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Psychology & Neuroscience © 2017 American Psychological Association

2017, Vol. 10, No. 2, 225–242 1983-3288/17/$12.00 http://dx.doi.org/10.1037/pne0000081

Effects of Environmental Enrichment in a Mouse Model of


Posttraumatic Stress Disorder

Marília Bazan Blanco Azair Canto-de-Souza


and Rimenez Rodrigues de Souza Universidade Federal de São Carlos and
Universidade Federal de São Carlos Neuroscience and Behavioral Institute, Ribeirão
Preto, Brazil
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.

Posttraumatic stress disorder (PTSD) may appear after an individual experiences a


This document is copyrighted by the American Psychological Association or one of its allied publishers.

stressful situation. It is characterized by the avoidance of situations that are related


to the trauma and persistent hyperarousal, which may become associated with
anxiety and cognitive disability. The present study evaluated the effects of envi-
ronmental enrichment on anxietylike behavior and memory in a mouse model of
PTSD that employed different reexposures to situational reminders (SRs; 1 or 10
min). Male Swiss mice were exposed or not exposed to environmental enrichment
and then subjected to the model of PTSD in a light-dark box. After exposure to the
aversive stimulation, the animals were evaluated in a light-dark box, a modified
light-dark box, the elevated plus maze (EPM), and the novel object recognition test.
Environmental enrichment attenuated the effects of footshock, did not alter anxi-
etylike behavior or memory in animals that were exposed to 1-min SRs, increased
anxietylike behavior and memory in animals that were exposed to 10-min SRs, and
reversed behavioral sensitization in the EPM. The results suggest that environmen-
tal enrichment does not mitigate the effects of reexposure to 1-min SRs on
traumatic memory and favors the maintenance of traumatic memories, even when
animals are reexposed to SRs for 10 min. However, environmental enrichment
reversed the effects of the aversive stimulation on behavioral sensitization. The effects of
environmental enrichment in the present model of PTSD are complex and depend on the
duration of SRs and the specific behaviors that are assessed.

Keywords: PTSD, situational reminders, environmental enrichment, aversive memory

PTSD can occur after an individual experi- anxiety, and cognitive disability (Bremner et al.,
ences a stressful situation, such as a natural 1993). At the neurological level, a reduction of
disaster, physical violence, or an accident. It is hippocampal volume (Gross & Hen, 2004), ex-
typically characterized by reliving the trauma aggerated amygdala responsivity, and impair-
through nightmares and thoughts, the avoidance ments in negative inputs from the ventromedial
of situations that remind the individual of the prefrontal cortex to the amygdala (Likhtik, Pel-
trauma, and persistent hyperarousal (Pitman, letier, Paz, & Paré, 2005; Phelps, Delgado,
1989; Yehuda, 2000). It may also be associated Nearing, & LeDoux, 2004) are at the core of
with the development of depression, excessive PTSD. This is generally followed by a failure of
the organism to return to normal levels of stress
hormones after the stressful event, with dys-
This article was published Online First April 27, 2017. regulation of the hypothalamic-pituitary-
Marília Bazan Blanco and Rimenez Rodrigues de Souza, adrenal (HPA) axis and other stress systems
Graduate Program in Psychology, Universidade Federal de (Rauch, Shin, & Phelps, 2006).
São Carlos; Azair Canto-de-Souza, Department of Psychol-
ogy, Universidade Federal de São Carlos, and Neuroscience According to the cognitive-behavioral model,
and Behavioral Institute, Ribeirão Preto, Brazil. PTSD develops through classic Pavlovian fear
Correspondence concerning this article should be addressed conditioning, in which the traumatic experience
to Marília Bazan Blanco, who is now at Universidade Estadual
do Norte do Paraná, Rodovia PR 160 - s/n, Km 0, CEP:
results in an association between an uncondi-
86300-000, Cornélio Procópio, Paraná, Brazil. E-mail: tioned stimulus (US) that evokes intense fear
mariliabazan@uenp.edu.br and perceived contextual cues (conditioned
225
226 BLANCO, DE SOUZA, AND CANTO-DE-SOUZA

stimuli [CSs]) of the situation that later elicit corticotropin-releasing factor mRNA in the
conditioned emotional responses. The mainte- paraventricular nucleus of the hypothalamus.
nance of PTSD can rely on a form of operant Collectively, these findings suggest that reexpo-
conditioning. The avoidance of reminders of the sure to trauma-associated reminders might con-
trauma (CSs) usually generate temporary relief, tribute to disturbances that are seen in PTSD as
supporting negative reinforcement and likely a kind of dominolike effect.
preventing extinction of the conditioned re- Human studies have shown that exposure to
sponses (Brewin & Holmes, 2003; Knapp & combinations of learning challenges, social net-
Beck, 2008). This hypothesis was confirmed by works, and physical exercise promotes resil-
studies in humans that showed that PTSD might ience to and recovery from stress (Hutchinson et
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involve excessive fear memory acquisition and al., 2012). Environmental enrichment consists
This document is copyrighted by the American Psychological Association or one of its allied publishers.

