Dopamine strengthens the learning of extinction behaviors.
The patient undergoing behavioral treatment of a fear response learns a new adaptive response to the same stimulus. This new, inhibitory, extinction memory competes with, and does not erase, the fear memory, which can therefore recur. Researchers examined how the dopamine precursor, L-dopa, affects the return of fear in humans and in a mouse model.
A classic conditioning foot-shock model induced a conditioned response in mice, which then underwent extinction, followed by a single dose of L-dopa or saline. When the mice were placed in the conditioning cage (i.e., context) 1, 7, and 30 days later, L-dopa was associated with less spontaneous recurrence of fear, an attenuated return of contextual fear after shock reinstatement, greater immediate…
Reviewing Author
DisclosuresRoyaltiesTextbook of Traumatic Brain Injury, 2nd and 3rd editions
Editorial BoardsUpToDate; Journal of Neuropsychiatry and Clinical Neuroscience
Leadership Positions in Professional SocietiesNorth American Brain Injury Association (Board Member); National Institute on Disability, Independent Living, and Rehabilitation Research (Chair of Data Monitoring Safety Board for study of donepezil on cognition after traumatic brain injury)
DisclosuresRoyaltiesTextbook of Traumatic Brain Injury, 2nd and 3rd editions
Editorial BoardsUpToDate; Journal of Neuropsychiatry and Clinical Neuroscience
Leadership Positions in Professional SocietiesNorth American Brain Injury Association (Board Member); National Institute on Disability, Independent Living, and Rehabilitation Research (Chair of Data Monitoring Safety Board for study of donepezil on cognition after traumatic brain injury)