RecruitingNCT03829787

Attentional Biases, Reward Sensitivity, and Cognitive Control in Adults With Bipolar Disorder

Attentional Biases, Reward Sensitivity, and Cognitive Control in Adults With Bipolar Disorder and Different Psychiatric Comorbidities: An Eye-Tracking Study


Sponsor

University Hospitals Cleveland Medical Center

Enrollment

100 participants

Start Date

Mar 27, 2019

Study Type

OBSERVATIONAL

Conditions

Summary

The purpose of this study is to use eye-tracking technology to study attentional biases, reward sensitivity, and cognitive control in adult patients with bipolar disorder with or without anxiety and/or substance use disorder comorbidity.


Eligibility

Min Age: 18 Years

Inclusion Criteria40

  • i. Male or female, age 18 or older
  • ii. Meets diagnostic criteria for lifetime bipolar I or II disorder according to Diagnostic and Statistical Manual-5 (DSM-5) criteria, as confirmed by the Mini International Neuropsychiatric Interview (MINI)
  • iii. Currently in a depressive episode or currently in remission from a mood episode
  • iv. Young Mania Rating Scale total score ≤ 8
  • v. In the opinion of the investigator, capable of understanding and complying with protocol requirements
  • vi. In the opinion of the investigator, has the competency to understand and sign the informed consent
  • vii. Subject is compliant with taking psychiatric medication(s) per the investigator's discretion
  • i. Male or female, age 18 or older
  • ii. Meets diagnostic criteria for lifetime bipolar I or II disorder according to DSM-5 criteria, as confirmed by the Mini International Neuropsychiatric Interview (MINI)
  • iii. Currently in a depressive episode or currently in remission from a mood episode
  • iv. Meets diagnostic criteria for a current anxiety disorder (generalized anxiety disorder, panic disorder, and/or social phobia) as confirmed by the Mini International Neuropsychiatric Interview (MINI)
  • v. Hamilton Anxiety Rating Scale total score ≥ 18
  • vi. Young Mania Rating Scale total score ≤ 8
  • vii. In the opinion of the investigator, capable of understanding and complying with protocol requirements
  • viii. In the opinion of the investigator, has the competency to understand and sign the informed consent
  • ix. Subject is compliant with taking psychiatric medication(s) per the investigator's discretion
  • i. Male or female, age 18 or older
  • ii. Meets diagnostic criteria for lifetime bipolar I or II disorder according to the DSM-5 criteria, as confirmed by the Mini International Neuropsychiatric Interview (MINI)
  • iii. Meets diagnostic criteria for a substance use disorder within the last 3 months
  • iv. Meets diagnostic criteria for a current anxiety disorder (generalized anxiety disorder, panic disorder, and/or social phobia) as confirmed by the Mini International Neuropsychiatric Interview (MINI)
  • v. Currently in a depressive episode or currently in remission from a mood episode
  • vi. Hamilton Anxiety Rating Scale total score ≥ 18
  • vii. Young Mania Rating Scale total score ≤ 8
  • viii. In the opinion of the investigator, capable of understanding and complying with protocol requirements
  • ix. In the opinion of the investigator, has the competency to understand and sign the informed consent
  • x. Subject is compliant with taking psychiatric medication(s) per the investigator's discretion
  • i. Male or female, age 18 or older
  • ii. Meets diagnostic criteria for lifetime bipolar I or II disorder according to the DSM-5 criteria, as confirmed by the Mini International Neuropsychiatric Interview (MINI)
  • iii. Meets diagnostic criteria for a substance use disorder within the last 3 months
  • iv. Currently in a depressive episode or currently in remission from a mood episode
  • v. Young Mania Rating Scale total score ≤ 8
  • vi. Hamilton Anxiety Rating Scale total score ≤ 12
  • vii. In the opinion of the investigator, capable of understanding and complying with protocol requirements
  • viii. In the opinion of the investigator, has the competency to understand and sign the informed consent
  • ix. Subject is compliant with taking psychiatric medication(s) per the investigator's discretion
  • i. Male or female, age 18 or older
  • ii. In the opinion of the investigator, capable of understanding and complying with protocol requirements
  • iii. In the opinion of the investigator, has the competency to understand and sign the informed consent
  • iv. Physically healthy as determined by research psychiatrist
  • v. Without any current and/or lifetime psychiatric disorder as confirmed by the Mini International Neuropsychiatric Interview (MINI)

