Why some people can’t let go of fearful memories and how sleep and brain signals matter

Neural Basis of Individual Differences in Fear Extinction

NIH-funded research Veterans Health Administration · NIH-11204589

This project looks at how sleep problems and a brain chemical system (acetylcholine) can make it harder for people with trauma or PTSD to lose fearful memories.

Quick facts

Grant typeNIH-funded research
Study typeNIH-funded research
Funding institutionVeterans Health Administration NIH-funded
Lab location1 site (Columbia, United States)
Project IDNIH-11204589 on NIH RePORTER

What this research studies

From a patient point of view, the team uses rat models that show strong or weak fear responses to learn why some individuals have trouble 'unlearning' fear. They measure behaviors like freezing and vocalizations, manipulate sleep patterns, and study cholinergic brain pathways between the basal forebrain, prefrontal cortex, and amygdala. The goal is to link sleep disruption and cholinergic signaling to differences in fear extinction and safety learning that resemble PTSD. Findings aim to point to biological targets that could improve therapies for people who keep reliving traumatic fear.

Who could benefit from this research

Good fit: People with persistent fear after trauma or PTSD—especially veterans who have sleep disturbances—would be the most relevant group for the results of this work.

Not a fit: Patients whose symptoms are unrelated to trauma-linked fear learning or who do not have sleep problems may not directly benefit from these findings.

Why it matters

Potential benefit: If successful, this work could reveal biological reasons some people resist exposure-based therapies and suggest new ways (sleep or brain-chemical targets) to help them benefit more from treatment.

How similar studies have performed: Prior animal and human studies link sleep and cholinergic signaling to fear extinction and exposure therapy outcomes, but using individual differences in these circuits as a target is a newer, more detailed approach.

Where this research is happening

Columbia, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-10 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.