State-dependent Interoception, Value-based Decision-making, and Introspection

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-55
SponsorNational Institute of Mental Health (NIMH)

About this trial

Background:

Negative emotional states can affect a person s behavior as they make decisions. For example, hunger may make people more impatient; they may then make riskier choices. Other negative emotional states that can change behavior include stress, pain, and sadness. By learning more about how emotions affect thinking and behavior in healthy people, researchers hope to better understand how to identify and treat people with mental disorders.

Objective:

To learn how negative emotions affect the brain and decision-making behavior.

Eligibility:

Healthy people aged 18 to 55 years.

Design:

Participants will have 3 clinic visits in 3 weeks.

Participants will fill out questionnaires. They will be asked about their personal history, their personality, and state of mind.

For 2 visits, participants will be assigned to different groups. Each group will experience 1 type of emotional stressor:

Some participants will watch a video.

Some will have to do arithmetic problems.

Some will have heat applied to an arm or leg.

Some will experience cold by immersing their hand in ice water.

For a snack craving test, some will be tempted by food after a 4-hour fast.

During these tests, participants will have sensors attached to their bodies. They will be videotaped. Saliva samples will be collected.

After the stressors, participants will do tasks on a computer. They will need to make choices.

Some participants will perform these decision-making tasks while lying in a brain scanner for functional magnetic resonance imaging. The brain scan involves lying on a table that slides into a cylinder that takes images of the brain.

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Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Ability of subject to understand and the willingness to sign a written informed consent document.

All sexes; Age 18 to 55.

Able to read and write in English to guarantee understanding of all written and spoken instructions, which are in English.

Disqualifiers

Unable to comply with study procedures or follow-up visits

Has any serious or unstable medical condition or history that in a clinician's assessment implies a cardiovascular, neurological, or physical risk from the study procedures performed to induce negative valence states. This may include chronic systemic disorders

Has any self-reported current psychiatric diagnosis (based on self-reported medical history)

Scores >=29 on Beck Depression Inventory II or >=26 on Beck Anxiety Inventory

Trial design

Design model

Crossover

Treatments tested in this trial

  • Pain

    Other intervention

    Thermal pain

  • Stress

    Other intervention

    Stress state induction

  • Craving

    Behavioral

    Snack craving induction

  • Frustration

    Behavioral

    Real effort task

  • Negative valence emotion

    Behavioral

    Passive video watching with emotional valence

Treatment groups

900 Participants
are divided into 5 treatment groups
Group A: 1Experimental treatment 1 intervention
Group B: 2Experimental treatment 1 intervention
Group C: 3Experimental treatment 1 intervention
Group D: 4Experimental treatment 1 intervention
Group E: 5Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Value-based decision-making metrics

Value-based metrics such as delay discounting, which is a measure of an individual's preference for small immediate rewards over larger later rewards.

Time frame
Right after intervention
2

BOLD signal in decision-making areas ROI

BOLD signal related to decision making tasks

Time frame
Right after intervention

Secondary outcomes

1

Confidence

Level of confidence on the accuracy or optimality of their behavior.

Time frame
Right after intervention
2

Interoceptive accuracy

Interoceptive accuracy is a measure of an individual's ability to report on bodily sensations with precision.

Time frame
Right after intervention

Other outcomes

Sponsors and contacts

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