Functional Imaging of Psychic Pain

NCT ID: NCT01493323

Last Updated: 2014-12-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

123 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-05-31

Study Completion Date

2014-12-31

Brief Summary

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Suicidal behaviour (SB) represents a major public health problem, costing life in more that one million people every year worldwide. Even if SB is considered as a consequence of social adversity and depression, these stress factors are often necessary but not sufficient to explain the occurrence of a suicidal act. A preliminary study suggests that an increased perception of psychic pain during a major depressive disorder increases the risk of suicide behaviour. The investigators aimed to investigate the relationship between social exclusion (a classic trigger of psychic pain) and SB and improve our knowledge about the physiopathology of this domain.

Detailed Description

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Suicide behaviour (SB) represents a major public health problem. In order to improve prevention strategies, a better understanding of the physiopathology of SB is needed. According to a "stress vulnerability" model, people who make a suicide attempt when they are subject to a stress factor (environmental stress, interpersonal difficulties, depression, tobacco, substance abuse...) are those who have a specific vulnerability. Vulnerability factors to SB may be considered in clinical terms (propensity to hopelessness, aggressive impulsivity traits), neurobiological terms (serotoninergic system disorder, especially in the ventral prefrontal cortex-vPFC) and cognitive terms (decision making, cognitive functions mediated by the vPFC and the serotoninergic system). Finally, genetic factors seem also involved in suicide vulnerability. The investigators have conducted a preliminary study which suggests that increased perception of psychic pain during a major depressive disorder increases suicidal ideation and suicidal act. Study about anatomic basis of psychic pain and its triggers represents a relevant theme to understand the suicidal process. Among the classical factors triggering psychic pain and suicidal act, events of social exclusion appears to be crucial. Finally, many data suggests the close relationship between physic and psychic pain.

Conditions

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Suicide, Attempted Mood Disorder

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Control

Group Type EXPERIMENTAL

Assessment of personality traits

Intervention Type BEHAVIORAL

suicide behaviour , psychic pain, social exclusion, decision making...

Assessment of suicidal act

Intervention Type BEHAVIORAL

suicide behaviour , psychic pain, social exclusion, decision making...

Assessment of depression

Intervention Type BEHAVIORAL

suicide behaviour , psychic pain, social exclusion, decision making...

Cyber ball game

Intervention Type PROCEDURE

functional neuroimaging

Iowa Gambling Task

Intervention Type PROCEDURE

functional neuroimaging

Microcomputer

Intervention Type PROCEDURE

functional neuroimaging

blood sample

Intervention Type PROCEDURE

blood sample

Depressive attempters

Group Type EXPERIMENTAL

Assessment of personality traits

Intervention Type BEHAVIORAL

suicide behaviour , psychic pain, social exclusion, decision making...

Assessment of suicidal act

Intervention Type BEHAVIORAL

suicide behaviour , psychic pain, social exclusion, decision making...

Assessment of depression

Intervention Type BEHAVIORAL

suicide behaviour , psychic pain, social exclusion, decision making...

Cyber ball game

Intervention Type PROCEDURE

functional neuroimaging

Iowa Gambling Task

Intervention Type PROCEDURE

functional neuroimaging

Microcomputer

Intervention Type PROCEDURE

functional neuroimaging

blood sample

Intervention Type PROCEDURE

blood sample

Interventions

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Assessment of personality traits

suicide behaviour , psychic pain, social exclusion, decision making...

Intervention Type BEHAVIORAL

Assessment of suicidal act

suicide behaviour , psychic pain, social exclusion, decision making...

Intervention Type BEHAVIORAL

Assessment of depression

suicide behaviour , psychic pain, social exclusion, decision making...

Intervention Type BEHAVIORAL

Cyber ball game

functional neuroimaging

Intervention Type PROCEDURE

Iowa Gambling Task

functional neuroimaging

Intervention Type PROCEDURE

Microcomputer

functional neuroimaging

Intervention Type PROCEDURE

blood sample

blood sample

Intervention Type PROCEDURE

Other Intervention Names

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impulsivity anger anxiety emotional lability self-administered questionnaires SIS RRRS BDI HAMD-21 fIRM palm

Eligibility Criteria

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Inclusion Criteria

Non specific criteria, for all the participants:

* Woman- 18-50 years old
* Non menopausal
* Right-handed
* Caucasian from western Europe (exception of Basque and Sardinian), for genetic purposes
* Subject who signed informed consent
* Able to understand the nature, the aim, and the methodology of the study and agree to cooperate during clinical and radiological evaluation

Specific criteria:For depressed suicide attempters :

* DSM IV criteria for major depressive disorder
* Personal history of suicide attempt
* No psychotropic treatment currently

For depressed affective controls :

* DSM IV criteria for major depressive disorder
* No personal history of suicide attempt
* No psychotropic treatment currently

For non depressed suicide attempters :

* Personal history of unipolar or bipolar mood disorder, according to DSM IV criteria
* Normothymic currently (HAMD\<7)
* Personal history of suicide attempt
* Minimum treatment Healthy controls :
* No personal history of axis I psychiatric disorders according to the MINI and the DSM IV criteria
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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University Hospital, Geneva

OTHER

Sponsor Role collaborator

Institut National de la Santé Et de la Recherche Médicale, France

OTHER_GOV

Sponsor Role collaborator

University Hospital, Montpellier

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Philippe PC Courtet, Professor(MD-PhD)

Role: PRINCIPAL_INVESTIGATOR

University Hospital, Montpellier

Locations

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MontpellierUniversity Hopital

Montpellier, , France

Site Status

Countries

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France

Other Identifiers

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UF 8555

Identifier Type: -

Identifier Source: org_study_id