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| Name | Class |
|---|---|
| Project Group for Automation in Medicine and Biotechnology PAMB, Mannheim | UNKNOWN |
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In this feasibility study the investigators are using a setup of stress-related body sensors including established as well as innovative sensor-based measures to identify predictor profiles for alcohol-related behavioral and neural measures in Alcohol Use Disorder (AUD). Long-term aim is the definition of a setup of mobile sensors and their integration in a mobile infrastructure that allows the prediction of stress related alcohol intake in an ambulatory setting.
The long-term aim is the definition of a setup of mobile sensors and their integration in a mobile infrastructure that allows the prediction of stress related alcohol intake in an ambulatory setting.
In patients with Alcohol Use Disorder (AUD) stress exposure is known to affect craving, cue-reactivity and relapse risk. Here, the investigators aim to identify stress- and alcohol cue-related physiological markers in a lab experiment to assess interactions between acute psychological stress exposure and alcohol cue-exposure regarding their effects on alcohol craving and related markers (attentional bias to alcohol-cues, implicit association task, neural cue-reactivity). In addition to applying established stress-related markers (cortisol in saliva, heart-rate variability, systolic blood pressure and electrodermal activity), the investigators will integrate innovative measures currently under investigation (e.g. voice stress analysis) to identify whether these additional parameters increase the predictive significance.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Social Stress Test | Experimental | Participants undergo the Trier Social Stress Test before Barlab-Exposure |
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| Control Condition | Active Comparator | Participants reads newspaper before Barlab-Exposure |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Trier Social Stress Test | Behavioral | Test to induce high levels of acute social stress, including actors and a faked exam situation |
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| Measure | Description | Time Frame |
|---|---|---|
| change in heart rate | heart rate acquired with ear clip (continuous time series) | at examination day: continuous measurement throughout the whole experiment (except during MRI scanning); duration around 2 hours; starting 1 hour 50 minutes after arrival of the proband |
| change in heart rate variability | heart rate variability acquired with ear clip (continuous time series) | at examination day: continuous measurement throughout the whole experiment (except during MRI scanning); duration around 2 hours; starting 1 hour 50 minutes after arrival of the proband |
| change in blood pressure (systolic and diastolic) | acquired with pressure sleeve | at examination day: 6 time points measured throughout the whole experiment (except during MRI scanning); at 2:20h, 2:50h, 3:20h, 3:50h, 4:50h, 5:05h after arrival of the proband |
| change in electrodermal activity | time series acquired with body sensor | at examination day: continuous measurement throughout the whole experiment (except during MRI scanning); duration around 2 hour; starting 1h 50min after arrival of the proband |
| neural alcohol-related cue-reactivity | % signal change, measured with fMRI; paradigm Vollstädt-Klein et al. 2010 [% signal change is not a change over time; it is measured during one experimental session] | at examination day: measured directly after the behavioral tasks at the end of the lab experiment |
| neural inhibition processing | % signal change, measured with fMRI; stop-signal reaction time task (Fauth-Buhler et al. 2012) [% signal change is not a change over time; it is measured during one experimental session] |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sabine Vollstädt-Klein, Prof. Dr. | Central Institute of Mental Health, Mannheim | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Klinik für Abhängiges Verhalten, Zentralinstitut für Seelische Gesundheit | Mannheim | Germany |
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| ID | Term |
|---|---|
| D000437 | Alcoholism |
| D015775 | Fractures, Stress |
| D001519 | Behavior |
| ID | Term |
|---|---|
| D019973 | Alcohol-Related Disorders |
| D019966 | Substance-Related Disorders |
| D064419 | Chemically-Induced Disorders |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D011581 | Psychological Tests |
| ID | Term |
|---|---|
| D004191 | Behavioral Disciplines and Activities |
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| Reading Newspaper | Behavioral | Participants read newspaper |
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| Barlab-Exposure | Behavioral | Participants are exposed to a bar situation with different sorts of alcohol available. They sniff at water and at one alcoholic drink. |
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| at examination day: measured directly after the behavioral tasks at the end of the lab experiment |
| neural emotion processing | % signal change, measured with fMRI; faces task (Hariri et al. 2002) [% signal change is not a change over time; it is measured during one experimental session] | at examination day: measured directly after the behavioral tasks at the end of the lab experiment |
| resting state activity | resting state connectivity measured with fMRI | at examination day: measured directly after the behavioral tasks at the end of the lab experiment |
| attentional bias to alcohol cues | measured with reaction time differences (in milliseconds) using the dotprobe-task (Vollstädt-Klein et al. 2009) [reaction time differences is not a change over time; it is measured during one experimental session] | at examination day: measured directly after the stress task / newspaper reading; before "implicit alcohol association" and MRI session |
| implicit alcohol association | measured with reaction time differences (in milliseconds) using the implicit association task (Wiers et al. 2016) [reaction time differences is not a change over time; it is measured during one experimental session] | at examination day: measured after the stress task / newspaper reading, directly after the "attentional bias to alcohol cues" ; before MRI session |
| change in level of cortisol | cortisol measured in saliva as a stress marker | at examination day: 6 time points measured throughout the whole experiment (except during MRI scanning); at hours:minutes 2:20, 2:50, 3:20, 3:50, 4:50, 5:05 after arrival of the proband |
| change in voice stress pattern | audio file of participants' voice for voice stress pattern analysis will be recorded. From this a multivariate measure (i.e. multivariate vector) will be acquired (including frequency, loudness etc.) | at examination day: 6 time points measured throughout the whole experiment (except during MRI scanning); at hours:minutes 2:20, 2:50, 3:20, 3:50, 4:50, 5:05 after arrival of the proband |
| change in alcohol urges | elf-report questionnaire: "Alcohol Urge Questionnaire (AUQ)"; Bohn et al. 1995 | at examination day: 6 time points measured throughout the whole experiment (except during MRI scanning); at hours:minutes 2:20, 2:50, 3:20, 3:50, 4:50, 5:05 after arrival of the proband |
| change in alcohol craving | self-report "How strong is your craving for alcohol?": reported on a visual analogue scale ranging from 0 to 100 | at examination day: 6 time points measured throughout the whole experiment (except during MRI scanning); at hours:minutes 2:20, 2:50, 3:20, 3:50, 4:50, 5:05 after arrival of the proband |
| D050723 | Fractures, Bone |
| D014947 | Wounds and Injuries |