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DissociationMINDNCT04670640

Mechanistic Interventions and Neuroscience of Dissociation

A study testing Vibration, Breath Focus and No Distractions in people with Dissociation, run by Emory University at 2 sites in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The purpose of this study is to test the neurophysiological mechanisms of an intervention to reduce symptoms of dissociation in traumatized people. The intervention will be tested in dissociative traumatized people at two sites: Emory University and University of Pittsburgh. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Dissociation
What is being tested?
Vibration, Breath Focus and No Distractions
Could I receive a placebo?
No, everyone receives an active treatment
How many people
350 participants
Where
2 sitesUnited States
Study dates
18 Sep 2021to Mar 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

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 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • experience of at least one Diagnostic and Statistical Manual of Mental Disorders (DSM-5) Criterion A trauma (assessed using the Life Events Checklist)
  • a score of 7 or higher on the Multiscale Dissociation Inventory (MDI) depersonalization subscale
  • willingness to participate in the study

Who cannot join

  • actively psychotic and cognitively compromised individuals (assessed using the Moderate-severe cognitive impairment screening tool (MoCA) will be excluded
  • moderate or more severe substance dependence (assessed with the MINI)
  • persons with imminent risk of physical violence to self or others

Trial locations and contacts

2 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Negar Fani, PhD contact

404-712-0354

nfani@emory.edu

Greg Siegle, PhD contact

412-864-3501

gsiegle@pitt.edu

United States2 sites, 1 recruiting
  • Grady Hospital

    Atlanta, Georgia, 30303

    Negar Fani, PhD

    Recruiting
  • Western Psychiatric Institute and Clinic

    Pittsburgh, Pennsylvania, 15213

    Completed

Other trials in United States

About this study

The purpose of this study is to test the neurophysiological mechanisms of an intervention to reduce symptoms of dissociation in traumatized people. The intervention will be tested in dissociative traumatized people at two sites: Emory University and University of Pittsburgh. The researchers are interested in whether neural networks associated with attentional control and interoceptive awareness can be enhanced in this population. The researchers propose to evaluate whether different body-focused and non-body focused interventions can change these mechanisms.

Read the detailed description

People exposed to chronic trauma face devastating effects to the brain and body. Chronically traumatized people become highly distressed when attending to emotional stimuli, which can lead to feelings of detachment from their bodies and environment. It is difficult to engage highly dissociative traumatized patients in trauma-focused treatment; however, these patients benefit from acquiring basic emotion regulation skills, including present-centeredness and body awareness. Various practices that involve present-centeredness and body awareness (including mindfulness-based interventions) have been shown to demonstrate short-term and long-term improvement in cognition, emotion regulation and clinical symptoms in dissociative people with trauma exposure.

In order to address this issue, the researchers will evaluate the effectiveness of interventions that engage present-centered awareness and/or body focus.

Conditions
Dissociation
Being tested
Vibration, Breath Focus, No Distractions
Keywords
Trauma, PTSD, Mindfulness, Meditation, Neuroimaging, MRI
Medical subject headings
Dissociative Disorders, Wounds and Injuries, Stress Disorders, Post-Traumatic

What participants receive

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

  • VibrationDevice

    Participants will attend two intervention sessions per week for a total of 8 sessions. Participants will sit in a chair in a sound-proof booth monitored by a researcher in front of a computer screen (which delivers instructions) and will be fitted with psychophysiology leads and a device strapped around the chest. There will be no explicit tasks or direction given in this intervention. Participants will experience smooth slowly varying breath-like vibration on their sternum. They will receive their assigned intervention for approximately 18 minutes.

  • Breath FocusBehavioural

    Participants will attend two intervention sessions per week for a total of 8 sessions. Participants will sit in a chair in a sound-proof booth monitored by a researcher in front of a computer screen (which delivers instructions) and will be fitted with psychophysiology leads and a device strapped around the chest. The participant will be asked to focus on their breathing during this intervention. They will receive their assigned intervention for approximately 18 minutes.

  • No DistractionsBehavioural

    Participants will attend two intervention sessions per week for a total of 8 sessions. Participants will sit in a chair in a sound-proof booth monitored by a researcher in front of a computer screen (which delivers instructions) and will be fitted with psychophysiology leads and a device strapped around the chest. Participants will engage in a period of no-screen time; during this time there will be no outside visual or auditory distractions. There will be no explicit tasks or direction given in this intervention. They will receive their assigned intervention for approximately 18 minutes.

