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The Embodied Cognition: Exploratory Study of Automatic and Controlled Processes in Anorexia Nervosa.

9 mars 2016 mis à jour par: Centre Hospitalier Universitaire de Saint Etienne

The Embodied Cognition: Exploratory Study of Automatic and Controlled Processes in Anorexia Nervosa. A Monocentric Study

Anorexia nervosa (AN) is a common psychiatric illness, with severe prognosis (5% mortality) that has changed little over in half a century. One of the forms is the restrictive anorexia nervosa (ANR). It consists of a phobia of weight gain and food with a massive food restriction. This pathology is studied in psychology but not using the theories of embodied cognition in which "perception and action" interact through sensorimotor processes. They are the source of attitudes (unconscious) towards certain stimuli and influence our interpretation (conscious).

Aperçu de l'étude

Statut

Complété

Les conditions

Intervention / Traitement

Description détaillée

The investigators hypothesis is that food restriction behavior is the result of two processes. One automatic and not conscious, which is an attraction toward food and manifests itself in the motivational attitudes of approach, and the other controlled and conscious, which prevents attraction to this type of stimuli and is manifested by motivational attitudes avoidance. These processes of attraction and avoidance are observed in embodied cognition paradigms because the answers induce movement of approach or avoidance of stimuli. The validation of these assumptions could lead to reconsideration of the respective roles of automatic and controlled processes in food behaviors of anorexics patients and to complete or refocus psychological techniques of care.

Type d'étude

Interventionnel

Inscription (Réel)

176

Phase

  • N'est pas applicable

Contacts et emplacements

Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.

Lieux d'étude

  • France
      • Saint-etienne, France, 42000
        • CHU de Saint-Etienne

Critères de participation

Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.

Critère d'éligibilité

Âges éligibles pour étudier

18 ans à 36 ans (Adulte)

Accepte les volontaires sains

Oui

Sexes éligibles pour l'étude

Femelle

La description

Inclusion Criteria for patients:

  • Restrictive anorexia nervosa according to Diagnostic and Statistical Manual of Mental Disorders Text Revision (DSM IV-TR)
  • BMI> 16 to avoid the effects of undernutrition
  • Start disorders <10 years
  • Right handed
  • Having given free and informed consent prior to study participation
  • Subject affiliated to the French National Health Insurance

Inclusion Criteria for control group:

  • BMI between 18,5 and 25
  • Right handed
  • Of school level paired in that of the patients (+/-1 the year)
  • Having given free and informed consent prior to study participation
  • Subject affiliated to the French National Health Insurance

Exclusion Criteria for patients and control group:

  • Patients with at the beginning or during the study form of purgative anorexia nervosa
  • Control with disorders of current or past eating behavior.
  • Control making a restrictive diet during the study period
  • Participants with depressive table
  • Participants with a somatic problem restricted movement or a problem of uncorrected visual acuity annoying reading of the screen.

Plan d'étude

Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.

Comment l'étude est-elle conçue ?

Détails de conception

  • Répartition: Randomisé
  • Modèle interventionnel: Affectation parallèle
  • Masquage: Aucun (étiquette ouverte)

Armes et Interventions

Groupe de participants / Bras
Intervention / Traitement
Expérimental: Patients group 1
TEA + Grober Test + Task 1 + Grober Test
Autre: TEA + Grober Test + Task 1 + Grober Test

The Test of Everyday Attention (TEA) measures the reaction time of the participant during the occurrence of an expected stimulus.

The Grober Test with 16 words to learn and to remember, measures the episodic verbal memory long term.

The Task 1 consists of a stimulus that moves on the screen. The response of the patient is done on the keyboard. It is composed on two conditions: one is fast (without conscious), the other consists in assessing words (conscious). It includes food and non-food words.
Expérimental: Patients group 2
TEA + Grober Test + Task 2 + Grober Test
Autre: TEA + Grober Test + Task 2 + Grober Test

The TEA measures the reaction time of the participant during the occurrence of an expected stimulus.

The Grober Test with 16 words to learn and to remember, measures the episodic verbal memory long term.

The Task 2 consists of a stimulus that is fixed on the screen. The response of the patient is done by pushing or pulling a lever. It is composed on two conditions: one is fast (without conscious), the other consists in assessing words (conscious). It includes food and non-food words.
Expérimental: Patients group 3
TEA + Grober Test + Implicit Task 3 + Grober Test
Autre: TEA + Grober Test + Implicit Task 3 + Grober Test

The TEA measures the reaction time of the participant during the occurrence of an expected stimulus.

The Grober Test with 16 words to learn and to remember, measures the episodic verbal memory long term.

