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DepressionNCT02450240

Latent Structure of Multi-level Assessments and Predictors of Outcomes in Psychiatric Disorders

An observational study of Depression and Anxiety, run by Laureate Institute for Brain Research, Inc. at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

In this study the investigators will seek to improve our understanding of how positive and negative valence systems, cognition, and arousal/interoception are inter-related in disorders of mood, substance use, and eating behavior. Read more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
Conditions the study is for
Depression, Anxiety, Eating Disorders
What is being tested?
standardized diagnostic assessment, self-report questionnaires and behavioral tasks
How many people
1,271 participants
Where
1 siteUnited States
Study dates
Jan 2015to Jun 2020
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 55 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Study population: Community Sample

Who may be able to join

  • Referred or seeking treatment, as defined by answering yes to "have you sought help for problems with":
  • Anxiety and/or depressive symptoms
  • Problems related to substance use
  • Problems related to eating behavior
  • Screened positive for problems in (1) as indicated by:
  • Patient Health Questionnaire (PHQ-9) ≥ 10 and/or Overall Anxiety Severity and Impairment Scale (OASIS) ≥ 8.
Show all 11Show fewer
  • Drug Abuse Screening Test (DAST-10) score > 2
  • Eating Disorder Screen (SCOFF) score ≥ 2
  • Have a body mass index between 17 to 38 kg/m²
  • Able to provide written informed consent.
  • Have sufficient proficiency in English language to understand and complete interviews, questionnaires, and all other study procedures.

Who cannot join

  • No telephone or easy access to telephone.
  • Has a history of unstable liver or renal insufficiency; glaucoma; significant and unstable cardiac, vascular, pulmonary, gastrointestinal, endocrine, neurologic, hematologic, rheumatologic, or metabolic disturbance; or any other condition that, in the opinion of the investigator, would make participation not be in the best interest (e.g., compromise the well-being) of the subject or that could prevent, limit, or confound the protocol-specified assessments.
  • A positive test for drugs of abuse, including alcohol (breath test), cocaine, marijuana, opiates, amphetamines, methamphetamines, phencyclidine, benzodiazepines, barbiturates, methadone, and oxycodone.
  • Has any of the following DSM-V disorders:
  • Schizophrenia Spectrum and Other Psychotic Disorders
  • Bipolar and Related Disorders
Show all 16Show fewer
  • Obsessive-Compulsive and Related Disorders
  • Antisocial Personality Disorder
  • Moderate to severe traumatic brain injury or other neurocognitive disorder
  • Active suicidal ideation with intent or plan.
  • Change in the dose or prescription of a medication within the 6 weeks before enrolling in the study that could affect brain functioning
  • Prescription of a medication outside of the accepted range, as determined by the best clinical practices and current research.
  • Taking drugs that affect the fMRI hemodynamic response (e.g., methylphenidate, acetazolamide, excessive caffeine intake > 1000 mg/day)
  • MRI contraindications
  • Unwillingness or inability to complete any of the major aspects of the study protocol
  • Non-correctable vision or hearing problems

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Laureate Institute for Brain Research

    Tulsa, Oklahoma, 74136

Other trials in United States

About this study

Official title: T-1000: Latent Structure of Multi-level Assessments and Predictors of Outcomes in Psychiatric Disorders

In this study the investigators will seek to improve our understanding of how positive and negative valence systems, cognition, and arousal/interoception are inter-related in disorders of mood, substance use, and eating behavior. The investigators will recruit 1000 individuals and use a wide range of assessment tools, neuroimaging measures, blood and microbiome collections and behavioral tasks to complete the baseline and follow-up study visits. Upon completion, the investigators aim to have robust and reliable dimensional measures that quantify these systems and a set of assessments that should be recommended as a clinical tool to enhance outcome prediction for the clinician and assist in determining who will likely benefit from what type of intervention.

