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This study aims to explore how six short, 15-minute self-regulation techniques affect the body and brain in a female adult with ADHD and stabilized bipolar disorder. The techniques being tested include:
The participant will attend one 15-minute session per week for each technique. Before and after each session, the researchers will measure:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| All Interventions and Control Session - Single Participant | Other | One participant receives six 15-minute self-regulation interventions (moderate-intensity aerobic exercise on cycloergometer, cyclic sighing, lavender aromatherapy, Solfeggio 528 Hz music therapy, virtual reality forest relaxation, Emotional Freedom Technique tapping) and one control session (quiet sitting). Each session occurs weekly, and measurements are taken before and after each session. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Moderate-Intensity Aerobic Exercise on Cycloergometer | Behavioral | The participant performs a 15-minute session of moderate-intensity cycling on a stationary ergometer. Moderate intensity is defined as 64-76% of maximum heart rate according to ACSM guidelines. The exercise load is set to 2 watts per kilogram of body weight. Heart rate is monitored using a Polar chest strap. |
| Measure | Description | Time Frame |
|---|---|---|
| Mean EEG spectral power in theta, alpha, low beta, high beta, gamma frequency bands during resting-state (eyes-open and eyes-closed) | Mean spectral power in theta, alpha, low beta, high beta, and gamma frequency bands derived from resting-state EEG recordings collected during eyes-open and eyes-closed conditions. Spectral power will be calculated separately for eyes-open and eyes-closed resting-state conditions. | Baseline: immediately before intervention; Post-intervention: immediately after completion of the intervention period |
| Heart Rate Variability (HRV) | HRV will be recorded at three time points. Baseline HRV will be calculated as the average over a 5-minute resting-state period immediately before intervention. HRV during the intervention will be calculated as the average over the entire intervention session (periprocedural). Post-intervention HRV will be calculated as the average over a 5-minute resting-state period immediately after intervention. | Baseline (average over 5-minute resting-state immediately before intervention); During intervention (average over entire session, periprocedural); Post-intervention (average over 5-minute resting-state immediately after intervention). |
| Measure | Description | Time Frame |
|---|---|---|
| Mean EEG spectral power in theta, alpha, low beta, high beta, and gamma frequency bands during N-back task | Mean spectral power in theta, alpha, low beta, high beta, and gamma frequency bands derived from EEG recordings collected during performance of the N-back cognitive task. Spectral power will be calculated separately for each frequency band and averaged across all EEG channels. | Baseline (during N-back task immediately before each intervention session, periprocedural); Post-intervention (during N-back task immediately after each intervention session, periprocedural) |
| Measure | Description | Time Frame |
|---|---|---|
| Psychological Well-Being measured with the Short Version of Ryff's Psychological Well-Being Scale | The participant completes the Short Version of Ryff's Psychological Well-Being Scale, a self-reported questionnaire assessing psychological well-being across multiple dimensions. Items are rated on a scale from 1 (strongly disagree) to 6 (strongly agree), giving a total possible score range of 18-108, where higher scores indicate higher levels of psychological well-being. |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Beata Jóźwiak | Contact | (61) 835 53 49 | b.jozwiak@awf.poznan.pl |
| Name | Affiliation | Role |
|---|---|---|
| Ida Laudańska-Krzemińska | Poznan University of Physical Education | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Poznan University of Physical Education | Poznan | Poland |
This study involves a single participant. All relevant results will be reported in the published manuscript.
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This case study involves one participant who will receive six different 15-minute self-regulation interventions and one control session (quiet sitting) in separate weekly sessions. Each intervention is delivered once, and all measurements are taken before and after each session.
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| Cyclic Sighing | Behavioral | The participant performs cyclic sighing for 15 minutes while sitting in a chair. They inhale slowly, and once the lungs are expanded, perform a second inhale to maximally fill the lungs, even if the second inhale is shorter or smaller in volume than the first. They then slowly and fully exhale all their breath. The participant performs all inhales and exhales through the nose. |
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| Aromatherapy | Behavioral | The participant undergoes a 15-minute aromatherapy session while sitting comfortably in a chair in a closed room (2 m × 4 m). Lavender essential oil is diffused into the air using an aroma diffuser placed approximately 1 meter from the participant. The participant breathes normally and does not perform controlled breathing. |
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| Music Therapy | Behavioral | The participant listens to 528 Hz solfeggio frequency music for 15 minutes while seated comfortably in a quiet, closed room. Music is delivered through headphones or a speaker at a comfortable volume. |
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| Virtual Reality Nature Immersion | Behavioral | The participant wears a VR headset and views a 15-minute immersive forest and nature environment while seated comfortably in a quiet, closed room. The VR experience includes visual and auditory elements of a natural forest scene. |
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| Emotional Freedom Technique Tapping | Behavioral | The participant performs a 15-minute Emotional Freedom Technique (EFT) tapping session while seated comfortably in a quiet, closed room. The participant taps on standardized acupressure points in the following order: karate chop (side of hand), inner eyebrow, side of eye, under eye, under nose, chin, collarbone, under arm, and top of head. Each point is tapped 10-15 times with steady, moderate pressure. |
