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Research Articles: Behavioral/Cognitive
Eye-movement intervention enhances extinction via amygdala deactivation
Lycia D. de Voogd1, Jonathan W. Kanen1,3, David A. Neville1, Karin Roelofs1,2, Guillén Fernández1 and Erno J. Hermans1 1Donders Institute for Brain, Cognition and Behaviour, Radboud University and Radboud University Medical Center, 6500 HB, Nijmegen, The Netherlands 2Behavioural Science Institute, Radboud University, Nijmegen, The Netherlands 3Behavioural and Clinical Neuroscience Institute, Department of Psychology, University of Cambridge, Cambridge CB2 3EB, United Kingdom
DOI: 10.1523/JNEUROSCI.0703-18.2018
Received: 14 March 2018
Revised: 10 August 2018
Accepted: 16 August 2018
Published: 4 September 2018
Author contributions: L.D.d.V., K.R., G.F., and E.J.H. designed research; L.D.d.V. and J.K. performed research; L.D.d.V. and E.J.H. contributed unpublished reagents/analytic tools; L.D.d.V. analyzed data; L.D.d.V. wrote the first draft of the paper; L.D.d.V., J.K., D.A.N., K.R., G.F., and E.J.H. edited the paper; L.D.d.V. and E.J.H. wrote the paper.
Conflict of Interest: The authors declare no competing financial interests.
Correspondence to: Lycia D. de Voogd, Donders Institute for Brain, Cognition and Behaviour (Radboudumc), P.O. Box 9101, 6500 HB Nijmegen, The Netherlands, Ph: +31 (0)24 36 10878, Fx: +31 (0)24 36 10989, E-mail: [email protected]
Cite as: J. Neurosci ; 10.1523/JNEUROSCI.0703-18.2018
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Eye-movement intervention enhances extinction via amygdala deactivation Regular manuscript Ǥͳȗǡ Ǥͳǡ͵ǡǤͳǡͳǡʹǡ ± ͳǡ Ǥ ͳ ͳ ǡǡ ǡͷͲͲ ǡǡ ʹ ǡǡǡ ͵ ǡ ǡ ǡʹ͵ǡ ȗ ǣ Ǥ ǡȋ Ȍ ǤǤͻͳͲͳ ͷͲͲ ǡ ǣΪ͵ͳȋͲȌʹͶ͵ͳͲͺͺ ǣΪ͵ͳȋͲȌʹͶ͵ͳͲͻͺͻ ǦǣǤ̷ǤǤ
Short title: Keywords: Ǣ Ǣ Ǣ ȋȌǢ Ǣ Ǥ Abstractǣͳͻͺ Introductionǣͷͻ DiscussionǣͳͶͶ Number of figuresǣͷ Number of tablesǣ
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Abstract Ǧ Ǥ ȋ αʹͶȌǡ Ǧ ଶ Ǧ ȋߟαǤͳȌǤ Ǧ Ǥ ǡ ǡ ଶ ʹͶȋߟαǤʹͳȌǤ ȋrαǤ͵ͻȌǤ ǡ ǦǦ Ǥ ǡ Ǥ Ǧ Ǧ ǡ ȋe.g.ǡ Ȍ Ǥ
Significant statement Ǧ Ǥ ǡ non-invasive Ǥ Ǥ ǡ Ǥ Ǧ Ǧǡǡ ǡ Ǥ Ǥ ǡ Ǥ Ǥ
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Introduction
1 ȋǤǡ 2 ʹͲͳ͵ȌǤ ǡ ǡ 3 Ǥ ȋǡ ʹͲͳͳǢ 4 Ǥǡ ʹͲͳͷȌǤ 5 Ǧ ȋ Ǥǡ ʹͲͳͷȌǤ 6 ȋǤǡʹͲͲͲȌǡ 7 ȋ Ǥǡ ʹͲͲͲȌ 8 ȋǤǡʹͲͲͻǢǤǡʹͲͳʹȌǤ 9 Ǧ 10 ȋ ǤǡʹͲͳͲȌǤ 11 ǡ Ǥ 12 Ǥ 13 ȋǢ Ǥǡ ʹͲͳ͵Ȍǡ 14 Ǧ ȋǤǡ 15 ʹͲͳ͵ǢǡʹͲͳ͵ȌǤǡ ǡ 16 Ǥǡ 17 ̵Ǥ 18 ǡ any 19 ȋǡʹͲͳ͵ȌǤ 20 21 22 Ǥ 23 Ǧ 24 Ǧǡ ȋ Ǣ 25 ǡʹͲͲʹȌǡǦ Ǥ 26 ǡ Ǧ 27 ȋǤǡʹͲͲͻȌǡ Ǥ ǡ 28 Ǧ 29 ȋ ǡʹͲͲͷȌǤ 30 ǡ ǡ 31 ȋ Ǥǡ ʹͲͲͲȌǤ ǡ ǡ βǦ 32 ǡ
