动,包括前下扣带回皮层(sgACC),海马和杏仁核。相反,在等距攻击中积极回避增加了背中部ACC和中脑区域的活动。在大约罢工期间,受试者表现出中脑和背中ACC之间的偶联增加,并且与sgACC,杏仁核和海马的偶联降低。大约在罢工威胁期间,在右前产前ACC观察到较高的活动性,而捕获的可能性较低。该区域显示出与杏仁核,岛突和腹膜前额叶皮层的耦合减少。最后,我们发现,自发性惊恐发作期间,运动错误与主观恐慌相关,而在惊恐发作期间捕获的概率较高,而与之相关的可能性较小,这些与惊恐相关的运动错误与中脑活动相关。这些发现支持模型,表明较高的前脑区域参与了早期威胁反应,包括恐惧的分配和控制,而迫在眉睫的危险导致中脑介导的快速,可能的“硬连线”防御反应。

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