Study groups in NCT04670640
Study groupRoleWhat they receive
Breath FocusExperimentalParticipants receiving the breath focus study intervention.
Receives: Behavioral: Breath Focus
VibrationExperimentalParticipants receiving the vibration study intervention.
Receives: Device: Vibration
Vibration With Breath FocusExperimentalParticipants receiving the vibration with breath focus study intervention.
Receives: Device: Vibration; Behavioral: Breath Focus
Screens FreeExperimentalParticipants receiving the screens free study intervention.
Receives: Behavioral: No Distractions

What is being measured

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

  1. Change in Clinician Administered Post Traumatic Stress Disorder (PTSD) Scale (CAPS) Score

    The CAPS is a 30-item structured interview that can be used to make current and lifetime diagnosis of post traumatic stress disorder (PTSD) as well as assess PTSD symptoms over the past week. Questions also examine the onset and duration of symptoms, subjective distress, impact of symptoms on social and occupational functioning, improvement in symptoms since a previous CAPS administration, overall response validity, overall PTSD severity, and specifications for the dissociative subtype (depersonalization and derealization). The identification of an index traumatic event to serves as the basis for symptom inquiry. The full interview takes approximately 45-60 minutes to administer. Items are scored from 0 to 4 where 0 = the symptom is absent and 4 = the symptom is incapacitating. A symptom severity score is obtained by summing items 1-20. Total scores range from 0 to 80 and a higher score indicates more severe PTSD symptoms.

    Measured: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention

  2. Change in Mini International Neuropsychiatric Interview (MINI) Diagnosis of Psychiatric Disorders

    The Mini International Neuropsychiatric Interview (MINI) is a semi-structured interview used for diagnosing psychiatric disorders. The number of participants diagnosed with psychiatric disorders at the study time points will be compared between study arms.

    Measured: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention

  3. Change in Multiscale Dissociation Inventory (MDI) Score

    The MDI is a 30-item self-report test of dissociative symptomology and measures six different types of dissociative responses: disengagement, depersonalization, derealization, emotional constriction/numbing, memory disturbance, and identity dissociation. Items are scored on a 5-point scale where 1 = never and 5 = very often. Total dissociation scores range from 30 to 150 where higher scores indicate greater symptoms of dissociation.

    Measured: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention

  4. Change in Kentucky Mindfulness Scale (KIMS) Score

    The Kentucky Mindfulness Scale is a 39-item scale that assesses skills related to what one does while practicing mindfulness. Items are rated on a 5 point Likert scale ranging from 1 (never or very rarely true) to 5 (almost always or always true). Items reflect either direct descriptions of the mindfulness skills, or they describe the absence of that skill and are reverse scored. Total scores range from 39 to 195 and higher scores reflect more mindfulness.

    Measured: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention

  5. Change in Multidimensional Assessment of Interoceptive Awareness (MAIA) Score

    This is a clinical measure that assesses various aspects of interoception, including ability to attend to body sensations, regulate distress by attending to body sensations, and experiencing body sensations as safe and trustworthy. The instrument includes 32 items and which are scored from 0 to 5, where 0 = never and 5 = always. Total scores range from 0 to 160 and higher scores indicate greater awareness of body sensations.

    Measured: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention

  6. Change in Attentional Control Scale (ACS) Score

    This is a 20-item self-report measure that assesses attentional control a 4-point Likert scale, where 1 = almost never and 4 = always. Total scores range from 20 to 80 and higher scores indicate greater difficulty with attentional control.

    Measured: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention

  7. Change in Difficulties in Emotion Regulation Scale (DERS) Score

    The DERS is a 36 item instrument that measures emotional dysregulation symptoms. Responses are given on a 5-point scale where 1 = almost never and 5 = almost always. The DERS scales include 1) nonacceptance of emotional responses, 2) difficulty engaging in goal-directed behavior, 3) difficulties with impulse control, 4) limited emotional awareness, 5) limited access to emotion regulation strategies, and 6) lack of emotional clarity. Total scores range from 36 to 180 and higher scores suggest greater problems with emotion regulation.

    Measured: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention

  8. Change in PTSD Symptom Checklist (PCL-5) Score

    The PCL-5 is a 20-item self-report measure that assess the DSM-V symptoms of PTSD. Responses are given on a scale from 0 to 4 where 0 = not at all and 4 = extremely. Total scores range from 0 to 80 where higher scores indicate increased symptoms of PTSD.