consolidation, exaggerated conditioned fear re- of exposing young or adult animals for weeks or
sponses to trauma-associated cues, and impair- months to environments that are rich in sensory
ments in fear extinction (Bremner et al., 2005; stimulation, physical exercise, and social rela-
Fani et al., 2012; Rauch et al., 2006). This tions (Diamond, 2001; Diamond, Rosenzweig,
suggests that the establishment of PTSD might Bennett, Lindner, & Lyon, 1972; Fernández-
involve the dysregulation of memory systems. Teruel et al., 2002; Leggio et al., 2005). Animal
Numerous studies have suggested that long- studies that employ environmental enrichment
term exposure to reminders of fear memory have demonstrated that it has buffering effects
leads to the extinction of conditioned emotional against stressors and beneficial effects in animal
responses (Cammarota et al., 2005; de Quer- models of mental illness (Hendriksen, Olivier,
vain, Aerni, Schelling, & Roozendaal, 2009; de & Oosting, 2014; Hendriksen, Prins, Olivier, &
Quervain et al., 2011; Orsini & Maren, 2012). Oosting, 2010; Hutchinson et al., 2012; Pang &
Stress that is induced by fear retrieval can trig- Hannan, 2013). Moreover, environmental en-
ger further excessive consolidation of the trau- richment has been shown to lead to improve-
matic memory (Louvart et al., 2006; Pynoos, ments in learning and memory (Arnaiz et al.,
Ritzmann, Steinberg, Goenjian, & Prisecaru, 2004; Bruel-Jungerman, Laroche, & Rampon,
1996), generalization, behavioral sensitization 2005; Fernández-Teruel et al., 2002; Soffié,
(Siegmund & Wotjak, 2006, 2007), higher- Hahn, Terao, & Eclancher, 1999) and facilitate
order fear conditioning (Paschall & Davis, problem-solving strategies (Diamond, 2001;
2002; Sears, Baker, & Frey, 1979; Souza, Dal Fernández-Teruel et al., 2002). Environmental
Bó, de Kloet, Oitzl, & Carobrez, 2014), and enrichment has also been shown to prevent ag-
impaired extinction (Fani et al., 2012; Sieg- ing-related cognitive impairments (Blanco,
mund, Langnaese, & Wotjak, 2005; Stiedl et al., Gon, & Estanislau, 2012; Harati et al., 2011)
1999). Using an elegant experimental approach and have antidepressantlike (Brenes, Padilla, &
in rats, Pynoos and colleagues (1996) demon- Fornaguera, 2009; Brenes, Rodriguez, & Forna-
strated that repeated exposure to SRs of intense guera, 2008) and anxiolyticlike (Benaroya-
footshock fear conditioning led to observable Milshtein et al., 2004); (Duman, Schlesinger,
behavioral disturbances during each reminder Russell, & Duman, 2008) effects. To date, how-
session and enhanced the startle reflex follow- ever, no reports have described the specific ef-
ing exposure to the reminders, suggesting the fects of environmental enrichment on behav-
emergence of an abnormal emotional state (Py- ioral changes associated with chronic exposure
noos et al., 1996). Similarly, Louvart and col- to traumatic reminders. The present study eval-
leagues (Louvart, Maccari, Ducrocq, Thomas, uated the long-term behavioral effects of envi-
& Darnaudery, 2005, Louvart et al., 2006) ronmental enrichment in a mouse model of
showed that exposing rats to SRs of a traumatic PTSD.
event produced a long-term increase in anxiety-
like behavior, an increase in aversion to the Materials and Method
conditioned context, alterations in social inter-
action, blunted corticosterone release, an in- Animals
crease in HPA feedback in response to a stres-
sor, an increase in mineralocorticoid receptor One hundred one male Swiss mice, 21 days
mRNA in the hippocampus, and an increase in of age at the beginning of the study, were used.
EFFECTS OF ENVIRONMENTAL ENRICHMENT ON PTSD 227

