NCT06605092

Brief Summary

Global warming, progressing at a rapid pace in Canada, is causing severe consequences for ecosystems and human health. Rising temperatures accelerate glacier melting, increase heat waves, and disrupt biodiversity. These environmental changes impact mental health, notably through ecoanxiety, a form of anxiety linked to climate change. Although ecoanxiety is a natural reaction to environmental degradation, it can lead to chronic stress, generalized anxiety, and even depression. Recent studies show that ecoanxiety is increasingly common, especially among young people. In Quebec, 73% of young adults (18-35 years) report experiencing ecoanxiety, with 42% experiencing significant levels. Vulnerable populations, such as Indigenous communities like the Inuit of Nunavik, are particularly affected. To address ecoanxiety, interventions focused on emotional management and reconnecting with nature are essential. Studies show that outdoor activities such as walking or gardening reduce negative emotions and improve well-being by fostering a connection with nature, thereby increasing resilience to climate change. Art, especially pictorial art, is emerging as a promising tool in combating ecoanxiety. The World Health Organization (WHO) recognizes the mental health benefits of art, which is not only beneficial for those suffering from mental illness but also for the general population. The Quebec Interministerial Mental Health Action Plan (PAISM) 2022-2026 highlights the promotion of art as a priority in mental health prevention. Among art forms, the contemplation of Impressionist paintings has shown positive effects, generating emotions of serenity and deeper reflection on our relationship with nature. Music therapy also plays a vital role in anxiety management, promoting relaxation and emotional expression. Music, in particular, has shown promise in reducing ecoanxiety. Listening to music can alleviate anxiety and depression by stimulating the limbic system, which regulates emotions. Music can also modulate physiological stress responses and strengthen personal resilience, enhancing emotional regulation in environmental crises. An innovative approach involves creating music from electrophysiological signals captured from plants, a process known as sonification. This nature-inspired music fosters a deeper connection with the environment, potentially reducing ecoanxiety and increasing resilience. Emotions, both positive and negative, are central to mental health. According to James Russell\'s circumplex theory of emotions, they are classified into two dimensions: valence (pleasant or unpleasant) and arousal (energy level). Positive emotions like joy and relaxation promote well-being, while negative emotions, such as anxiety and sadness, have detrimental effects on mental health. Emotional responses manifest through physiological changes, such as increased heart rate and skin conductance. Modern technologies, like functional MRI, allow researchers to observe the brain\'s activity in areas like the amygdala, responsible for emotional regulation. Digital technologies have revolutionized the use of art in promoting mental health. Immersive digital interventions, such as apps that allow users to experience art online, have shown positive results. One such app currently in development combines the works of Impressionist painters Claude Monet and Helen McNicoll with music created from plant electrophysiological signals. This digital combination of art and nature offers emotional benefits, promoting well-being in the face of climate challenges. It is well-established that positive emotions play a crucial role in improving mental health and protecting against ecoanxiety. Research shows that Impressionist paintings and music can generate positive emotions. This study hypothesizes that (1) observing and listening to musicalized paintings can generate positive emotions, (2) the emotional effect is stronger when both stimuli are combined, and (3) these emotions vary with age.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
120

participants targeted

Target at P50-P75 for not_applicable anxiety

Timeline
7mo left

Started Jan 2025

Typical duration for not_applicable anxiety

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress69%
Jan 2025Dec 2026

First Submitted

Initial submission to the registry

September 13, 2024

Completed
7 days until next milestone

First Posted

Study publicly available on registry

September 20, 2024

Completed
4 months until next milestone

Study Start

First participant enrolled

January 22, 2025

Completed
1.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2026

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2026

Last Updated

February 12, 2025

Status Verified

February 1, 2025

Enrollment Period

1.9 years

First QC Date

September 13, 2024

Last Update Submit

February 10, 2025

Conditions

Keywords

ecoanxietyartemotions

Outcome Measures

Primary Outcomes (4)

  • Physiological evaluation of emotions - electrodermal activity

    Data acquisition of electrodermal activity (EDA) - tonic component (skin conductance level: SCL) and phasic component (skin conductance responses: SCR) EDA is the only index of sympathetic arousal induced by changes in emotional state, and is the only autonomic psychophysiological variable uncontaminated by parasympathetic activity.

