About this trial
Lack of perceived control, particularly during stress, has been critically implicated in major depressive disorder (MDD) and anhedonic symptoms, especially among female adolescents; yet the neural underpinnings of perceived control disruptions in MDD remain poorly understood. Using functional magnetic resonance imaging with a novel "value of control task" in conjunction with a prospective design, this study will provide a comprehensive understanding of stress and perceived control related mechanisms in female adolescents with MDD and will examine stress-induced disruptions in perceived control as a predictor of "real world" expressions of maladaptive coping and anhedonia.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Inclusion Criteria: All Participants
Females of all ethnic origins See Section: Inclusion of Women and Minorities);
Ages 14-18 (See Section: Inclusion of Children);
Written informed assent/consent from adolescent and parent/guardian (if under age 18);
Disqualifiers
Exclusion Criteria: All Participants
History of head trauma with loss of consciousness;
History of seizure disorder;
Serious or unstable medical illness including cardiovascular, hepatic, renal, respiratory, endocrine, neurologic or hematologic disease;
Trial design
Single group
Treatments tested in this trial
Computer Task Manipulation
BehavioralParticipants will complete computer tasks.
Treatment groups
Trial outcomes
Primary outcomes
Blood-Oxygen-Level-Dependent Imaging (BOLD) activation of the ventral striatum and ventral medial prefrontal cortex
BOLD activation of frontostriatal regions in response to computer tasks performed during the fMRI Brian scan
Secondary outcomes
Cortisol Rating
Saliva rating to be collected throughout the fMRI brain scan
Mood Rating
Self-reported mood rating to be collected throughout the fMRI brain scan
Stress Reactivity Score
Stress Reactivity Survey Item collected via smart-phone delivered ecological momentary assessment
Stress Reactive Rumination Score
Stress Reactive Rumination Scale collected via smart-phone delivered ecological momentary assessment
Sponsors and contacts
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