The animals were obtained from the vivarium of Modified light-dark box. The modified
the Universidade Federal de São Carlos light-dark box was constructed of wood (50
(UFSCar) and housed in the colony room in the cm ⫻ 40 cm ⫻ 60 cm). The light compartment
laboratory during the experimental procedures. (50 cm ⫻ 40 cm ⫻ 30 cm) and dark compart-
The animals were housed either with 10 animals ment (50 cm ⫻ 40 cm ⫻ 30 cm) were connected
per homecage (41 cm ⫻ 34 cm ⫻ 16 cm) or by a guillotine door (10 cm ⫻ 10 cm). The light
8 –10 animals per enriched chamber. They were compartment had walls with vertical black
maintained under controlled temperature (24°C stripes and was illuminated by a 300 lux light
⫾ 1°C) and humidity (55% ⫾ 5%) and a 12 (Bourin & Hascoët, 2003).
h/12 h light/dark cycle (lights on at 7:00 a.m.). EPM. The EPM was constructed of wood
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The animals had free access to food and water, (floor) and transparent glass (clear walls). The
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except during the test sessions. The experiments maze consisted of four arms: two open arms (30
were performed during the light phase of the cm ⫻ 5 cm ⫻ 0.25 cm) and two closed arms (30
light/dark cycle. The experiments were per- cm ⫻ 15 cm ⫻ 5 cm) that extended from a
formed in compliance with the recommenda- common central platform (5 cm ⫻ 5 cm). The
tions of the National Council for the Control of maze was elevated 38.5 cm above the floor
Animal Experimentation, and all of the proce- (Lister, 1987). All of the tests were conducted
dures were approved by the Ethics Committee under moderate illumination (77 lux, measured
on Animal Use of UFSCar (Protocol No. 010/ on the central platform).
2012). Novel object recognition test. The novel
object recognition test apparatus consisted of a
clear acrylic round arena (28 cm diameter, 30
Apparatus
cm height (Insight, Ribeirão Preto, Brazil). The
Environmental enrichment. The enriched objects consisted of two identical metal objects
environment consisted of a metal chamber (38 (4 cm height, 3 cm diameter; Objects A and B)
cm ⫻ 42.5 cm ⫻ 26 cm) that was divided into and an opaque glass bottle (8.5 cm height, 3.5
three floors that were connected by stairs cm diameter; Object C; Akkerman et al., 2012).
(American Pets, Guarulhos, Brazil). Inside the
chambers were colored tubes that gave access to Experimental Design
different stimuli: an exercise wheel, a colorful Environmental enrichment. Nonenriched
house, a drinking fountain, and two food dis- animals (control) were housed in standard
pensers that were placed in different locations homecages (8 –10 animals per cage). Enriched
of the chamber. Once per week, two different animals were housed in enriched homecages
objects were placed inside the chamber: colored (8 –10 animals per cage) as previously de-
balls of different sizes, fitted playing pieces, scribed. The animals were kept in their respec-
plastic toys, bells, a pipe, balls, and a brush with tive chambers for 32 days before the aversive
soft bristles (Blanco et al., 2012; Simpson & procedure began. The same housing conditions
Kelly, 2011; Sztainberg & Chen, 2010). were maintained during the entire experimental
Light-dark box test. The light-dark box protocol.
(Insight, Ribeirão Preto, Brazil) was con- Aversive procedure.
structed of dark acrylic (60 cm ⫻ 47 cm ⫻ 29 Aversive conditioning. At the beginning of
cm). The light-dark box test was performed as this procedure, the animals were 53 days old. On
previously described (Bourin & Hascoët, 2003). the day of conditioning, the animals were individ-
The light compartment (28 cm ⫻ 47 cm ⫻ 29 ually placed in the center of the dark side of the
cm) and dark compartment (20 cm ⫻ 47 cm ⫻ light-dark box where they were confined for 2
29 cm) were connected by a guillotine door (7 min. After this period, the guillotine door was
cm ⫻ 7 cm). The floor consisted of 35 metal opened, allowing the animals to explore the light
bars that were connected to a shock generator compartment of the apparatus. Upon the animals’
(Insight, Ribeirão Preto, Brazil). The ceiling of entry to the light compartment, the light was
the light compartment was illuminated by a turned on. As soon as the animal returned to the
light-emitting diode lamp (275 lux) that could dark compartment, the guillotine door was closed,
be turned on and off manually. and a 10-s footshock was delivered (0.5 mA,
228 BLANCO, DE SOUZA, AND CANTO-DE-SOUZA

scrambled). The animals were then removed from box, with their head facing the open door be-
the apparatus and returned to their respective tween compartments. The session lasted 5 min,
homecage. The animals in the control no-shock and the light remained on in the light compart-
(NoShock) group underwent the same procedure ment. The behavioral measures included the
but did not receive electrical stimulation. latency to enter the dark compartment, the total
SRs. The animals were exposed to SRs be- time spent in the dark compartment, the total
ginning 7 days after aversive conditioning, with number of entries into the dark compartment,
7-day intervals between SRs, as proposed by rearing, and immobility in the light compart-
Louvart et al. (2005). On Days 39, 46, and 53, ment.
the animals were confined to the light compart- Experiment 1B. Generalization of aversive
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ment of the light-dark box for 1 or 10 min, with memory in the modified light-dark box.
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the lights on, and immobility time was re- Two days after the aversive memory test in the
corded. The SRs were delivered in the light light-dark box, the animals were individually
compartment to prevent desensitization, which placed in the center of the light compartment of
could happen if the animals are exposed to the the modified light-dark box with the lights on
dark compartment without footshock. This pro- and the door open between compartments. The
cedure also was applied to replicate the disorder animals were placed in the light compartment
that is observed in humans, in which most peo- facing the open door. The latency to enter the
ple are not exposed to the traumatic situation
dark compartment, the total time spent in the
itself but rather to situations that remind them of
dark compartment, and the total number of en-
the trauma (Pynoos et al., 1996). Two groups
tries into the dark compartment were recorded
were not exposed to SRs (NoSR) and remained
in their respective homecages. Table 1 shows a for 5 min.
summary of the experimental groups.
Seven days after the last SR, the animals Experiment 2
were subjected to one of the following tests: Experiment 2A. Anxietylike behavior in
aversive memory test in the light-dark box, gen- the EPM. To evaluate emotional sensitiza-
eralization of aversive memory in the modified tion, a different group of animals was subjected
light-dark box, behavioral sensitization in the to the EPM 7 days after the last reexposure to
EPM, and the novel object recognition test. SRs for 5 min (Figure 1). The percentage of
Experiment 1 open arm entries, percentage of time spent in
the open arms, total number of entries into the
Experiment 1A. Aversive memory test in closed arms, and risk assessment behaviors (i.e.,
the light-dark box. Seven days after the last stretch attend posture and head dipping) were
SR, the animals were individually placed in the recorded.
center of the light compartment of the light-dark Experiment 2B. Novel object recognition
test. Twenty-four hours after the EPM test,
the animals were subjected to the novel object
Table 1 recognition test. The novel object recognition
Experimental Groups Formed During
test is a nonaversive memory test that is based
the Procedure
on the animal’s tendency to explore novel ob-
Environmental Situational jects more than familiar objects.
Group enrichment Shock reminders In the habituation session, the animals were
Control NoShock No No No individually placed in the center of the arena,
Enriched NoShock Yes No No without any object, and allowed to freely ex-
Control NoSR No Yes No plore the apparatus for 10 min. Twenty-four
Enriched NoSR Yes Yes No
Control SR1= No Yes 1 min
hours after the habituation session, the animals
Enriched SR1= Yes Yes 1 min were individually placed in the arena, facing
Control SR10= No Yes 10 min Objects A and B (arranged in parallel), where
Enriched SR10= Yes Yes 10 min they remained for 10 min. The test session was
Note. NoShock ⫽ no-shock; NoSR ⫽ no situational re- performed 24 hr after the training session when
minder; SR ⫽ situational reminder. the animals were allowed to explore the familiar
EFFECTS OF ENVIRONMENTAL ENRICHMENT ON PTSD 229

