Trial Outcomes & Findings for Sleep and Emotional Memory in Peripubertal Anxiety (NCT NCT03643848)

NCT ID: NCT03643848

Last Updated: 2025-09-11

Results Overview

Emotional Mnemonic Similarity Task. Participants view pictures depicting negative or neutral objects/scenes. After a delay period (1 week) they are presented with a second set of pictures that are the same (targets), slightly different (lures), or completely different (foils) from the first series of pictures. They are told to indicate by button press if images they are currently viewing are "old" or "new". Responding to the lures as old ("false alarms") provides a signature of generalization for each participant. To correct for response biases (i.e., a tendency to label items as "old") a Lure Generalization Index (LGI) is calculated which reflects corrected memory generalization by subtracting false alarm rates to foils from false alarm rates to lures. Larger LGI values indicate greater generalization (i.e., greater tendency to misidentify similar items as previously seen, accounting for overall biases to identify any items as previously seen). Minimum value -1 and maximum value =1

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

58 participants

Primary outcome timeframe

Delayed recall, 1 week

Results posted on

2025-09-11

Participant Flow

recruitment from community and outpatient mental health clinics for children

Participant milestones

Participant milestones
Measure
Sleep With Sound Cues
Sounds played at time of memory encoding will be replayed during sleep to cue memory processing. Sleep with Sound Cues: Experimental manipulation to observe effects on memory for learned material.
Sleep With Sham Cues
Sounds that were not played at time of memory encoding will be played during sleep as a sham comparison Sleep with Sham Cues: Sham manipulation
Overall Study
STARTED
29
29
Overall Study
COMPLETED
28
28
Overall Study
NOT COMPLETED
1
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Sleep and Emotional Memory in Peripubertal Anxiety

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Sleep With Sound Cues
n=29 Participants
Sounds played at time of memory encoding will be replayed during sleep to cue memory processing. Sleep with Sound Cues: Experimental manipulation to observe effects on memory for learned material.
Sleep With Sham Cues
n=29 Participants
Sounds that were not played at time of memory encoding will be played during sleep as a sham comparison Sleep with Sham Cues: Sham manipulation
Total
n=58 Participants
Total of all reporting groups
Age, Categorical
<=18 years
29 Participants
n=5 Participants
29 Participants
n=7 Participants
58 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Continuous
11.4 years
STANDARD_DEVIATION 1.1 • n=5 Participants
11.4 years
STANDARD_DEVIATION 1.1 • n=7 Participants
11.4 years
STANDARD_DEVIATION 1.1 • n=5 Participants
Sex: Female, Male
Female
18 Participants
n=5 Participants
20 Participants
n=7 Participants
38 Participants
n=5 Participants
Sex: Female, Male
Male
11 Participants
n=5 Participants
9 Participants
n=7 Participants
20 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
21 Participants
n=5 Participants
22 Participants
n=7 Participants
43 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
8 Participants
n=5 Participants
7 Participants
n=7 Participants
15 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
4 Participants
n=5 Participants
5 Participants
n=7 Participants
9 Participants
n=5 Participants
Race (NIH/OMB)
White
21 Participants
n=5 Participants
22 Participants
n=7 Participants
43 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
4 Participants
n=5 Participants
1 Participants
n=7 Participants
5 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Anxiety Severity Composite
1.4 units on a scale (standardized factor)
STANDARD_DEVIATION 1.0 • n=5 Participants
1.3 units on a scale (standardized factor)
STANDARD_DEVIATION 1.2 • n=7 Participants
1.4 units on a scale (standardized factor)
STANDARD_DEVIATION 1.1 • n=5 Participants

PRIMARY outcome

Timeframe: Delayed recall, 1 week

Emotional Mnemonic Similarity Task. Participants view pictures depicting negative or neutral objects/scenes. After a delay period (1 week) they are presented with a second set of pictures that are the same (targets), slightly different (lures), or completely different (foils) from the first series of pictures. They are told to indicate by button press if images they are currently viewing are "old" or "new". Responding to the lures as old ("false alarms") provides a signature of generalization for each participant. To correct for response biases (i.e., a tendency to label items as "old") a Lure Generalization Index (LGI) is calculated which reflects corrected memory generalization by subtracting false alarm rates to foils from false alarm rates to lures. Larger LGI values indicate greater generalization (i.e., greater tendency to misidentify similar items as previously seen, accounting for overall biases to identify any items as previously seen). Minimum value -1 and maximum value =1

Outcome measures

Outcome measures
Measure
Sleep With Sound Cues (Targeted Memory Reactivation [TMR])
n=28 Participants
Sounds played at time of memory encoding for neutral stimuli will be replayed during sleep to cue neutral memory processing (and displace negative memory processing). Sleep with Sound Cues: Experimental manipulation to observe effects on memory for learned material.
Sleep With Sham Cues (Sham)
n=28 Participants
Sounds that were not played at time of memory encoding will be played during sleep as a sham comparison Sleep with Sham Cues: Sham manipulation
Scores on the Lure Generalization Index (a Behavioral Measure of Generalization)
Lure Generalization Index for Negatively Valenced Stimuli
.24 units on a scale
Standard Deviation .16
.26 units on a scale
Standard Deviation .12
Scores on the Lure Generalization Index (a Behavioral Measure of Generalization)
Lure Generalization Index for Neutral Stimuli
.14 units on a scale
Standard Deviation .15
.10 units on a scale
Standard Deviation .11

SECONDARY outcome

Timeframe: Recall, 12 hours

Emotional Mnemonic Similarity Task. Participants view pictures depicting negative or neutral objects/scenes. After a delay period (12 hours) they are presented with a second set of pictures that are the same (targets), slightly different (lures), or completely different (foils) from the first series of pictures. They are told to indicate by button press if images they are currently viewing are "old" or "new". Responding to the lures as old ("false alarms") provides a signature of generalization for each participant. To correct for response biases (i.e., a tendency to label items as "old") a Lure Generalization Index (LGI) is calculated which reflects corrected memory generalization by subtracting false alarm rates to foils from false alarm rates to lures. Larger LGI values indicate greater generalization (i.e., greater tendency to misidentify similar items as previously seen, accounting for overall biases to identify any items as previously seen). Minimum value -1 and maximum value =1

Outcome measures

Outcome measures
Measure
Sleep With Sound Cues (Targeted Memory Reactivation [TMR])
n=29 Participants
Sounds played at time of memory encoding for neutral stimuli will be replayed during sleep to cue neutral memory processing (and displace negative memory processing). Sleep with Sound Cues: Experimental manipulation to observe effects on memory for learned material.
Sleep With Sham Cues (Sham)
n=29 Participants
Sounds that were not played at time of memory encoding will be played during sleep as a sham comparison Sleep with Sham Cues: Sham manipulation
Scores on the Lure Generalization Index (a Behavioral Measure of Generalization)
Lure Generalization Index for Negatively Valenced Stimuli
.40 units on a scale
Standard Deviation .19
.40 units on a scale
Standard Deviation .21
Scores on the Lure Generalization Index (a Behavioral Measure of Generalization)
Lure Generalization Index for Neutral Stimuli
.26 units on a scale
Standard Deviation .19
.30 units on a scale
Standard Deviation .16

Adverse Events

Sleep With Sound Cues

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Sleep With Sham Cues

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dana L. McMakin, PhD, ABPP

Florida International University

Phone: 305-348-0042

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place