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33 ȋᑣ ǡʹͲͲͶȌǤ Ǧ 34 ȋ Ǥǡ ʹͲͳͲȌǤ ǡ 35 Ǧǡ ȋ ǤǡʹͲͲͻǢ 36 ǤǡʹͲͳͷȌ ǤȋͳȌǦ 37 - ǡ 38 ǡ ȋʹȌ Ǧ 39 Ǥ 40 ǡ ȋ α ʹͶȌǡ Ǧ 41 Ǧ 42 Ǥ 43 Ǥ ȋα 44 ʹͶȌǡ Ȁ Ȁ 45 Ǧ 46 Ǥ 47 48 Materials and Methods 49 50 ͳ 51 52 Participants 53 Ǧ Ǧ ȋͳʹ ǡ ͳʹ Ǣ ʹ͵Ǧ͵ ȏαʹǤͻͷǡ 54 α͵ǤȐȌ Ǥ Ǥ 55 Ǥ 56 ȋǦȌǤ 57 58 Experimental design 59 Ǧ ȋǤǡʹͲͲͻȌǡ 60 Ǧǡͺ ǦǤ 61 ʹ Ǥ Ǧ ǡ 62 ͳͷ Ǥ ͶͲͲ ǡ 63 ȋ ȌͳͶͲͲǤ 64 65 Ǥ Ǧ ǡ
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66 Ǥ ̱ͳ ǡ 67 ȋ ǤǡʹͲͳ͵ȌǤ ͳͷ ǡǦ 68 Ǥ 69 70 MRI data acquisition 71 ȋǡ Ȍ ͵ Ǥ 72 ʹȗǦ Ǧ ȋȌ 73 ȋ͵ ǢǡͳǤͺͻǢǡʹͷ Ǣ 74 ȋ Ǣ Ǥǡ ʹͲͲʹȌ 75 ʹǢǡͻͲιǢ ǡͶͶǢ ǡ͵Ǥ͵Ǣ ǡͲǤ͵ 76 Ǣ ǡʹͳʹʹͳʹǢǣͳ ȀǢ ǣͲǤͷȌǤ ȋͳ 77 Ȍ ͳǦ͵ǦǦ 78 ȋǦ ǢǡʹǤ͵ǢǡʹǤͻͷǢǡιǢ ǡʹͷʹͷͳȌǤ 79 80 MRI data preprocessing and statistical analyses 81 Ǧ ȋ ͳͷʹȌ Ǧ 82 ǤǦǦ 83 Ǥ Ǧ 84 Ǥ ǡǡ 85 86 ȋ ǡ ʹͲͲͷȌǤ Ǧ 87 ȋ ͵ͺͶͳǦ ȌȋǡʹͲͲȌǡ 88 ȋȌ ͳͷʹ ͺȋ ǣ̴ͲͲͲ͵ȌǤ 89 ǡ ʹ 90 Ǥ 91 Ǧ Ǧ 92 ȋʹȌǤ 93 ȋ Ȍ ͺ ȋ ǣ̴ͲͲͲ͵ȌǤ ǡ 94 ȋ͵ ǡ ͵ Ȍ Ǧ 95 ǡ Ǧ ȋͳȀͳʹͺ ǦȌǡ ȋͳȌ 96 Ǥ Ǧ Ǧ Ǧ 97 ǦǦǦǤ
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98 ǡ ȋ Ȍ 99 ȋ Ȍ Ǧ Ǧ 100 Ǥ ͳǡ ǡ 101 Ǧ 102 ȋ ǤǡͳͻͻȌǤȋȌ ǡ 103 ȏͳȐ 104 ȋȌǡȏʹȐ ȏ 105 ȋ Ȍ ȐȋǦ 106 Ȍ 107 ͺ ȋ ǣ̴ͲͲͲ͵ȌǤ Ǧ Ǧ Ǧ 108 Ǧ 109 Ǧ Ǥ 110 ǡ 111 ȋ Ȍ ȋȌ 112 Ǧȋ Ȍ Ǧ Ǥ 113 ȋαʹͶȌ 114 ͳǦ ȋ ǣ̴ͲͲʹͺʹ͵ǡ 115 ǣȀȀǤǤǤ ǤȀȀȀ Ȍǡ Ǥ 116 ͳͲͲͶͲǦ͵ 117 ȋ ǡʹͲͳͲȌǤ 118 119 Eye tracking 120 ͳͷ ǡ Ǧ Ǧ ȋ 121 Ǧ ǡ ǡ ȌǤ Ǧ 122 ȋ Ǥǡ ʹͲͳ͵Ȍ ǤͳͶ ȋǡ ǣ̴ͲͲͳʹʹȌǤ 123 ǤǦ 124 Ǥ 125 Ǥ
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126 ʹ 127 128 Participants 129 ǦǦȋͳʹǡͳʹǢʹͲǦ͵ͶȏαʹͶǤͺǡα͵ǤȐȌ 130 Ǥͷ Ǧ 131 ȋe.g., ȌǤ ǣ 132 ǡ ǡ ǡ 133 ǡ ͵ 134 ǡ ǡǡ 135 Ǧǡ ǡ ǡ 136 Ǥ Ǥ 137 ȋǦȌǤ 138 139 Experimental design 140 ȋ Ǥǡ ʹͲͳͲǡ 141 ʹͲͳ͵Ȍ ʹͶ Ǥ 142 ǡ ǡ Ǥ 143 ȋȌ Ǥ 144 ǡ ǡ Ǥ ǡ 145 ȋΪǡ Ͷ Ȍ ȋ͵Ǥͷ Ψ Ȍ 146 ȋi.e.ǡ ǢȌǤ ȋǦǡͶȌ 147 Ǥ ǡͶȋͳȌǡ ǦǤ 148 Ϊ ǡΪ ǡǦǤ 149 ͶͺǤ 150 ǡ Ͷͺ ȋͳʹ ǡ Ͷ Ȍ ʹͶ Ǧ
151 ȋͳͲȌǤΪȋΪȌǦȋǦȌ
152 Ǧ Ϊ ȋΪǦȌ Ǧ ȋǦǦȌ 153 Ǥ ͲǤͷ 154 ͳǤͷ Ǧ Ǥ 155 ͳͲǡǡ 156 ͺͻȋǡʹͲͳ͵ȌǤͳͲ 157 ǡ 158 ȋȌ Ǧ ȋ ǡ ʹͲͲʹȌǤ
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159 ͳǡ ̱ͳ ǡ 160 ȋ ǤǡʹͲͳ͵ȌǤͳͳιǤ Ǧ 161 Ͷ ͺ Ǥ ǡ 162 Ǧ ȋǦ ͳȌǡ ʹͶȋǡͶ 163 Ȍ Ͷ ͺ ȋ ȌǤ 164 ȋ ǤǡʹͲͳͶȌ ͵Ǧȋ ǣ 165 ͳͲȌǤ ǡ Ǧ ȋǦ ʹȌǡ 166 ʹͶ ȋ ǡ Ͷ ȌǤ Ͷ ͺ 167 Ǥ ʹǤ 168 169 Questionnaires and debriefing 170 ȋ Ǣ ǤǡͳͻͻȌ 171 Ǧ ȋ ǦǢǡͳͻͺͲȌǤ ͳ͵ 172 ǡ Ǧ 173 Ǥ ͵ǤͷȋǣͲǦͳͲȌ Ǧ͵͵ǤͷȋǣʹͷǦͶͺȌǤ 174 175 ǡǦ 176 Ǥ 177 Ǥ 178 ǤǦ 179 ͵ Ǥ 180 Ǥ 181 182 Peripheral stimulation 183 Ȁ 184 ȋ Ȍ 185 ʹͲͲͲ ȋǦ Ȍ Ǥ ʹͲͲ ǡ ͳͲ 186 ͲǦͶͲȀͲǦͺͲǤ 187 ǡ ǡ 188 ǡǤ 189 ͶǤͺȋǣͳǤͺȌ ͳͳͲǤͳ 190 ͵ Ǥ 191
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192 Peripheral measurements 193 Ȁ 194 ȋ Ȍ 195 ȋ ǡ 196 ǡ ȌǤ ǦǢ ȋ Ȍ 197 Ǧ Ǥ ȋȌ 198 ȋ Ǥǡ ʹͲͳͶȌ 199 ǤͳͶ ȋǡ ǣ̴ͲͲͳʹʹȌǤ 200 ǡ 201 ȋǡͳͻʹȌǤȋPȌ 202 ͲǤͷͶǤͷǡͲǤͷ 203 ͷǤ 204 Ǧ Ǥ 205 ͳ 206 Ǥ Ǧ ǡ 207 ȋ ǡ ǡ Ǧ ͳǡ Ǧ ʹȌǤ ȋΪǡ ǦȌ 208 ȋǡǦȌǦ Ǥ Ǧ 209 ǡ Ǧ ǡ ȋǡ ȌǤ 210 ǡ ȋΪǦȌ 211 ȋǦȌǤ ǡ 212 213 Ǧ ͳȋ ǤǡʹͲͳͲǡʹͲͳ͵ȌǤ 214 Ǧ ͳ 215 Ǧ ʹ ȋ Ǥǡ ʹͲͳͲǡ ʹͲͳ͵ȌǤ 216 ǡ
