47 Participants Needed

EEG for Prediction Error in Anorexia

MS
GF
Overseen ByGuido Frank, MD
Age: < 18
Sex: Female
Trial Phase: Academic
Sponsor: University of California, San Diego
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial uses EEG (a test that records brain activity) to study the brain's reward system in adolescents with anorexia nervosa. Researchers aim to determine if EEG can replace more expensive and less accessible brain imaging methods like fMRI. Participants will complete prediction error tasks involving taste and money rewards to measure brain responses. The trial seeks females aged 11-17 who either have a current diagnosis of anorexia nervosa or are healthy controls within a healthy weight range. As an unphased trial, it offers participants the opportunity to contribute to important research that could lead to more accessible diagnostic tools.

Will I have to stop taking my current medications?

The trial requires that participants with anorexia nervosa must not have used anti-psychotic or other dopamine-acting medications, including stimulants, within the past week at the time of MRI. For healthy controls, current medications other than birth control pills or IUDs are not allowed.

What prior data suggests that this EEG method is safe for studying prediction error in adolescent anorexia nervosa?

Research shows that tasks designed to study reactions to surprises, known as prediction error tasks, are generally safe and well-tolerated. These tasks help researchers understand how unexpected events affect the brain, which can aid in treating anorexia nervosa.

Regarding safety, no serious side effects have been reported from these tasks. Studies indicate that learning about prediction error can help manage anorexia nervosa without causing harm. Although this method remains under investigation, current evidence suggests it is safe for participants.12345

Why are researchers excited about this trial?

Researchers are excited about the EEG for Prediction Error in Anorexia trial because it explores a new technique that could offer fresh insights into treating anorexia nervosa. Unlike current treatments, which often focus on nutritional rehabilitation and psychotherapy, this approach uses prediction error tasks to potentially identify and correct cognitive patterns related to the disorder. By examining brain activity through EEG, scientists hope to uncover how individuals with anorexia process errors in prediction, which could lead to developing more targeted and effective interventions. This innovative angle could pave the way for breakthroughs in understanding and possibly treating anorexia at its cognitive roots.

What evidence suggests that using EEG for prediction error tasks is effective for studying adolescent anorexia nervosa?

Research shows that people with anorexia nervosa (AN) exhibit a stronger "prediction error" signal in their brains, related to reward processing. Studies have found that this stronger signal links to weight gain during treatment, suggesting it might predict therapy response. In teenagers with AN, unexpected events or rewards activate certain brain areas more than in healthy individuals. This increased brain activity might connect to the dopamine system, which medications can target. By studying these brain signals, researchers aim to find better ways to treat and understand AN. Using EEG, a test that measures brain waves, instead of more expensive imaging, can make these studies more accessible and widespread.

This trial will compare participants with anorexia nervosa to healthy controls to further investigate these brain signals and their implications for treatment.23567

Who Is on the Research Team?

GF

Guido Frank, MD

Principal Investigator

University of California, San Diego

Are You a Good Fit for This Trial?

This trial is for girls aged 11-17 with Anorexia Nervosa (AN), specifically the restricting type, and healthy controls within a similar age range. Participants must have a body weight below 17.5 BMI if diagnosed with AN or between 90-110% of average body weight if they are healthy controls. All participants should be right-handed as per the Edinburgh Handedness Inventory, speak English primarily, and for those with AN, be in their first weeks of treatment at specified centers.

Inclusion Criteria

My weight is within the normal range for my height.
Participants must not have a type of eating disorder that involves binge eating and purging behaviors.
My weight is within the normal range for my height.
See 9 more

Exclusion Criteria

mental retardation
I am taking medications other than birth control pills or IUDs.
Major Medical illness (as determined through medical history in bioscreen and PI interview) such as:
See 43 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

EEG Session for Taste Prediction Error

Participants undergo an EEG session to perform a taste prediction error paradigm

Immediate during brain scanning
1 visit (in-person)

EEG Session for Monetary Prediction Error

Participants undergo an EEG session to perform a monetary reward prediction error paradigm

Immediate during brain scanning
1 visit (in-person)

Follow-up

Participants are monitored for safety and effectiveness after EEG sessions

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Prediction error tasks
Trial Overview The study aims to develop an EEG-based method to investigate prediction error responses in adolescents with AN compared to healthy controls. It will adapt existing fMRI protocols for EEG use and test whether these can reliably measure brain responses related to reward processing errors across different stimuli like taste and money.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Group I: Healthy Control GroupExperimental Treatment1 Intervention
Group II: Anorexia Nervosa GroupExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of California, San Diego

Lead Sponsor

Trials
1,215
Recruited
1,593,000+

Citations

Predicting anorexia nervosa treatment efficacy - PubMed CentralThis data-driven approach offers an unbiased means to uncover predictors of specific outcomes, advancing the understanding and management of this challenging ...
Association of Brain Reward Response With Body Mass Index ...The direction of the prediction error is indicated by its sign, which indicates a better (positive) or worse (negative) outcome than expected.
Brain Reward Learning Response in Adolescent Anorexia ...These results further support elevated PE signal in AN and suggest a link between PE and elevated harm avoidance, brain connectivity, and weight gain in AN.
Adapting a neuroscience-informed intervention to alter reward ...Association of elevated reward prediction error response with weight gain in adolescent anorexia nervosa. Am J Psychiatry. 2017;174(6):557 ...
Dopamine Receptor Contributions to Prediction Error and ...This task measures responsiveness to unexpected stimulus in the dopamine related brain circuitry. Study participants in both the healthy control group and ...
Association of Elevated Reward Prediction Error Response ...Prediction error response could be a neurobiological marker of illness severity that can indicate individual treatment needs. Anorexia nervosa ...
A meta-analysis of task-based functional MRI studiesThe goal of this study was to discern the neural activation patterns associated with anorexia nervosa (AN) in response to tasks related to body-, food-, ...
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