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Cortisol effects on fear memory reconsolidation in women

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Abstract

Rationale

Previous work from our group has shown that cortisol enhances fear reconsolidation in men. Whether similar effects can be observed in women remains an open question.

Objectives

The effects of cortisol on the reconsolidation of fear memories were investigated in women. Based on results in men, we expected a specific enhancing effect of cortisol administration on the reactivated fear memory. In addition, possible interactions with oral contraceptive use were tested.

Methods

We incorporated a differential fear conditioning paradigm in a 3-day reconsolidation design. A fear memory, which was created on the first day, was reactivated on the second day following cortisol administration in the target group. One control group was given cortisol without reactivation, and the other participated in the reactivation session following placebo intake. On the third day, the return of fear for all stimuli following reinstatement was tested. Skin conductance response served as measure of conditioned response.

Results

In contrast to the hypothesis, cortisol in combination with reactivation did not enhance fear reconsolidation. No differences between the three experimental groups were apparent. In addition, hormonal contraceptive use had no effect on any of the learning phases and did not interact with the cortisol manipulation.

Conclusions

The lack of an effect in women might be the result of alternating concentrations of sex hormones during different phases of the menstrual cycle or following oral contraceptive use. Considering the higher vulnerability of women to stress-related mental disorders, further investigations in women are of great importance for both theory and treatment.

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Abbreviations

BMI:

Body mass index

CR:

Conditioned response

CS:

Conditioned stimulus/stimuli

FC:

Free cycling

GCs:

Glucocorticoids

HPA:

Hypothalamus-pituitary-adrenal

ITI:

Intertrial interval

OC:

Oral contraceptives

PTSD:

Post-traumatic stress disorder

SCR:

Skin conductance response

UCS:

Unconditioned stimulus

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Acknowledgments

We would like to thank Tobias Otto for technical support and Malte Dewies and Christoph Fraenz for their help in data collection and recruitment. The work was funded by project P5 of the German Research Foundation (DFG) Research Unit 1581 “Extinction Learning: Neural Mechanisms, Behavioral Manifestations, and Clinical Implications.” The DFG had no role in study design, data collection, analysis and interpretation, writing of the manuscript, or in the decision to submit the paper for publication.

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Correspondence to Oliver T. Wolf.

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Meir Drexler, S., Merz, C.J., Hamacher-Dang, T.C. et al. Cortisol effects on fear memory reconsolidation in women. Psychopharmacology 233, 2687–2697 (2016). https://doi.org/10.1007/s00213-016-4314-x

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