217 ΪȋΪΪǦȌǤǡ 218 ʹǦ 219 ͵ Ǥ 220 Ǧ Ǧ ȋ Ǧ 221 ǡ ǡ ȌǤ Ǧ 222 ȋ ǤǡʹͲͳ͵ȌǤͳͶȋǡ ǣ̴ͲͲͳʹʹȌǤ 223 ǤǦ Ǧ
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224 Ǥ 225 Ǥ ͶǤ 226 227 Physiological noise correction 228 229 ȋ ȌǤ 230 ǯ Ǥ 231 Ǧ ȋ Ȍ Ǧ ȋ 232 Ǥǡ ʹͲͲͲȌǤ Ǧ 233 ǡ Ǧ 234 Ǧȋ 235 ǤǡʹͲͲͻȌǡͳͲ ͳͲǤ 236 ǡ ǡ ȋȌ 237 ǡ ǡ ǡ 238 ȋǤǡʹͲͲȌǡʹ Ǥ 239 240 MRI data acquisition and multi-echo weighting 241 ȋǡ Ȍ ͳǤͷ 242 ǤʹȗǦǦȋȌ 243 Ǧ ȋ͵ͷ ǢǡʹǤʹǢǡ 244 ͻǤͶǡʹͳǡ͵͵ǡͶͶǡͷǢ 245 ȋ Ǣ ǤǡʹͲͲʹȌ ͵ǢǡͻͲιǢ ǡͶͶǢ 246 ǡ͵ǤͲǢ ǡͲǤͷͳǢ ǡʹͳʹʹͳʹǢǣʹͲͶ ȀǢ ǣ 247 ͲǤͶͻ ȌǤ Ǧ ǡ Ǧ 248 ǦǦ ȋ Ǥǡ 249 ʹͲͲȌǤ ȋͳ Ȍ ͳǦ͵Ǧ 250 Ǧ ȋǦ ǢǡʹǤ͵ǢǡʹǤͻͷǢǡιǢ ǡʹͷ 251 ʹͷͳȌǤ 252 253 MRI data preprocessing in standard stereotactic space and statistical analyses 254 Ǧ ȋ ͳͷʹȌ Ǧ 255 ǤǦǦ 256 Ǥ Ǧ
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257 Ǥ ǡǡ 258 259 ȋ ǡ ʹͲͲͷȌǤ Ǧ 260 ȋǡʹͲͲȌǡȋȌ 261 ͳͷʹ ͺ ȋ ǣ̴ͲͲͲ͵ȌǤ 262 ǡ ʹ 263 Ǥ 264 Ǧ ȋǤǤǡ ǡ 265 ǡǦ ͳǦ ʹȌǤǦ 266 ȋ ͷȌǤ ǡ 267 ΪȋͷȌ Ǥ 268 ǡǦ Ǧ 269 ͳͲǤ 270 ȋ Ȍ ͺ ȋ ǣ̴ͲͲͲ͵ȌǤ ǡ 271 ȋ͵ǡ͵ȌǦ ǡǦ 272 ȋͳȀͳʹͺ ǦȌǡ ȋͳȌ 273 ǤǦ ǦǦǦǤ 274 Ǧ 275 ȋǯǤǡʹͲͳʹȌǡ ǡͳǡ 276 ʹ Ǥ 277 Ǥ ǡ ǡ 278 Ǥ ǡ 279 ȋǤǡʹͲͲͶȌǤ ǡ 280 Ǥ 281 Ǥ ǡ Ǧ 282 ȋ ǤǡʹͲͲ͵ȌǤ ǡ 283 Ǧ Ǧ 284 Ǥǡ 285 Ǥ 286 ǡ 287 ȋȌ ȋȌ 288 Ǧȋ Ȍ Ǧ Ǥ 289 ȋαʹͶȌ
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290 ͳǦȋ ǡ ǣ̴ͲͲʹͺʹ͵ǡ 291 ǣȀȀǤǤǤ ǤȀȀȀ Ȍǡ Ǥ 292 ȋǤǡʹͲͳʹȌǤ 293 294 MRI data preprocessing of the extinction session in native space and statistical analyses 295 ȋȌǡ 296 ȋi.e.ǡ Ȍ ͺ 297 ȋ ǣ̴ͲͲͲ͵ǡ ǣȀȀǤǤǤ Ǥ ǤȀǢ 298 ǡǡȌǤ ͳ 299 ǡ 300 ǡ ǡ Ǥ 301 ǡ Ǥ 302 Ǧ 303 Ǥ 304 ͳǦ ȋ ǣ̴ͲͲʹͺʹ͵ǡ 305 ǣȀȀǤǤǤ ǤȀȀȀ ȌǤ 306 Ǥ 307 ǡ ȋe.g., 308 ǡǤǡʹͲͳͶȌǤ ǡ 309 ǡǡ Ǥ 310 ǡ 311 Ǥ ȋ Ȍ ͳͲ 312 ͲͶͲǦ͵ ȋ ǡʹͲͳͲȌǤ 313 ȋ Ȍͷ 314 Ǧȋ ǤǡʹͲͳ͵ȌǤǡ 315 Ǥ 316 ǡǦǦ 317 ȋ Ȍ ͻ ȋ α ʹǤʹ Ȍ 318 Ǧ ȋǦʹǤʹ Ȍ Ǧ 319 ȋͳǤȌǤǡͷͺȋǤȂͳͷǤͶȌ 320 Ǧ Ǥ Ǧ ǡǤǦ 321 322 ͻ ǡ
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323 Ǥ Ǧ ȋ͵ 324 ǡ͵ȌǦ ǡʹ 325 ȋȌǡǦȋͳȀͳʹͺ ǦȌǡȋͳȌ 326 Ǥ 327 Ǥ Ǧ ȋΪǡ ǦȌǡ 328 ȋǡǦȌȋͷǦͺȌǦ Ǥ ͶǤ 329 330 Statistical analysis 331 ʹͶ 332 ȋ ǤǡʹͲͳͲǡʹͲͳ͵ǢǤǡʹͲͳʹǢǡʹͲͳ͵ȌǡαǤͲͷǡ ଶ 333 ͳǦαǤͺͲǤ Ǧ ȋߟȌ ǯ 334 ǤǤͲͷǦǦ 335 Ǥ ͳͻ ȋ ǣ̴ͲͲʹͺͷǡ ǡ 336 ǡȌǡǤͳͶȋǡ ǣ̴ͲͲͳʹʹȌǡͺȋ ǣ̴ͲͲͲ͵ǡ 337 ǣȀȀǤǤǤ Ǥ ǤȀǢ ǡ ǡ ȌǤ 338 Ǥ 339 340 Results 341 342 ͳ 343 344 A working memory task and goal-directed eye movements suppress amygdala activity 345 ǡ Ǧ Ǧ 346 Ǥ 347 ǦȋǡʹͲͲʹǢǤǡʹͲͲͻȌǦ 348 ȏe.gǤǡ ǣpδǤͲͲͳǦ Ǧǡ 349 ǣ pδǤͲͲͳ Ǧ ǦȐ Ǧ ȏe.gǤǡ 350 ǣpδǤͲͲͳǦ Ǧǡ ǣpδǤͲͲͳ 351 Ǧ ǦȐǤ ǡ ǡ Ǧ ȏǣ pαǤͲͲͳǡ ǣ 352 pαǤͲͲ͵Ǣ Ǧ ǦȐ Ǧ ȏǣ pαǤͲ͵ͷǢ ǣ pαǤͲͺǡ Ǧ 353 ǦȐ Ǥ 354 Ǧ ȋi.e.ǡ 355 Ȍǡ
