Avoidance-driven Decision Making and Learning in Anorexia Nervosa and Bulimia Nervosa

NCT ID: NCT06566612

Last Updated: 2024-12-06

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

Total Enrollment

78 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-08-01

Study Completion Date

2027-07-31

Brief Summary

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The purpose of this study is to investigate areas of the brain responsible for avoidance learning in adults with eating disorders using brain imaging techniques, computer tasks, and self-report questionnaires and interviews. The investigators will study changes in brain activity using a procedure called functional magnetic resonance imaging (fMRI). This study will include 78 women with an eating disorder (26 with anorexia nervosa \[AN\], 26 with bulimia nervosa \[BN\]) and 26 healthy controls (HC) aged 18-39.

Aim 1: Evaluate behavioral differences in active and passive avoidance learning in eating disorders and associations with symptoms.

Aim 2: Evaluate whether corticostriatal and limbic-prefrontal fMRI BOLD response associated with avoidance learning differs in eating disorders relative to healthy controls and relates to symptoms.

Aim 3: Evaluate whether functional connectivity of avoidance learning neural circuity differs in eating disorders relative to healthy controls.

Detailed Description

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Conditions

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Bulimia Nervosa Anorexia Nervosa

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Anorexia Nervosa

Participants that meet Diagnostic And Statistical Manual Of Mental Disorders (DSM-V) criteria for Anorexia Nervosa.

No interventions assigned to this group

Bulimia Nervosa

Participants that meet DSM-V criteria for Bulimia Nervosa.

No interventions assigned to this group

Healthy Controls

Participants that do not meet DSM-V criteria for any disorder.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

Eating Disorder Group:

* Between the ages of 18 and 39 years old
* Meet DSM-V criteria for anorexia nervosa or bulimia nervosa

Healthy Controls:

* Between the ages of 18 and 39 years old
* Have maintained 85% to 120% ideal body weight since menarche

Exclusion Criteria

* Psychotic illness/other mental illness requiring hospitalization
* Current dependence on drugs or alcohol defined by DSM IV criteria. Additionally, positive test results for drug use on the day of the scan, apart of marijuana, will result in cancelling or rescheduling the scan because acute use will impact MRI measures.
* Physical conditions (e.g. diabetes mellitus, pregnancy) known to influence eating or weight
* Neurological disorder, neurodevelopmental disorder, or history of head injury with \>30 min loss of consciousness
* Any contraindication to undergoing an MRI
* Primary obsessive compulsive disorder or primary major depressive disorder


* If taking other psychotropic medication, any change in dosage in the 2 weeks before scanning


* Meet criteria for the diagnosis of any psychiatric disorder currently
* Any history of binge eating or purging behaviors, including self-induced vomiting, laxative or diuretic misuse
* Use of any psychoactive or other medication known to affect mood or concentration in the last 3 months
Minimum Eligible Age

18 Years

Maximum Eligible Age

39 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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University of California, San Diego

OTHER

Sponsor Role lead

Responsible Party

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Christina Wierenga

Professor in Residence

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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UCSD Eating Disorders Treatment and Research Program

La Jolla, California, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Christina E Wierenga, PhD

Role: CONTACT

Phone: 858-534-8047

Email: [email protected]

Facility Contacts

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Sophie R Abber, MS

Role: primary

Katherine Gandee, BS

Role: backup

Christina E Wierenga, PhD

Role: backup

Other Identifiers

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810384

Identifier Type: -

Identifier Source: org_study_id