Exclusion Criteria41

  • i. Significant structural brain lesion (e.g. infarct, hemorrhage, tumor, multiple sclerosis)
  • ii. Progressive neurological disease such as neurodegenerative disease
  • iii. Any current psychiatric disorder (other than a current depressive episode) including anxiety disorders, substance use disorders, antisocial personality disorder and borderline personality disorder as assessed by the MINI and clinician assessment.
  • iv. Currently pregnant or planning to become pregnant
  • v. Tests positive for illegal substances or prescription medications for which they do not have a valid prescription
  • vi. Currently taking any steroids, stimulants, or opioid pain killers.
  • vii. Meets DSM-5 criteria for any alcohol and/or drug use disorder within the last 6 months, excluding the use of caffeine.Currently experiencing nicotine use disorder or any smoking of cigarettes or use of other nicotine containing products within a week before the eye tracking visit.
  • viii. Has had electroconvulsive therapy (ECT) treatment within the last 6 months.
  • i. Significant structural brain lesion identified (e.g. infarct, hemorrhage, tumor, multiple sclerosis)
  • ii. Progressive neurological disease such as neurodegenerative disease
  • iii. Any co-occurring lifetime or current obsessive-compulsive disorder (OCD), post-traumatic stress disorder (PTSD), or attention deficit hyperactivity disorder (ADHD)
  • iv. Meets criteria for antisocial personality disorder or borderline personality disorder as assessed by clinician assessment.
  • v. Currently pregnant or planning to become pregnant
  • vi. Tests positive for illegal substances or prescription medications for which they do not have a valid prescription
  • vii. Currently taking any steroids, stimulants, or opioid pain killers.
  • viii. Meets DSM-5 criteria for any alcohol and/or drug use disorder within the last 6 months, excluding the use of caffeine
  • ix. Currently experiencing nicotine use disorder or any smoking of cigarettes or use of other nicotine containing products within a week before the eye tracking visit.
  • x. Has had ECT treatment within the last 6 months.
  • i. Significant structural brain lesion identified (e.g. infarct, hemorrhage, tumor, multiple sclerosis)
  • ii. Progressive neurological disease such as neurodegenerative disease
  • iii. Any co-occurring lifetime or current obsessive-compulsive disorder (OCD), post-traumatic stress disorder (PTSD), or attention deficit hyperactivity disorder (ADHD)
  • iv. Meets criteria for antisocial personality disorder or borderline personality disorder as assessed by clinician assessment.
  • v. Intoxicated or in acute withdrawal state.
  • vi. Currently pregnant or planning to become pregnant.
  • vii. Currently experiencing nicotine use disorder or any smoking of cigarettes or use of other nicotine containing products within a week before the eye tracking visit.
  • viii. Has had ECT treatment within the last 6 months.
  • i. Significant structural brain lesion identified (e.g. infarct, hemorrhage, tumor, multiple sclerosis)
  • ii. Progressive neurological disease such as neurodegenerative disease
  • iii. Any co-occurring current anxiety disorder or attention deficit hyperactivity disorder (ADHD)
  • iv. Meets criteria for antisocial personality disorder or borderline personality disorder as assessed by clinician assessment.
  • v. Intoxicated or in an acute withdrawal state
  • vi. Currently pregnant or planning to become pregnant.
  • vii. Currently experiencing nicotine use disorder or any smoking of cigarettes or use of other nicotine containing products within a week before the eye tracking visit.
  • viii. Has had ECT treatment within the last 6 months.
  • i. Significant structural brain lesion identified (e.g. infarct, hemorrhage, tumor, multiple sclerosis)
  • ii. Progressive neurological disease such as neurodegenerative disease
  • iii. Any psychiatric disorder including any severe personality disorder
  • iv. Currently pregnant or planning to become pregnant
  • v. Tests positive for illegal substances or prescription medications for which they do not have a valid prescription
  • vi. Currently taking any steroids, stimulants, or opioid pain killers.
  • vii. Currently experiencing nicotine use disorder or any smoking of cigarettes or use of other nicotine containing products within a week before the eye tracking visit.

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Interventions

DEVICEEye tracking

Subjects will be assessed for attentional biases, reward sensitivity, and cognitive control using eye tracking technology


Locations(1)

University Hospitals Cleveland Medical Center - Mood Disorders Program

Cleveland, Ohio, United States

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NCT03829787


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