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356 Ǧ Ǧ ǤǦ 357 ǡ ȏǣ pαǤͲͳͷǢ ǣ pαǤͲͶͶǡ Ǧ 358 ǦȐǡ Ǥǡ 359 ȋpδǤͲͲͳǡ ǦȌǦ Ǥ 360 Ǧ ͳͳǤ ͳ 361 Ǥ 362 ǡ ȋ Ȍ 363 ǦǦ 364 ȏǤǤǡ ǣ pδǤͲͲͳ Ǧ ǦȐ Ǧ 365 ȏǤǤǡ ǣpδǤͲͲͳǦ Ǧǡ 366 ǣδǤͲͲͳǦ ǦȐǤ 367 ǡ Ǧ ȏpδǤͲͲͳ Ǧ ǦȐ Ǧ 368 ȏpαǤͲͲͳǦ ǦȐǤ ͳʹǤ 369 ǡǦ ǡȋǤǡ 370 ʹͲͲͻȌǡ 371 ȋ ǡʹͲͲͷȌǤ 372 373 ʹ 374 375 Goal-directed eye movements suppress amygdala activity 376 ǡ Ǧ 377 Ǥ 378 Ǥ 379 ͳǡ Ǧ ȏFȋͳǡʹ͵Ȍαͳ͵Ǥͳͳǡ ଶ 380 pαǤͲͲͳǡߟαǤ͵Ȑ Ǥ ȏFȋͳǡʹ͵ȌαͶǤͷǡ pαǤͲͶǡ ଶ 381 ߟαǤͳȐ ȋΪǡǦȌȏFȋͳǡʹ͵ȌαͳǤʹͻǡpαǤʹǡ ଶ 382 ߟαǤͲͷȐǤ ǡ Ǧ 383 Ǥ ͶǤ 384 385 Skin conductance responses during fear acquisition and extinction 386 ȋ ͵Ȍ ȋΪ ଶ 387 ǦȌ ȏFȋͳǡʹʹȌαͳͺǤͷͶǡpαʹǤͺǦͶǡߟαǤͶȐ ଶ 388 ȋǡǦȌȏFȋͳǡʹʹȌαͳǤͻͶͷǡpαǤͳͺǡߟαǤͲͺȐǤ ǡ
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ଶ 389 ȏFȋͳǡʹ͵ȌαͶͻǤǡpα͵ǤͶǦǡߟαǤͺȐ Ǧ ଶ 390 ȏFȋͳǡʹ͵ȌαǤͺͻǡ pαǤ͵ͷǡߟ αǤͲͶȐ ȋ ͵ȌǤ ଶ 391 ȏFȋͳǡʹ͵ȌαǤʹͲǡ pαǤͳǡߟαǤͲͳȐ ଶ 392 ȋǡǦȌȏFȋͳǡʹ͵ȌαǤͻͻͳǡpαǤ͵͵ǡߟαǤͲͶȐǤǡ 393 ǡ 394 ǦǤ 395 396 Eye movements during extinction block spontaneous recovery of fear the following day 397 ǡ ǡ Ǧ Ǧ ͳ 398 ȋǡǦȌȋ ଶ 399 Ǧ ͳȌȏFȋͳǡʹʹȌαǤʹ͵ǡpαǤͲʹǡߟαǤʹ͵ȐǤ Ǧ 400 ǡ 401 Ǧ ͳȋ ǤǡʹͲͳͲȌǡ ଶ 402 ȏFȋͳǡʹʹȌαͷǤͻǡ pαǤͲʹǡߟαǤʹͳȐǤ ǡ 403 ȏtȋʹʹȌα͵ǤͲǡpαǤͲͲʹȐǡȏtȋʹʹȌαǤͻͶǡpαǤͷͲǢ ͵Ȑ 404 Ǥ 405 Ǧ 406 Ϊǡ ǦΪ ଶ 407 Ǧ ͳǤ Ϊ ȏFȋͳǡʹʹȌαͶǤ͵Ͳͷǡ pαǤͲͶͻͻǡߟ αǤͳȐ Ǧ ଶ 408 ȏFȋͳǡʹʹȌαǤͲͷǡ pαǤͲʹǡߟαǤʹ͵Ȑ Ǧ ǡ 409 ǦǤ 410 ǡ Ǥ 411 412 Eye movement-induced amygdala suppression during extinction predicts a reduction in fear recovery 413 after reinstatement 414 ǡ 415 Ǧ ͳ Ǧ ʹ ȋ Ǥǡ ʹͲͳͲȌǡ ଶ 416 ȏFȋͳǡʹʹȌαʹ͵ǤͶͺǡpαǤͷǦͷǡߟαǤͷʹȐǡ ଶ 417 ȏFȋͳǡʹʹȌαǤͲͲͷǡ pαǤͻͶǡߟδǤͲͲͳȐǤ ǡ 418 ଶ 419 ȏFȋͳǡʹͳȌαǤʹͷʹǡ pαǤͲͳǡߟαǤʹȐǤ Ǧ 420 Ǧ
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421 ȏrȋʹͳȌαǤ͵ͻpαǤͲʹͺǡǦǢ ͵ȐǤ 422 Ǧ ȏFȋͳǡʹͳȌαͳǤ͵ͻʹǡpαǤʹͷǡ ଶ 423 ߟαǤͲȐǤǡǦȋǡͳͻͺͲȌ 424 Ǧ 425 Ǧ ȏzȋʹʹȌαʹǤͷͻͺǡ pαǤͲʹͶȐǤ 426 ଶ 427 ȏFȋͳǡʹͳȌαͳǤͷͻʹǡ pαǤʹʹǡߟ αǤͲȐǤ 428 ǡ ǡ 429 ȏrȋʹͲȌαǤʹ pαǤͲͲʹȐǤ ଶ 430 ȏFȋͳǡʹͳȌαǤͶͶǡ pαǤͷͳǡߟαǤͲʹȐǤ 431 ǡ 432 ȋ ͳͷʹȌ Ǥ 433 ǡȋ ǡ Ȍ 434 ȋpαǤͲʹͶǡ 435 Ǧ ǦȌǤ 436 ǡ ǡ 437 ǡ Ǧ 438 Ǥ 439 440 Whole-brain group analysis in standard stereotactic space 441 Ǧ 442 443 ȋ ͳͷʹȌ Ǥ ȏǣ 444 pδǤͲͲͳ ǣ pδǤͲͲͳ Ǧ Ǧ Ȑ ȋȌ 445 ȏpδǤͲͲͳǦ Ǧ ȐǤǡ 446 ȏpαǤͲͲǦ Ǧ ȐǤ͵Ǥ 447 ǡ Ǥ ǡ 448 ȏǣpαǤͲͳǣpαǤͲͶ͵Ǧ Ǧ Ȑ 449 ȏpαǤͲʹǦ ǦȐ ȋΪǦȌǤ 450 Ǥ ǡ ȋ Ȍ 451 ȋ ͶȌǡ 452 ȏǣ pαǤͲ͵Ͷ Ǧ Ǧ Ǣ ǣ pαǤͲͲͳ Ǧ 453 ǦȐ Ǥ
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454 ǤȋΪǡǦȌ 455 ȋǡǦȌ Ǥ 456 ǡ ȋ 457 Ȍ ȏpαǤͲʹͷǦ Ǧ ȐǤ 458 ͶǦǤ Ǧ ଶ 459 ȏFȋͳǡʹ͵ȌαǤʹͷǡpαǤͲͳ͵ǡߟαǤʹͶȐǤ ଶ 460 ȏFȋͳǡʹ͵ȌαǤͲͷǡ pαǤͺͲͳǡߟαǤͲͲ͵ȐǤ 461 ǡǡ Ǧ 462 Ǥ 463 ǡǦ ͳǡȋΪǦȌ 464 ȏpδǤͲͲͳ Ǧ Ǧ ȐǤ Ǧ ʹǡ 465 ȏpδǤͲͲͳǦ Ǧ Ȑ 466 ȋǡǦȌȏpδǤͲͲ͵Ǧ ǦȐǤ 467 Ǧ ȏpδǤͲͲ Ǧ Ǧ Ȑǡ 468 ǦǤ 469 ȋ ǤǡʹͲͳ͵Ȍ 470 Ǧ Ǥ 471 472 Discussion 473 Ǧ ǡ 474 ȋȌ ǡ 475 Ǥ ǡǦ ȋͳʹȌ 476 ȋͳȌ Ǥ ǡ 477 ȋ ͳȌ Ǧ 478 479 Ǥ ǡ 480 ʹͶȋʹȌǤ ǡ 481 ǡ 482 ȋ ʹȌǤ 483 ȋͳȌǡ 484 Ǥ 485 why ǡ Ǧ 486 ȋ ǤǡʹͲͲͷȌ ȋ ǤǡʹͲͳͶȌǤ