    Day 1

  • Cognitive evaluation of emotions, discrete approach

    Emotions using the discrete approach: thanks to the Geneva Emotions Wheel (GEW). Based on the circumplex theory of emotions, the GEW captures discrete and specific emotions in a way that is intuitive for participants and provides clear categories of emotions. This model was developed to represent and classify human emotions, drawing inspiration from the color wheel. It organizes emotions according to their intensity and relationship to each other, enabling clear visualization of interactions and oppositions between different emotions. After each stimulus (image, painting or music), the participant will be asked to indicate which main emotion he or she is feeling by selecting the appropriate segment of the wheel, and the level of intensity of the emotion felt by choosing the position on the corresponding circle.

    Day 1

  • Cognitive evaluation of emotions, dimensionnal approach

    dimensional approach to emotions: using the Self Assessment Manikin (SAM). The SAM is a non-verbal tool that offers a continuous and graded assessment of emotions, which is useful for detecting fine nuances in emotional feelings. This scale measures three fundamental dimensions of emotion: valence (positivity/negativity), arousal, and control (dominance). After each stimulus, the participant will be asked to assess his or her feelings by choosing the figure that best represents his or her emotional experience on each of the three dimensions. Each dimension is represented by a series of five figures illustrating a linear progression. The user selects a figure that best represents his or her feelings on each dimension, or falls between 22 figures. This selection is then converted into a numerical score for each dimension. Typically, scores can range from 1 (extremely negative/not at all excited/low control) to 9 (extremely positive/very excited/high control).

    Day 1

  • Physiological evaluation of emotions - heart rate

    pulse measurement by recording a photoplethysmogram and converting it to estimate heart rate.

    Day 1

Secondary Outcomes (4)

  • Level of engagement with music

    up to 2 weeks before intervention day

  • Level of commitment to art

    up to 2 weeks before intervention day

  • Ecoanxiety level - Climate change

    up to 2 weeks before intervention day

  • Ecoanxiety level - Environment issues

    up to 2 weeks before intervention day

Study Arms (2)

Young Adults

EXPERIMENTAL

Adults from 18 to 35 years old

Other: Emotional stimulation

Elderly

EXPERIMENTAL

Adults aged 65 years ol or more

Other: Emotional stimulation

Interventions

Presentation of the paintings by distinguishing 3 conditions: (1) contemplating each painting (visual stimulation), (2) listening to the original music composed from each painting (auditory stimulation), (3) contemplating and listening to the association of each painting with each specific music (bimodal stimulation)

ElderlyYoung Adults

Eligibility Criteria

Age18 Years+
Sexall(Gender-based eligibility)
Gender Eligibility DetailsIn this protocol, we added an inclusion criterion on a match between the sex and gender of the participants. This limitation is important for controlling the key variable, which is the impact of gender and sex in the elicitation of emotions during stimulation. Gender differences in emotion characterization are documented through various measurement tools such as the Geneva Wheel of Emotions, the Self-Assessment Manikin (SAM) and electrodermal activity (EDA) which are used in our protocol. Studies using the SAM have shown that women tend to express more intense emotions, both positive and negative, than men, which is consistent with the greater emotional expressivity observed in women. Electrodermal activity, used to measure physiological arousal, also shows variations: men often show a higher electrodermal response, while women are more reactive in cooperative contexts. These results underline a gender-dependent modulation of emotions, influenced by biological and social factors.
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age 18 to 35, or age 60 and over
  • Sex and gender concordance
  • No severe psychobehavioral or major neurocognitive disorders
  • Have no severe visual or hearing impairment,
  • Give written consent to participate in the study.

You may not qualify if:

  • Participate in another concurrent experimental clinical study, to avoid interference with our study.
  • Not understand written or spoken French or English.
  • Identify as non-binary

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

CRIUGM

Montreal, Quebec, H3W1W5, Canada

RECRUITING

MeSH Terms

Conditions

Anxiety Disorders

Condition Hierarchy (Ancestors)

Mental Disorders

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
OTHER
Intervention Model
PARALLEL
Model Details: 2 groups (young adults and older adults), with a 50/50 male/female ratio in each group
Sponsor Type
OTHER GOV
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
MD, PhD

Study Record Dates

First Submitted

September 13, 2024

First Posted

September 20, 2024

Study Start

January 22, 2025

Primary Completion (Estimated)

December 1, 2026

Study Completion (Estimated)

December 1, 2026

Last Updated

February 12, 2025

Record last verified: 2025-02

Locations