Figure 1. General outline of the experimental design, including environmental enrichment,


the aversive procedure, and the experimental protocol.
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Object A and the novel Object C for 10 min (F2,76 ⫽ 1.17, p ⬎ .05). The repeated-measures
(Braida et al., 2013; Kazlauckas et al., 2011). ANOVA of the percentage of immobility time
We recorded the percentage of time in con- during reexposure to the 10-min SRs revealed a
tact with Object A (% TA) and Object B (% TB) significant effect of housing (F1,37 ⫽ 15.06, p ⬍
on the day of the training, the percentage of .05). Duncan’s post hoc test showed that the
time in contact with Object A (% TA) and enriched SR10= group spent more time immo-
Object C (% TC) on the test day, and the dis- bile than the SR1, SR2, and SR3 groups, with a
crimination index (d1 ⫽ TC/TA ⫹ TC), as reduction of total immobility time in the SR2
proposed by Akkerman et al. (2012). and SR1 groups compared with the SR3 group
Figure 1 shows a general outline of the ex- (F2,74 ⫽ 5.74, p ⬍ .05).
perimental design.
Statistical Analysis Experiment 1. Effects of the Aversive
Procedure and Environmental Enrichment
Immobility during reexposure to the SRs was on Aversive Memory
analyzed by repeated-measures analysis of vari-
ance (ANOVA). The behavioral measures in the Experiment 1A. Aversive memory test in
light-dark box, modified light-dark box, EPM, the light-dark box. Figure 2A shows the ef-
and novel object recognition test were analyzed fects of the aversive procedure and environmen-
by a two-way ANOVA (Housing ⫻ Aversive tal enrichment on the latency to enter the dark
Procedure). The percentage of time in the novel compartment of the light-dark box. The two-
object recognition test was analyzed by Stu- way ANOVA revealed a significant effect of the
dent’s t test for independent samples. Signifi- aversive procedure (F3,68 ⫽ 66.54, p ⬍ .05) and
cant main effects or interactions in the ANOVA a significant Housing ⫻ Aversive Procedure
were followed by Duncan’s post hoc test. Val- interaction (F3,68 ⫽ 27.28, p ⬍ .05) but no
ues of p ⱕ .05 were considered statistically effect of housing (F1,68 ⫽ .03, p ⬎ .05). Dun-
significant. can’s post hoc test showed that the control
NoSR and control SR1= groups had a longer
Results latency to enter the dark compartment com-
pared with the control NoShock group. The
Effects of Aversive Stimulation and control SR10= group presented a shorter latency
Environmental Enrichment on Immobility to enter the dark compartment compared with
During Reexposure to SRs the control NoSR and control SR1= groups. The
enriched NoSR, enriched SR1=, and enriched
The repeated-measures ANOVA of the per- SR10= groups presented a longer latency to en-
centage of immobility time during reexposure ter the dark compartment compared with the
to the 1-min SRs revealed a significant effect of enriched NoShock group. The enriched NoSR
housing (F1,38 ⫽ 4.23, p ⬍ .05), indicating that group presented a shorter latency to enter the
the enriched SR1= group spent more time im- dark compartment compared with the control
mobile than the control SR1= group, with no NoSR group. The enriched SR10= group pre-
change in immobility time during the sessions sented a longer latency to enter the dark com-
230 BLANCO, DE SOUZA, AND CANTO-DE-SOUZA
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Figure 2. Effects of the aversive procedure and environmental enrichment on (A) the
latency to enter the dark compartment, (B) time spent in the dark compartment, and (C) total
entries into the dark compartment of the light-dark box. The data are expressed as mean ⫾
standard error of the mean. ⴱ p ⱕ .05, compared with respective NoShock group; # p ⱕ .05,
compared with control group; & p ⱕ .05, compared with NoSR group; $ p ⱕ .05, compared
with SR1= group. SR ⫽ situational reminder.

partment compared with the eontrol SR10= significant effects of housing (F1,68 ⫽ 4.96, p ⬍
group. .05) and the aversive procedure (F3,68 ⫽ 42.10,
Figure 2B shows the effects of the aversive p ⬍ .05) and significant Housing ⫻ Aversive
procedure and environmental enrichment on the Procedure interaction (F3,68 ⫽ 19.89, p ⬍ .05).
total time spent in the dark compartment of the Duncan’s post hoc test showed that the eontrol
light-dark box. The two-way ANOVA revealed NoSR, control SR1=, and control SR10= groups
EFFECTS OF ENVIRONMENTAL ENRICHMENT ON PTSD 231

