Alex Hon Ki Wong

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Alex Hon Ki verified their affiliation via an institutional email.

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• PhD
• Professor (Assistant) at Erasmus University Rotterdam

Fear of threatening contexts often generalizes to similar, safe contexts but few studies have investigated how contextual information influences cue generalization. In this study we explored whether fear responses to cues would generalize more broadly in a threatening compared to a safe context. Forty-seven participants underwent a differential cue...

Extinction learning involves repeatedly presenting a conditioned stimulus (CS) that previously signaled a threat, but now occurs without the expected threat. This process is core to exposure-based treatments, a key treatment for anxiety-related disorders. Enhancing the generalization of extinction learning is crucial for improving treatment outcome...

Fear extinction procedures serve as a laboratory model for a learning process involved in exposure treatment for anxiety disorders. Clinically, exposure is typically conducted with generalization stimuli (GSs) because originally acquired fear stimuli are inaccessible. Experimental studies, however, show limited generalization of extinction when GSs...

Background and objectives Typicality asymmetry in generalization refers to enhanced fear generalization when trained with typical compared to atypical exemplars. Typical exemplars are highly representative of their category, whereas atypical exemplars are less representative. Individual risk factors, such as trait anxiety, attenuate this effect, du...

Background and objectives: Typicality asymmetry in generalization refers to the enhanced fear generalization when trained with typical compared to atypical exemplars. Typical exemplars are highly representative of their category, whereas atypical exemplars are less representative. Individual risk factors, such as trait anxiety, attenuate this effec...

Have you ever felt anxious? How do you usually react when you are afraid of something? Anxiety is a normal feeling that everyone gets from time to time. Since it is an unpleasant feeling, people often try to avoid situations that make them feel that way. For example, skipping school because you have to give a presentation in front of the whole clas...

Fear overgeneralization and perceived uncertainty about future outcomes have been suggested as risk factors for clinical anxiety. However, little is known regarding how they influence each other. In this study, we investigated whether different levels of threat uncertainty influence fear generalization. Three groups of healthy participants underwen...

Background: Anxiety, approach, and avoidance motivation crucially influence mental and physical health, especially when environments are stressful. The interplay between anxiety and behavioral motivation is modulated by multiple individual factors. This proof-of-concept study applies graph-theoretical network analysis to explore complex associatio...

Avoidance is typically adaptive given it prevents threat. However, avoidance becomes maladaptive when it is executed out of proportion of threat (i.e., excessive or insufficient avoidance), persists in the absence of threat, or excessively generalizes to other innocuous situations. Although there has been an increase in research in these different...

In the interplay of fear and avoidance, not only imminent threat signals that directly predict potential threat evoke avoidance, but also distal threat signals that predict these imminent threat signals. Avoidance of learnt fear refers to avoidance to a distal threat signal that prevents the occurrence of an imminent threat signal. In clinical anxi...

Fear overgeneralization and perceived uncertainty about future outcomes have been suggested as risk factors for clinical anxiety. However, little is known regarding how they influence each other. In this study, we investigated whether different levels of threat uncertainty influence fear generalization. Three groups of healthy participants underwen...

Fear overgeneralization and perceived uncertainty about future outcomes have been suggested as risk factors for clinical anxiety. However, little is known regarding how they influence each other. In this study, we investigated whether different levels of threat uncertainty influence fear generalization. Three groups of healthy participants underwen...

Avoidance is typically adaptive given it prevents threat. However, avoidance becomes pathological when it is executed out of proportion of threat (i.e., excessive or insufficient avoidance), persists in the absence of threat, or excessively generalize to other innocuous situations. Although there has been an increase in research in these different...

Enhancing the reduction of avoidance may optimize treatment for anxiety disorders. Past research focused on boosting fear extinction to reduce avoidance, however, with limited success. Directly extinguishing avoidance may be more promising. This preregistered study tested the impact of incentives and instruction for non-avoidance compared to passiv...

Exposure-based treatment involves repeated presentation of feared stimuli or situations in the absence of perceived threat (i.e., extinction learning). However, the stimulus or situation of fear acquisition (CS+) is highly unlikely to be replicated and presented during treatment. Thereby, stimuli that resemble the CS+ (generalization stimuli; GSs)...

Excessive generalization of safety behavior to innocuous stimuli that resemble a feared stimulus is oftentimes pathological especially with inflicted impairments. Safety behavior is conventionally assessed dichotomously, requiring multiple presentations of each test stimulus for assessing the proportion of safety behavior executed. Thus, the genera...