Read the detailed description

Neuroscience has made tremendous progress in understanding the basic neural circuitry that underlies important processes such as attention, memory, and basic emotion processing. Yet, little progress has been made to utilize these insights to apply them to psychiatric populations in order to make clinically meaningful predictions. The connection between psychiatric disorders and their underlying neurobiology has been difficult to establish. The overarching theme of this study is to determine how biological and objective behavioral measures can contribute to improving assessment and treatment of psychiatric patients. The investigators will use the National Institute of Mental Health (NIMH) Research Domain Criteria (RDoC) framework as a heuristic approach that integrates neuroscience and psychopathology to study the positive and negative valence systems, cognition and arousal/interoception domains. Within this framework we will study a group of treatment seeking individuals with mental health conditions to determine how dysfunctions of affect, substance use, and eating behavior organize across different levels and whether these latent factors can be used to generate clinically useful prediction.

Using self-report, behavior, physiology, neural circuit, cell, molecule, and gene unit of analysis measures, the investigators propose to enroll 1000 individuals from four different cohorts over 5 years: (1) anxiety and/or depression; (2) eating problems; (3) substance use problems; and (4) healthy controls. Each individual will undergo a multi-level assessment that consists of (a) a standardized diagnostic assessment, (b) self-report questionnaires, (c) behavioral tasks, (d) physiological measurements, (e) structural and functional magnetic resonance imaging (fMRI) and EEG, (f) biomarker and microbiome assessments, (g) blood to derive induced pluripotent stem cells, (h) and genetic and epigenetic assessments. These individuals will be followed up for one year and will be re-assessed using a multi-domain assessment of functioning, which will include: (a) symptom severity and duration, (b) subjective well-being, (c) psychosocial function, (c) occupational function, (d) physical health, (e) utilization of mental health resources (treatment), and (f) compliance with treatment.

Being tested
standardized diagnostic assessment, self-report questionnaires, behavioral tasks, physiological measurements, structural and functional magnetic resonance imaging and EEG
Keywords
Depression, Anxiety, Eating Disorders, Substance Use, Functional Magnetic Resonance Imaging, Genetics, Behavior, Mental Health
Medical subject headings
Depression, Anxiety Disorders, Feeding and Eating Disorders, Substance-Related Disorders, Behavior, Psychological Well-Being

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • standardized diagnostic assessmentBehavioural

  • self-report questionnairesBehavioural

  • behavioral tasksBehavioural

  • physiological measurementsOther

  • structural and functional magnetic resonance imaging and EEGOther

  • biomarker and microbiome assessmentsOther

  • blood to derive induced pluripotent stem cellsOther

  • genetic and epigenetic assessmentsOther

Study groups in NCT02450240
Study groupRoleWhat they receive
Depression and Anxiety Disorders350 subjects who screen positive for anxiety or depressive symptoms on the Patient Health Questionnaire (PHQ-9) ≥ 10 and/or Overall Anxiety Severity and Impairment Scale (OASIS) ≥ 8. Interventions: (1) standardized diagnostic assessment, (2) self-report questionnaires, (3) behavioral tasks, (4) physiological measurements, 5) structural and functional magnetic resonance imaging and EEG, (6) biomarker and microbiome assessments, (h) blood to derive induced pluripotent stem cells, (8) and genetic and epigenetic assessments.
Receives: Behavioral: standardized diagnostic assessment; Behavioral: self-report questionnaires; Behavioral: behavioral tasks; Other: physiological measurements; Other: structural and functional magnetic resonance imaging and EEG; Other: biomarker and microbiome assessments; Other: blood to derive induced pluripotent stem cells; Other: genetic and epigenetic assessments
Eating Disorders350 subjects who screen positive for problems related to eating behavior on the Eating Disorder Screen (SCOFF), score ≥ 2. Interventions: (1) standardized diagnostic assessment, (2) self-report questionnaires, (3) behavioral tasks, (4) physiological measurements, 5) structural and functional magnetic resonance imaging and EEG, (6) biomarker and microbiome assessments, (h) blood to derive induced pluripotent stem cells, (8) and genetic and epigenetic assessments.
Receives: Behavioral: standardized diagnostic assessment; Behavioral: self-report questionnaires; Behavioral: behavioral tasks; Other: physiological measurements; Other: structural and functional magnetic resonance imaging and EEG; Other: biomarker and microbiome assessments; Other: blood to derive induced pluripotent stem cells; Other: genetic and epigenetic assessments
Substance Use Disorders350 subjects who screen positive for problems related to substance use on the Drug Abuse Screening Test (DAST-10), score > 2. Interventions: (1) standardized diagnostic assessment, (2) self-report questionnaires, (3) behavioral tasks, (4) physiological measurements, 5) structural and functional magnetic resonance imaging and EEG, (6) biomarker and microbiome assessments, (h) blood to derive induced pluripotent stem cells, (8) and genetic and epigenetic assessments.
Receives: Behavioral: standardized diagnostic assessment; Behavioral: self-report questionnaires; Behavioral: behavioral tasks; Other: physiological measurements; Other: structural and functional magnetic resonance imaging and EEG; Other: biomarker and microbiome assessments; Other: blood to derive induced pluripotent stem cells; Other: genetic and epigenetic assessments
Healthy Controls150 subjects who do not screen positive for anxiety and depression symptoms or problems related to eating behavior and/or substance use. Interventions: (1) standardized diagnostic assessment, (2) self-report questionnaires, (3) behavioral tasks, (4) physiological measurements, 5) structural and functional magnetic resonance imaging and EEG, (6) biomarker and microbiome assessments, (h) blood to derive induced pluripotent stem cells, (8) and genetic and epigenetic assessments.
Receives: Behavioral: standardized diagnostic assessment; Behavioral: self-report questionnaires; Behavioral: behavioral tasks; Other: physiological measurements; Other: structural and functional magnetic resonance imaging and EEG; Other: biomarker and microbiome assessments; Other: blood to derive induced pluripotent stem cells; Other: genetic and epigenetic assessments

