Study Summary
This trial will test whether Cereset can help improve stress, anxiety, and insomnia symptoms by improving autonomic function.
- Psychophysiologic Disorders
- Neurological Disorders
- Neonatal Cardiovascular Conditions
Treatment Effectiveness
Effectiveness Progress
Study Objectives
4 Primary · 9 Secondary · Reporting Duration: Baseline, V2 (0-14 days after final session), and V3 (4-6 weeks after V2)
Trial Safety
Safety Progress
Trial Design
1 Treatment Group
Experimental: Active CR
1 of 1
Experimental Treatment
150 Total Participants · 1 Treatment Group
Primary Treatment: Active CR · No Placebo Group · N/A
Trial Logistics
Trial Timeline
Who is running the clinical trial?
Eligibility Criteria
Age Any Age · All Participants · 2 Total Inclusion Criteria
Mark “Yes” if the following statements are true for you:- Moscovitch, David A., Diane L. Santesso, Vladimir Miskovic, Randi E. McCabe, Martin M. Antony, and Louis A. Schmidt. 2011. “Frontal EEG Asymmetry and Symptom Response to Cognitive Behavioral Therapy in Patients with Social Anxiety Disorder”. Biological Psychology. Elsevier BV. doi:10.1016/j.biopsycho.2011.04.009.
- Beckham, Jean C., Casey T. Taft, Scott R. Vrana, Michelle E. Feldman, John C. Barefoot, Scott D. Moore, Susannah L. Mozley, Marian I. Butterfield, and Patrick S. Calhoun. 2003. “Ambulatory Monitoring and Physical Health Report in Vietnam Veterans with and Without Chronic Posttraumatic Stress Disorder”. Journal of Traumatic Stress. Wiley. doi:10.1023/a:1024457700599.
- Park, Jeanie, Paul J. Marvar, Peizhou Liao, Melanie L. Kankam, Seth D. Norrholm, Ryan M. Downey, S. Ashley McCullough, Ngoc-Anh Le, and Barbara O. Rothbaum. 2017. “Baroreflex Dysfunction and Augmented Sympathetic Nerve Responses During Mental Stress in Veterans with Post-traumatic Stress Disorder”. The Journal of Physiology. Wiley. doi:10.1113/jp274269.
- Lee, Sung W., Lee Gerdes, Catherine L. Tegeler, Hossam A. Shaltout, and Charles H. Tegeler. 2014. “A Bihemispheric Autonomic Model for Traumatic Stress Effects on Health and Behavior”. Frontiers in Psychology. Frontiers Media SA. doi:10.3389/fpsyg.2014.00843.
- Tegeler, Charles H., Sandhya R. Kumar, Dave Conklin, Sung W. Lee, Lee Gerdes, Dana P. Turner, Catherine L. Tegeler, Brian C. Fidali, and Tim T. Houle. 2012. “Open Label, Randomized, Crossover Pilot Trial of High‐resolution, Relational, Resonance‐based, Electroencephalic Mirroring to Relieve Insomnia”. Brain and Behavior. Wiley. doi:10.1002/brb3.101.
- Stroganova, Tatiana A., Gudrun Nygren, Marina M. Tsetlin, Irina N. Posikera, Christopher Gillberg, Mikael Elam, and Elena V. Orekhova. 2007. “Abnormal EEG Lateralization in Boys with Autism”. Clinical Neurophysiology. Elsevier BV. doi:10.1016/j.clinph.2007.05.005.
- Avram, Julia, Felicia Rodica Balteş, Mircea Miclea, and Andrei C. Miu. 2010. “Frontal EEG Activation Asymmetry Reflects Cognitive Biases in Anxiety: Evidence from an Emotional Face Stroop Task”. Applied Psychophysiology and Biofeedback. Springer Science and Business Media LLC. doi:10.1007/s10484-010-9138-6.
- Kemp, A.H., K. Griffiths, K.L. Felmingham, S.A. Shankman, W. Drinkenburg, M. Arns, C.R. Clark, and R.A. Bryant. 2010. “Disorder Specificity Despite Comorbidity: Resting EEG Alpha Asymmetry in Major Depressive Disorder and Post-traumatic Stress Disorder”. Biological Psychology. Elsevier BV. doi:10.1016/j.biopsycho.2010.08.001.
- Riemann, Dieter, Kai Spiegelhalder, Bernd Feige, Ulrich Voderholzer, Mathias Berger, Michael Perlis, and Christoph Nissen. 2010. “The Hyperarousal Model of Insomnia: A Review of the Concept and Its Evidence”. Sleep Medicine Reviews. Elsevier BV. doi:10.1016/j.smrv.2009.04.002.
- SPIEGELHALDER, KAI, LENA FUCHS, JOHANNES LADWIG, SIMON D. KYLE, CHRISTOPH NISSEN, ULRICH VODERHOLZER, BERND FEIGE, and DIETER RIEMANN. 2011. “Heart Rate and Heart Rate Variability in Subjectively Reported Insomnia”. Journal of Sleep Research. Wiley. doi:10.1111/j.1365-2869.2010.00863.x.