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487 Ǧ ȋ Ǥǡ 488 ʹͲͳͶȌǤ Ǧ 489 Ǥ 490 Ǥ 491 Ǧ ȋ Ǥǡ ʹͲͲͺȌǤ 492 ȋ ǡ 493 ʹͲͲͷȌǡ Ǥ 494 Ǥ 495 ǡ ǡ ȋǤǡ 496 ʹͲͳʹȌ ȋ 497 Ǥǡ ʹͲͳʹȌǤ 498 ǡ Ǥ ǡ 499 500 ȋ ǤǡʹͲͲͻǢǤǡ 501 ʹͲͳͲǢ Ǥǡ ʹͲͳͷȌǤ ǡ ǡ ǡ 502 503 ȋǤǡʹͲͳͷȌǤ 504 Ǥ 505 Ǥ 506 Ǧ ȋǡʹͲͳͳǢǤǡʹͲͳͷȌ 507 Ǧ Ǥ 508 ǡ ǡ 509 Ǧ Ǥ 510 Ǧ 511 ȋ Ǥǡ ʹͲͳͷȌǤ ǡ ǡ 512 ǡ ǡ 513 Ǥ ǡ ǡ 514 ȋ Ǥǡ ʹͲͳʹȌǤ 515 Ǥ 516 517 ȋ ǡʹͲͳ͵ȌǤ 518 ǡǡ Ǧ ȋǡ 519 ʹͲͳͳȌǤ
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520 Ǧ ȋe.g.,Ȍ Ǥ 521 ǡ 522 523 Ǥ 524 ǡ 525 Ǥ ǡ 526 ȋ ǡ ʹͲͳȌǤ 527 ǡ 528 ǡ Ǥ ǡ Ǧ 529 ǡ 530 ǡ ȋ Ǥǡ ʹͲͳͺȌǤ ǡ 531 532 Ǧ 533 ȋ ǡʹͲͳ͵Ȍǡ 534 ȋ ǡʹͲͲͷȌǤ 535 536 Ǥ ǡ Ǥ 537 ǡ 538 ǡ ȋǤǡ 539 ʹͲͲͳǢǤǡʹͲͳ͵ȌǤȋi.e.ǡ 540 Ȍ ȋǤǡʹͲͲͳǢǤǡʹͲͳ͵ȌǤ 541 542 Ǥ 543 544 Ǥ 545 ȋe.g.ǡ ǡ ʹͲͲͻȌǤ ǡ
546 ΪǦ Ǧ ǡ 547 ǤʹͶ Ǧ 548 Ǥ Ǥ ǡ 549 ǡ ǡ 550 Ǥ 551 Ǧ ȋ Ǥǡ ʹͲͳ͵Ǣ ǡ 552 ʹͲͳ͵Ȍǡ ȋǡ ʹͲͲʹǢ ǡ ʹͲͲʹȌǤ
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553 Ǥ ǡ 554 ȋǡ ʹͲͳͳǢ Ǥǡ ʹͲͳ͵Ȍǡ ȋǡ 555 ͳͻͺͻǢǡʹͲͲʹǢ ǡʹͲͳʹȌǤ 556 ǡ Ǥ ǡǡ 557 ǡ ǡ 558 Ǥ 559 560 ȋ ǤǡʹͲͳ͵Ǣ ǤǡʹͲͳͷȌǤ 561 ǡ 562 ȋǡͳͻͺͻȌǡȋǡ 563 ʹͲͲʹȌ ȋǡʹͲͲʹȌǤ 564 Ǥ ǡͳ 565 Ǥ 566 ǡ 567 ȋ Ǥǡ ʹͲͳͳȌ ȋ Ǥǡ 568 ʹͲͲͻǢ ǤǡʹͲͳͷǢ ǤǡʹͲͳȌǤ 569 ȋ ǤǡʹͲͳȌǤ 570 ǡ ȋ ǡʹͲͳȌǤ 571 ǡ 572 ȋǤǡʹͲͳͷȌǡ 573 Ǥ ǡ ǡ 574 Ǥ 575 Ǥ ǡ 576 ǡ ȋ α ʹͶ 577 ȌǤ 578 ǡ ʹ 579 Ǥ ǡ 580 ȋe.g.ǡ 581 ǡ Ȍ 582 Ǥ ȋͳȌ 583 ǡȋʹȌ 584 Ǥ ȋ͵Ȍ 585 Ǥ
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586 ǡ 587 Ǥ ǡ ǡ 588 589 Ǧ ǡ 590 Ǥ 591 ǡ ǡǦǡ 592 ǡ ȋǤǡʹͲͳ͵ȌǤ 593 594 ǡ Ǥ 595 596 Acknowledgments 597 ǡ ǡ 598 Ǥ 599 ȋǦʹͲͳͷǦ ͺʹͷͻͳȌǤ 600 ǡǡ Ǥ References 601 ǡ ǡ ǡÚ ǡǦǡ ǡ ȋʹͲͳʹȌ 602 Ǥ ͵͵ǣͳͷͷͲȂ 603 ͳͷͷʹǤ 604 ȋʹͲͲȌ Ǥ͵ͺǣͻͷȂͳͳ͵Ǥ 605 ǡ ȋʹͲͲͷȌǤʹǣͺ͵ͻȂͺͷͳǤ 606 ǡǡ ȋͳͻͻȌ Ǧ Ǥ Ǥ 607 ǡ ǡ ǡ ȋʹͲͲȌ ǦǦ 608 Ǧ Ǧ Ǥ͵ͳǣͳͷ͵ȂͳͷͶͺǤ 609 ǡ ǡ ǡ ǡ ȋʹͲͳ͵Ȍ 610 Ǧ ȋȌǤ ǣͶȂǤ 611 ǡ ǡȋʹͲͳʹȌ Ǥ 612 ͺͻǣͷͻͺȂͲͷǤ 613 ǡ ȋʹͲͳȌ ǣ 614 ǫ ͵ͻǣ͵ͶͲȂ͵ͷͳǤ 615 ǡ ȋʹͲͲʹȌǦ ǦǤ 616 ͵ǣʹͳͷȂʹʹͻǤ 617 ᑣ ǡ ȋʹͲͲͶȌ 618 Ǥ ͳʹͻǣʹȂʹʹǤ 619 ǡ ǡ ǡȋʹͲͲͺȌ 620 ǤͷͻǣͺʹͻȂͺ͵ͺǤ 621 ǡ ǡ ȋʹͲͳͷȌ Dz dz 622 Ǥ ͳͲǣʹͳͻȂʹ͵ͲǤ 623 ȋʹͲͲʹȌ 624 Ǥ ͳǣͳͳ͵Ȃͳ͵ͺǤ
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625 ǡǡ ǡ ǡȋʹͲͳͷȌǦ ǣ 626 627 Ǥ ͺǣʹͲ͵ȂʹͲͻǤ 628 ǡǡǡȋʹͲͳͷȌ ǤͺͺǣͶȂ͵Ǥ 629 ȋͳͻʹȌ ǡ ǦǡǤ 630 ͻǣͷͳʹȂͷʹͲǤ 631 ǡ ǡȋʹͲͳͳȌ 632 ǯǤ 633 Ͷʹǣ͵ʹȂ͵Ǥ 634 ǡ ǡ ȋʹͲͳͲȌ 635 Ǥ ͳǣͳȂͺǤ 636 ǡǡ ǡǡǡ ȋʹͲͲͷȌ 637 ǡ Ǥ 638 ͳͲʹǣͻ͵ȂͻͺǤ 639 Ǥǡ ǡ Ǥǡ ǡǡǤȋͳͻͻȌ 640 ǤǣʹͳͺȂʹʹͻǤ 641 ǡ ȋʹͲͳͷȌ Ǥ 642 Ͷ͵ǣʹͶ͵ȂʹͷͲǤ 643 ǡȋʹͲͳʹȌ Ǥ 644 ͶͲǣʹͷͷȂʹͺǤ 645 ǡ ǡ ǡ ȋʹͲͳͶȌ 646 ǤͳͲǤ 647 ǡǡ ǡ ȋʹͲͲ͵Ȍ 648 ǣ Ǥ ͳͻǣʹͲͲȂ 649 ʹͲǤ 650 ǡǡȋʹͲͲͲȌ Ǧ 651 ǣ ǤͶͶǣͳʹȂͳǤ 652 ǡǡ ǡȋʹͲͳͶȌ 653 ȋȌ Ǥ 654 ͻͳǣͳͺȂͳͻ͵Ǥ 655 ǡ ǡ ǡ ǡ ǡ ǡ ǡ ȋʹͲͲʹȌ 656 ȋ ȌǤ 657 ͶǣͳʹͲʹȂͳʹͳͲǤ 658 ǡ ǡ ǡȋʹͲͳͶȌ᩿ǣ 659 ǤǤ 660 ǡȋʹͲͲʹȌ ǫ ͵ǣͳȂͳͲǤ 661 ǡ ǡ ´ǡ ȋʹͲͳͶȌ Ǧ 662 Ǥ ͵ǣ͵ͲͶȂ͵ͳͶǤ 663 ǡ ǡǡ ȋʹͲͳ͵Ȍ 664 ǤǣʹͺȂʹͺǤ 665 ǡ ǡǦǡȋʹͲͲͻȌ Dzdz 666 Ǧ ǫ Ǥ 667 ͶǣͶͳͷ͵Ǥ 668 ǡ ǡǡ ǡǡ ǡ ǡ ǡ 669 ǡǡ ǡȋʹͲͳͲȌ ȾǦ 670 Ǥ ͶͲǣͳͺ͵ͻȂͳͺͶͺǤ 671 ǡ ǡǦǡǡǡ ǡǡ 672 ȋʹͲͳȌ 673 ǣ ǦǦ
