Table 1.
Summary of Studies Providing Evidence For or Against the Neurobiological Distinction Between Fear and Anxiety
| Study | Evidence For/Against Fear-Anxiety Distinction | Human/Animal | Comments |
|---|---|---|---|
| Davis et al. (5) | For | Animal (rodent) | – |
| Herrmann et al. (13) | For | Human | – |
| Somerville et al. (14) | For | Human | – |
| Alvarez et al. (15) | For | Human | – |
| McMenamin et al. (16) | For | Human | – |
| Buff et al. (17) | For | Human | GAD vs. HC subject study |
| Brinkmann et al. (18) | For | Human | PTSD vs. HC subject study |
| Clauss et al. (19) | For | Human | Examining participants across the social anxiety spectrum |
| Boehme et al. (20) | Against | Human | Did not explicitly examine fear vs. anxiety—instead, found no BNST activation difference between SAD and control subjects in anxious anticipation |
| Choi et al. (22) | Against | Human | Did not explicitly examine fear vs. anxiety—found BNST activation in response to immediate threat stimuli |
| Grupe et al. (24) | Against | Human | BNST phasic activation to brief threat |
| Mobbs et al. (25) | Against | Human | Showed decrease in forebrain activation in circa strike vs. postencounter but did not explicitly examine BNST |
| Andreatta et al. (26) | Against | Human | Sustained amygdala activation in uncertain threat context |
| Lieberman et al. (27) | Against | Human | Amygdala activation during unpredictable threat condition in NPU task |
| Chavanne and Robinson (28) | Against | Human | Meta-analysis showing significant overlap between anxiety inductions and phobic disorders |
| Naaz et al. (29) | Against | Human | Both amygdala and BNST show heightened response to explicit and ambiguous threat |
| Hur et al. (30) | Against | Human | Amygdala and BNST show indistinguishable responses to temporally uncertain and certain threat anticipation |
| Siminski et al. (31) | Against | Human | Both BNST and CM show activation in response to predictable and unpredictable threat |
BNST, bed nucleus of the stria terminalis; CM, centromedial amygdala; GAD, generalized anxiety disorder; HC, healthy control; NPU, no-shock, predictable-shock, unpredictable-shock; PTSD, posttraumatic stress disorder; SAD, social anxiety disorder.