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.
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
- Type of treatment
- Medical device, Lifestyle or therapy programme
- 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.
United States2 sites, 1 recruiting
- Recruiting
Grady Hospital
Atlanta, Georgia, 30303
Negar Fani, PhD
- Completed
Western Psychiatric Institute and Clinic
Pittsburgh, Pennsylvania, 15213
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 group | Role | What they receive |
|---|---|---|
| Breath Focus | Experimental | Participants receiving the breath focus study intervention. Receives: Behavioral: Breath Focus |
| Vibration | Experimental | Participants receiving the vibration study intervention. Receives: Device: Vibration |
| Vibration With Breath Focus | Experimental | Participants receiving the vibration with breath focus study intervention. Receives: Device: Vibration; Behavioral: Breath Focus |
| Screens Free | Experimental | Participants 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.
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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)
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
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
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
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.
- First posted17 Dec 2020
- Study start18 Sep 2021
- Primary completionMar 2027 (estimated)
- Study completionMar 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for DissociationStudies of the same condition, open and under way.
- More trials run by Emory UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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)
Sponsor and investigators
- Lead sponsor
- Emory University
- Sponsor type
- University, hospital or other
- Collaborators
- National Center for Complementary and Integrative Health (NCCIH)
- Responsible party
- Principal investigator, Negar Fani, Emory University
- Investigators
- Negar Fani, PhD, Principal investigator, Emory UniversityGreg Siegle, PhD, Principal investigator, University of Pittsburgh
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.
Study at a glance
From the registry record, last updated by the sponsor on 20 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Mechanistic Interventions and Neuroscience of Dissociation
- ClinicalTrials.gov ID
- NCT04670640
- Acronym / sponsor ID
- MIND / STUDY00001840
- Conditions
- Dissociation
- Keywords
- Trauma, PTSD, Mindfulness, Meditation, Neuroimaging, MRI
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 350 participants (estimated)
- Lead sponsor
- Emory UniversityUniversity, hospital or other
- Collaborators
- National Center for Complementary and Integrative Health (NCCIH)
- Study start
- 18 Sep 2021 (actual)
- Primary completion
- Mar 2027 (estimated)
- Study completion
- Mar 2027 (estimated)
- First posted
- 17 Dec 2020 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Breath Focus | Experimental | Behavioral: Breath FocusParticipants receiving the breath focus study intervention. |
| Vibration | Experimental | Device: VibrationParticipants receiving the vibration study intervention. |
| Vibration With Breath Focus | Experimental | Device: Vibration, Behavioral: Breath FocusParticipants receiving the vibration with breath focus study intervention. |
| Screens Free | Experimental | Behavioral: No DistractionsParticipants receiving the screens free study intervention. |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- 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
Key exclusion criteria (3 listed)
- 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
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| VibrationParticipants 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. | Device | Vibration, Vibration With Breath Focus |
| Breath FocusParticipants 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. | Behavioural | Breath Focus, Vibration With Breath Focus |
| No DistractionsParticipants 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. | Behavioural | Screens Free |
Primary outcome
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 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.
Change in Mini International Neuropsychiatric Interview (MINI) Diagnosis of Psychiatric Disorders
Time frame: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention
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.
Change in Multiscale Dissociation Inventory (MDI) Score
Time frame: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention
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.
Change in Kentucky Mindfulness Scale (KIMS) Score
Time frame: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention
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.
Change in Multidimensional Assessment of Interoceptive Awareness (MAIA) Score
Time frame: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention
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.
Change in Attentional Control Scale (ACS) Score
Time frame: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention
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.
Change in Difficulties in Emotion Regulation Scale (DERS) Score
Time frame: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention
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.
Change in PTSD Symptom Checklist (PCL-5) Score
Time frame: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention
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.
Change in Change in Life Events Checklist Score
Time frame: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention
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.
Change in Sense of Agency Rating Scale (SOARS) Score
Time frame: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention
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.
Change in Primary Care PTSD Screen (PC-PTSD-5) Score
Time frame: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention
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.
Change in Scale of Body Connection (SBC) Body Awareness Score
Time frame: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention
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.
Change in Scale of Body Connection (SBC) Bodily Dissociation Score
Time frame: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention
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.
Change in Kreek-McHugh-Schluger-Kellogg Scale (KMSK) Alcohol Lifetime Score
Time frame: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention
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.
