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Generalized Anxiety Disorder (GAD)GAD_exerciseNCT02662803

Clinical, Neurophysiological and Neuroendocrine Effects of Aerobe Exercise in Generalized Anxiety Disorder (GAD)

A study testing high-intensive aerobe exercise and low-intensive aerobe exercise in people with Generalized Anxiety Disorder (GAD), run by Charite University, Berlin, Germany at 1 site in Germany.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study investigate the effect of high-intense aerobe exercise training (HIT) on clinical and physiological parameters (anxiety, somatisation, cortisol, alpha amylase, "mismatch negativity", loudness dependence auditory evoked potentials) in patients with generalized anxiety disorder (GAD). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Generalized Anxiety Disorder (GAD)
What is being tested?
high-intensive aerobe exercise and low-intensive aerobe exercise
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
29 participants
Where
1 siteGermany
Study dates
Jan 2015to Jan 2019
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Generalized Anxiety Disorder (GAD) according to the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
  • Appropriate abilities to communicate and to complete the questionnaires
  • Written informed consent
  • Possibility of regular attendance at the training sessions

Who cannot join

  • Other severe mental conditions than GAD (e.g. schizophrenia, severe depressive episode, addiction)
  • Acute suicidality
  • Epilepsy or other disorders of the central nervous system (e.g. tumor, encephalitis)
  • Contraindications to aerobe exercise training
  • Cardiovascular diseases
  • Start or modification of an anxiolytic pharmacotherapy within the last four weeks
  • Current psychotherapy

Trial locations and contacts

1 site in 1 country.

Germany1 site
  • Department of Psychiatry and Psychotherapy, Charité - Universitätsmedizin Berlin, Campus Mitte

    Berlin, 10117

Other trials in Germany

About this study

This study investigate the effect of high-intense aerobe exercise training (HIT) on clinical and physiological parameters (anxiety, somatisation, cortisol, alpha amylase, "mismatch negativity", loudness dependence auditory evoked potentials) in patients with generalized anxiety disorder (GAD). Half of patients will receive HIT, while the other half will receive aerobe exercise of low intensity.

Read the detailed description

Generalized anxiety disorder (GAD) is a prevalent psychiatric condition and characterized by worrying of several topics of the daily life as well as stress-induced somatic symptoms (e.g. headache or musculoskeletal pain). Disturbed monoaminergic neurotransmission, changes in central information processing and altered levels of stress markers were reported as to be biological correlates of GAD or other stress-related disorders. Cognitive behavioral therapy is the first-line treatment in GAD, but it seems to be less effective than in other anxiety disorders. There is, however, some evidence for an anxiolytic activity of aerobe exercise. In this context, different forms of aerobe training were found to be associated with significant reduction of clinical symptoms in panic disorder, agoraphobia or social phobia as well as a normalisation of some of its pathophysiological markers.

In this study, 20 patients with GAD will receive a high-intensive aerobe training (HIT, 6 HIT-sessions of 20 minutes within a period of 12 days). Additionally, 20 GAD-patients will undergo a less intense aerobe training matched regarding frequency and duration of sessions. Prior to the first training session, after completing the training (day 12) and 30 days after baseline, symptoms of anxiety and somatisation will assessed by using established questionnaires. Moreover, saliva samples and electroencephalogram (EEG) will performed at the same times of assessment in order to evaluating changes of cortisol, alpha amylase, "mismatch negativity" and loudness dependence auditory evoked potentials.

We hypothesize, that GAD-patients which undergo HIT, will show a stronger and more sustained improvement of both, clinical symptoms and formally altered electrophysiological and endocrinological parameters.

