Emotional StressEMBEXNCT04350515
Effects of Social Exclusion in The Context of Chronic Embitterment
A study testing Cyberball: Other Exclusion, Cyberball: Player Exclusion and Mindfulness: Emotion Regulation Task in people with Emotional Stress and Embitterment, run by University of Bern at 1 site in Switzerland.
Trial summary
This experimental, anonymous labor study aims to examine how experiences of social exclusion influence individuals in their fairness-behaviour, psychophysical reactions, and emotion regulation depending on their extent of bitterness. Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Emotional Stress, Embitterment
- What is being tested?
- Cyberball: Other Exclusion, Cyberball: Player Exclusion and Mindfulness: Emotion Regulation Task
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 69 participants
- Where
- 1 siteSwitzerland
- Study dates
- 20 Dec 2019to 31 Dec 2021
- Phase
- Interventional
- 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 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- German language, 18 years old, no cardiovascular disease
- The participation in the anonymous labor study is voluntary, participants gave consent to use the data with their participation.
Who cannot join
- None
Trial locations and contacts
1 site in 1 country.
Switzerland1 site
University of Bern, Institute of Psychology
Bern, Canton of Bern, 3012
About this study
Official title: Effects of Social Exclusion in The Context of Chronic Embitterment: How Social Exclusion Experiences Affect Chronic Embittered People in Their Behaviour and Physiology
This experimental, anonymous labor study aims to examine how experiences of social exclusion influence individuals in their fairness-behaviour, psychophysical reactions, and emotion regulation depending on their extent of bitterness. Points given for fairness reasons, just world belief, rejection sensitivity, well-being, cognitive emotion regulation strategies, and heart rate variability (HRV) are measured and analyzed using structural equation modeling and multiple regression.
Read the detailed description
Embitterment is defined as an emotional response due to an event which is subjectively perceived as unjust. Nonetheless, there is little empiric evidence of unjust behaviour by others in the interpersonal context that triggers embitterment reactions. Ostracism, is an act where a person is excluded from a social environment without any reasons. This experimental labor study examines how the experiences of this form of social exclusion influences individuals depending on their self-evaluated embitterment. That is, fairness-behaviour is assessed as well as changes in hearth rate variability.
- Conditions
- Emotional Stress, Embitterment
- Being tested
- Cyberball: Other Exclusion, Cyberball: Player Exclusion, Mindfulness: Emotion Regulation Task, Mindfulness: Word Recognition Task
- Medical subject headings
- Stress, Psychological
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Cyberball: Other ExclusionOther
Also called In terms of outcome measure 'points for fairness': intervention condition, In terms of outcome measure 'changes in HRV': control condition
A cyberball paradigm, whereas 2 avatars and the subject are playing a virtual ball tossing game. In this condition, one of the avatars is excluded.
Cyberball: Player ExclusionOther
Also called In terms of outcome measure 'points for fairness': control condition, In terms of outcome measure 'changes in HRV': intervention condition
A cyberball paradigm, whereas 2 avatars and the subject are playing a virtual ball tossing game. In this condition, the subject is excluded by the avatars.
Mindfulness: Emotion Regulation TaskOther
Also called Intervention Condition
In this task, subjects listen to an audio file containing a scripted emotion regulation exercise. This exercise is based by the authors Nissen \& Sturm (2018). It takes around 14 minutes to complete the whole task.
Mindfulness: Word Recognition TaskOther
Also called Control Condition
In this task, subjects listen to an audio file containing a scripted word recognition exercise. It contains both contrary words recognition (e.g. "The opposite of loud is ...") and completion of german sayings (e.g. "That's where the dog is..."). It takes around 14 minutes to complete the whole task.
| Study group | Role | What they receive |
|---|---|---|
| Cyberball: Other Exclusion | Experimental | Cyberball Paradigm - the avatar will be excluded by the player Receives: Other: Cyberball: Other Exclusion; Other: Mindfulness: Emotion Regulation Task; Other: Mindfulness: Word Recognition Task |
| Cyberball: Player Exclusion | Experimental | Cyberball Paradigm - the player will be excluded by the other players Receives: Other: Cyberball: Player Exclusion; Other: Mindfulness: Emotion Regulation Task; Other: Mindfulness: Word Recognition Task |
What is being measured
The primary outcome is the main question the study is designed to answer.
Points for Fairness
Asked after the second Cyberball game session. Each participant will be asked, how many of their "earned" points (from the first Cyberball round) they are willing to compensate for fairness reasons towards the group. This is assessed by a Likert scale ranging from 0 - 14; giving zero points it the least one can give, 14 is the maximum.
Measured: After the second Cyberball intervention (exclusion of the subject or the avatar), at approx. 30 minutes from baseline.
Changes in Heart Rate Variability (HRV; RMSSD) from baseline (t0)
Changes in Heart Rate Variability (RMSSDs) are assessed using the hardware of BIOPAC Systems. The extraction and analysis of the RMSSDs are performed with Kubios HRV premium (software).