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674 Ǥ Ǥ 675 ǡ ǡ ȋʹͲͳ͵ȌǦ 676 ǦǦ 677 Ǥ ͶǣͳȂͳͷǤ 678 ǡǡ ǡǡ ǡǡ ȋʹͲͳͷȌ 679 Ǧ 680 Ǥ ǣͳȂͳͷǤ 681 ǡȋʹͲͳ͵Ȍ ǣ 682 Ǥ ͻʹǣͶ͵ȂͷͲǤ 683 ǡ ǡ ȋʹͲͲͻȌ ǣ 684 Ǥ ͳʹǣʹͷȂʹͷͺǤ 685 ǡ ȋʹͲͳ͵Ȍ Ǧ 686 Ǥ ͶͶǣʹ͵ͳȂʹ͵ͻǤ 687 ȋʹͲͳͳȌǣ ǡ ǡ Ǥ 688 Ͳǣͺ͵ͲȂͺͶͷǤ 689 ǡ ǡ ǡ ȋʹͲͲͳȌ ǫ 690 ͳͶǣʹͷ͵ȂʹͷǤ 691 ǡ ǡǡǯ ǡ ǡ ǡ ȋʹͲͳͶȌ 692 Ǥ Ǥ 693 ǡ ǡ ǡ ǡ ȋʹͲͳʹȌ 694 ǤǤ 695 ǡ ȋʹͲͳ͵Ȍ 696 Ǧ Ǥ ͵͵ǣ͵ͺͳͷȂ͵ͺʹ͵Ǥ 697 ǡ ǡ ȋʹͲͲͲȌ 698 ǤͶͲǣʹʹȂʹǤ 699 ǯ ǡ ǡ ǡ ǡ Ǧ ȋʹͲͳʹȌ ǣ 700 Ǥ ǣͲͶȂ 701 ͲͻǤ 702 ǡ ȋʹͲͲͷȌ Ǥ ͻǣʹͶʹȂʹͶͻǤ 703 ǡ ȋʹͲͳȌ 704 Ǥ ͷ͵ǣ͵ͶȂͶͲǤ 705 ǡ ǡ ǡ ȋʹͲͲȌ 706 ǣ Ǧ Ǧ Ǥ 707 ͷͷǣͳʹʹȂͳʹ͵ͷǤ 708 ǡ ǡ ǡ ǡ ȋʹͲͲͻȌ 709 Ǧ Ǥ ǣʹͷȂ 710 ͵ʹǤ 711 ǡ ǡ ǯ ȋʹͲͲͶȌ 712 Ǥʹ͵ǣͷʹȂ͵Ǥ 713 ǡ ȋʹͲͲʹȌ ǫ Ǥ 714 ͷͺǣͶ͵ȂͷͻǤ 715 ǡ ȋʹͲͳͲȌ ǡ 716 Ǥ ͳͶǣʹͺȂʹǤ 717 ǡ ǡ ǡǦ ǡȋʹͲͳ͵Ȍ 718 Ǥ 719 ͳͳͲǣʹͲͲͶͲȂʹͲͲͶͷǤ 720 ǡǦ ǡǡ ǡ ǡȋʹͲͳͲȌ 721 ǤͶ͵ǣͶͻȂͷ͵Ǥ 722 ȋͳͻͺȌǤǣͶͳȂͶͶǤ
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723 ȋͳͻͺͻȌ ǣ Ǧ 724 Ǥ ʹͲǣʹͳͳȂʹͳǤ 725 ǡǡǡǡ ȋʹͲͳʹȌ Ǧ 726 Ǧ ǤʹʹǣͳͷͺȂͳͷǤ 727 ǡǡ ǡǫǫ ǡ ǫǫ ǡǡǡ 728 ȋʹͲͳ͵Ȍ Ǧ Ǥ ͺʹǣʹͺȂ͵͵Ǥ 729 ȋͳͻͺͲȌ Ǥ ͺǣʹͶͷȂʹͷͳǤ 730 Ǥ ȋʹͲͳȌ ȋ ͲǤͺǤͳǤͳȌǤ ȏ Ȑ ǣ ǣȀȀǦ 731 ǤȀ͓Ǥ 732 ǡ ǡǡ ǡ ǡǡȋʹͲͲͻȌ 733 Ǧ Ǥ 734 ͵Ͳǣ͵Ͳ͵ͳȂ͵ͲͶʹǤ 735 ǡ ǡ ȋʹͲͳ͵Ȍ ǣ 736 Ǥ 737 ʹǣͳȂͳͺ͵Ǥ 738 ǡ ȋʹͲͳʹȌ ǫ ͵ǣʹͶȂ͵ͺǤ 739 ȋͳͻͺͲȌ ǦǦ ȋ 740 Ǧ ȌǤ 741 ͵ͷǣʹͶ͵ȂʹͶͻǤ 742 ǡ ǡ ǡ ȋʹͲͳʹȌ 743 ǣ 744 Ǥ ͶͻǣͺͶʹȂͺͷʹǤ 745 ǡ ȋʹͲͲͻȌ 746 ǤͶͻǣͳʹͲͷȂͳʹͳͷǤ 747
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Figures
Figure 1Ǥ (A) Experimental design. (B) Activations and deactivations of the two-back task and eye movements compared to fixation. The threshold for significance for the amygdala (whole-brain threshold p<.005 uncorrected and peak voxel FWE-SVC p<.05) is applied to the whole brain to show the specificity of the effect. Whole-brain corrected inferential statistics are reported in Table 1. (C) PPI cluster with the left and right amygdala as a seed for the two-back task and eye movements compared to fixation. Images are thresholded at p<.05, whole-brain FWE corrected. (D) Deactivation during the two-back blocks and eye-movement blocks (in green) overlaid onto the average T1 scan from all participants. In red is the anatomical location of the amygdala. It can be seen that the deactivation (overlap is in yellow) is located towards the dorsal part in both tasks. EM: eye movements. 748
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Figure 2Ǥ Overview of the experimental design. (A) The experiment took place on three consecutive days and included an acquisition phase (day one), an extinction phase (day two), and a re-extinction (re-extinction1) phase and re-extinction after reinstatement (re-extinction2) phase (day three). (B) Time line of a single trial during extinction when participants made eye movements. CS: conditioned stimulus.