    Measured: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention

  9. Change in Change in Life Events Checklist Score

    The Life Events Checklist includes 21 items asking respondents if they have been exposed to stressful events in the last 3 to 4 weeks. Participants are also able to list stressful events or experiences that are not specifically listed. Responses are coded as 5 = happened to me, 4 = witnessed it, 3 = learned about it, 2 = part of my job, 1 = not sure, and 0 = does not apply. A total score or composite score is not calculated for the Life Events Checklist, rather this instrument is used to identify if the respondent has experienced traumatic situations.

    Measured: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention

  10. Change in Sense of Agency Rating Scale (SOARS) Score

    The SOARS is a 10-item self-report measure that assess the sense of control one has over their body. Responses are given on a 7-point Likert scale where 1 = strongly disagree and 7 = strongly agree. Total scores range from 10 to 70 where lower scores indicate greater sense of agency.

    Measured: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention

  11. Change in Primary Care PTSD Screen (PC-PTSD-5) Score

    The PC-PTSD-5 is a 5-item instrument is used to identify persons with probable PTSD. Participants reporting that they have experienced a traumatic event are asked if they have had certain symptoms of PTSD in the past month. Responses are scored as no = 0 and yes = 1. Total scores range from 0 to 5 with higher scores indicating increased symptoms of PTSD.

    Measured: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention

  12. Change in Scale of Body Connection (SBC) Body Awareness Score

    The Scale of Body Connection instrument has 20 items assessing the dimensions of Body Awareness and Bodily Dissociation. Items are scored on a 5-point scale where 0 = not at all and 4 = all of the time. The body awareness dimension has 12 items and the body awareness score is the average of responses to these items. Higher scores indicate greater bodily awareness.

    Measured: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention

  13. Change in Scale of Body Connection (SBC) Bodily Dissociation Score

    The Scale of Body Connection instrument has 20 items assessing the dimensions of Body Awareness and Bodily Dissociation. Items are scored on a 5-point scale where 0 = not at all and 4 = all of the time. The bodily dissociation dimension has 8 items and the bodily dissociation score is the average of responses to these items. Higher scores indicate greater bodily dissociation.

    Measured: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention

  14. Change in Kreek-McHugh-Schluger-Kellogg Scale (KMSK) Alcohol Lifetime Score

    The KMSK assesses lifetime alcohol use with up to 7 items. Three of the items are scored quantitatively on varying scales. Total scores range from 0 to 13 where higher scores indicate greater lifetime use of alcohol.

    Measured: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention

  15. Change in Kreek-McHugh-Schluger-Kellogg Scale (KMSK) Alcohol 30 Day Score

    The KMSK assesses alcohol use in the last 30 days with up to 4 items. Three of the items are scored quantitatively on varying scales. Total scores range from 0 to 13 where higher scores indicate greater use of alcohol in the past 30 days.

    Measured: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention

  16. Change in Kreek-McHugh-Schluger-Kellogg Scale (KMSK) Tobacco Lifetime Score

    The KMSK assesses lifetime tobacco use with up to 8 items. Three of the items are scored quantitatively on varying scales. Total scores range from 0 to 13 where higher scores indicate greater lifetime use of tobacco.

    Measured: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention

  17. Change in Kreek-McHugh-Schluger-Kellogg Scale (KMSK) Tobacco 30 Day Score

    The KMSK assesses tobacco use in the last 30 days with up to 5 items. Three of the items are scored quantitatively on varying scales. Total scores range from 0 to 12 where higher scores indicate greater use of tobacco in the past 30 days.

    Measured: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention

  18. Change in Kreek-McHugh-Schluger-Kellogg Scale (KMSK) Cocaine Lifetime Score

    The KMSK assesses lifetime cocaine use with up to 7 items. Three of the items are scored quantitatively on varying scales. Total scores range from 0 to 16 where higher scores indicate greater lifetime use of cocaine.

    Measured: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention

  19. Change in Kreek-McHugh-Schluger-Kellogg Scale (KMSK) Cocaine 30 Day Score

    The KMSK assesses cocaine use in the last 30 days with up to 4 items. Three of the items are scored quantitatively on varying scales. Total scores range from 0 to 13 where higher scores indicate greater use of cocaine in the past 30 days.