spent more time in the dark compartment com- compared with the enriched NoShock and en-
pared with the control NoShock group. The riched NoSR groups. The enriched NoShock,
control SR10= group spent more time in the dark enriched NoSR, and enriched SR1= groups pre-
compartment compared with the control NoSR sented an increase in rearings compared with
and control SR1= groups. their respective control groups.
The enriched SR1= and enriched SR10= The control NoSR and control SR1= groups
groups spent less time in the dark compartment presented an increase in immobility time com-
compared with the enriched NoSR group. The pared with the control NoShock group. The
enriched NoShock group spent less time in the enriched SR1= and enriched SR10=groups pre-
dark compartment compared with the control sented an increase in immobility time compared
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NoShock group. The enriched NoSR group with the enriched NoShock and enriched NoSR
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spent more time in the dark compartment com- groups. The enriched NoSR group presented a
pared with the control NoSR group. The en- decrease in immobility time compared with the
riched SR10= group spent less time in the dark control NoSR group. The enriched SR10= group
compartment compared with the control presented an increase in immobility time com-
SR10=group. pared with the control SR10= group.
Figure 2C shows the effects of the aversive Experiment 1B. Generalization of aversive
procedure and environmental enrichment on the memory in the modified light-dark box.
total number of entries into the dark compart- Figure 3A shows the effects of the aversive
ment of the light-dark box. The two-way procedure and environmental enrichment on the
ANOVA revealed a significant effect of the latency to enter the dark compartment of the
aversive procedure (F3,68 ⫽ 45.11, p ⬍ .05) and modified light-dark box. The two-way ANOVA
a significant Housing ⫻ Aversive Procedure revealed a significant effect of the aversive pro-
interaction (F3,68 ⫽ 16.06, p ⬍ .05) but no cedure (F3,68 ⫽ 10.25, p ⬍ .05) but no effect of
effect of housing (F1,68 ⫽ .01, p ⬎ .05). Dun- housing (F1,68 ⫽ 0 00, p ⬎ .05) and no Hous-
can’s post hoc test showed that the control ing ⫻ Aversive Procedure interaction (F3,68 ⫽
NoSR and control SR1= groups made fewer 2.09, p ⬎ .05). Duncan’s post hoc test showed
total entries into the dark compartment com- that the control SR1= and enriched SR1= groups
pared with the control NoShock group. The presented a longer latency to enter the dark
control SR10= group made more total entries compartment compared with the control No-
into the dark compartment compared with the Shock, control NoSR, enriched NoShock, and
control NoSR and control SR1= groups. The enriched NoSR groups. The control SR10=
enriched NoSR, enriched SR1=, and enriched group presented a shorter latency to enter the
SR10= groups made fewer total entries into the dark compartment compared with the control
dark compartment compared with the enriched SR1= group.
NoShock group. The enriched SR1= and en- Figure 3B shows the effects of the aversive
riched SR10= groups made fewer total entries procedure and environmental enrichment on the
into the dark compartment compared with the total time spent in the dark compartment of the
enriched NoSR group. modified light-dark box. The two-way ANOVA
The ANOVA also revealed significant effects revealed significant effects of housing (F1,68 ⫽
of housing (F1,68 ⫽ 33.12, p ⬍ .05) and the 6.05, p ⬍ .05) and the aversive procedure
aversive procedure (F3,68 ⫽ 6.85, p ⬍ .05) on (F3,68 ⫽ 12.24, p ⬍ .05) and a significant Hous-
rearing and a significant Housing ⫻ Aversive ing ⫻ Aversive Procedure interaction (F3,68 ⫽
Procedure interaction (F3,68 ⫽ 2.96, p ⬍ .05). 6.26, p ⬍ .05). Duncan’s post hoc test showed
The ANOVA revealed a significant effect of the that the control SR1= group spent less time in
aversive procedure on total immobility time the dark compartment of the modified light-dark
(F3,68 ⫽ 12.65, p ⬍ .05) and a significant Hous- box compared with the control NoShock group.
ing ⫻ Aversive Procedure interaction (F3,68 ⫽ The control SR10= group spent more time in the
10.05, p ⬍ .05). Duncan’s post hoc test showed dark compartment compared with the control
that the control NoSR and control SR1= groups NoShock, control NoSR, and control SR1=
presented a decrease in rearings compared with groups.
the Ccontrol NoShock group. The enriched The enriched NoSR and enriched SR1=
SR10= group presented a decrease in rearings groups presented a decrease in the time spent in
232 BLANCO, DE SOUZA, AND CANTO-DE-SOUZA
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This document is copyrighted by the American Psychological Association or one of its allied publishers.

Figure 3. Effects of the aversive procedure and environmental enrichment on (A) the
latency to enter the dark compartment, (B) time spent in the dark compartment, and (C) total
entries into the dark compartment of the modified light-dark box. The data are expressed as
mean ⫾ standard error of the mean. ⴱ p ⱕ .05, compared with respective NoShock group;
#
p ⱕ .05, compared with control group; & p ⱕ .05, compared with NoSR group; $ p ⱕ .05,
compared with SR1= group. SR ⫽ situational reminder.

the dark compartment compared with the en- total number of entries into the dark compart-
riched NoShock group. The enriched SR10= ment of the modified light-dark box. The two-
group presented a decrease in the time spent in way ANOVA revealed significant effects of
the dark compartment compared with the con- housing (F1,68 ⫽ 25.78, p ⬍ .05) and the aver-
trol SR10= group. sive procedure (F3,68 ⫽ 12.06, p ⬍ .05) and a
Figure 3C shows the effects of the aversive significant Housing ⫻ Aversive Procedure in-
procedure and environmental enrichment on the teraction (F3,68 ⫽ 3.70, p ⬍ .05). Duncan’s post
EFFECTS OF ENVIRONMENTAL ENRICHMENT ON PTSD 233

