TY - JOUR PY - 2014// TI - Aversive startle potentiation and fear pathology: mediating role of threat sensitivity and moderating impact of depression JO - International journal of psychophysiology A1 - Yancey, James R. A1 - Vaidyanathan, Uma A1 - Patrick, Christopher J. SP - 262 EP - 269 VL - 98 IS - 2P2 N2 - Enhanced startle during exposure to unpleasant cues (aversive startle potentiation; ASP) appears in the RDoC matrix as a physiological index of acute threat response. Increased ASP has been linked to focal fear disorders and to scale measures of dispositional fearfulness (i.e., threat sensitivity; THT+). However, some studies have reported reduced ASP for fear pathology accompanied by major depressive disorder (MDD) or pervasive distress. The current study evaluated whether (a) THT+as indexed by reported dispositional fearfulness mediates the relationship between fear disorders (when unaccompanied by depression) and ASP, and (b) depression moderates relations of THT+and fear disorders with ASP. Fear disorder participants without MDD showed enhanced ASP whereas those with MDD (or other distress conditions) showed evidence of reduced ASP. Continuous THT+scores also predicted ASP, and this association: (a) was likewise moderated by depression/distress, and (b) accounted for the relationship between ASP and fear pathology without MDD. These findings point to a role for the RDoC construct of acute threat, operationalized dispositionally, in enhanced ASP shown by individuals with fear pathology unaccompanied by distress pathology.
Language: en
LA - en SN - 0167-8760 UR - http://dx.doi.org/10.1016/j.ijpsycho.2014.10.014 ID - ref1 ER -