Fear, anxiety, and their disorders from the perspective of psychophysiology

Abstract

Psychophysiology is a central hub connecting neurobiological and behavioral domains with clinical science, thus providing ideal tools for increasing the understanding of mental disorders beyond the level of symptom reports. The present article provides an overview of how psychophysiological research can contribute toward efforts directed at an improved understanding of anxiety disorders. Starting with the behavioral domain, it is demonstrated that defensive behaviors are fundamental to anxiety disorders and that these behaviors are dynamically organized depending upon the proximity of a specific threat. The next section reviews neural networks that are activated during the encoding of threat-relevant information and during the organization of the cascade of defensive responses, including how passive avoidance might be conceptualized within a neurobehavioral framework. The last section addresses the translation of these behavioral and neuronal findings from experimental psychopathology research to clinical populations. Finally, evidence is presented to support how behavioral approaches may be helpful in predicting treatment outcomes.

Keywords: anxiety; anxiety disorders; defensive neural networks; defensive responses; fear; personalized treatment.