Mindfulness-Associated Brain Changes in Adults With Autism
The Neural Changes Associated With a Mindfulness Intervention for Adults With Autism Spectrum Disorder
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Arizona
-
Tempe, Arizona, United States, 85281
- Arizona State University
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age 18 to 89 years old, with a special focus on adults with ASD who are going to college given the additional stress of this phase in life. We are recruiting participants across a broad age range in order to maximize our ability to inform interventions for adults with ASD. The upper age limit of 89 years was selected so a de-identified dataset can be created with all participant ages included.
- ASD diagnosis via gold-standard diagnostic assessments (Autism Diagnostic Observation Schedule-2).
- Must be able to attend at least 7 of the 8 weekly intervention classes.
- English speaking: Participants must be English-speaking because the screening and behavioral measures are in English (including the intelligence estimate).
Exclusion Criteria:
- Participants with Intelligence Quotient (IQ) scores <70 will be excluded to minimize variability due to general cognitive functioning.
- Report of any major medical illnesses, histories of seizures, or head trauma with loss of consciousness. These health factors can cause brain changes that would confound findings.
- Concerns that the participant may not be able to complete the MRI neuroimaging requirements for the study, including claustrophobia or metal objects within the participant's body or eyes. Implanted metal objects may create a safety hazard in the powerful magnetic field during MRI imaging.
- Pregnant women. MRI has no known effects on pregnancy or fertility. However, since we are not 100% certain MRI has no effects on a developing fetus, women who are pregnant may not participate in this study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: Mindfulness Based Stress Reduction Program
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Structured 8-week training program teaching about increased mindfulness strategies and gentle stretching.
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Active Comparator: Relaxation Group
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8-weekly group discussion meetings reviewing relaxation techniques and other stress reduction strategies with an emphasis on social support.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Beck Depression Inventory - II
Time Frame: Baseline; Pre-intervention
|
21-question multiple-choice self-report inventory for measuring depression severity.
Items are rated on a 4-point scale ranging from 0 to 3 based on severity of each item.
The maximum total score is 63.
Raw scores ranging from 0-13 indicate minimal depression.
Raw scores ranging from 14-19 indicate mild depression.
Raw scores of 20-28 indicate moderate depression and scores of 29-63 indicate severe depression.
|
Baseline; Pre-intervention
|
|
Beck Depression Inventory - 2
Time Frame: Post-intervention (~10 weeks)
|
21-question multiple-choice self-report inventory for measuring depression severity.
Items are rated on a 4-point scale ranging from 0 to 3 based on severity of each item.
The maximum total score is 63.
Raw scores ranging from 0-13 indicate minimal depression.
Raw scores ranging from 14-19 indicate mild depression.
Raw scores of 20-28 indicate moderate depression and scores of 29-63 indicate severe depression.
|
Post-intervention (~10 weeks)
|
|
State-Trait Anxiety Inventory
Time Frame: Baseline; Pre-intervention
|
Self-report inventory measuring two types of anxiety.
20 items assess the temporary condition of state anxiety, or anxiety about an event, and an additional 20 items assess the more general trait anxiety, or anxiety level as a personal characteristic.
Items are rated on a 4-point frequency scale.
Scores range from 20 to 80, with higher scores correlating with greater anxiety.
|
Baseline; Pre-intervention
|
|
State-Trait Anxiety Inventory
Time Frame: Post-intervention (~10 weeks)
|
Self-report inventory measuring two types of anxiety.
20 items assess the temporary condition of state anxiety, or anxiety about an event, and an additional 20 items assess the more general trait anxiety, or anxiety level as a personal characteristic.
Items are rated on a 4-point frequency scale.
Scores range from 20 to 80, with higher scores correlating with greater anxiety.
|
Post-intervention (~10 weeks)
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
World Health Organization Quality of Life
Time Frame: Baseline; Pre-intervention and Post-intervention
|
Measures physical, psychological, social, and environmental domains of quality of life with added assessments of disability-related and autism-specific quality of life.
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Baseline; Pre-intervention and Post-intervention
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Blood-oxygen-level dependent (BOLD) response in brain regions activated during a self-reflection fMRI task
Time Frame: Baseline; Pre-intervention
|
Measure of brain activation during an fMRI task validated by Sterling (2006) requiring judgments on adjectives relating to a self-condition or judgments on whether an adjective is positively valanced.
|
Baseline; Pre-intervention
|
|
Blood-oxygen-level dependent (BOLD) response in brain regions activated during a self-reflection fMRI task
Time Frame: Post-intervention (~10 weeks)
|
Measure of brain activation during an fMRI task validated by Sterling (2006) requiring judgments on adjectives relating to a self-condition or judgments on whether an adjective is positively valanced.
|
Post-intervention (~10 weeks)
|
|
Blood-oxygen-level dependent (BOLD) response in regions activated during an emotion-regulation fMRI task
Time Frame: Baseline; Pre-intervention
|
Measure of brain activation during an fMRI task validated by Richey (2015) requiring regulation of emotional response to images of faces.
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Baseline; Pre-intervention
|
|
Blood-oxygen-level dependent (BOLD) response in regions activated during an emotion-regulation fMRI task
Time Frame: Post-intervention (~10 weeks)
|
Measure of brain activation during an fMRI task validated by Richey (2015) requiring regulation of emotional response to images of faces.
|
Post-intervention (~10 weeks)
|
|
Event-Related Potentials (ERP) measured during regulation of affective responses
Time Frame: Baseline; Pre-intervention
|
Measure of ERP responses during an EEG task validated by Varnum (2016) requiring regulation of affective responses to both positively and negatively valenced stimuli.
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Baseline; Pre-intervention
|
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Event-Related Potentials (ERP) measured during regulation of affective responses
Time Frame: Post-intervention (~10 weeks)
|
Measure of ERP responses during an EEG task validated by Varnum (2016) requiring regulation of affective responses to both positively and negatively valenced stimuli.
|
Post-intervention (~10 weeks)
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Brittany B Braden, PhD, Assistant Professor; Autism and Brain Aging Laboratory Director
Publications and helpful links
General Publications
- Braden BB, Pagni BA, Monahan L, Walsh MJM, Dixon MV, Delaney S, Ballard L, Ware JE Jr. Quality of life in adults with autism spectrum disorder: influence of age, sex, and a controlled, randomized mindfulness-based stress reduction pilot intervention. Qual Life Res. 2022 May;31(5):1427-1440. doi: 10.1007/s11136-021-03013-x. Epub 2021 Oct 16.
- Pagni BA, Hill E, Walsh MJM, Delaney S, Ogbeama D, Monahan L, Cook JR, Guerithault N, Dixon MV, Ballard L, Braden BB. Distinct and shared therapeutic neural mechanisms of mindfulness-based and social support stress reduction groups in adults with autism spectrum disorder. J Psychiatry Neurosci. 2023 Mar 29;48(2):E102-E114. doi: 10.1503/jpn.220159. Print 2023 Mar-Apr.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- IRB # STUDY00007227
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- ICF
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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