hoc test showed that the control SR1= group the control NoSR and control SR1= groups,
made fewer total entries into the dark compart- respectively.
ment compared with the control NoShock, con- Figure 4C shows the effects of the aversive
trol NoSR, and control SR10= groups. The en- procedure and environmental enrichment on the
riched NoSR, enriched SR1=, and enriched total frequency of stretch attend posture in the
SR10= groups made fewer total entries into the EPM. The two-way ANOVA revealed a signif-
dark compartment compared with the enriched icant effect of housing (F1,77 ⫽ 21.79, p ⬍ .05)
NoShock group. The enriched SR1= and en- but no effect of the aversive procedure (F3,77 ⫽
riched SR10= groups made fewer total entries .35, p ⬎ .05) and no Housing ⫻ Aversive
into the dark compartment compared with the Procedure interaction (F3,77 ⫽ .72, p ⬎ .05).
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enriched NoSR group. The enriched NoShock Duncan’s post hoc test showed that the enriched
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and enriched NoSR groups made more total NoShock, enriched NoSR, and enriched SR1=
entries into the dark compartment compared groups presented a decrease in the total fre-
with the control NoShock and control NoSR quency of stretch attend posture compared with
groups. the control NoShock, control NoSR, and control
SR1= groups, respectively.
Experiment 2. Effects of the Aversive We also evaluated the effects of the aversive
Procedure and Environmental Enrichment procedure and environmental enrichment on the
on Anxiety and Memory total number of entries into the closed arms of
the EPM and frequency of head dippings and
Experiment 2A. Anxiety in the EPM. unprotected head dippings in the open arms of
Figure 4A shows the effects of the aversive the EPM. The two-way ANOVA revealed a
procedure and environmental enrichment on the significant effect of housing (F1,77 ⫽ 69.73, p ⬍
percentage of entries into the open arms of the .05) on the total number of entries into the
EPM. The two-way ANOVA revealed a signif- closed arms but no effect of the aversive pro-
icant effect of housing (F1,77 ⫽ 18.33, p ⬍ .05) cedure (F3,77 ⫽ 1.05, p ⬎ .05) and no Hous-
and a significant Housing ⫻ Aversive Proce- ing ⫻ Aversive Procedure interaction (F3,77 ⫽
dure interaction (F3,77 ⫽ 3.43, p ⬎ .05) but no 1.49, p ⬎ .05). The two-way ANOVA re-
effect of the aversive procedure (F3,77 ⫽ 1.66, vealed significant effects of housing (F1,77 ⫽
p ⬎ .05). Duncan’s post hoc test showed that 10.17, p ⬍ .05) and the aversive procedure
the control SR1= group presented a decrease in (F3,77 ⫽ 4.56, p ⬍ .05) on head dippings and
the percentage of entries into the open arms a significant Housing ⫻ Aversive Procedure
compared with the control NoShock and control interaction (F3,77 ⫽ 6.01, p ⬍ .05). Duncan’s
NoSR groups. The enriched SR1= group pre- multiple-comparison post hoc test showed
sented an increase in the percentage of entries that the control SR10= group presented an
into the open arms compared with the control increase in the frequency of head dippings
SR1= group. compared with the control NoSR and control
Figure 4B shows the effects of the aversive SR1= groups. The enriched SR1= group pre-
procedure and environmental enrichment on sented an increase in the frequency of head
the percentage of time spent in the open arms dippings compared with the enriched No-
of the EPM. The two-way ANOVA revealed a Shock, enriched NoSR, enriched SR10=, and
significant effect of housing (F1,77 ⫽ 7.20, control SR1= groups. The ANOVA revealed a
p ⬍ .05) and a significant Housing ⫻ Aver- significant effect of housing (F1,77 ⫽ 4.07, p ⬍
sive Procedure interaction (F3,77 ⫽ 3.06, p ⬍ .05) on the frequency of unprotected head dip-
.05) but no effect of the aversive procedure pings and a significant Housing ⫻ Aversive
(F3,77 ⫽ .91, p ⬍ .05). Duncan’s post hoc test Procedure interaction (F3,77 ⫽ 3.39, p ⬍ .05)
showed that the control NoSR and control but no effect of the aversive procedure (F3,77 ⫽
SR1= groups presented a decrease in the per- .69, p ⬎ .05). Duncan’s multiple-comparison
centage of time spent in the open arms com- post hoc test showed that the control SR1=
pared with the control NoShock group. The group presented a decrease in the frequency of
enriched NoSR and enriched SR1= groups unprotected head dippings compared with the
presented an increase in the percentage of control NoShock group. The enriched SR1=
time spent in the open arms compared with group presented an increase in the frequency of
234 BLANCO, DE SOUZA, AND CANTO-DE-SOUZA
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Figure 4. Effects of the aversive procedure and environmental enrichment on (A) the
percentage of entries into open arms, (B) the percentage of time spent on the open arms,
and (C) total stretch attend posture (SAP) in the EPM. The data are expressed as mean ⫾
standard error of the mean. ⴱ p ⱕ .05, compared with respective NoShock group; # p ⱕ
.05, compared with control group; $ p ⱕ .05, compared with SR1= group. SR ⫽ situational
reminder.

unprotected head dippings compared with the and C in the novel object recognition test (Figure
control SR1=group. 5B). Student’s t test showed that all groups pre-
Experiment 2B. Novel object recognition sented a higher percentage of time in contact with
test. We then evaluated the effects of the aver- Object C compared with Object A: control No-
sive procedure and environmental enrichment on Shock (t9 ⫽ ⫺4.89, p ⬍ .05), control NoSR (t9 ⫽
the percentage of time in contact with Objects A ⫺8.69, p ⬍ .05), control SR1= (t7 ⫽ ⫺10.61,
EFFECTS OF ENVIRONMENTAL ENRICHMENT ON PTSD 235
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This document is copyrighted by the American Psychological Association or one of its allied publishers.