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| Resting State (Control Session) | Behavioral | The participant sits quietly in a chair with eyes open for 15 minutes in a calm, closed room. No active intervention, tapping, breathing exercises, music, aromatherapy, or virtual reality is administered during this session. The participant is instructed to remain seated with eyes open maintaining a natural posture without engaging in any structured activity. |
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| Mean EEG spectral power in theta, alpha, low beta, high beta, and gamma frequency bands during intervention session | Mean spectral power in theta, alpha, low beta, high beta, and gamma frequency bands derived from EEG recordings collected during the intervention session. Spectral power will be calculated separately for each frequency band and averaged across all EEG channels. | During intervention session (periprocedural, averaged over entire session). |
| Perceived Stress measured with the Subjective Units of Distress Scale (SUDS) | The participant rates their perceived stress using the Subjective Units of Distress Scale (SUDS), a self-reported scale ranging from 0 (no stress) to 100 (extreme stress), where higher scores indicate higher perceived stress. | Baseline: immediately before each intervention session; Post-intervention: immediately after each intervention session |
| Cognitive Performance (N-back) | Working memory assessed using N-back test with Emotiv app. | Baseline: immediately before each intervention session; Post-intervention: immediately after each intervention session. |
| Blood Pressure | Systolic and diastolic blood pressure measured using standard protocols. | Baseline: immediately before each intervention session; Post-intervention: immediately after each intervention session |
| Pain Threshold | Pain threshold measured using a dolorimeter (algorimeter). | Baseline: immediately before each intervention session; Post-intervention: immediately after each intervention session. |
| Positive and Negative Affect measured with the Positive and Negative Affect Schedule - Short Form (PANAS-SF) | The participant completes the Positive and Negative Affect Schedule - Short Form (PANAS-SF), a self-reported scale assessing positive and negative affect. Each subscale contains 10 items rated from 1 (very slightly or not at all) to 5 (extremely), giving a possible score range of 10-50 for each subscale. Higher scores indicate higher levels of positive or negative affect, depending on the subscale. | Baseline: immediately before each intervention session; Post-intervention: immediately after each intervention session |
| Heart Rate | Heart rate measured using standard protocols. | Baseline: immediately before each intervention session; Post-intervention: immediately after each intervention session. |
| Day before first intervention. |
| Trait Mindfulness measured with the Mindful Attention Awareness Scale (MAAS) | The participant completes the Mindful Attention Awareness Scale (MAAS), a self-reported questionnaire measuring trait mindfulness. Items are rated on a scale from 1 (almost always) to 6 (almost never), with total scores ranging from 15 to 90. Higher scores indicate higher levels of trait mindfulness. | Day before first intervention. |
| Coping with Stress measured with the Brief COPE Inventory (mini-COPE) | The participant completes the Brief COPE Inventory (mini-COPE), a self-reported questionnaire assessing coping strategies and stress management. Each item is rated on a scale from 1 (I haven't been doing this at all) to 4 (I've been doing this a lot), with total subscale scores ranging from 2 to 8, depending on the subscale. Higher scores indicate greater use of the specific coping strategy. | Day before first intervention. |
| Chronotype measured with the Morningness-Eveningness Questionnaire (MEQ) | The participant completes the Morningness-Eveningness Questionnaire (MEQ) to assess chronotype, indicating morningness-eveningness preference. Items are scored to give a total score ranging from 16 to 86, where higher scores indicate greater morningness and lower scores indicate greater eveningness. | Day before first intervention. |
| Global Physical Activity measured with the Global Physical Activity Questionnaire (GPAQ) | The participant completes the Global Physical Activity Questionnaire (GPAQ) to assess baseline physical activity levels. Responses are used to calculate total physical activity expressed in MET-minutes per week, with higher scores indicating higher levels of physical activity. | Day before first session. |
| Sleep Quality and Duration (Pittsburgh Sleep Quality Index) | The participant completes the Pittsburgh Sleep Quality Index (PSQI) to assess sleep quality and average sleep duration. | Day before first session. |
| Objective Sleep and Physical Activity (Polar Ignite) | The participant wears Polar Ignite wrist-worn device to monitor sleep quality and duration, as well as daily physical activity levels. | During the 1-week washout period between intervention sessions. |
| ID | Term |
|---|---|
| D001289 | Attention Deficit Disorder with Hyperactivity |
| D001714 | Bipolar Disorder |
| ID | Term |
|---|---|
| D019958 | Attention Deficit and Disruptive Behavior Disorders |
| D065886 | Neurodevelopmental Disorders |
| D001523 | Mental Disorders |
| D000068105 | Bipolar and Related Disorders |
| D019964 | Mood Disorders |
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| ID | Term |
|---|---|
| D015444 | Exercise |
| D001945 | Breathing Exercises |
| D019341 | Aromatherapy |
| D009147 | Music Therapy |
| ID | Term |
|---|---|
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
| D026441 | Mind-Body Therapies |
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
| D026241 | Exercise Movement Techniques |
| D026741 | Physical Therapy Modalities |
| D008517 | Phytotherapy |
| D026421 | Sensory Art Therapies |
| D011613 | Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |
| D012046 | Rehabilitation |
| D000359 | Aftercare |
| D003266 | Continuity of Patient Care |
| D005791 | Patient Care |
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