Safety behavior prevents the occurrence of threat, thus it is typically considered adaptive. However, safety behavior in anxiety-related disorders is often costly, and persists even the situation does not entail realistic threat. Individuals can engage in safety behavior to varying extents, however, these behaviors are typically measured dichotomou...

Avoiding stimuli that were previously associated with threat is essential for adaptive functioning, but excessive avoidance that persists in the absence of threat can turn dysfunctional and results in severe impairments. Fear and avoidance conditioning models have substantially contributed to the understanding of safety behaviors towards learnt fea...

Avoidance of learnt fear prevents the onset of a feared stimulus and the threat that follows. In anxiety-related disorders, it turns pathological given its cost and persistence in the absence of realistic threat. The current study examined the acquisition of costly avoidance of learnt fear in healthy individuals (n = 45), via a sensory precondition...

Anxiety and approach-avoidance conflicts are crucial factors influencing mental and physical health, especially when environments are stressful. Their interplay is modulated by multiple state and trait factors. Therefore, focusing on some specific associations, which represents the dominant approach in most previous work on anxiety and avoidance, c...

Background. Increases in emotional distress in response to the global outbreak of the SARS-CoV-2 (COVID-19) pandemic have been reported. So far, little is known about how anxiety responses in specific everyday public life situations have been affected. Methods. Self-reported anxiety in selected public situations, which are relevant in the COVID-19...

Avoidance is a transdiagnostic symptom of clinical anxiety and its reduction a major focus of cognitive-behavioral treatments. This study examined the instrumental extinction of goal-directed avoidance by means of incentives, verbal instruction, and social observation and their influence on fear extinction. Participants acquired conditioned fear an...

Avoidance is a transdiagnostic symptom of clinical anxiety and its reduction a major focus of cognitive-behavioral treatments. This study examined the instrumental extinction of goal-directed avoidance by means of incentives, verbal instruction, and social observation and their influence on fear extinction.Participants acquired conditioned fear and...

In fear conditioning, training with typical category exemplars has been shown to promote fear generalization to novel exemplars of the same category, whereas training with atypical category exemplars supports limited if any generalization to other category members, amounting to a typicality asymmetry in fear generalization. The present study sought...

Expectancy violation refers to the mismatch between an expected and the actual outcome. Maximizing expectancy violation is crucial for exposure-based treatment. Since the original stimulus of fear acquisition (CS+) is rarely available, stimuli that resemble the CS+ (generalization stimuli; GSs) are presented during treatment. A given GS may evoke e...

In fear conditioning, training with typical category exemplars has been shown to promote fear generalization to novel exemplars of the same category, whereas training with atypical category exemplars supports limited if any generalization to other category members, amounting to a typicality asymmetry in fear generalization. The present study sought...

Safety behaviour in anxiety disorders is often maladaptive given it prevents patients to disconfirm unrealistic threat beliefs (protection from extinction). These behaviours range from mild to excessive, however, are commonly examined as binary responses. The current study aimed to validate a dimensional measure of safety behaviour. After acquiring...

Pavlovian conditioning studies have shown that humans can generalize conditioned fear to novel stimuli that are categorically related to the threat cue, despite perceptual dissimilarities. The current work examined the role of trait anxiety in the generalization of fear to categorically related objects. Items from 1 category, breakfast or bakery, w...

Fear generalization refers to the spread of acquired fear to novel stimuli that resemble the original fear-related stimulus. Preliminary evidence suggests that excessive fear generalization is a pathogenic feature of anxiety disorders, however, it remains unclear how fear generalization affects pathological avoidance. The current study thus aimed t...

Fear motivates different types of defensive behaviors. These behaviors are, however, not merely byproducts of fear. In this review, we highlight a bi-directional relationship between conditioned fear and instrumental defensive behavior in humans. We discuss mechanisms involved in the link from fear to goal-directed avoidance (e.g., relief, generali...

Two experiments examined whether extinction of a generalization stimulus (GS) after single cue fear conditioning would in turn generalize to other stimuli, relative to a control group that received regular extinction of CS+ itself. We found only a weak effect of such “generalization of GS extinction” either back to CS+ or to a different GS, on eith...

Trait anxiety has been widely accepted as a vulnerability factor for the development of anxiety disorders. However, few studies have examined how trait anxiety may affect fear generalisation, which is believed to be a core feature of anxiety disorders. Using a single-cue conditioning paradigm, the current study found a range of discrete generalisat...

Fear generalisation refers to the spread of conditioned fear to stimuli similar but distinct from the original conditioned stimulus. In this study, participants were presented with repeated pairings of a conditioned stimulus with a shock, in either a single-cue or differential conditioning paradigm. Generalisation of fear was then tested by present...