Measured: After approx. 15, 20, 25, 30, 35, 40, 45, and 50 minutes from baseline.
Secondary outcomes (7)
Belief in a Just World
Belief in a Just World is assessed using the german version of the "Beliefs in a just world questionnaire" (Dalbert, Montada, \& Schmitt, 1987). It contains six items, ranging from 1-6, whereas lower numbers indicate a lower belief in a just/rightful world and vice versa.
Measured: Baseline questionnaires at the beginning of the experiment.
Rejection Sensitivity
Rejection Sensitivity is assessed using the german version of the "Rejection Sensitivity Questionnaire" (Feldman \& Downey, 1994) - based on 18 items describe interpersonal interactions, where the subject has to ask someone to do something for him or her, further how much distress these interactions would provoke and the other person would decline the request. Each item can be answered on a Likert-Scale from 1-6, whereas lower numbers indicate less personal distress and expected rejection by the interacting person when being in that particular scenario. Higher Numbers indicate more distress from the scenario as well as the more is a rejection expected.
Measured: Baseline questionnaires at the beginning of the experiment.
Cognitive Emotion Regulation (Strategies) - Basic
Emotion Regulation are assessed using the german version of the "Emotion Regulation Questionnaire" (ERQ; Gross \& John, 2003; Abler \& Kessler, 2011). This questionnaire assesses basic tendencies of the two strategies "reappraisal" and/or "Suppression" with regards to emotion regulation. It has 10 items which can be answered based on a Likert-Scale ranging from 1 - 7. The higher the number the more the person tends to use this particular strategy and vice versa.
Measured: Baseline questionnaires at the beginning of the experiment.
Cognitive Emotion Regulation (Strategies) - Specific
Specific Cognitive Emotion Regulation Strategies are assessed using the german version of the Cognitive Emotion Regulation Questionnaire (CERQ; Garnefski, Kraaij \& Spinhoven, 2001). This questionnaire assesses nine dimensions of cognitive coping styles (e.g. "other-blame") in response to distress. It contains 36 items which can be answered on a Likert-Scale ranging from "(almost) never" (0) to "(almost) every time" (4). Higher number indicate the higher the tendency of usage of the specific strategy and vice versa.
Measured: Baseline questionnaires at the beginning of the experiment.
Mindfulness Experiences
Mindfulness Experiences is assessed using the Comprehensive Mindfulness Scale (CHIME; Bergomi, Tschacher, \& Kupper, 2014). It assesses different aspects of mindfulness experiences in daily life based on 37 items, ranging from 0 - 5. Higher number indicate the higher the awareness towards the particular experience and vice versa.
Measured: Baseline questionnaires at the beginning of the experiment.
Change from baseline in subject's well-being - overall
Overall subjective well-being is assessed by asking the participant five times "How do you feel right now?" The subject can answer by the use of a bipolar scale (-2 "very bad", 0 "neutral", +2 "very good").
Measured: After 15, 20, 30, 45, and 50 minutes from baseline.
Change from baseline in subject's well-being - specific
Specific subjective well-being is assessed the "Mehrdimensionale Befindlichkeitsfragebogen" (MDBF; Steyer, Notz, Schwenkmezger, \& Michael Eid, 1997). This questionnaire contains 24 items and measures on three bipolar dimensions (mood, vigilance, and distress) present mental state. Answers can be made on a Likert-Scale ranging from "absolutely not" (-2) till "very much" (+2). The lower the number the worse the mood, or the weariness, or the distress, depending on the dimension, and vice versa.
Measured: After the mindfulness task (50 minutes) from baseline
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Apr 2020
- Study start20 Dec 2019
- Primary completion30 Jun 2020
- Study completion31 Dec 2021
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Emotional StressStudies of the same condition, open and under way.
- More trials run by University of BernThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Sequential
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 69 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Bern
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Dennis Koroma, M.Sc., Principal investigator, University of Bern, Department of Psychology
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04350515
- Sponsor's protocol ID
- EMBEX
- Acronym
- EMBEX
- Status last verified
- Mar 2023
- First submitted
- 20 Dec 2019
- Last updated
- 30 Mar 2023
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 30 Mar 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of Social Exclusion in The Context of Chronic Embitterment: How Social Exclusion Experiences Affect Chronic Embittered People in Their Behaviour and Physiology
- ClinicalTrials.gov ID
- NCT04350515
- Acronym / sponsor ID
- EMBEX / EMBEX
- Conditions
- Emotional Stress, Embitterment
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 69 participants (actual)
- Lead sponsor
- University of BernUniversity, hospital or other
- Study start
- 20 Dec 2019 (actual)
- Primary completion
- 30 Jun 2020 (actual)
- Study completion
- 31 Dec 2021 (actual)
- First posted
- 17 Apr 2020 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This experimental, anonymous labor study aims to examine how experiences of social exclusion influence individuals in their fairness-behaviour, psychophysical reactions, and emotion regulation depending on their extent of bitterness. Points given for fairness reasons, just world belief, rejection sensitivity, well-being, cognitive emotion regulation strategies, and heart rate variability (HRV) are measured and analyzed using structural equation modeling and multiple regression.
