Puberty, sex, and fear extinction retention: A neuroimaging study in youth
Anxiety disorders affect 31.1 % of U.S. adults, with females exhibiting twice the prevalence of males. While sex differences are well-documented, underlying mechanisms remain unclear. Advanced pubertal status is linked to increased anxiety symptoms in females but not males, suggesting puberty contri...
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| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-10-01
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| Series: | Developmental Cognitive Neuroscience |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1878929325000908 |
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| Summary: | Anxiety disorders affect 31.1 % of U.S. adults, with females exhibiting twice the prevalence of males. While sex differences are well-documented, underlying mechanisms remain unclear. Advanced pubertal status is linked to increased anxiety symptoms in females but not males, suggesting puberty contributes to sex differences in fear-based disorders. Deficits in fear extinction and retention are implicated in anxiety, and prior research suggests sex hormones influence extinction retention. This study examined sex assigned at birth (parent-reported) and pubertal status (self-reported) on extinction retention in 101 youth (47.5 % female) using a Pavlovian fear extinction paradigm. Measures included self-reported anxiety symptoms, extinction retention, and neural activation in the amygdala, hippocampus, and anterior cingulate cortex (ACC). |
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| ISSN: | 1878-9293 |