    Measured: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention

  20. Change in Kreek-McHugh-Schluger-Kellogg Scale (KMSK) Heroin Lifetime Score

    The KMSK assesses lifetime heroin use with up to 8 items. Three of the items are scored quantitatively on varying scales. Total scores range from 0 to 13 where higher scores indicate greater lifetime use of heroin.

    Measured: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention

  21. Change in Kreek-McHugh-Schluger-Kellogg Scale (KMSK) Heroin 30 Day Score

    The KMSK assesses heroin use in the last 30 days with up to 5 items. Three of the items are scored quantitatively on varying scales. Total scores range from 0 to 13 where higher scores indicate greater use of heroin in the past 30 days.

    Measured: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention

  22. Change in Kreek-McHugh-Schluger-Kellogg Scale (KMSK) Illicit Opiate Lifetime Score

    The KMSK assesses lifetime illicit use of prescription opiates with up to 8 items. Three of the items are scored quantitatively on varying scales. Total scores range from 0 to 12 where higher scores indicate greater lifetime illicit use of prescription opiates.

    Measured: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention

  23. Change in Kreek-McHugh-Schluger-Kellogg Scale (KMSK) Illicit Opiates 30 Day Score

    The KMSK assesses illicit use of prescription opiates in the last 30 days with up to 5 items. Three of the items are scored quantitatively on varying scales. Total scores range from 0 to 11 where higher scores indicate greater illicit use of prescription opiates in the past 30 days.

    Measured: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention

  24. Change in Kreek-McHugh-Schluger-Kellogg Scale (KMSK) Marijuana/Cannabis Lifetime Score

    The KMSK assesses lifetime marijuana/cannabis use with up to 7 items. Three of the items are scored quantitatively on varying scales. Total scores range from 0 to 14 where higher scores indicate greater lifetime use of marijuana/cannabis.

    Measured: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention

  25. Change in Kreek-McHugh-Schluger-Kellogg Scale (KMSK) Marijuana/Cannabis 30 Day Score

    The KMSK assesses marijuana/cannabis use in the last 30 days with up to 5 items. Three of the items are scored quantitatively on varying scales. Total scores range from 0 to 12 where higher scores indicate greater use of marijuana/cannabis in the past 30 days.

    Measured: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention

  26. Change in Kreek-McHugh-Schluger-Kellogg Scale (KMSK) Amphetamine/Methamphetamine Lifetime Score

    The KMSK assesses lifetime amphetamine/methamphetamine use with up to 7 items. Three of the items are scored quantitatively on varying scales. Total scores range from 0 to 12 where higher scores indicate greater lifetime use of amphetamine/methamphetamine.

    Measured: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention

  27. Change in Kreek-McHugh-Schluger-Kellogg Scale (KMSK) Amphetamine/Methamphetamine 30 Day Score

    The KMSK assesses marijuana/cannabis use in the last 30 days with up to 5 items. Three of the items are scored quantitatively on varying scales. Total scores range from 0 to 11 where higher scores indicate greater use of amphetamine/methamphetamine in the past 30 days.

    Measured: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention

  28. Change in Kreek-McHugh-Schluger-Kellogg Scale (KMSK) Illicit Benzodiazepines Lifetime Score

    The KMSK assesses lifetime illicit use of benzodiazepines with up to 7 items. Three of the items are scored quantitatively on varying scales. Total scores range from 0 to 12 where higher scores indicate greater lifetime illicit use of benzodiazepines.

    Measured: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention

  29. Change in Kreek-McHugh-Schluger-Kellogg Scale (KMSK) Illicit Benzodiazepines 30 Day Score

    The KMSK assesses illicit use of benzodiazepines in the last 30 days with up to 5 items. Three of the items are scored quantitatively on varying scales. Total scores range from 0 to 11 where higher scores indicate greater illicit use of benzodiazepines in the past 30 days.

    Measured: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention

  30. Change in Kreek-McHugh-Schluger-Kellogg Scale (KMSK) Benzodiazepines Lifetime Score

    The KMSK assesses lifetime use of healthcare provider prescribed benzodiazepines with up to 7 items. Three of the items are scored quantitatively on varying scales. Total scores range from 0 to 12 where higher scores indicate greater lifetime use of healthcare provider prescribed benzodiazepines.

