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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT05472545
Other study ID # 2022029-Hardesty
Secondary ID
Status Recruiting
Phase N/A
First received
Last updated
Start date March 1, 2023
Est. completion date June 2025

Study information

Verified date April 2023
Source Oklahoma State University Center for Health Sciences
Contact Kara L Kerr, PhD
Phone 918-594-8242
Email kara.kerr@okstate.edu
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This study will examine the effect of a real-time functional magnetic resonance imaging (fMRI) dyadic neurofeedback protocol with mothers and their adolescent daughters. Mothers in the experimental condition will view a moving bar showing their daughters' brain activity on a computer screen while talking to their daughters.


Description:

Adolescents with a family history of adverse childhood experiences (ACEs) are at heightened risk for depression and other mental health problems related to poor emotion regulation (ER). The proposed study will test the efficacy of a real-time fMRI dyadic neurofeedback (DNF) protocol to promote healthy ER-related neurodevelopment in female adolescents with a maternal history of ACEs. The proposed study will use DNF to provide neurofeedback from the adolescent's anterior insular cortex (aIC) to the adolescent's mother as the mother and adolescent engage in an emotion discussion task together. Parents and adolescents (n=35 active DNF; n=35 control) will communicate via microphones and noise-canceling headphones while the adolescent is undergoing fMRI scanning. Specific aims of the current study are to determine: 1) the effects of aIC DNF on the developing ER network in adolescents with a history of maternal ACEs, 2) associations between parenting practices during DNF and reduced adolescent aIC activation, and 3) longitudinal effects of aIC DNF on adolescent internalizing symptoms.


Recruitment information / eligibility

Status Recruiting
Enrollment 210
Est. completion date June 2025
Est. primary completion date June 2025
Accepts healthy volunteers Accepts Healthy Volunteers
Gender Female
Age group 14 Years and older
Eligibility Inclusion Criteria: All participants inclusion criteria: - Biological female - Sufficient English fluency to complete tasks - Co-residing at least 4 days per week Inclusion criteria for adult participants: - Primary caregiver for more than 50% of child's lifespan - History of at least two adverse childhood experiences - Biological parent of adolescent participant Inclusion criteria for adolescents: - Eligible for fMRI - Body mass index between 16 and 40 (inclusive) - Age 14-17 years Exclusion Criteria: Exclusion criteria for adolescent participants: - Current or past psychiatric disorder - Neurodevelopmental delay - Medications influencing fMRI - Medical conditions influencing fMRI

Study Design


Related Conditions & MeSH terms


Intervention

Behavioral:
Neurofeedback
Real-time functional magnetic resonance imaging dyadic neurofeedback

Locations

Country Name City State
United States Hardesty Center for Clinical Research and Neuroscience Tulsa Oklahoma

Sponsors (1)

Lead Sponsor Collaborator
Oklahoma State University Center for Health Sciences

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Blood Oxygen Level-Dependent (BOLD) signal changes (brain activation) Activation in the right anterior insular cortex and associated regions. We hypothesize that lower activity will indicate a better outcome. One hour (measured during one scan session)
Primary Resting-state network activity Brain activity during fMRI resting-state scan One year (change from first scan session to one-year follow-up)
Secondary Depressive symptoms (change over time) Change over time in adolescent's responses to the PROMIS (Patient Reported Outcome Measurement Information System) Pediatric Short Form Version 2 (Quinn et al., 2014). This is an 8-item scale with scores ranging from 8-40, with higher scores indicating more depressive symptoms. One year (change from first scan session to one-year follow-up)
Secondary Parenting behaviors (change over time) Change over time in adolescent's responses to the Children's Report of Parent Behavior Inventory (Schludermann & Schludermann, 1988). The CRPBI has 3 subscales, each with a score range of 10-30. Interpretation/valence of the scores varies by subscale. One year (change from first scan session to one-year follow-up)
Secondary Emotion regulation (change over time) Change over time in adolescent's responses to the Difficulties in Emotion Regulation Scale (Gratz & Roemer, 2008). The DERS consists of 36 items rated on a 1-5 Likert scale (scale range: 36-180). Higher scores indicate greater difficulties with emotion regulation. One year (change from first scan session to one-year follow-up)
Secondary Parent-adolescent interaction quality (change over time) Adolescents will complete ecological momentary assessment (EMA) measures multiple times per day over a period of two weeks and report on emotions experienced during interactions with their mother. The ratio of positive to negative interactions across the EMA period will be calculated. Two weeks
Secondary Affect variability (change over time) Adolescents will complete ecological momentary assessment (EMA) measures multiple times per day over a period of two weeks and rate their current emotions at the time of the prompt. Affect variability will be quantified as the standard deviation in mean negative emotion ratings. Two weeks
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