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

9 maart 2016 bijgewerkt door: 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).

Studie Overzicht

Toestand

Voltooid

Conditie

Interventie / Behandeling

Gedetailleerde beschrijving

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.

Studietype

Ingrijpend

Inschrijving (Werkelijk)

176

Fase

  • Niet toepasbaar

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studie Locaties

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

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

18 jaar tot 36 jaar (Volwassen)

Accepteert gezonde vrijwilligers

Ja

Geslachten die in aanmerking komen voor studie

Vrouw

Beschrijving

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.

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

  • Toewijzing: Gerandomiseerd
  • Interventioneel model: Parallelle opdracht
  • Masker: Geen (open label)

Wapens en interventies

Deelnemersgroep / Arm
Interventie / Behandeling
Experimenteel: Patients group 1
TEA + Grober Test + Task 1 + Grober Test
Ander: 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.
Experimenteel: Patients group 2
TEA + Grober Test + Task 2 + Grober Test
Ander: 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.
Experimenteel: Patients group 3
TEA + Grober Test + Implicit Task 3 + Grober Test
Ander: 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).
Experimenteel: Patients group 4
TEA + Grober Test + Explicit Task 3 + Grober Test
Ander: 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).
Actieve vergelijker: Healthy volonteers group 1
TEA + Grober Test + Task 1 + Grober Test
Ander: 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.
Actieve vergelijker: Healthy volonteers group 2
TEA + Grober Test + Task 2 + Grober Test
Ander: 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.
Actieve vergelijker: Healthy volonteers group 3
TEA + Grober Test + Implicit Task 3 + Grober Test
Ander: 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).
Actieve vergelijker: Healthy volonteers group 4
TEA + Grober Test + Explicit Task 3 + Grober Test
Ander: 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).

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Response time (ms) in the different conditions of the three tasks (composite measure)
Tijdsspanne: 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

Secundaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
BMI in kg/m²
Tijdsspanne: 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
Tijdsspanne: Day 1
It is the rate of wrong answers in the different conditions of the three tasks.
Day 1
Score EDI-2
Tijdsspanne: 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
Tijdsspanne: Day 1
The patient selects among several silhouettes a silhouette to represent her real body image and her ideal body image.
Day 1

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Sponsor

Centre Hospitalier Universitaire de Saint Etienne

Onderzoekers

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

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start

1 mei 2011

Primaire voltooiing (Werkelijk)

1 januari 2016

Studie voltooiing (Werkelijk)

1 januari 2016

Studieregistratiedata

Eerst ingediend

31 augustus 2015

Eerst ingediend dat voldeed aan de QC-criteria

1 september 2015

Eerst geplaatst (Schatting)

2 september 2015

Updates van studierecords

Laatste update geplaatst (Schatting)

10 maart 2016

Laatste update ingediend die voldeed aan QC-criteria

9 maart 2016

Laatst geverifieerd

1 maart 2016

Meer informatie

Termen gerelateerd aan deze studie

Trefwoorden

Aanvullende relevante MeSH-voorwaarden

Andere studie-ID-nummers

  • 1001179
  • 2010-A01523-36 (Andere identificatie: ANSM)

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