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Slowed reacquisition of a previously extinguished response: the effect of partial extinction in human contingency learning

López-Gutiérrez, Francisco José,Barberia, Itxaso,Vadillo, Miguel Ángel,Andrades, Ainhoa

Abstract

Extinction is a very relevant learning phenomenon from an applied and theoretical point of view. Extinction-based therapies constitute the most widespread empirically validated treatment of anxiety disorders. However, they face an important limitation, as relapse often takes place once the extinction procedure has been completed. We provide the first demonstration of relapse reduction, a slowed reacquisition, in human contingency learning after a partial extinction procedure using mild aversive stimuli. This effect was specific of the partial extinction treatment (i.e., reinforced trials were occasionally experienced during extinction; Experiment 1) and not only due to differences in uncertainty levels between the partial and a standard extinction group (Experiment 2). Experiment 3 explored conditions in which partial extinction was complete, while the slowed reacquisition effect was still obtained. Potential uses of this strategy in anxiety disorders therapies, its theoretical explanation and its current limitations are discussed.

Full text

Slowed reacquisition of a previously extinguished response: The effect of partial extinction in human contingency learning Joaquín Morís, Itsaso Barberia, Miguel Vadillo, Ainhoa Andrades & Francisco J. López XXVII Congreso de la Sociedad Española de Psicología Comparada. Sevilla, 9-11 septiembre 2015 Extinction of a fear response Limitations of extinction Relapse phenomena: Renewal, reinstatement, spontaneous recovery, rapid reacquisition... How to improve extinction? Partial extinction slowed later reacquisition Bouton et al. (2004, 2007) found: Reacquisition of a previously extinguished response (i.e., either conditioned or operant) slowed down when reinforced trials were included as part of the extinction treatment (i.e., partial extinction) Partial extinction as a way to mitigate this form of relapse Partial extinction slowed later reacquisition Bouton et al. (2004)’s results: After conditioning and extinction phases, reacquisition session in Experiment 1: Extinction: CSCSCSCSCSCSCSCSPartial extinction: CSCS+ CSCSCSCSCS+ CSFrom the extinction phase: Why slowed reacquisition? Bouton’s explanation: CS US Conditioning Re-acquisition CS US Ctx Partial Extinction CS-US.... CS US Ctx CS-US.... Objective Will an equivalent slow reacquisition effect be found in human contingency learning? In the aversive domain (a mild aversive noise) Focusing on participants’ beliefs about the extent to which they think the aversive noise will take place (cognitive component of a fear response) Experiment 1 Design: Group Acquisition Extinction Re-acquisition Partial Extinction (22,2%) A (18 +) B (18 ) A (12 + / 42 ) B (54 ) A (18 +) B (18 ) Extinction A (18 +) B (18 ) A (54 ) B (54 ) A (18 +) B (18 ) + Refers to a brief (500ms) mildly aversive noise ( 85dB) Refers to the absence of any stimulus) + Contingency learning task 4000 ms Until a response 3000 ms Response: How likely is the noise? 0 20 40 60 80 100 1 4 7 10 13 16 19 22 Expectancy ratings Trials Intermixed Group - Cue A Intermixed Group - Cue B Intermixed Group - Cue C Continuous Group - Cue A Continuous Group - Cue B Continuous Group - Cue C Partial Extinction – Cue A Partial Extinction – Cue B Partial Extinction – Cue C Extinction – Cue A Extinction – Cue B Extinction – Cue C Results Extinction: n=59 Within Cue A: Group, F(1, 57) = 27.39, p < .001, η2p = .325 Group x Trial, F(11.42, 651.11) = 1.92, p = .033, η2p = .033 Results n=59 Group x Cue x Trial, F(9.59, 546.4) = 2.27, p = .014, η2p = .038 Within Cue A: Group x Trial, F(5.02, 286.33) = 5.47, p < .001, η2p = .088 0 20 40 60 80 100 1 2 3 4 5 6 7 8 9 10 Expectancy ratings Trials Intermixed Group - Cue A Intermixed Group - Cue B Intermixed Group - Cue C Continuous Group - Cue A Continuous Group - Cue B Continuous Group - Cue C Extinction – Cue A Extinction – Cue B Extinction – Cue C Partial Extinction – Cue A Partial Extinction – Cue B Partial Extinction – Cue C Re-acquisition: Discussion Again, re-acquisition was slower in the Partial Extinction than in the Extinction group And yet, in a more uncertain task; and reducing the number of reinforced trials in the partial extinction group As in Experiment 1, extinction was complete in the Extinction but not in the Partial Extinction group How to make extinction complete in the Partial Extinction group? Experiment 3 Design: Block 1 Block 2 Block 3 Block 4 Block 5 Block 6 Block 7 + 5 3 1 0 0 0 0 3 5 7 8 8 8 8 % Reinforced 62.5 37.5 12.5 0 0 0 0 Group Acquisition Extinction Re-acquisition Partial Extinction A ( 8 +) B (10 ) A (9 + / 47 ) B (54 ) A (10 +) B (10 ) Extinction A (10 +) B ( 8 ) A (56 ) B (54 ) A (10 +) B (10 ) (9 + / 47 ): Results Acquisition: n=65 Cue x Trial, F(2.87, 181.307) = 135.14, p < .001, η2p = .682 0 20 40 60 80 100 1 2 3 4 5 6 7 8 Expectancy ratings Trials Results Extinction: n=65 Within Cue A: Group, F(1, 63) = 250.94, p < .001, η2p = .799 Group x Trial, F(11.42, 651.11) = 29.92, p < .001, η2p = .033 0 20 40 60 80 100 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52 55 Expectancy ratings Trials Results n=65 Group x Cue x Trial, F(3.83, 243.3) = 5.27, p = .014, η2p = .038 Trial 2 and Trial 3: t(61.15) = 3.12, p = 0.003 and t(63) = 2.10, p = 0.04 Re-acquisition: 0 20 40 60 80 100 1 2 3 4 5 6 7 8 9 10 Expectancy ratings Trials Discussion Extinction was also complete in the Partial Extinction group And still, the partial extinction treatment produced a slower reacquisition compared to a standard Extinction group Conclusions Experiments 1-3 showed that partially reinforced extinction produced a slowed reacquisition effect compared to standard extinction, equivalent to the effect found in animal conditioning Experiment 2 showed that the effect could also be obtained in uncertain situations Experiment 3 showed that the effect could still be found even when extinction, prior to the re-acquisition phase, was complete in the Partial extinction group Future directions Will the partially extinction effect generalize to more aversive situations or to other fear responses such judgments of fear, skin conductance, or startle responses? Will this form of relapse reduction generalize to the clinical domain?: Will a scarce exposure to the feared stimulus in exposurebased therapies reduce relapse?