恐惧-回避模型是对威胁的具体化预测。

IF 2.5 3区 医学 Q2 BEHAVIORAL SCIENCES Cognitive Affective & Behavioral Neuroscience Pub Date : 2024-10-01 Epub Date: 2024-06-18 DOI:10.3758/s13415-024-01199-4
Clovis Varangot-Reille, Giovanni Pezzulo, Mick Thacker
{"title":"恐惧-回避模型是对威胁的具体化预测。","authors":"Clovis Varangot-Reille, Giovanni Pezzulo, Mick Thacker","doi":"10.3758/s13415-024-01199-4","DOIUrl":null,"url":null,"abstract":"<p><p>The fear-avoidance model is a well-established framework in the understanding of persistent pain. It proposes a dichotomous path: either the context is interpreted as safe; there is no fear reaction and, therefore, the individual engages in active (positive) coping; or the context is interpreted as threatening, leading to a self-reinforcing vicious circle of fear and (negative) avoidance. We propose an embodied interpretation of this phenomenon employing the joint framework of predictive coding and active inference. The key idea is that multisensory integration of exteroceptive, proprioceptive, and interoceptive sensory inputs can lead to dysfunctional experiences of threat in nonthreatening situations. Threat inference can promote fear responses, maladaptive strategies (i.e., avoidance) and self-provides evidence for threat in associated or future contexts, or both. Under this treatment, the prediction of nonrealized threat becomes self-evidencing and context-invariant, and hence self-perpetuating. Safety cues are unable to attenuate the interpretation of the negative context as the dominant inference of the context is threatful and gains more precision and becomes resistant over time. Our model provides an explanation for the emergence of a dysfunctional fear response in the clinical setting despite apparent safety based on modern concepts from theoretical (computational) neuroscience.</p>","PeriodicalId":50672,"journal":{"name":"Cognitive Affective & Behavioral Neuroscience","volume":" ","pages":"781-792"},"PeriodicalIF":2.5000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The fear-avoidance model as an embodied prediction of threat.\",\"authors\":\"Clovis Varangot-Reille, Giovanni Pezzulo, Mick Thacker\",\"doi\":\"10.3758/s13415-024-01199-4\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>The fear-avoidance model is a well-established framework in the understanding of persistent pain. It proposes a dichotomous path: either the context is interpreted as safe; there is no fear reaction and, therefore, the individual engages in active (positive) coping; or the context is interpreted as threatening, leading to a self-reinforcing vicious circle of fear and (negative) avoidance. We propose an embodied interpretation of this phenomenon employing the joint framework of predictive coding and active inference. The key idea is that multisensory integration of exteroceptive, proprioceptive, and interoceptive sensory inputs can lead to dysfunctional experiences of threat in nonthreatening situations. Threat inference can promote fear responses, maladaptive strategies (i.e., avoidance) and self-provides evidence for threat in associated or future contexts, or both. Under this treatment, the prediction of nonrealized threat becomes self-evidencing and context-invariant, and hence self-perpetuating. Safety cues are unable to attenuate the interpretation of the negative context as the dominant inference of the context is threatful and gains more precision and becomes resistant over time. Our model provides an explanation for the emergence of a dysfunctional fear response in the clinical setting despite apparent safety based on modern concepts from theoretical (computational) neuroscience.</p>\",\"PeriodicalId\":50672,\"journal\":{\"name\":\"Cognitive Affective & Behavioral Neuroscience\",\"volume\":\" \",\"pages\":\"781-792\"},\"PeriodicalIF\":2.5000,\"publicationDate\":\"2024-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Cognitive Affective & Behavioral Neuroscience\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3758/s13415-024-01199-4\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/6/18 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"BEHAVIORAL SCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cognitive Affective & Behavioral Neuroscience","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3758/s13415-024-01199-4","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/6/18 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"BEHAVIORAL SCIENCES","Score":null,"Total":0}
引用次数: 0

摘要

恐惧-回避模式是理解持续性疼痛的一个行之有效的框架。它提出了一种二分法:要么环境被解释为安全的,没有恐惧反应,因此个体会采取积极(正面)的应对措施;要么环境被解释为具有威胁性的,导致恐惧和(负面)回避的自我强化恶性循环。我们利用预测编码和主动推理的联合框架,对这一现象提出了一种体现性解释。其主要观点是,外部感觉、本体感觉和内部感觉输入的多感觉整合会导致在非威胁情况下对威胁的功能失调体验。威胁推断会促进恐惧反应、不适应策略(即回避),并自我提供相关或未来情境中的威胁证据,或两者兼而有之。在这种情况下,对未实现的威胁的预测就会成为自我证明,并且与情境无关,从而自我延续。安全线索无法削弱对负面情境的解释,因为对情境的主要推断是威胁性的,并且随着时间的推移会变得更加精确和具有抵抗力。我们的模型以理论(计算)神经科学的现代概念为基础,解释了在临床环境中,尽管表面上是安全的,但仍会出现功能失调的恐惧反应。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

摘要图片

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
The fear-avoidance model as an embodied prediction of threat.

The fear-avoidance model is a well-established framework in the understanding of persistent pain. It proposes a dichotomous path: either the context is interpreted as safe; there is no fear reaction and, therefore, the individual engages in active (positive) coping; or the context is interpreted as threatening, leading to a self-reinforcing vicious circle of fear and (negative) avoidance. We propose an embodied interpretation of this phenomenon employing the joint framework of predictive coding and active inference. The key idea is that multisensory integration of exteroceptive, proprioceptive, and interoceptive sensory inputs can lead to dysfunctional experiences of threat in nonthreatening situations. Threat inference can promote fear responses, maladaptive strategies (i.e., avoidance) and self-provides evidence for threat in associated or future contexts, or both. Under this treatment, the prediction of nonrealized threat becomes self-evidencing and context-invariant, and hence self-perpetuating. Safety cues are unable to attenuate the interpretation of the negative context as the dominant inference of the context is threatful and gains more precision and becomes resistant over time. Our model provides an explanation for the emergence of a dysfunctional fear response in the clinical setting despite apparent safety based on modern concepts from theoretical (computational) neuroscience.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
5.00
自引率
3.40%
发文量
64
审稿时长
6-12 weeks
期刊介绍: Cognitive, Affective, & Behavioral Neuroscience (CABN) offers theoretical, review, and primary research articles on behavior and brain processes in humans. Coverage includes normal function as well as patients with injuries or processes that influence brain function: neurological disorders, including both healthy and disordered aging; and psychiatric disorders such as schizophrenia and depression. CABN is the leading vehicle for strongly psychologically motivated studies of brain–behavior relationships, through the presentation of papers that integrate psychological theory and the conduct and interpretation of the neuroscientific data. The range of topics includes perception, attention, memory, language, problem solving, reasoning, and decision-making; emotional processes, motivation, reward prediction, and affective states; and individual differences in relevant domains, including personality. Cognitive, Affective, & Behavioral Neuroscience is a publication of the Psychonomic Society.
期刊最新文献
Anhedonia relates to reduced striatal reward anticipation in depression but not in schizophrenia or bipolar disorder: A transdiagnostic study. Correction: Changes in the level of unitization moderate the impact of unitization on associative memory and its underlying processing. Individual differences in intolerance of uncertainty is primarily linked to the structure of inferior frontal regions. Low emotional contagious behavior induces PTSD susceptibility in observers and is related to the regulation of oxytocin receptor in mice. The influence of social status and promise levels in trust games: An Event-Related Potential (ERP) study.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1