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临床试验/NCT05189379
NCT05189379已完成不适用

Targeted Extinction of Drug Cues During Sleep - Olfactory Cue Reactivity Task

Central Institute of Mental Health, Mannheim2 个研究点 分布在 1 个国家目标入组 46 人开始时间: 2022年3月10日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
46
试验地点
2
主要终点
Image based cue reactivity task

研究概览

简要总结

The study aims to utilise olfactory stimulation in addition to the visual stimulation in cue reactivity tasks to enhance precision in measuring alcohol based cues in individuals diagnosed with heavy drinking. The study consists of one cue reactivity task with visual stimuli, another cue reactivity task with matching odour/visual stimuli and lastly a monetary incentive delay task.

详细描述

The intention of the study is to enhance the measurement precision in image-based cue reactivity task by introducing a new level of stimuli in the form of odours. During the course of the functional Magnetic Resonance Imaging (fMRI) screening, participants are required to finish three tasks, namely; odour-based cue reactivity task (OCRT), image-based cue reactivity task(ICRT) and monetary incentive delay task (MID).

Participants will be randomly divided into two groups, one group will receive tasks in the following order: OCRT-MID-ICRT and the other group will receive them in the following order: ICRT-MID-OCRT. With this, the habituation effect from receiving odours during OCRT is expected to be balanced.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Basic Science
盲法
None

入排标准

年龄范围
18 Years 至 65 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • An Heavy Drinking diagnosis, confirmed by Alcohol Use Disorders Identification Test
  • Ability to provide fully informed consent and to use self-rating scales in fMRI
  • Understanding of the German language

排除标准

  • Severe mental or physical illnesses
  • Any metal parts and pieces in the body
  • Claustrophobia; fear of confined spaces

结局指标

主要结局

Image based cue reactivity task

时间窗: Once during the fMRI screening

A cue reactivity task based on the images of alcoholic and non-alcoholic items. Adapted from Vollstädt-Klein et al., 2011. Subjects are presented with images of the alcoholic (beer, wine, schnapps) and the non-alcoholic (broom, duster, clothing iron, lightbulb, mat, mulch, penlight, rack, rock, kitchen scissors, trough, vent) items during an fMRI session in blocks. In each block there are 5 images from the same stimuli group. After each block subjects are asked to rate their liking and wanting towards the items that have been presented to them in two 1-5 scales. Blocks are pseudorandomised to maximise balance between groups and minimise the effect of habituation. Minimum 1: "not at all", maximum 5: "very much".

Monetary incentive delay task

时间窗: Once during the fMRI screening

A task to invoke reward based activations in the subjects. Adapted from Kirsch et al., 2003. Subjects are presented 3 different stimulus conditions, each linked either to a positive monetary reward (a vertically oriented arrow pointing upward), a positive verbal feedback (a vertically oriented double-sided arrow) or a neutral no reward or feedback (a horizontally oriented double-sided arrow). After presentation of the two positive stimuli types, a flashing screen is presented and during the flashing screen if the subjects can press the button fast enough they will either win 1€ or they will be shown a positive verbal feedback depending on the positive stimuli type. The negative stimuli is followed by a 3 second black screen to include a control condition. Each stimulus condition is presented 10 times in a pseudorandom schedule with no more than two equal conditions in succession. The inter-trial interval randomly varies between 6-9 seconds.

Odour based cue reactivity task

时间窗: Once during the fMRI screening

A cue reactivity task based on the odours and images of alcoholic and non-alcoholic items. Adapted from Vollstädt-Klein et al., 2011. Subjects are presented with odours and images of alcoholic (beer, wine, schnapps) and non-alcoholic (odour: 2-Methyltetrahydrofuran-3-one / images: broom, duster, clothing iron, lightbulb, mat, mulch, penlight, rack, rock, kitchen scissors, trough, vent) items during an fMRI session in blocks. For non-alcoholic items, in each block 5 images from the same stimuli group are presented with the non-alcoholic odour. For alcoholic items, in each block there are 5 images from the selected stimuli group with the congruent odour. After each block subjects are asked to rate their liking and wanting towards the items that have been presented to them in two 1-5 scales. Blocks are pseudorandomised to maximise balance between groups and minimise the effect of habituation. Minimum 1: "not at all", maximum 5: "very much".

Change in Blood Oxygen Level Dependent (BOLD) signal within selected Regions of Interest (ROI)

时间窗: Once during the fMRI experiment

Change in brain activation in the form of BOLD signals within 3 groups of ROIs: * Memory related ROIs: Hippocampus, Dorsolateral Prefrontal Cortex * Cognitive Control related ROIs: Anterior Cingulate Cortex, Ventrolateral Prefrontal Cortex * Reward related ROIs: Striatum (ventral and dorsal) and Insula

次要结局

  • Stanford Sleepiness Scale (Hoddes et al. 1973)(Once before the fMRI screening)
  • Alcohol Urge Questionnaire (Bohn et al. 1995)(Once before the fMRI screening)
  • Psychomotor Vigilance Test (Roach et al. 2006)(Once before the fMRI screening)
  • Sniffin' Sticks Test (Burghardt®, Wedel, Germany)(Hummel et al., 1997)(Once before the fMRI screening)

研究者

发起方
Central Institute of Mental Health, Mannheim
申办方类型
Other
责任方
Sponsor

研究点 (2)

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