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749
Figure 3.The time course of the skin conductance responses (SCR) measured during acquisition and extinction, re-extinction1, and re-extinction2. Error bars represent ± standard error of the mean. CS: Conditioned stimulus, Eye: eye movements, No-eye: no-eye movements.
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Figure 4. Differential skin conductance responses (SCR) measured during (A) acquisition and (B) early and late extinction. (C) Differential spontaneous recovery index (first trial of re-extinction1 minus last trial of extinction) and (D) differential reinstatement recovery index (first trial re- extinction2 minus last trial re-extinction1). (E) Correlation between amygdala deactivation during eye-movement blocks on day two and differential reinstatement recovery index for extinction learning with eye movements. Error bars represent ± standard error of the mean. *= p < .05. Eye: eye movements, No-eye: no-eye movements.
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Figure 5. Eye movements suppress amygdala activity. (A) Single-subject example of the automated amygdala segmentation, ventral medial prefrontal cortex (vmPFC) was defined by a 10 mm radius around the 0 40 -3 coordinate (Schiller and Delgado, 2010) and frontal eye field (FEF) as a bilateral 5 mm radius around the MNI peak coordinates reported in a meta-analysis of neuroimaging studies of eye movements (Jamadar et al., 2013). (B) Amygdala and vmPFC deactivation and FEF activation during eye-movement and no-eye movement blocks within the extinction phase. Error bars represent ± SEM. (C) Eye-movement recordings during eye-movement and no-eye movement blocks within the extinction phase. The black and white lines reflect the mean across all participants and the gray shaded area the standard error of the mean (SEM). Eye: eye movements, No-eye: no-eye movements
29
750 Tables 751 752 Table 1 - Peak voxel coordinates and statistics of activations and deactivations of the two-back task and eye movements compared to fixation (Experiment 1) Region Side x(mm) y(mm) z(mm) Peak T P-value
Two-Back blocks > fixation a Anterior insula R 34 26 0 14.70 P<.001 Dorsolateral prefrontal cortex (dlPFC) L -40 2 30 8.57 P<.001 Dorsolateral prefrontal cortex (dlPFC) R 44 38 24 7.16 P<.001 Posterior parietal cortex L -34 -56 50 11.63 P<.001 Posterior parietal cortex R 48 -36 46 11.88 P<.001 Two-Back blocks < fixation Superior frontal gyrus L -18 42 46 13.38 P<.001 Precuneus L -4 -52 14 12.72 P<.001 Cerebellum R 34 -78 -34 10.80 P<.001 Rolandic operculum R 48 -22 18 10.12 P<.001 Angular gyrus L -48 -64 26 10.08 P<.001 Middle temporal gyrus L -58 -8 -6 9.69 P<.001 Fusiform gyrus L -32 -40 -12 9.60 P<.001 Angular gyrus R 56 -66 36 9.25 P<.001 Fusiform gyrus R 30 -42 -10 7.83 P=.007 Inferior frontal gyrus R 52 32 6 7.80 P=.007 Inferior orbital frontal gyrus R 38 36 -10 7.44 P=.015 Cerebellum L -26 -84 -32 7.13 P=.025 Ventral medial prefrontal cortex (vmPFC) L/R -6 46 0 8.39 P<.001* Amygdala L -26 -10 -18 5.64 P=.001* Amygdala R 24 -8 -16 4.73 P=.003* Eye movements > fixation Calcarine R 6 -70 8 7.37 P<.001 Precentral gyrus (Frontal Eye Fields) L -40 -10 50 6.57 P<.001 Precentral gyrus (Frontal Eye Fields) R 32 -4 52 8.48 P=.002 Posterior parietal cortex R 28 -52 50 5.81 P=.001 Posterior parietal cortex L -26 -52 54 5.77 P=.001 Middle cingulate cortex L -12 -20 40 5.22 P=.018 Eye movements < fixation Amygdala L -24 -8 -14 3.17 P=.035* Amygdala R 28 -8 -16 3.13 P =.08* Inferior occipital gyrus R 34 -98 -8 5.38 P =.008 Inferior occipital gyrus L -26 -98 -10 5.31 P =.012 753 Notes: all coordinates are defined in MNI152 space. All statistics listed are significant at p<.05, whole-brain family-wise error corrected unless indicated otherwise. aTo reduce 754 the number of peak voxels, only the peak voxels in the predefined ROIs are reported. *Small volume corrected for region of interest. 755
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756 Table 2 - Peak voxel coordinates and statistics of PPI analyses (with the amygdala as a seed) of the two-back task and eye movements compared to fixation (Experiment 1) Region Side x(mm) y(mm) z(mm) Peak T P-value
Two-Back blocks > fixation Superior motor area (SMA) R 2 -4 60 11.10 p<.001 Dorsolateral prefrontal cortex (dlPFC) L -4 56 36 6.84 P<.001 Dorsolateral prefrontal cortex (dlPFC) R 62 6 24 6.72 P<.001 Posterior parietal cortex L -32 -40 56 8.63 P<.001 Posterior parietal cortex R 6 -36 48 7.36 P<.001 Ventromedial prefrontal cortex (vmPFC) L/R -2 38 -6 6.12 P<.001* Eye movements > fixation Middle cingulate cortex R 6 -38 34 10.21 P<.001 Dorsolateral prefrontal cortex (dlPFC) L -22 40 36 6.89 P<.001 Dorsolateral prefrontal cortex (dlPFC) R 4 66 10 6.52 P<.001 Posterior parietal cortex L -4 -62 30 7.47 P<.001 Posterior parietal cortex R 52 -24 14 7.24 P<.001 Precentral gyrus (frontal eye fields) L -44 -18 46 7.01 P<.001 Precentral gyrus (frontal eye fields) R 44 -14 56 7.04 P<.001 Ventromedial prefrontal cortex (vmPFC) L/R -4 42 -2 6.44 P<.001* 757 Notes: all coordinates are defined in MNI152 space. All statistics listed are significant at p<.05, whole-brain family-wise error corrected unless indicated otherwise. To reduce the 758 number of peak voxels, only the peak voxels in the predefined ROIs are reported. *Small volume corrected for region of interest 759
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760 Table 3 - Peak voxel coordinates and statistics during acquisition Region Side x(mm) y(mm) z(mm) Peak T P-value