    Measured: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention

  31. Change in Kreek-McHugh-Schluger-Kellogg Scale (KMSK) Benzodiazepines 30 Day Score

    The KMSK assesses use of healthcare provider prescribed benzodiazepines in the last 30 days with up to 5 items. Three of the items are scored quantitatively on varying scales. Total scores range from 0 to 11 where higher scores indicate greater use of healthcare provider prescribed benzodiazepines in the past 30 days.

    Measured: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention

  32. Change in Kreek-McHugh-Schluger-Kellogg Scale (KMSK) Barbiturates Lifetime Score

    The KMSK assesses lifetime use of barbiturates with up to 8 items. Three of the items are scored quantitatively on varying scales. Total scores range from 0 to 12 where higher scores indicate greater lifetime use of barbiturates.

    Measured: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention

  33. Change in Kreek-McHugh-Schluger-Kellogg Scale (KMSK) Barbiturates 30 Day Score

    The KMSK assesses use of barbiturates in the last 30 days with up to 5 items. Three of the items are scored quantitatively on varying scales. Total scores range from 0 to 11 where higher scores indicate greater use of barbiturates in the past 30 days.

    Measured: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention

  34. Change in Patient-Reported Outcomes Measurement Information System - Depression (PROMIS-D) Score

    The PROMIS-D instrument assesses depression with 9 items asking respondents if they have experienced certain symptoms of depression in the past 7 days. Responses are given on a 5-point scale. Total scores are transformed to a t-score with a mean of 50 and standard deviation of 10. Scores above 50 indicate increased depressive symptoms compared to the reference population.

    Measured: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention

  35. Change in International Trauma Questionnaire Score

    The International Trauma Questionnaire is an instrument used to diagnose PTSD or complex PTSD (CPTSD) with 18 items (9 items for each of the PTSD and CPTSD subscales). Responses are given on a 5-point scale where 0 = not at all and 4 = extremely. Dimensional scores for PTSD and the Disturbances in Self-Organization (DSO) cluster of the CPTSD subscale can be calculated by summing six items from their respective subscales. Total scores for each subscale range from 0 to 24 with higher values indicating increased problems following experiencing a traumatic event.

    Measured: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention

  36. Change in Childhood Trauma Questionnaire (CTQ) Score

    The Childhood Trauma Questionnaire (CTO) has 28 items asking respondents if they experienced situations of trauma as a child or teenager. Responses are given on a 5-point scale where 1= never true and 5 = always true. There are subscales for sexual abuse, physical abuse, emotional abuse, emotional neglect, and physical neglect, and a total trauma score is calculated. Total scores range from 28 to 140 where higher scores indicate more severe trauma.

    Measured: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention

  37. Change in Motivation and Pleasure Scale Self-Report (MAP-SR) Score

    The MAP-SR is an 18-item questionnaire assessing the degree of pleasure experienced with social, work or recreational, and family situations and the amount of motivation to engage in activities. Responses are given on a 5-point scale where 0 = no pleasure or no motivation and 4 = extreme pleasure or motivation. Total scores range from 0 to 72. Scoring for certain items is reversed so that higher scores indicate increased pleasure and motivation.

    Measured: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention

  38. Change in Ruminative Responses Scale Score

    The Ruminative Responses Scale is a 22-item instrument assessing different things that people do when they feel depressed. Responses are given on a 4-point scale where 1 = almost never and 4 = almost always. Total scores range from 22 to 88 and higher scores indicate greater rumination on depressive symptoms, potentially prolonging depressive episodes.

    Measured: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention

  39. Change in Everyday Discrimination Scale (EDS) Score

    The original Everyday Discrimination Scale includes 9 items asking respondents how often they experience certain situations of discrimination. Responses are given on a 6-point scale where 1 = never and 6 = almost everyday. Total scores range from 9 to 54 where higher scores indicate experiencing increased discrimination.

    Measured: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention

  40. Change in Experiences of Discrimination (EOD) Scale Score

    The Experiences of Discrimination Questionnaire is an 11-item instrument assessing experiences of discrimination because of race, ethnicity, or color. Respondents indicate if they have or have not experienced 9 situations of discrimination (no = 0 and yes = 1), and then there are two questions about how often respondents feel that discrimination occurs that are score as 1 = never and 4 = often. Total scores range from 2 to 17 where higher scores indicate greater experiences of discrimination.

