Table 2.
Study | Group (N) | Pharmacological Treatment |
Mechanism of Action | Experimental Paradigm |
Phase of Fear Learning | CSs | US | Psychophysiological Measure |
Main Findings |
---|---|---|---|---|---|---|---|---|---|
Lonsdorf et al. [133] | RBX treatment (23) Placebo treatment (19) |
4 mg of RBX Placebo |
Reboxetine is an inhibitor of noradrenaline reuptake | 3 days | Acquisition Extinction |
Symbols shown in three different contexts | Electrotactile shock |
SCR and fMRI | No SCR differences between groups at the behavioral level Before reinstatement, only the placebo group showed higher activation in vmPFC for CS cues After reinstatement, the RBX group showed higher amygdala activation for CS cues |
Kausche et al. [134] | Placebo treatment (31) CORT treatment (31) YOH treatment (34) CORT+YOH treatment (29) |
20 mg of cortisol 20 mg of YOH 20 mg of cortisol and YOH Placebo |
Cortisol is an agonist of glucocorticoid receptor and annexin A1 Yohimbine is an α2-adrenergic blocking agent |
2 days | Habituation Acquisition |
Eight neutral faces | Electric shock | SCR | The YOH group showed higher SCR across a similarity continuum from CS+ to CS− (increased responses to the CS+) Cortisol did not enhance fear memory expression, but increased fear generalization |
Soeter and Kindt [132] | Yohimbine treatment (20) Propranolol treatment (20) |
40 mg of YOH 20 mg of propranolol Placebo |
Yohimbine is an α2-adrenergic blocking agent | 3 days | Acquisition Recall Extinction |
Three images | Auditory tone | SCR Systolic and diastolic blood pressure Amylase level |
The YOH group showed higher startle fear responses during fear memory reactivation on day 2 The propanolol group showed a reduction in startle fear responses during reconsolidation and extinction |
Notes. RBX = reboxetine; CORT = cortisol; YOH = yohimbine; CS+ = conditioned stimulus; CS− = control stimulus; SCR = skin conductance response; fMRI = functional magnetic resonance imaging; vmPFC = ventromedial prefrontal cortex.