Detailed description
Embitterment is defined as an emotional response due to an event which is subjectively perceived as unjust. Nonetheless, there is little empiric evidence of unjust behaviour by others in the interpersonal context that triggers embitterment reactions. Ostracism, is an act where a person is excluded from a social environment without any reasons. This experimental labor study examines how the experiences of this form of social exclusion influences individuals depending on their self-evaluated embitterment. That is, fairness-behaviour is assessed as well as changes in hearth rate variability.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Sequential
- Masking
- Single blind (participant)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Cyberball: Other Exclusion | Experimental | Other: Cyberball: Other Exclusion, Other: Mindfulness: Emotion Regulation Task, Other: Mindfulness: Word Recognition TaskCyberball Paradigm - the avatar will be excluded by the player |
| Cyberball: Player Exclusion | Experimental | Other: Cyberball: Player Exclusion, Other: Mindfulness: Emotion Regulation Task, Other: Mindfulness: Word Recognition TaskCyberball Paradigm - the player will be excluded by the other players |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- German language, 18 years old, no cardiovascular disease
- The participation in the anonymous labor study is voluntary, participants gave consent to use the data with their participation.
Key exclusion criteria (1 listed)
- None
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Cyberball: Other ExclusionAlso: In terms of outcome measure 'points for fairness': intervention condition, In terms of outcome measure 'changes in HRV': control conditionA cyberball paradigm, whereas 2 avatars and the subject are playing a virtual ball tossing game. In this condition, one of the avatars is excluded. | Other | Cyberball: Other Exclusion |
| Cyberball: Player ExclusionAlso: In terms of outcome measure 'points for fairness': control condition, In terms of outcome measure 'changes in HRV': intervention conditionA cyberball paradigm, whereas 2 avatars and the subject are playing a virtual ball tossing game. In this condition, the subject is excluded by the avatars. | Other | Cyberball: Player Exclusion |
| Mindfulness: Emotion Regulation TaskAlso: Intervention ConditionIn this task, subjects listen to an audio file containing a scripted emotion regulation exercise. This exercise is based by the authors Nissen \& Sturm (2018). It takes around 14 minutes to complete the whole task. | Other | Cyberball: Other Exclusion, Cyberball: Player Exclusion |
| Mindfulness: Word Recognition TaskAlso: Control ConditionIn this task, subjects listen to an audio file containing a scripted word recognition exercise. It contains both contrary words recognition (e.g. "The opposite of loud is ...") and completion of german sayings (e.g. "That's where the dog is..."). It takes around 14 minutes to complete the whole task. | Other | Cyberball: Other Exclusion, Cyberball: Player Exclusion |
Primary outcome
Points for Fairness
Time frame: After the second Cyberball intervention (exclusion of the subject or the avatar), at approx. 30 minutes from baseline.
Asked after the second Cyberball game session. Each participant will be asked, how many of their "earned" points (from the first Cyberball round) they are willing to compensate for fairness reasons towards the group. This is assessed by a Likert scale ranging from 0 - 14; giving zero points it the least one can give, 14 is the maximum.
Changes in Heart Rate Variability (HRV; RMSSD) from baseline (t0)
Time frame: After approx. 15, 20, 25, 30, 35, 40, 45, and 50 minutes from baseline.
Changes in Heart Rate Variability (RMSSDs) are assessed using the hardware of BIOPAC Systems. The extraction and analysis of the RMSSDs are performed with Kubios HRV premium (software).
7 secondary outcomes
Belief in a Just World
Time frame: Baseline questionnaires at the beginning of the experiment.
Rejection Sensitivity
Time frame: Baseline questionnaires at the beginning of the experiment.
Cognitive Emotion Regulation (Strategies) - Basic
Time frame: Baseline questionnaires at the beginning of the experiment.
Cognitive Emotion Regulation (Strategies) - Specific
Time frame: Baseline questionnaires at the beginning of the experiment.
Mindfulness Experiences
Time frame: Baseline questionnaires at the beginning of the experiment.
Change from baseline in subject's well-being - overall
Time frame: After 15, 20, 30, 45, and 50 minutes from baseline.
Change from baseline in subject's well-being - specific
Time frame: After the mindfulness task (50 minutes) from baseline
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Mar 2023.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Dennis Koroma, M.Sc. principal investigator
University of Bern, Department of Psychology
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Cyberball: Other Exclusion, Cyberball: Player Exclusion and Mindfulness: Emotion Regulation Task in people with Emotional Stress and Embitterment, run by University of Bern at 1 site in Switzerland.
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 2 inclusion and 1 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 30 Mar 2023. 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 Switzerland. 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?
Points for Fairness (time frame: After the second Cyberball intervention (exclusion of the subject or the avatar), at approx. 30 minutes from baseline.). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 30 Mar 2023.