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change from Baseline in Clinical Diagnosis

    Test the predictive effects of endophenotypes (genetic, imaging and behavioral factors) on clinical diagnosis at baseline compared to one year later using the Mini International Psychiatric Interview in patients and healthy controls

    Measured: Baseline and 1 year

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 May 2015 (estimated)
  2. Study startJan 2015
  3. Primary completionJun 2020
  4. Study completionJun 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case-control
Time perspective
Prospective
Enrolment
1,271 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02450240
Sponsor's protocol ID
2014-002
Status last verified
Jul 2020
First submitted
6 Apr 2015
Last updated
7 Jul 2020
Results posted
No
Data monitoring committee
No

Publications

  • Sanislow CA, Pine DS, Quinn KJ, Kozak MJ, Garvey MA, Heinssen RK, Wang PS, Cuthbert BN. Developing constructs for psychopathology research: research domain criteria. J Abnorm Psychol. 2010 Nov;119(4):631-9. doi: 10.1037/a0020909.

    PubMed 20939653
  • Insel T, Cuthbert B, Garvey M, Heinssen R, Pine DS, Quinn K, Sanislow C, Wang P. Research domain criteria (RDoC): toward a new classification framework for research on mental disorders. Am J Psychiatry. 2010 Jul;167(7):748-51. doi: 10.1176/appi.ajp.2010.09091379. No abstract available.

    PubMed 20595427
  • Park H, Forthman KL, Kuplicki R, Victor TA, Yeh HW, Thompson WK, Howlett JR, Guinjoan S, Paulus MP. Polygenic risk for neuroticism is associated with less efficient control in more difficult situations. Psychiatry Res Neuroimaging. 2023 Oct;335:111716. doi: 10.1016/j.pscychresns.2023.111716. Epub 2023 Sep 14.

    PubMed 37717543
  • Forthman KL, Kuplicki R, Yeh HW, Khalsa SS, Paulus MP, Guinjoan SM. Transdiagnostic behavioral and genetic contributors to repetitive negative thinking: A machine learning approach. J Psychiatr Res. 2023 Jun;162:207-213. doi: 10.1016/j.jpsychires.2023.05.039. Epub 2023 May 5.

    PubMed 37178517
  • Sanchez SM, Tsuchiyagaito A, Kuplicki R, Park H, Postolski I, Rohan M, Paulus MP, Guinjoan SM. Repetitive Negative Thinking-Specific and -Nonspecific White Matter Tracts Engaged by Historical Psychosurgical Targets for Depression. Biol Psychiatry. 2023 Oct 15;94(8):661-671. doi: 10.1016/j.biopsych.2023.03.012. Epub 2023 Mar 23.