    Measured: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention

  41. Change in Epworth Sleepiness Scale Score

    The Epworth Sleepiness Scale is an 8-item instrument assessing level of daytime sleepiness. Responses are given on a 4-point scale where 0 = would never doze and 3 = high chance of dozing. Total scores range from 0 to 24, where scores between 0 and 10 are considered normal and scores above 16 are indicative of high levels of excessive daytime sleepiness.

    Measured: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention

  42. Change in Penn Computerized Neuropsychological Battery (Penn CNP) Performance

    This is a computerized neuropsychological assessment that is designed to examine different domains of cognitive functioning. The executive functioning and memory components of this battery (which include measures of sustained attention and working memory) will be administered, which take approximately 30 minutes to complete.

    Measured: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention

  43. Change in State Scale of Dissociation (SSD) Score

    The SSD is a 56-item self-report measure that assess present state dissociative symptoms. The SSD seven subscales are derealization, depersonalization, identity confusion, identity alteration, conversion, amnesia, and hypermnesia. Responses are given on a 10-point scale where 0 = not at all, and 9 = very much so. A total score is calculated as the mean of all survey items. Total scores range from 0 to 9 where higher scores indicate greater dissociation. This will be administered prior to and after each intervention appointment and MRI visit.

    Measured: Baseline to Week 6 (before and after each study visit)

  44. Change in Affective Number Stroop (ANS) Task Performance

    During the ANS task, participants are instructed to rapidly identify the number of numbers in a given display while ignoring evocative distractor images (trauma-relevant scenes). In these trials, the number of numbers presented is either consistent or inconsistent with the actual number displayed, such that there are both congruent and incongruent trials. The participants will be presented with positive and neutral pictures in addition to the negative trauma-relevant images. The task will be completed in the MRI scanner during both the pre- and post-treatment sessions. This task is meant to evoke the attentional problems that many Grady Trauma Project participants encounter while performing daily tasks by engaging attentional control resources and including images that are relevant to participants' traumas.

    Measured: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention

  45. Change in Stroop Color and Word Test (SCWT) Time

    During the Stroop Color and Word Test, lists of color words printed in black ink, printed in ink the color of the word, and printed in ink in a color that does not match the word. Participants are asked to read the words in the first two conditions but to then state the color of the ink rather than the word during the inconsistent color condition. The SCWT shows that people take longer to name the color of the ink that color-words are written in when the ink color does not match the word than when they match. The time it takes to complete condition where the ink color does not match the word will be assessed in seconds.

    Measured: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention

  46. Change in Number Stroop Test Time

    The Counting Stroop is a validated Stroop task variant. In this task, participants report the number of words (one to four) appearing on the screen, regardless of word meaning, by pressing a button. Neutral-word control trials contain single semantic category common animals (i.e. dog written three times) while interference trials contain number words that are incongruent with the correct response (i.e. 'two' written four times). The time it takes to say the number of words will be assessed in seconds.

    Measured: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention

  47. Change in Pittsburgh EEG Accessible Calibration Environment (PEACE) Performance

    This 6-minute task consists of multiple common cognitive and affective operations including open and closed eyes resting state, passive viewing of affective images, rumination, counting backwards, and finger movement. It allows derivation of physiological profiles for use in signal classification on the other tasks.

    Measured: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention

Timeline

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

  1. First posted17 Dec 2020
  2. Study start18 Sep 2021
  3. Primary completionMar 2027 (estimated)
  4. Study completionMar 2027 (estimated)

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
None (open label)
Enrolment
350 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04670640
Sponsor's protocol ID
STUDY00001840
Other IDs
R01AT011267-01, 2025P011607
Acronym
MIND
Status last verified
Apr 2026
First submitted
11 Dec 2020
Last updated
20 Apr 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
Yes: De-identified clinical and neuroimaging data will be shared. Data will be uploaded continuously to a public repository for clinical trials (e.g., NDAR) as specified by the program official.

Questions about this trial

What is this clinical trial studying?

A study testing Vibration, Breath Focus and No Distractions in people with Dissociation, run by Emory University at 2 sites in United States.

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 3 inclusion and 3 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: looking for participants now, as of the sponsor's last update on 20 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United States. 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. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Negar Fani, PhD (404-712-0354, nfani@emory.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Clinician Administered Post Traumatic Stress Disorder (PTSD) Scale (CAPS) Score (time frame: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention). The study lists 47 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 20 Apr 2026.

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