Change in Kreek-McHugh-Schluger-Kellogg Scale (KMSK) Alcohol 30 Day Score
Time frame: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention
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.
Change in Kreek-McHugh-Schluger-Kellogg Scale (KMSK) Tobacco Lifetime Score
Time frame: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention
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.
Change in Kreek-McHugh-Schluger-Kellogg Scale (KMSK) Tobacco 30 Day Score
Time frame: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention
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.
Change in Kreek-McHugh-Schluger-Kellogg Scale (KMSK) Cocaine Lifetime Score
Time frame: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention
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.
Change in Kreek-McHugh-Schluger-Kellogg Scale (KMSK) Cocaine 30 Day Score
Time frame: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention
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.
Change in Kreek-McHugh-Schluger-Kellogg Scale (KMSK) Heroin Lifetime Score
Time frame: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention
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.
Change in Kreek-McHugh-Schluger-Kellogg Scale (KMSK) Heroin 30 Day Score
Time frame: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention
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.
Change in Kreek-McHugh-Schluger-Kellogg Scale (KMSK) Illicit Opiate Lifetime Score
Time frame: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention
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.
Change in Kreek-McHugh-Schluger-Kellogg Scale (KMSK) Illicit Opiates 30 Day Score
Time frame: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention
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.
Change in Kreek-McHugh-Schluger-Kellogg Scale (KMSK) Marijuana/Cannabis Lifetime Score
Time frame: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention
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.
Change in Kreek-McHugh-Schluger-Kellogg Scale (KMSK) Marijuana/Cannabis 30 Day Score
Time frame: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention
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.
Change in Kreek-McHugh-Schluger-Kellogg Scale (KMSK) Amphetamine/Methamphetamine Lifetime Score
Time frame: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention
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.
Change in Kreek-McHugh-Schluger-Kellogg Scale (KMSK) Amphetamine/Methamphetamine 30 Day Score
Time frame: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention
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.
Change in Kreek-McHugh-Schluger-Kellogg Scale (KMSK) Illicit Benzodiazepines Lifetime Score
Time frame: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention
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.
Change in Kreek-McHugh-Schluger-Kellogg Scale (KMSK) Illicit Benzodiazepines 30 Day Score
Time frame: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention
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.
Change in Kreek-McHugh-Schluger-Kellogg Scale (KMSK) Benzodiazepines Lifetime Score
Time frame: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention
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.
Change in Kreek-McHugh-Schluger-Kellogg Scale (KMSK) Benzodiazepines 30 Day Score
Time frame: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention
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.
Change in Kreek-McHugh-Schluger-Kellogg Scale (KMSK) Barbiturates Lifetime Score
Time frame: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention
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.
Change in Kreek-McHugh-Schluger-Kellogg Scale (KMSK) Barbiturates 30 Day Score
Time frame: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention
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.
Change in Patient-Reported Outcomes Measurement Information System - Depression (PROMIS-D) Score
Time frame: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention
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.
Change in International Trauma Questionnaire Score
Time frame: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention
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.
Change in Childhood Trauma Questionnaire (CTQ) Score
Time frame: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention
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.
Change in Motivation and Pleasure Scale Self-Report (MAP-SR) Score
Time frame: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention
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.
Change in Ruminative Responses Scale Score
Time frame: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention
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.
Change in Everyday Discrimination Scale (EDS) Score
Time frame: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention
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.
Change in Experiences of Discrimination (EOD) Scale Score
Time frame: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention
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.
Change in Epworth Sleepiness Scale Score
Time frame: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention
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.
Change in Penn Computerized Neuropsychological Battery (Penn CNP) Performance
Time frame: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention
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.
Change in State Scale of Dissociation (SSD) Score
Time frame: Baseline to Week 6 (before and after each study visit)
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.
Change in Affective Number Stroop (ANS) Task Performance
Time frame: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention
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.
Change in Stroop Color and Word Test (SCWT) Time
Time frame: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention
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.
Change in Number Stroop Test Time
Time frame: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention
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.
Change in Pittsburgh EEG Accessible Calibration Environment (PEACE) Performance
Time frame: Baseline, Week 6 (post-intervention), 3 Months Post-intervention, 6 Months Post-intervention
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.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Apr 2026.
- Individual participant dataSharing planned: 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.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Negar Fani, PhD principal investigator
Emory University
Greg Siegle, PhD principal investigator
University of Pittsburgh
2 sites in 1 country: see every site and its status.
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.