A Novel Conditioning Approach to Counter Loneliness in Adults

ConditionLoneliness
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorEducation University of Hong Kong

About this trial

This study aims to test the efficacy of a 6-session conditioning paradigm by investigating the conditioning-induced change in the socio-affective processing, loneliness, depressive symptoms, and neural correlates of lonely adults.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

No histories of learning impairment, major psychiatric disorders or neurological disorders other than depression

Normal intelligence

At least primary school education

Disqualifiers

On medication or treatments within 2 weeks prior to the beginning of the study that would affect the individual's brain, cognitive and affective functions

Trial design

Design model

Parallel

Treatments tested in this trial

  • Evaluative Conditioning with positive stimuli

    Behavioral

    In the pre-conditioning phase, participants will be exposed to pictures that vary in their emotional (negative, positive) and social (non-social, social) content. For each picture, they are required to indicate their immediate perceived valence (between negative to positive), degree of social motivation (between none to high) on Likert-scales. In the conditioning phase, emotional social pictures will be selected and paired with non-social positive stimuli for trials in random order, for 6 sessions across 3 weeks. In the post-conditioning phase, participants will be asked to evaluate the valence of the stimuli again similar to that in pre-conditioning phase.

  • Conditioning with neutral stimuli

    Behavioral

    In the pre-conditioning phase, participants will be exposed to pictures that vary in their emotional (negative, positive) and social (non-social, social) content. For each picture, they are required to indicate their immediate perceived valence (between negative to positive), degree of social motivation (between none to high) on Likert-scales. In the conditioning phase, emotional social pictures will be selected and paired with with neutral non-social stimuli for trials in random order, for 6 sessions across 3 weeks. In the post-conditioning phase, participants will be asked to evaluate the valence of the stimuli again similar to that in pre-conditioning phase.

Treatment groups

136 Participants
are divided into 2 treatment groups
Group A: Evaluative conditioning group with positive stimuliExperimental treatment 1 intervention
Group B: Control group with neutral stimuliActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Self-reported loneliness

Loneliness is assessed based on the UCLA loneliness scale (Version 3), a 20-item 4-point Likert scale (score range 20 - 80) in which higher scores indicate greater degrees of loneliness.

Time frame
Baseline, immediately after, and 3 months after the intervention
2

Implicit loneliness

Implicit loneliness will be measured by Implicit Association Test about the relative strength of association between our participants' target concept 'Self' and attribute 'Lonely'.

Time frame
Baseline, immediately after, and 3 months after the intervention

Secondary outcomes

1

Valence of social stimuli

For each stimuli, they are required to indicate their immediate perceived valence (between negative to positive) of the scenes on a 7-point Likert scale (1 = strongly positive, 7 = strongly negative).

Time frame
Baseline, immediately after, and 3 months after the intervention
2

Social motivation towards social stimuli

For each stimuli, they are required to indicate their immediate perceived degree of social motivation (between none to high) of the scenes on a 7-point Likert scales (1 = no, 7 = very high).

Time frame
Baseline, immediately after, and 3 months after the intervention
3

Loneliness-related activation patterns and connectivity in neural networks

Neural connectivity in Default Mode Network, Ventral Attention Network, Frontoparietal Network are assessed by fMRI

Time frame
Baseline, immediately after, and 3 months after the intervention
4

Depressive symptoms

Depressive symptoms are assessed based on the Hospital Anxiety and Depression Scale, a 14-item scale assessing severity of depressive and anxiety symptom (score range 0 - 21 for both subscale), with higher scores indicating higher severity

Time frame
Baseline, immediately after, and 3 months after the intervention

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Education University of Hong Kong

Lead sponsor

The University of Hong Kong

Collaborator