Figure 5. Effects of the aversive procedure and environmental enrichment on (A) the
percentage of time exploring objects A and B in the training session and (B) percentage of
time exploring objects A and C in the test session in the novel object recognition test. The data
are expressed as mean ⫾ standard error of the mean. ⴱ p ⱕ .05, compared with percentage of
time exploring object A in the respective group. SR ⫽ situational reminder.

p ⬍ .05), control SR10= (t9 ⫽ ⫺11.99, p ⬍ .05), Discussion


enriched NoShock (t9 ⫽ ⫺11.99, p ⬍ .05),
enriched NoSR (t9 ⫽ ⫺9.52, p ⬍ .05), enriched The present study investigated the effects of
SR1= (t9 ⫽ ⫺8.33, p ⬍ .05), and enriched an aversive procedure, with or without SRs, on
SR10= (t8 ⫽ ⫺8.86, p ⬍ .05). behavior in mice and the influence of environ-
We also evaluated the effects of the aversive mental enrichment. Experiment 1 showed that
procedure and environmental enrichment on the exposure to 1-min SRs potentiated the effects of
discrimination index (d1) in the novel object aversive stimulation and favored its generaliza-
recognition test. The two-way ANOVA re- tion. Exposure to 10-min SRs resulted in the
vealed no effect of housing (F1,77 ⫽ 3.30, p ⬎ possible extinction of aversive memory. In this
.05) or the aversive procedure (F3,77 ⫽ 1.49, procedure, environmental enrichment appeared
p ⬍ .05) and no Housing ⫻ Aversive Procedure to reverse the effects of aversive stimulation.
interaction (F3,77 ⫽ .49, p ⬎ .05). However, exposure to the SRs for 1 or 10 min
236 BLANCO, DE SOUZA, AND CANTO-DE-SOUZA

enhanced the aversive memory. Experiment 2 Most studies conduct memory assessments days
showed that reexposure to the SRs for 1 min following the aversive stimulus (Kohda et al.,
increased anxietylike behavior and induced be- 2007; Luine, 2002).
havioral sensitization, and environmental en- With regard to environmental enrichment, the
richment reversed these effects, increased ex- assessment of immobility during reexposure to
ploration activity, and reduced risk assessment. SRs suggested that enriched animals spent more
In the novel object recognition test, neither the time immobile than nonenriched animals, re-
aversive procedure nor environmental enrich- sponding more intensely in context with re-
ment altered visual recognition memory. minders of the trauma. These results are consis-
With regard to the aversive procedure, Kohda tent with Woodcock and Richardson (2000) and
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et al. (2007); Siegmund and Wotjak (2007), and Vivinetto, Suarez, and Rivarola (2013), who
This document is copyrighted by the American Psychological Association or one of its allied publishers.

Stam (2007) reported that animals that are sub- reported an increase in emotional memory in
jected to shock present an increase in condi- environmentally enriched rats.
tioned fear responses when they are exposed to In Experiment 1, environmental enrichment
the environment where they received the aver- appeared to reverse the effects of aversive stim-
sive stimulation or related environments. These ulation. These results corroborate the findings
animals also exhibit exacerbated emotional re- of Larsson, Winblad, and Mohammed (2002).
sponses to new environments or stressful Although behavior can be altered in enriched
enr ambiental
events. Some authors suggested that brief reex- animals that are exposed to a strong stressor, the=atividade fisica
posure to SRs potentiates the effects of aversive effects are attenuated compared with nonen-
stimulation and favors the generalization of re- riched animals. Contact with many different
breve reexposição potencializa o efeito
sponses to other contexts, indicating behavioral objects and situations and weekly variations in
sensitization (Geerse, van Gurp, Wiegant, & sensory stimulation cause a moderate level of
Stam, 2006; Louvart et al., 2005; Pynoos et al., stress in enriched animals, but the exploration
1996; Zhang et al., 2015). Such reexposure can of these novel objects and situations does not
also return these memories to a labile state result in aversive consequences (Harris, D’Eath,
during reconsolidation (Lee, Milton, & Everitt, & Healy, 2009). Therefore, the reinforcement of
2006; Nader, 2003) and consequently increase these exploratory behaviors favor better perfor-
anxiety-related responses and avoidance of the mance on future stress situations (Larsson et al.,
aversive environment, which is consistent with 2002).
the present study. Although, in the absence of SRs, environ-
Reexposure of the animals to the SRs for 10 mental enrichment attenuated the effects of
min consisted of prolonged exposure to aver- footshock but was unable to reverse the effects
sive contextual cues (CSs) without presentation of reexposure to SRs for 1 min. Moreover, with
of the aversive stimulus (US), thus allowing a reexposure to SRs for 10 min, environmental
new association and the formation of a new enrichment strengthened the aversive memory,
memory that overlapped with the initial aver- with an increase in anxietylike behavior in both
sive memory. This extinction process decreased the light-dark box and modified light-dark box.
anxiety-related responses and avoidance of the Previous studies reported the facilitatory ef-
aversive environment, which was previously re- fects of environmental enrichment on learning
ported by Cammarota et al. (2005) and Besnard, and memory processes (Bruel-Jungerman et al.,
Caboche, and Laroche (2012). 2005; Larsson et al., 2002; Leggio et al., 2005),
With regard to recognition memory, neither including an enhancement of emotional mem-
the aversive procedure nor environmental en- ory (Vivinetto et al., 2013; Woodcock & Rich-
richment altered this type of visual memory. A ardson, 2000). These results are related to the
possible explanation for these results may in- better discrimination of contextual cues and
volve the intensity of the aversive stimulus and processing speed and structural and biochemi-
the time interval between it and the memory cal changes in the nervous system. Such bio-
test. Other studies suggested that more intense chemical changes include an increase in hip-
stimuli result in more intense and enduring pocampal neurogenesis, an increase in dendritic
changes (Anderson, Arun, & Jensen, 2010; branching, an increase in synapse formation, an
Geerse et al., 2006; Hendriksen et al., 2010; increase in long-term potentiation, increases in
Siegmund & Wotjak, 2007; Zhang et al., 2015). norepinephrine and serotonin levels in the hip-
EFFECTS OF ENVIRONMENTAL ENRICHMENT ON PTSD 237

