About this trial
The purpose of this study is to examine the acute effects of exercise on cognitive flexibility and symptom reactivity. The main questions it aims to answer are:
Does moderate intensity physical activity reduce subjective distress, compulsive urges, and intrusions- and increase cognitive flexibility- in adults with obsessive-compulsive disorder compared to low-intensity physical activity?
Researchers will compare low- to moderate-intensity exercise to see if moderate physical activity increases cognitive flexibility and reduces symptom reactivity in adults with obsessive-compulsive disorder (OCD).
Participants will:
Complete self-report surveys, psychiatric interviews, and cognitive tasks.
Be assigned to either a low- or moderate-intensity exercise condition and complete physical activity.
Repeat cognitive and symptom measures following the exercise intervention.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adults, age 18 to 64 years
Meet diagnostic criteria for OCD (per the DIAMOND)
Stable psychiatric or medication treatment (if ≥4-weeks), or if no active treatment. Psychotropic medications will be reviewed with the study psychiatrist on a case by case basis.
Disqualifiers
Active or unmanaged psychotic disorders, pervasive developmental disorders, bipolar disorder, current substance use disorder (moderate-to-severe), or high risk for suicide (defined as attempt, plan, or intent within past 3 months)
Documented motor impairments and medical condition(s) that prohibit physical exercise
Those who are pregnant or trying to become pregnant
Trial design
Parallel
Treatments tested in this trial
Moderate-Intensity Exercise
BehavioralParticipants will engage in 20 minutes of cycling at approximately 70% max heart rate with a 2.5 minute warm up and a 2.5 minute cool down.
Low-Intensity Exercise
BehavioralParticipants will engage in 20 minutes of cycling at approximately 40-50% max heart rate with a 2.5 minute warm up and a 2.5 minute cool down.
Treatment groups
Trial outcomes
Primary outcomes
Cognitive flexibility will be assessed using a probabilistic reversal learning (PRL) task called the Lucky Picture Selection Game.
Symptom reactivity will be assessed using the Braga Obsessive Compulsive Symptom Image Set (BOCI).
Exercise intensity will be measured using a PolarTech chest-strap HR monitor.
Exercise intensity will be measured as a function of maximum heart rate (70% Max HR for moderate intensity condition and 40-50% max heart rate for low intensity condition).
Sponsors and contacts
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