The Task 3 is a compilation of tasks 1 and 2 to investigate the bidirectional link. The instructions are implicit condition to detect an A in the word ("yes-no" answer).
Expérimental: Patients group 4
TEA + Grober Test + Explicit Task 3 + Grober Test
Autre: TEA + Grober Test + Explicit Task 3 + Grober Test

The TEA measures the reaction time of the participant during the occurrence of an expected stimulus.

The Grober Test with 16 words to learn and to remember, measures the episodic verbal memory long term.

The Task 3 is a compilation of tasks 1 and 2 to investigate the bidirectional link. The instructions are explicit condition to judge the emotional value of words ("positive-negative" answer).
Comparateur actif: Healthy volonteers group 1
TEA + Grober Test + Task 1 + Grober Test
Autre: TEA + Grober Test + Task 1 + Grober Test

The Test of Everyday Attention (TEA) measures the reaction time of the participant during the occurrence of an expected stimulus.

The Grober Test with 16 words to learn and to remember, measures the episodic verbal memory long term.

The Task 1 consists of a stimulus that moves on the screen. The response of the patient is done on the keyboard. It is composed on two conditions: one is fast (without conscious), the other consists in assessing words (conscious). It includes food and non-food words.
Comparateur actif: Healthy volonteers group 2
TEA + Grober Test + Task 2 + Grober Test
Autre: TEA + Grober Test + Task 2 + Grober Test

The TEA measures the reaction time of the participant during the occurrence of an expected stimulus.

The Grober Test with 16 words to learn and to remember, measures the episodic verbal memory long term.

The Task 2 consists of a stimulus that is fixed on the screen. The response of the patient is done by pushing or pulling a lever. It is composed on two conditions: one is fast (without conscious), the other consists in assessing words (conscious). It includes food and non-food words.
Comparateur actif: Healthy volonteers group 3
TEA + Grober Test + Implicit Task 3 + Grober Test
Autre: TEA + Grober Test + Implicit Task 3 + Grober Test

The TEA measures the reaction time of the participant during the occurrence of an expected stimulus.

The Grober Test with 16 words to learn and to remember, measures the episodic verbal memory long term.

The Task 3 is a compilation of tasks 1 and 2 to investigate the bidirectional link. The instructions are implicit condition to detect an A in the word ("yes-no" answer).
Comparateur actif: Healthy volonteers group 4
TEA + Grober Test + Explicit Task 3 + Grober Test
Autre: TEA + Grober Test + Explicit Task 3 + Grober Test

The TEA measures the reaction time of the participant during the occurrence of an expected stimulus.

The Grober Test with 16 words to learn and to remember, measures the episodic verbal memory long term.

The Task 3 is a compilation of tasks 1 and 2 to investigate the bidirectional link. The instructions are explicit condition to judge the emotional value of words ("positive-negative" answer).

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats
Description de la mesure
Délai
Response time (ms) in the different conditions of the three tasks (composite measure)
Délai: Day 1

Tasks are:

  • tap a key on the computer keyboard during the presentation of food and non-food words containing an "A" on a computer screen
  • pull a lever towards you at the presentation of food and non-food words on a computer screen
  • pull a lever towards you at the presentation of food and non-food words that approach on a computer screen
Day 1

Mesures de résultats secondaires

Mesure des résultats
Description de la mesure
Délai
BMI in kg/m²
Délai: Day 1
The Body Mass Index (BMI) is defined as the body mass divided by the square of the body height.
Day 1
Rate of wrong answers
Délai: Day 1
It is the rate of wrong answers in the different conditions of the three tasks.
Day 1
Score EDI-2
Délai: Day 1
The Eating Disorder Inventory (EDI) is a self-report questionnaire used to assess the presence of eating disorders.
Day 1
Silhouettes test score
Délai: Day 1
The patient selects among several silhouettes a silhouette to represent her real body image and her ideal body image.
Day 1

Collaborateurs et enquêteurs

C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.

Parrainer

Centre Hospitalier Universitaire de Saint Etienne

Les enquêteurs

  • Chercheur principal: Catherine MASSOUBRE, MD PhD, CHU de Saint-Etienne

Dates d'enregistrement des études

Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.

Dates principales de l'étude

Début de l'étude

1 mai 2011

Achèvement primaire (Réel)

1 janvier 2016

Achèvement de l'étude (Réel)

1 janvier 2016

Dates d'inscription aux études

Première soumission

31 août 2015

Première soumission répondant aux critères de contrôle qualité

1 septembre 2015

Première publication (Estimation)

2 septembre 2015

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Estimation)

10 mars 2016

Dernière mise à jour soumise répondant aux critères de contrôle qualité

9 mars 2016

Dernière vérification

1 mars 2016

Plus d'information

Termes liés à cette étude

Mots clés

Termes MeSH pertinents supplémentaires

Autres numéros d'identification d'étude

  • 1001179
  • 2010-A01523-36 (Autre identifiant: ANSM)

Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .

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