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A Novel Neurobehavioral Intervention for Emotion Regulation in Anxiety and Depression Across the Lifespan

Primary Purpose

Depression, Anxiety, Cognitive Training, Emotion Training

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Computerized neurobehavioral intervention
Sponsored by
Stanford University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Depression, Anxiety

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Diagnosis of depression on the SCID, a total Ham-D≥16 and Ham-D anxiety/somatization subscale ≥ 7.

Exclusion Criteria:

  • Current medication for psychiatric disorders
  • Pregnant females
  • Head trauma or injury that resulted in loss of consciousness
  • MRI contraindication

Sites / Locations

  • VA Palo Alto Health Care System (VAPAHCS)
  • Stanford University Department of Pscyhiatry and Behavioral Sciences

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Sham Comparator

Arm Label

Computerized intervention

Control

Arm Description

Participants will be asked to visit a customized website and engage in computerized exercises. Cognitive and emotion training games.

Participants will be asked to visit a customized website and engage in computerized games.

Outcomes

Primary Outcome Measures

Completion
We anticipate that participants will complete at least 30-days of the intervention.
Proximal outcomes
We anticipate that proximal measures of symptoms will show improvement following the training in terms of emotional reactivity, implicit emotion regulation, negative emotional memory bias, attentional bias for threat, executive functions behaviorally and N-back during fMRI as well as resting-state fMRI connectivity.
Distal outcomes
We anticipate that anxiety and depression symptoms, explicit emotion regulation capacities and quality of life reported on self-report measures will show improvement.

Secondary Outcome Measures

Full Information

First Posted
June 7, 2012
Last Updated
September 5, 2018
Sponsor
Stanford University
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1. Study Identification

Unique Protocol Identification Number
NCT01616797
Brief Title
A Novel Neurobehavioral Intervention for Emotion Regulation in Anxiety and Depression Across the Lifespan
Official Title
A Novel Neurobehavioral Intervention for Emotion Regulation in Anxiety and Depression
Study Type
Interventional

2. Study Status

Record Verification Date
September 2018
Overall Recruitment Status
Completed
Study Start Date
February 2014 (undefined)
Primary Completion Date
August 2018 (Actual)
Study Completion Date
August 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Stanford University

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The research proposes to use an innovative solution to shape brain circuits that support executive function and emotion reactivity -using targeted neurobehavioral intervention.
Detailed Description
Participants will be recruited locally in the San Francisco Bay area with certain symptoms of anxiety and depression. They will complete a clinical assessment and then take part in a cognitive-emotion training delivered online.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Depression, Anxiety, Cognitive Training, Emotion Training, Emotion Regulation

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
Participant
Allocation
Randomized
Enrollment
68 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Computerized intervention
Arm Type
Experimental
Arm Description
Participants will be asked to visit a customized website and engage in computerized exercises. Cognitive and emotion training games.
Arm Title
Control
Arm Type
Sham Comparator
Arm Description
Participants will be asked to visit a customized website and engage in computerized games.
Intervention Type
Behavioral
Intervention Name(s)
Computerized neurobehavioral intervention
Intervention Description
Participants will complete the intervention by logging into a secure online website and complete computerized neurobehavioral tasks. Tasks will train the following - cognitive control, working memory and task shifting with two different tasks that engage these skills and positivity biases.
Primary Outcome Measure Information:
Title
Completion
Description
We anticipate that participants will complete at least 30-days of the intervention.
Time Frame
60 days
Title
Proximal outcomes
Description
We anticipate that proximal measures of symptoms will show improvement following the training in terms of emotional reactivity, implicit emotion regulation, negative emotional memory bias, attentional bias for threat, executive functions behaviorally and N-back during fMRI as well as resting-state fMRI connectivity.
Time Frame
60 days
Title
Distal outcomes
Description
We anticipate that anxiety and depression symptoms, explicit emotion regulation capacities and quality of life reported on self-report measures will show improvement.
Time Frame
5 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Diagnosis of depression on the SCID, a total Ham-D≥16 and Ham-D anxiety/somatization subscale ≥ 7. Exclusion Criteria: Current medication for psychiatric disorders Pregnant females Head trauma or injury that resulted in loss of consciousness MRI contraindication
Facility Information:
Facility Name
VA Palo Alto Health Care System (VAPAHCS)
City
Palo Alto
State/Province
California
ZIP/Postal Code
94304
Country
United States
Facility Name
Stanford University Department of Pscyhiatry and Behavioral Sciences
City
Stanford
State/Province
California
ZIP/Postal Code
94304
Country
United States

12. IPD Sharing Statement

Learn more about this trial

A Novel Neurobehavioral Intervention for Emotion Regulation in Anxiety and Depression Across the Lifespan

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