Effects of Stress on Exposure Therapy
The Impact of Stress on Exposure-based Treatment Outcome
1 other identifier
interventional
48
1 country
1
Brief Summary
This study investigates whether stress can augment exposure therapy outcome in patients with specific phobia (spider phobia).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Apr 2018
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
February 1, 2018
CompletedStudy Start
First participant enrolled
April 20, 2018
CompletedFirst Posted
Study publicly available on registry
April 23, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 30, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
August 30, 2019
CompletedSeptember 11, 2019
September 1, 2019
1.1 years
February 1, 2018
September 10, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Change in the Behavioral Approach Test (BAT) with spiders (treated fear stimulus)
During the Behavioral Approach Test (BAT) the closest distance to a spider as well as subjective fear and heart rate is measured.
Pretreatment, Posttreatment, Follow-up (with approx. 1 day between pre- and posttreatment and 4 weeks between pretreatment and follow-up)
Change in the Behavioral Approach Test with Cockroaches (untreated fear stimulus)
During the Behavioral Approach Test (BAT) the closest distance to a cockroach as well as subjective fear and heart rate is measured.
Pretreatment, Follow-up (with approx. 4 weeks between pretreatment and follow-up)
Secondary Outcomes (5)
Change in the Spider-fear Related questionnaires
Pretreatment, Posttreatment, Follow-up (with approx. 1 day between pre- and posttreatment and 4 weeks between pretreatment and follow-up)
Change in the Cockroach-fear related questionnaires
Pretreatment, Posttreatment, Follow-up (with approx. 1 day between pre- and posttreatment and 4 weeks between pretreatment and follow-up)
Free cortisol concentrations
5 times at Pretreatment, 2 times at Posttreatment, 2 times at Follow-up. (with approx. 1 day between pre- and posttreatment and 4 weeks between pretreatment and follow-up)
Blood pressure
9 times at Pretreatment
Activity of the enzyme alpha amylase
5 times at Pretreatment, 2 times at Posttreatment, 2 times at Follow-up ( (with approx. 1 day between pre- and posttreatment and 4 weeks between pretreatment and follow-up)
Study Arms (2)
Stress + Exposure
EXPERIMENTALStress Condition: Cold water condition of the socially evaluated cold pressor test (SECPT; Schwabe et al, 2008).
Control + Exposure
ACTIVE COMPARATORControl condition: Warm water condition of the SECPT.
Interventions
Cold water condition of the SECPT. Participants immerse their hand into ice-cold water (0-3°C). During the SECPT, participants are videotyped and monitored. After the SECPT, participants will receive 45 minutes of in-vivo exposure to spiders
Warm water condition of the SECPT. Participants immerse their hand into warm water (36-37°C). Participants are neither videotyped nor monitored during the whole procedure. After the SECPT, participants will receive 45 minutes of in-vivo exposure to spiders.
Eligibility Criteria
You may qualify if:
- Women using oral contraceptives (OC)
- Specific phobia (spider phobia)
You may not qualify if:
- Body Mass Index (BMI) \< 19 or \> 27
- Pregnancy
- Any acute or chronic mental, somatic, endocrine, or metabolic disease
- Psychological, psychiatric, neurological or pharmacological treatment
- Shift work
- Smoking more than 5 cigarettes per month
- Vaccination in the past 2 month
- Drug or alcohol abuse
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Mental Health Research and Treatment Center
Bochum, 44787, Germany
Related Publications (1)
Schwabe L, Haddad L, Schachinger H. HPA axis activation by a socially evaluated cold-pressor test. Psychoneuroendocrinology. 2008 Jul;33(6):890-5. doi: 10.1016/j.psyneuen.2008.03.001. Epub 2008 Apr 9.
PMID: 18403130BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Armin Zlomuzica, PhD
Ruhr-University Bochum
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- INVESTIGATOR
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Dr. / Principal Investigator
Study Record Dates
First Submitted
February 1, 2018
First Posted
April 23, 2018
Study Start
April 20, 2018
Primary Completion
May 30, 2019
Study Completion
August 30, 2019
Last Updated
September 11, 2019
Record last verified: 2019-09
Data Sharing
- IPD Sharing
- Will not share