CS+ > CS- Inferior frontal gyrus / anterior insula R 50 24 4 9.6797 P<.001 Inferior frontal gyrus / anterior insula L -36 24 4 8.90 P<.001 Supramarginal gyrus R 54 -40 28 8.6493 P<.001 Dorsal anterior cingulate cortex (dACC) R 8 26 28 7.8007 P<.001 Supramarginal gyrus L -54 -40 32 6.1253 P=.002 Cerrebellum R 2 -54 -36 5.9356 P=.004 Cerrebellum L -34 -54 -32 5.9167 P=.004
CS- > CS+ Middle occipital gyrus L -44 -74 30 5.8497 P=.006 Hippocampus L -24 -18 -18 5.8302 P=.006 Ventral medial prefrontal cortex (vmPFC) L -10 52 -6 5.7878 P=.007 Precuneus R 10 -54 14 5.7507 P=.008 Paracentral lobule R 8 -26 70 5.6498 P=.012 Precuneus L -8 -60 16 5.6123 P=.014 Fusiform gyrus / Para-hippocampal gyrus R 32 -44 -4 5.3385 P=.038 761 Notes: all coordinates are defined in MNI152 space. All statistics listed are significant at p<.05, whole-brain family-wise error corrected unless indicated otherwise. 762
763 764
32 de Voogd et al. – Eye movements enhance extinction – Manuscript - Page | 33
765 Table 4 - Peak voxel coordinates and statistics during extinction learning Region Side x(mm) y(mm) z(mm) Peak T P-value
CS presentation CS+ > CS- [main effect CS] Anterior insula R 42 18 -6 6.36 P=.001 Anterior insula L -32 22 -4 5.75 P=.009 Frontal middle orbital cortex R 20 60 -12 5.61 P=.02 Dorsal anterior cingulate cortex (dACC) R 4 28 30 5.31 P=.04
Eye movements > No-eye movements [main effect eye movements] Calcrine L 10 -68 18 10.82 P<.001 Supplemental Motor Area L -4 -6 62 7.94 P<.001 Posterior parietal cortex L -26 -52 52 7.60 P<.001 Precentral gyrus (frontal eye fields) L -44 -8 52 7.58 P<001 Precentral gyrus (frontal eye fields) R 44 -8 50 7.94 P<.001 Posterior parietal cortex R 26 -52 48 7.53 P<.001 Middle temporal gyrus R 44 -64 10 6.26 P=.001 Middle cingulate cortex L -14 -20 38 5.98 P=044 Eye movement blocks Eye movements > fixation Lingual gyrus L -10 -88 -2 15.13 p<.001 Precentral gyrus (frontal eye fields) R 48 -4 42 10.26 P<.001 Putamen L -22 -2 12 9.80 P<.001 Supplemental Motor Area L -4 -4 62 8.21 P=.003 Precentral gyrus (frontal eye fields) L -52 -4 38 8.02 P=.005 Putamen R 22 8 10 7.46 P=.016 Eye movements < fixation Posterior insula R 38 -18 12 11.22 P<.001 Parahippocampal gyrus R 18 -14 -24 9.16 P<.001 Posterior insula L -36 -20 8 8.99 P=.001 Inferior occipital gyrus R 32 -96 -4 7.80 P=.008 Superior parietal gyrus R 18 -44 68 7.44 P=.017 Inferior occipital gyrus L -28 -94 -6 7.34 P=.020 Ventral medial prefrontal cortex (vmPFC) L -8 24 -12 7.22 P=.025 Post-central gyrus R 44 -26 54 7.01 P=.036 Amygdala R 32 4 -20 4.43 P=.008* 766 Notes: all coordinates are defined in MNI152 space. All statistics listed are significant at p<.05, whole-brain family-wise error corrected unless indicated otherwise. 767 *Small volume corrected for region of interest. 768
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769 Table 5 - Peak voxel coordinates and statistics during re-extinction1 and re-extinction2 Region Side x(mm) y(mm) z(mm) Peak T P-value
Re-extinction1 Cs+ > CS- Anterior insula R 50 20 -2 6.3 P<.001 Re-extinction2 CS+>CS- Dorsal Anterior cingulate cortex R 8 26 50 5.52 P=.024 Thalamus R 6 -6 2 5.52 P=.024 Cs by Extinction manipulation interaction Dorsal Anterior cingulate cortex L -8 28 38 4.89 P=.003* CS+ > CS- [no-eye movements] Dorsal Anterior cingulate cortex R 8 36 40 6.24 P=.007
770 Notes: all coordinates are defined in MNI152 space. All statistics listed are significant at p<.05, whole-brain family-wise error corrected unless indicated otherwise. 771 *Small volume corrected for region of interest. 772 773
34 AB amygdala ... 2-back EMEM 2-back rest 2-back ... 2-back blocks ...eye-movement blocks 2-back blocks
2 amygdala
5 amygdala
2
3
eye-movement blocks amygdala 3 activation deactivation ...... 3.2 4.0 4.8 5.6 CD
dlPFC parietal cortex vmPFC
x=-4 x=-32 z=-6 x = -22 x = -23 x = -24 dlPFC FEF vmPFC
x=-32 x=-22 z=-2 eye-movement blocks 2-back blocks eye-movement blocks 2-back blocks x = -22 x = -23 x = -24 ppi amygdala seed 6 6.5 7 7.5 A Day 1 Day 2 Day 3 Day 3 Acquisition Extinction Re-extinction 1 Re-extinction 2
Reinstatement
CS+ CS+
CS+ CS+ CS+ CS+ CS+ CS+ eye noeye eye noeye eye noeye
CS- CS- CS- CS- CS- CS- CS- CS- eye noeye eye noeye eye noeye
B Eye movements during extinction
CS+ eye ......
4 seconds 0.5-1.5 seconds 10 seconds 6-8 seconds A 1 CS+ eye 0.9 CS+ no-eye CS- eye 0.8 CS- no-eye 0.7 0.6 0.5 0.4 SCR (√μS) 0.3 0.2 0.1 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 1 2 3 4 5 6 7 8 9 10 11 12 B trials (acquisition) trials (extinction) 1 0.9 0.8 0.7 0.6 0.5 0.4 SCR (√μS) 0.3 0.2 0.1 0 123456 123456 trials (re-extinction1) trials (re-extinction2) AB 0.5 0.5 eye 0.45 0.45 no-eye 0.4 0.4 0.35 0.35 0.3 0.3 0.25 0.25 0.2 0.2 0.15 0.15 0.1 0.1 mean differential SCR (√μS) mean differential SCR (√μS) mean differential 0.05 0.05 0 0 acquisition early extinction late extinction C D E 1 1 0.9 0.9 1.5 0.8 * 0.8 0.7 0.7 1 0.6 0.6 0.5 * 0.5 0.5 0.4 0.4 0 0.3 0.3 -0.5 0.2 0.2 mean differential SCR (√μS) mean differential mean differential SCR (√μS) mean differential 0.1 0.1 -1 0 0 index recovery Δ reinstatement -0.04 -0.02 0 0.02 spontaneous recovery after amygdala activity recovery reinstatement during eye movements AB eye amygdala 0.01 0.01 no-eye
0 0
-0.01 -0.01 vmPFC Amygdala Arbitrary units (au) -0.02 cs+ eye/no eye -0.02 cs- eye/no eye -4 -2 0 2 4 6 8 10 12 14 16 -4 -2 0 2 4 6 8 10 12 14 16 seconds seconds
0.01 0.01 FEF
0 0
-0.01 -0.01 vmPFC C Arbitrary units (au) -0.02 cs+ eye/no eye -0.02 cs- eye/no eye 1.5 -4-20246810121416 -4-20246810121416 0 seconds seconds -1.5 1.5 0.4 0.4 0 -1.5 cs+ eye/no eye Arbitrary units (au) −2 0 2 4 6 8 10121416 0.2 0.2 seconds 1.5 0 0 0 FEF -1.5 -0.2 -0.2
1.5 Arbitrary units (au) 0 -0.4 cs+ eye/no eye -0.4 cs- eye/no eye -1.5 cs- eye/no eye
Arbitrary units (au) −2 0 2 4 6 8 10121416 -4 -2 0 2 4 6 8 10 12 14 16 -4-20 2 4 6 8 10121416 seconds seconds seconds