pocampus and prefrontal cortex (Brenes et al., ronmental enrichment also reduced risk assess-
2008; Hirase & Shinohara, 2014; Hughes & ment and increased exploratory activity, thus fa-
Collins, 2010; van Praag, Kempermann, & voring the expression of more appropriate
Gage, 2000), increases in N-methyl-D-aspartate emotional responses in different situations. Gen-
and ␣-amino-3-hydroxy-5-methyl-4-isoxazole- erally, environmental enrichment has an anxiolyti-
propionic acid glutamate receptors in the hip- clike effect in the EPM (Benaroya-Milshtein et al.,
pocampus (Andin, Hallbeck, Mohammed, & 2004; Hellemans, Benge, & Olmstead, 2004;
Marcusson, 2007), a decrease in glutamate Peña, Prunell, Rotllant, Armario, & Escorihuela,
transporters (Andin et al., 2007), and an in- 2009; Simpson & Kelly, 2011). However, some
crease in brain-derived neurotrophic factor lev- studies reported conflicting results (Hoffmann,
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.

els in the hippocampus and cerebral cortex Schutte, Koch, & Schwabe, 2009; McQuaid, Au-
This document is copyrighted by the American Psychological Association or one of its allied publishers.

(Ickes et al., 2000; Zhu et al., 2006). det, Jacobson-Pick, & Anisman, 2013; Mitra &
With regard to stress, previous studies sug- Sapolsky, 2012). Increases in exploratory activity
gested that enriched animals are less affected by have also been shown to result from environmen-
stress (Benaroya-Milshtein et al., 2004), are tal enrichment in studies that used different exper-
more resilient to severe stressors, and recover imental designs (Hoffmann et al., 2009; Lima,
more quickly from the effects of aversive con- Silva, Padovan, Almeida, & Fukuda, 2014; Peña
ditioning (Hendriksen et al., 2010; Hutchinson et al., 2009; Roy et al., 2001; Sampedro-Piquero et
et al., 2012; Larsson et al., 2002). al., 2014).
Moncek, Duncko, Johansson, and Jezova With regard to the effects of environmental
(2004) and Bakos et al. (2009) reported that enrichment on recognition memory, numerous
enriched animals had higher basal levels of studies have reported that intellectual and phys-
corticosterone and adrenocorticotropic hormone ical stimulation associated with environmental
(ACTH) compared with animals that were enrichment improved cognitive ability (Simp-
reared in standard environments. However,
son & Kelly, 2011). However, these studies
Roy, Belzung, Delarue, and Chapillon (2001)
evaluated the effects of environmental enrich-
and Moncek et al. (2004) found that animals
ment in animals that exhibited cognitive impair-
that were reared in enriched environments had
ment that was caused by different experimental
lower levels of corticosterone and ACTH after
stressful situations than control animals. manipulations, such as cerebral hypoxia
Hutchinson et al. (2012) also found that en- (Pereira et al., 2007; Pereira, Strapasson, Nabin-
riched mice did not exhibit changes in the levels ger, Achaval, & Netto, 2008), social isolation
of corticosterone after chronic stress. Thus, en- (Zimmermann, Stauffacher, Langhans, & Wür-
vironmental enrichment appears to result in bel, 2001), chronic stress (Hutchinson et al.,
lower reactivity of the HPA axis under stressful 2012), genetic alterations (Pamplona, Pandolfo,
conditions, with a consequent reduction of de- Savoldi, Prediger, & Takahashi, 2009), and ag-
fensive responses to stress. Additionally, ac- ing (Blanco et al., 2012; Escorihuela, Tobeña, &
cording to Sampedro-Piquero, Begega, and Fernández-Teruel, 1995; Frick & Fernandez,
Arias (2014), environmental enrichment in- 2003; Speisman et al., 2013). In the present
creases glucocorticoid receptors in the hip- study, animals that were exposed to the aversive
pocampus, which may be related to a better procedure presented no cognitive impairment.
ability to adapt to stressors and more active Therefore, we were unable to assess possible
coping strategies in anxiogenic situations. effects of environmental enrichment on non-
Mitra and Sapolsky (2012) suggested that emotional memory. In enriched animals, SRs
enriched animals are less exposed to imminent for 10 min enhanced aversive memory in the
danger, thereby increasing their chances of sur- light-dark box test and modified light-dark box
vival. The maintenance of traumatic memory test but not visual recognition memory. These
may reduce the risk of reexposure to dangerous results suggest that strengthening the traumatic
situations, thus favoring survival of the species. memory by environmental enrichment, regard-
Environmental enrichment reversed the reduc- less of whether it enhanced nonemotional visual
tions of the percentage of time spent on the open memory, may be related to an increase in pro-
arms, the percentage of entries into the open arms, tective behaviors that are important for survival
and unprotected head dippings in the EPM. Envi- of the species (Mitra and Sapolsky (2012).
238 BLANCO, DE SOUZA, AND CANTO-DE-SOUZA

Conclusion the subjects, and develop more effective thera-


pies and interventions.
The present study evaluated the effects of
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