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| Name | Class |
|---|---|
| Weizmann Institute of Science | OTHER |
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Learning includes the ability to generalize to new situations and respond to similar, yet not identical stimuli. In previous work, focused on stimulus generalization in healthy volunteers, tones that were negatively reinforced induce wider generalization curves than tones that were positively reinforced, and these in turn induce wider curves than neutral memory (Schechtman et al, 2010).
The current study aimed to evaluate those patterns in different clinical disorders (including Schizophrenia, Bipolar disorder, MDD, Anxiety disorders (Panic and GAD) and PTSD, and healthy subjects that would be used as a control), with consideration whether those patterns are unique to any specific disorder or state.
The generalization patterns evaluation would conduct twice though enable to compare the stability of those patterns during the course of the illness (i.e during remission compared to acute state).
The basic paradigm based on conditioning of a tone (sound) with unpleasant noise, and extinction of that conditioning afterword. During the 60 minutes of evaluation, the capability to discriminate between the original tone and similar but not identical tones, and the tendency to categorize similar tones as identical to the original tone. A neutral tone without conditioning will be used as reference. The clinical diagnosis will conduct by a senior psychiatrist, and the state would be evaluated using standard questionnaires
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Schizophrenia | Subjects who are suffering from Schizophrenia or Schizoaffective disorder acording to the DSM-IV-R criteria |
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| Control | Healthy subjects without any mental ilness in axis I or II. |
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| Bipolar | Subjects who are suffering from bipolar I or 2 disorder acording to the DSM-IV-R criteria |
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| MDD | Subjects who are suffering from Major Depressive disorder acording to the DSM-IV-R criteria |
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| Anxiety | Subjects who are suffering from Panic disorder or from Generalized Anxiety disorder acording to the DSM-IV-R criteria |
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| PTSD | Subjects who are suffering from Post Traumatic Stress Disorder acording to the DSM-IV-R criteria |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Generalization pattern | Behavioral | During evaluation a conditioning of a tone (conditioning stimulus) and aversive sound ("metal scratch") will conduct (another tone which will be un-conditioning stimulus for control). Generalization patterns will be evaluated, by measuring the differentiation capability between different tones ("neutral" and "aversive") before and after the conditioning, and after extinction phase. The generalization will also be measured by the "generalization curve" that plotted from displaying tones, different from the original tones, and asked the subject whether the current tone is original or new |
| Measure | Description | Time Frame |
|---|---|---|
| Generalization pattern differentiation | Compare the generalization curve and the differentiation between positive, negative and neutral valency bias | 60 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| State or trait differentiation | to find the stability of the outcome between the two visits, and whether there is correlation with clinical state and the generalization patterns | 4-24 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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Subjects with severe mental disorder in axis one (i.e Schizophrenia, Bipolar, MDD, Anxiety disorder including Panic or Generalized Disorders, PTSD)and healthy subjects that will be used as control- Thirty subjects at each of the groups.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Shahak Yariv, MD | Contact | 972-54-9876823 | dr.shahakyariv@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Shahak Yariv, MD | Shalvata Mental Health Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Shalvat Mental Health Center | Recruiting | Hod HaSharon | Israel |
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| ID | Term |
|---|---|
| D001714 | Bipolar Disorder |
| D012559 | Schizophrenia |
| D001008 | Anxiety Disorders |
| D016584 | Panic Disorder |
| D000098647 | Generalized Anxiety Disorder |
| D013313 | Stress Disorders, Post-Traumatic |
| ID | Term |
|---|---|
| D000068105 | Bipolar and Related Disorders |
| D019964 | Mood Disorders |
| D001523 | Mental Disorders |
| D019967 | Schizophrenia Spectrum and Other Psychotic Disorders |
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| D040921 | Stress Disorders, Traumatic |
| D000068099 | Trauma and Stressor Related Disorders |