Being tested
high-intensive aerobe exercise, low-intensive aerobe exercise
Keywords
Generalized Anxiety Disorder, GAD, physical exercise, aerobe exercise, mental disorder, high-intensive aerobe exercise
Medical subject headings
Generalized Anxiety Disorder, Motor Activity, Mental Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • high-intensive aerobe exerciseOther

    Aerobe bicycle ergometer training within 77-95% of maximum oxygen consumption; duration of each training session: 20 minutes; frequency of training: 6 sessions within 12 days

  • low-intensive aerobe exerciseOther

    Aerobe training below 70% of maximum oxygen consumption (including light stretching and simple exercises adapted from yoga figures); duration of training session: 20 minutes; frequency of training: 6 sessions within 12 days

Study groups in NCT02662803
Study groupRoleWhat they receive
high-intensive aerobe exerciseExperimentalAerobe bicycle ergometer training within 77-95% of maximum oxygen consumption; duration of each training session: 20 minutes; frequency of training: 6 sessions within 12 days
Receives: Other: high-intensive aerobe exercise
low-intensive aerobe exercisePlacebo comparatorAerobe training below 70% of maximum oxygen consumption (including light stretching and simple exercises adapted from yoga figures); duration of training session: 20 minutes; frequency of training: 6 sessions within 12 days
Receives: Other: low-intensive aerobe exercise

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Penn State Worry Questionnaire (PSWQ, german version)

    PSWQ is a questionnaire for detecting the severity of GAD

    Measured: From baseline to post therapy (+12 days) and from baseline to follow-up (+30 days)

Secondary outcomes (9)
  1. Change in Screening für somatoforme Störungen (SOMS)

    SOMS is a questionnaire for detecting the severity of somatisation

    Measured: From baseline to post therapy (+12 days) and from baseline to follow-up (+30 days)

  2. Change in Penn State Worry Questionnaire-past week (PSWQ-PW, german version)

    PSWQ-PW is a questionnaire for detecting changes in GAD-severity

    Measured: From baseline to post therapy (+12 days) and from baseline to follow-up (+30 days)

  3. Change in Screening für somatoforme Störungen - 7 Tage (SOMS-7T)

    SOMS-7T is a questionnaire for detecting changes in somatisation

    Measured: From baseline to post therapy (+12 days) and from baseline to follow-up (+30 days)

  4. Change in Hamilton Anxiety Rating Scale (HAM-A, german version)

    HAM-A is a questionnaire for detecting the severity and changes of anxiety

    Measured: From baseline to post therapy (+12 days) and from baseline to follow-up (+30 days)

  5. Change in Anxiety Control Questionnaire (ACQ, german version)

    ACQ is a questionnaire for evaluating the ability to control anxiety

    Measured: From baseline to post therapy (+12 days) and from baseline to follow-up (+30 days)

  6. Change in saliva cortisol

    Cortisol is an established marker of the psychophysiological stress response

    Measured: From baseline to post therapy (+12 days) and from baseline to follow-up (+30 days)

  7. Change in saliva alpha amylase

    Alpha amylase is an established marker of the psychophysiological stress response

    Measured: From baseline to post therapy (+12 days) and from baseline to follow-up (+30 days)

  8. Change in mismatch negativity

    Mismatch negativity is an established correlate of the central information processing

    Measured: From baseline to post therapy (+12 days) and from baseline to follow-up (+30 days)

  9. Change in loudness dependence auditory evoked potentials

    Loudness dependence auditory evoked potentials are established correlates of the central serotonergic transmission

    Measured: From baseline to post therapy (+12 days) and from baseline to follow-up (+30 days)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 Jan 2016 (estimated)
  2. Study startJan 2015
  3. Primary completionJan 2019
  4. Study completionJan 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
29 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02662803
Sponsor's protocol ID
EA1/217/15
Acronym
GAD_exercise
Status last verified
Feb 2019
First submitted
11 Jan 2016
Last updated
5 Feb 2019
Results posted
No
Data monitoring committee
No
Individual data sharing
No

Publications

  • Gaudlitz K, Plag J, Dimeo F, Strohle A. Aerobic exercise training facilitates the effectiveness of cognitive behavioral therapy in panic disorder. Depress Anxiety. 2015 Mar;32(3):221-8. doi: 10.1002/da.22337. Epub 2014 Dec 17.

    PubMed 25515221
  • Ghisolfi ES, Heldt E, Zanardo AP, Strimitzer IM Jr, Prokopiuk AS, Becker J, Cordioli AV, Manfro GG, Lara DR. P50 sensory gating in panic disorder. J Psychiatr Res. 2006 Sep;40(6):535-40. doi: 10.1016/j.jpsychires.2006.02.006. Epub 2006 Apr 17.

