Use of Biofeedback and Virtual Reality as Facilitators of Emotional Recognition in the Treatment of Aggressive Outbursts

NCT ID: NCT05748808

Last Updated: 2024-10-10

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

RECRUITING

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-09-01

Study Completion Date

2025-09-01

Brief Summary

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The methodology will be applied for the treatment of aggressive episodes. Many people show this kind of behavior associated with several psychological disorders like austistic spectrum disorder (ASD). It will be studied the effect of aggressive outbursts on several physiological signals (heart rate (HR), breathing rate (BR), electroencephalography (EEG), etc). The use of those signals in a biofeedback loop could help patients recognize their internal states and avoid imminent aggression. The study want to verify the efficacy of a cognitive therapy that includes biofeedback and virtual reality (VR) and find out the most significant physiological features that are affected by these episodes.

Detailed Description

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The first goal is to register the scene together with physiological values before, during and after at least up to four aggressive outbursts at home.

Next an outburst is induced and physiological signals before, during and after the aggressive episode are recorded. After it the participants go to a new relaxation phase for another 10-minute period using the VR.

In following sessions, they are trained to identify their physiological response when they are relaxed and when an outburst is coming. To do that, the VR system receives and shows the physiological information on the virtual scenario.

In following sessions, teenagers are then treated with cognitive, behavioral and emotional self-regulation therapies, which have proven their effectiveness for managing anger and learning positive coping skills. The underlying theory is that people can minimize their negative feelings and behaviors when they are aware of their irrational beliefs and work to change their minds, by focusing on them continuously.

At the end of the experiment, the number of aggressive episodes in the last weeks of the intervention will be measured.

The differences between the new scores, with respect to the initial ones, will be used to assess the efficacy of the intervention.

Conditions

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Passive-Aggressive Personality Disorder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Tweens and teens

Kids between 10 and 16. ADHD, Asperger or ODD, with lack of aggressiveness control.

Group Type EXPERIMENTAL

Use of biofeedback and virtual reality in the treatment of aggressive outbursts

Intervention Type BEHAVIORAL

Participants are trained to identify their physiological response when they are relaxed and when an outburst is coming. They are treated with cognitive, behavioral and emotional self-regulation therapies for managing anger and learning positive coping skills. Biofeedback toghether with virtual reality help them to improve their recognition and control of emotions.

Control group

children who will not receive the experimental treatment.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Use of biofeedback and virtual reality in the treatment of aggressive outbursts

Participants are trained to identify their physiological response when they are relaxed and when an outburst is coming. They are treated with cognitive, behavioral and emotional self-regulation therapies for managing anger and learning positive coping skills. Biofeedback toghether with virtual reality help them to improve their recognition and control of emotions.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Previous diagnosis of ADHD, Asperger syndrome or oppositional defiant disorder (ODD) combined with a lack of control of their aggressiveness.
* Positive impulsivity result obtained with any of the fol- lowing tests: score lower than 25 in CACIA \[13\], lower than 50 in CAPI-A \[14\], greater than 75 in Stroop \[15\] or greater than 115 in WCST \[16\].
* Intermittent outburst episodes (verbal aggression includ- ing both arguments and temper tantrums, and physical aggression towards self or others) with a frequency of once a week in the two months prior to the beginning of the intervention.

Exclusion Criteria

* Participants will be excluded if they report (a) current (past month) psychopharmacotherapy, (b) a history of bipolar or psychotic disorder, or (c) a traumatic head injury with a loss of consciousness in excess of 60 minutes.
Minimum Eligible Age

10 Years

Maximum Eligible Age

16 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Instituto para el Estudio de la Biología de la Reproducción Humana

UNKNOWN

Sponsor Role collaborator

University of Seville

OTHER

Sponsor Role lead

Responsible Party

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Isabel Gómez González

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Isabel M Gomez-Gonzalez, Phd

Role: PRINCIPAL_INVESTIGATOR

University of Seville

Locations

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Universidad de Sevilla

Seville, , Spain

Site Status RECRUITING

Countries

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Spain

Central Contacts

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Isabel M Gomez-Gonzalez, Phd

Role: CONTACT

+34954552787

Alberto J Molina-Cantero, PhD

Role: CONTACT

+34954552787

Facility Contacts

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Isabel M Gomez-Gonzalez, PhD

Role: primary

+34954552787

Alberto J Molina-Cantero, PhD

Role: backup

+34954552787

References

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Other Identifiers

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BReTIA

Identifier Type: -

Identifier Source: org_study_id

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