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Childhood Trauma and Escape Decision Dynamics

NCT ID: NCT04290234

Last Updated: 2020-02-28

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

UNKNOWN

Total Enrollment

80 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-11-17

Study Completion Date

2020-06-30

Brief Summary

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The purpose of this study is to evaluate the effects of childhood maltreatment on cognitive and reactive fear.

Detailed Description

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Childhood maltreatment dramatically increases the risk for psychiatric disorders accompanied by profound difficulties in social interactions. However, it is still unclear how childhood maltreatment affects social interactions in adulthood. In this study, we examine how childhood maltreatment may modulate threat sensitivity assessed by the distance at which an individual flees from an approaching threat. While rapid escape decisions rely on "reactive fear" circuits, slower escape decisions are associated with "cognitive fear" circuits. Based on previous observations of altered early sensory processing, we expect that childhood maltreatment affects both cognitive and reactive fear circuits.

Conditions

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Child Abuse Fear

Keywords

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cognitive fear fMRI reactive fear

Study Design

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Observational Model Type

ECOLOGIC_OR_COMMUNITY

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Non-medicated healthy adults with childhood maltreatment

The 25-item retrospective Childhood Trauma Questionnaire (CTQ) will be administered to assess history of abuse and neglect. The CTQ measures five types of maltreatment: emotional, physical, and sexual abuse and emotional and physical neglect.

fMRI assessment of cognitive and reactive fear

Intervention Type OTHER

An fMRI paradigm will be used to probe how childhood maltreatment may modulate the defensive survival circuitry that facilitates escape decisions when subjects encounter fast- or slow-attacking threats.

Interventions

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fMRI assessment of cognitive and reactive fear

An fMRI paradigm will be used to probe how childhood maltreatment may modulate the defensive survival circuitry that facilitates escape decisions when subjects encounter fast- or slow-attacking threats.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Healthy subjects with varying levels of childhood maltreatment

Exclusion Criteria

* current psychiatric illness
* current psychiatric medication or psychotherapy
* MRI contraindication (e.g. metal in body, claustrophobia)
* pregnancy
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Prof. Dean Mobbs

UNKNOWN

Sponsor Role collaborator

University Hospital, Bonn

OTHER

Sponsor Role lead

Responsible Party

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Rene Hurlemann

Professor for Psychiatry

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Dirk Scheele, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Bonn

Locations

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Department of Psychiatry, University of Bonn

Bonn, , Germany

Site Status RECRUITING

Countries

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Germany

Central Contacts

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Dirk Scheele, PhD

Role: CONTACT

Phone: +49-(0)228-287

Email: [email protected]

Facility Contacts

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Rene Hurlemann, MSc MD PhD

Role: primary

Dirk Scheele, PhD

Role: backup

Other Identifiers

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TEDDY

Identifier Type: -

Identifier Source: org_study_id