    PubMed 16616936
  • Hegerl U, Juckel G. Intensity dependence of auditory evoked potentials as an indicator of central serotonergic neurotransmission: a new hypothesis. Biol Psychiatry. 1993 Feb 1;33(3):173-87. doi: 10.1016/0006-3223(93)90137-3.

    PubMed 8383545
  • Clark CR, McFarlane AC, Weber DL, Battersby M. Enlarged frontal P300 to stimulus change in panic disorder. Biol Psychiatry. 1996 May 15;39(10):845-56. doi: 10.1016/0006-3223(95)00288-x.

    PubMed 9172705
  • Naatanen R. The mismatch negativity: a powerful tool for cognitive neuroscience. Ear Hear. 1995 Feb;16(1):6-18.

    PubMed 7774770
  • Plag J, Gaudlitz K, Schumacher S, Dimeo F, Bobbert T, Kirschbaum C, Strohle A. Effect of combined cognitive-behavioural therapy and endurance training on cortisol and salivary alpha-amylase in panic disorder. J Psychiatr Res. 2014 Nov;58:12-9. doi: 10.1016/j.jpsychires.2014.07.008. Epub 2014 Jul 21.

    PubMed 25085607
  • Schumacher S, Kirschbaum C, Fydrich T, Strohle A. Is salivary alpha-amylase an indicator of autonomic nervous system dysregulations in mental disorders?--a review of preliminary findings and the interactions with cortisol. Psychoneuroendocrinology. 2013 Jun;38(6):729-43. doi: 10.1016/j.psyneuen.2013.02.003. Epub 2013 Mar 5.

    PubMed 23481259
  • Burgomaster KA, Hughes SC, Heigenhauser GJ, Bradwell SN, Gibala MJ. Six sessions of sprint interval training increases muscle oxidative potential and cycle endurance capacity in humans. J Appl Physiol (1985). 2005 Jun;98(6):1985-90. doi: 10.1152/japplphysiol.01095.2004. Epub 2005 Feb 10.

    PubMed 15705728
  • Meyer TJ, Miller ML, Metzger RL, Borkovec TD. Development and validation of the Penn State Worry Questionnaire. Behav Res Ther. 1990;28(6):487-95. doi: 10.1016/0005-7967(90)90135-6.

    PubMed 2076086
  • Stober J, Bittencourt J. Weekly assessment of worry: an adaptation of the Penn State Worry Questionnaire for monitoring changes during treatment. Behav Res Ther. 1998 Jun;36(6):645-56. doi: 10.1016/s0005-7967(98)00031-x.

    PubMed 9648338
  • Maier W, Buller R, Philipp M, Heuser I. The Hamilton Anxiety Scale: reliability, validity and sensitivity to change in anxiety and depressive disorders. J Affect Disord. 1988 Jan-Feb;14(1):61-8. doi: 10.1016/0165-0327(88)90072-9.

    PubMed 2963053
  • Plag J, Schumacher S, Strohle A. [Generalized anxiety disorder]. Nervenarzt. 2014 Sep;85(9):1185-94. doi: 10.1007/s00115-014-4121-8. German.

    PubMed 25119343
  • Jayakody K, Gunadasa S, Hosker C. Exercise for anxiety disorders: systematic review. Br J Sports Med. 2014 Feb;48(3):187-96. doi: 10.1136/bjsports-2012-091287. Epub 2013 Jan 7.

    PubMed 23299048

Questions about this trial

What is this clinical trial studying?

A study testing high-intensive aerobe exercise and low-intensive aerobe exercise in people with Generalized Anxiety Disorder (GAD), run by Charite University, Berlin, Germany at 1 site in Germany.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 5 Feb 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Germany. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Penn State Worry Questionnaire (PSWQ, german version) (time frame: From baseline to post therapy (+12 days) and from baseline to follow-up (+30 days)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02662803, which also lists 13 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Feb 2019.

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