    PubMed 36965550
  • Park H, Sanchez SM, Kuplicki R, Tsuchiyagaito A, Khalsa SS, Paulus MP, Guinjoan SM. Attenuated interoceptive processing in individuals with major depressive disorder and high repetitive negative thinking. J Psychiatr Res. 2022 Dec;156:237-244. doi: 10.1016/j.jpsychires.2022.10.020. Epub 2022 Oct 10.

    PubMed 36270063
  • Kirlic N, Kuplicki R, Touthang J, Cohen ZP, Stewart JL; Tulsa 1000 Investigators; Paulus MP, Aupperle RL. Behavioral and neural responses during fear conditioning and extinction in a large transdiagnostic sample. Neuroimage Clin. 2022;35:103060. doi: 10.1016/j.nicl.2022.103060. Epub 2022 May 25.

    PubMed 35679785
  • Park H, Kirlic N, Kuplicki R; Tulsa 1000 Investigators; Paulus M, Guinjoan S. Neural Processing Dysfunctions During Fear Learning but Not Reward-Related Processing Characterize Depressed Individuals With High Levels of Repetitive Negative Thinking. Biol Psychiatry Cogn Neurosci Neuroimaging. 2022 Jul;7(7):716-724. doi: 10.1016/j.bpsc.2022.01.002. Epub 2022 Jan 20.

    PubMed 35065290
  • Burrows K, Stewart JL, Kuplicki R, Figueroa-Hall L, Spechler PA, Zheng H, Guinjoan SM; Tulsa 1000 Investigators; Savitz JB, Kent Teague T, Paulus MP. Elevated peripheral inflammation is associated with attenuated striatal reward anticipation in major depressive disorder. Brain Behav Immun. 2021 Mar;93:214-225. doi: 10.1016/j.bbi.2021.01.016. Epub 2021 Jan 26.

    PubMed 33508469
  • White EJ, Kuplicki R, Stewart JL, Kirlic N, Yeh HW; T1000 Investigators; Paulus MP, Aupperle RL. Latent variables for region of interest activation during the monetary incentive delay task. Neuroimage. 2021 Apr 15;230:117796. doi: 10.1016/j.neuroimage.2021.117796. Epub 2021 Jan 24.

    PubMed 33503481
  • Spechler PA, Stewart JL, Kuplicki R, Paulus MP; Tulsa 1000 Investigators. Parsing impulsivity in individuals with anxiety and depression who use Cannabis. Drug Alcohol Depend. 2020 Dec 1;217:108289. doi: 10.1016/j.drugalcdep.2020.108289. Epub 2020 Sep 16.

    PubMed 33002704
  • Howlett JR, Thompson WK, Paulus MP. Computational Evidence for Underweighting of Current Error and Overestimation of Future Error in Anxious Individuals. Biol Psychiatry Cogn Neurosci Neuroimaging. 2020 Apr;5(4):412-419. doi: 10.1016/j.bpsc.2019.12.011. Epub 2019 Dec 24.

    PubMed 32107167
  • Howlett JR, Paulus MP. Where perception meets belief updating: Computational evidence for slower updating of visual expectations in anxious individuals. J Affect Disord. 2020 Apr 1;266:633-638. doi: 10.1016/j.jad.2020.02.012. Epub 2020 Feb 3.

    PubMed 32056939
  • Victor TA, Khalsa SS, Simmons WK, Feinstein JS, Savitz J, Aupperle RL, Yeh HW, Bodurka J, Paulus MP. Tulsa 1000: a naturalistic study protocol for multilevel assessment and outcome prediction in a large psychiatric sample. BMJ Open. 2018 Jan 24;8(1):e016620. doi: 10.1136/bmjopen-2017-016620.

    PubMed 29371263

Questions about this trial

What is this clinical trial studying?

An observational study of Depression and Anxiety, run by Laureate Institute for Brain Research, Inc. at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 11 inclusion and 16 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 7 Jul 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change from Baseline in Clinical Diagnosis (time frame: Baseline and 1 year). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02450240, which also lists 14 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 Jul 2020.

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