Influence of Stress on Encoding and Prediction

September 26, 2025 updated by: Yale University

Neural Mechanisms of Stress Effects Across Hippocampal Encoding and Prediction

The purpose of this study is to investigate the neural mechanisms by which acute stress influences statistical learning and episodic encoding.

Study Overview

Detailed Description

This study aims to assess the neural and behavioral mechanisms by which acute stress modulates episodic encoding (which involves the trisynaptic pathway: entorhinal cortex, dentate gyrus, cornu ammonis [CA] 3, and CA 1) and statistical learning (monosynaptic pathway: entorhinal cortex, CA1) in humans.

Study Type

Interventional

Enrollment (Actual)

106

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • Connecticut
      • New Haven, Connecticut, United States, 06511
        • Yale University

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • 18-45 years old
  • Fluent in English
  • BMI 18-35

Exclusion Criteria:

  • Meeting current DSM-V criteria for any substance use disorder (except caffeine)
  • Having current significant medical conditions or psychiatric symptoms requiring medication
  • Current use of medications/drugs that interfere with physiological stress responses
  • Peri and post-menopausal women, pregnant or lactating women, and those with hysterectomies
  • Metal in body (for MRI safety) history will be assessed for female participants.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Basic Science
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Acute Stress
Participants complete the socially evaluated cold pressor test (SECPT), a validated laboratory-based stress induction procedure involving submerging an arm in an ice bath
The SECPT is a brief validated laboratory-based stress induction containing both physical and social elements
Active Comparator: No Stress
Participants complete a matched condition with no stress-related exposure involving submerging an arm in warm water
This is matched to the SECPT but with warm instead of cold water

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Changes in fMRI Signal
Time Frame: 1-2 hours
fMRI signal during learning will be assessed using connectivity, multivariate, and univariate approaches over 1-2 hour long learning period. Correlation between change in CA1-EC background connectivity and pair familiarity. rho represents the true correlation within the entire population, with values ranging from -1 to +1; values closer to +1 indicate a strong positive linear relationship, closer to -1 a strong negative one, and closer to 0 indicate no linear relationship.
1-2 hours
Statistical Learning
Time Frame: 1-2 hours
Online measures of statistical learning ( mean reaction time) based on item predictability during task for condition A, B or x.
1-2 hours
Retention of Statistical Learning
Time Frame: 1 hour
Offline measure of statistical learning assessed through familiarity tests the next day (comparison of accurate recognition of previously-studied pairs to chance, 50%)
1 hour
Episodic Memory
Time Frame: 1 hour
Memory for individual items will be assessed through performance on old/new recognition tests the next day, quantified as hit rates and A' (non-parametric normalized ratio of hits to false alarms). Data presented here is the proportion of studied items attributed to the correct condition (A, B or X) minus the proportion of nonstudied items incorrectly attributed to that same condition.
1 hour

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Cortisol Reactivity
Time Frame: 1-2 hours
Change in salivary cortisol levels following the SECPT/control procedure
1-2 hours
Alpha-amylase Reactivity
Time Frame: 1-2 hours
Change in salivary alpha-amylase levels following the SECPT/control procedure
1-2 hours

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Principal Investigator: Elizabeth V Goldfarb, PhD, Yale University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

March 2, 2023

Primary Completion (Actual)

October 4, 2024

Study Completion (Actual)

October 4, 2024

Study Registration Dates

First Submitted

June 15, 2023

First Submitted That Met QC Criteria

June 15, 2023

First Posted (Actual)

June 27, 2023

Study Record Updates

Last Update Posted (Estimated)

October 15, 2025

Last Update Submitted That Met QC Criteria

September 26, 2025

Last Verified

September 1, 2025

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 2000030825
  • 1R21MH128740-01A1 (U.S. NIH Grant/Contract)

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

IPD Plan Description

Aggregate data will be shared on NIMH Data Archives

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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