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临床试验/NCT03828604
NCT03828604已完成不适用

Stress-Induced Inflammation and Reward Processing

University of California, Los Angeles2 个研究点 分布在 1 个国家目标入组 57 人开始时间: 2017年5月12日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
已完成
入组人数
57
试验地点
2
主要终点
Effort Expenditure for Rewards Task - Reward Motivation

研究概览

简要总结

Anhedonia, or loss of interest or pleasure, is a key feature of depression and transdiagnostic construct in psychopathology. Both theory and compelling evidence from preclinical models implicates stress-induced inflammation as a key psychobiological pathway to anhedonic behavior; however, this pathway has not been demonstrated in human models. Further, although anhedonia may reflect dysregulation in multiple dimensions of reward, the extent to which stress-induced inflammation alters these dimensions is unclear. The current placebo controlled study used a standardized laboratory stressor task to elicit an inflammatory response in a sample of a healthy young women and evaluate effects of stress-induced inflammation on multiple behavioral indices of reward processing.

详细描述

In this study we propose to examine the association between psychosocial stress, the stress-induced inflammatory response, and reward processing in a female undergraduate sample. Specifically, we will 1) examine effects of an acute psychosocial stressor on reward processing; 2) evaluate the association between stress-related changes in inflammation and reward processing; and 3) test key vulnerability factors that may moderate the association between stress and reward. To achieve these goals, this study will recruit 60 female undergraduate students to test effects of stress on reward processing in a 3.5 hour laboratory session. Participants will be randomly assigned to either experience a laboratory stressor or a placebo control, and will complete reward tasks 90 minutes post stress/placebo onset, at which point the peripheral inflammatory response to stress reaches its peak. The reward tasks are computerized behavioral tasks that assess three domains of reward processing: reward-learning, reward motivation, and reward sensitivity. Throughout the session, all participants will complete self-report measures of affect and provide blood and saliva samples for evaluation of the psychological and physiological stress response. Within one week prior to the session, participants will attend a 1 hour visit in which they complete baseline reward tasks and self-report questionnaires assessing mood, personality, early life stress, and health behaviors. In total, participants will complete two visits, with a duration of 4.5 hours. This study builds upon prior studies demonstrating immediate effects of acute stress on reward processing, and further tests for delayed effects of acute stress on reward processing. Furthermore, this will be the first study to examine inflammation as a mechanism linking stress to deficits in reward processing. Findings may inform theory of depression etiology and contribute to more specialized treatment that is targeted at specific symptoms of depression.

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
Single (Participant)

入排标准

年龄范围
18 Years 至 28 Years(Adult)
性别
Female
接受健康志愿者

入选标准

  • English fluency
  • Age 18-28
  • Biologically female

排除标准

  • Current illness
  • Presence or history of major medical conditions
  • Current or past diagnosis of alcohol use disorder
  • Use of tobacco
  • Use of immune-altering medications
  • Current pregnancy

研究组 & 干预措施

Stress; Trier Social Stress Task

Experimental

5 min challenging speech task, 5 min challenging math task; performed in front of evaluators

干预措施: Stress; Trier Social Stress Task (Behavioral)

Placebo Trier Social Stress Task

Active Comparator

5 min speech task, 5 min math task; performed alone

干预措施: Placebo Trier Social Stress Task (Behavioral)

结局指标

主要结局

Effort Expenditure for Rewards Task - Reward Motivation

时间窗: Pre-TSST/P-TSST and 120 min post-TSST/P-TSST

Change in amount of hard trials chosen from pre to post-TSST/P-TSST (overall, and at 3 levels of probability of potential rewards; low, medium, and high)

Attentional Bias Task

时间窗: Pre-TSST/P-TSST and 110 min post-TSST/P-TSST

Change in attentional bias from pre to post-TSST/P-TSST

Probabilistic Reward Task - Reward Responsiveness

时间窗: Pre-TSST/P-TSST and 90 min post-TSST/P-TSST

Change in the magnitude of response bias from pre to post Trier Social Stress Task (TSST) or Placebo-TSST (P-TSST).

次要结局

  • Effort Expenditure for Rewards Task - Reward Sensitivity(120 min post-TSST)
  • Face Morphing Task(Pre-TSST/P-TSST and 115 min post-TSST/P-TSST)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Chloe Boyle, PhD

Principal Investigator

University of California, Los Angeles

研究点 (2)

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