- Tobaldini, Eleonora, Lino Nobili, Silvia Strada, Karina R. Casali, Alberto Braghiroli, and Nicola Montano. 2013. “Heart Rate Variability in Normal and Pathological Sleep”. Frontiers in Physiology. Frontiers Media SA. doi:10.3389/fphys.2013.00294.
- Nolan, Robert P., Philip Jong, Susan M. Barry-Bianchi, Tim H. Tanaka, and John S. Floras. 2008. “Effects of Drug, Biobehavioral and Exercise Therapies on Heart Rate Variability in Coronary Artery Disease: A Systematic Review”. European Journal of Cardiovascular Prevention & Rehabilitation. Oxford University Press (OUP). doi:10.1097/hjr.0b013e3283030a97.
- Sterling, Peter. 2012. “Allostasis: A Model of Predictive Regulation”. Physiology & Behavior. Elsevier BV. doi:10.1016/j.physbeh.2011.06.004.
- Tegeler, Catherine L., Lee Gerdes, Hossam A. Shaltout, Jared F. Cook, Sean L. Simpson, Sung W. Lee, and Charles H. Tegeler. 2017. “Successful Use of Closed-loop Allostatic Neurotechnology for Post-traumatic Stress Symptoms in Military Personnel: Self-reported and Autonomic Improvements”. Military Medical Research. Springer Science and Business Media LLC. doi:10.1186/s40779-017-0147-0.
- Smarr, Karen L., and Autumn L. Keefer. 2011. “Measures of Depression and Depressive Symptoms: Beck Depression Inventory-ii (BDI-II), Center for Epidemiologic Studies Depression Scale (CES-D), Geriatric Depression Scale (GDS), Hospital Anxiety and Depression Scale (HADS), and Patient Health Questionna”. Arthritis Care & Research. Wiley. doi:10.1002/acr.20556.
- Hale, T. Sigi, Susan L. Smalley, Patricia D. Walshaw, Grant Hanada, James Macion, James T. McCracken, James J. McGough, and Sandra K. Loo. 2010. “Atypical EEG Beta Asymmetry in Adults with ADHD”. Neuropsychologia. Elsevier BV. doi:10.1016/j.neuropsychologia.2010.08.002.
- Spironelli, Chiara, Barbara Penolazzi, and Alessandro Angrilli. 2008. “Dysfunctional Hemispheric Asymmetry of Theta and Beta EEG Activity During Linguistic Tasks in Developmental Dyslexia”. Biological Psychology. Elsevier BV. doi:10.1016/j.biopsycho.2007.09.009.
- Rabe, Sirko, André Beauducel, Tanja Zöllner, Andreas Maercker, and Anke Karl. 2006. “Regional Brain Electrical Activity in Posttraumatic Stress Disorder After Motor Vehicle Accident.”. Journal of Abnormal Psychology. American Psychological Association (APA). doi:10.1037/0021-843x.115.4.687.
- Metzger, Linda J., Stephen R. Paige, Margaret A. Carson, Natasha B. Lasko, Lynn A. Paulus, Roger K. Pitman, and Scott P. Orr. 2004. “PTSD Arousal and Depression Symptoms Associated with Increased Right-sided Parietal EEG Asymmetry.”. Journal of Abnormal Psychology. American Psychological Association (APA). doi:10.1037/0021-843x.113.2.324.
- Maes, J., J. Verbraecken, M. Willemen, I. De Volder, A. van Gastel, N. Michiels, I. Verbeek, et al.. 2014. “Sleep Misperception, EEG Characteristics and Autonomic Nervous System Activity in Primary Insomnia: A Retrospective Study on Polysomnographic Data”. International Journal of Psychophysiology. Elsevier BV. doi:10.1016/j.ijpsycho.2013.10.012.
- Lee, Elizabeth A. D., Joe K. Bissett, Michael A. Carter, Patricia A. Cowan, Jeffrey M. Pyne, Patricia M. Speck, Sue A. Theus, and Elizabeth A. Tolley. 2013. “Preliminary Findings of the Relationship of Lower Heart Rate Variability with Military Sexual Trauma and Presumed Posttraumatic Stress Disorder”. Journal of Traumatic Stress. Wiley. doi:10.1002/jts.21797.
- Carnethon, Mercedes R., Sherita H. Golden, Aaron R. Folsom, William Haskell, and Duanping Liao. 2003. “Prospective Investigation of Autonomic Nervous System Function and the Development of Type 2 Diabetes”. Circulation. Ovid Technologies (Wolters Kluwer Health). doi:10.1161/01.cir.0000066324.74807.95.
- Chang, Yaw-Wen, Jin-Ding Lin, Wei-Liang Chen, Chia-Feng Yen, Ching-Hui Loh, Wen-Hui Fang, and Li-Wei Wu. 2012. “Metabolic Syndrome and Short-term Heart Rate Variability in Adults with Intellectual Disabilities”. Research in Developmental Disabilities. Elsevier BV. doi:10.1016/j.ridd.2012.04.005.
- Thayer, Julian F., Anita L. Hansen, Evelyn Saus-Rose, and Bjorn Helge Johnsen. 2009. “Heart Rate Variability, Prefrontal Neural Function, and Cognitive Performance: The Neurovisceral Integration Perspective on Self-regulation, Adaptation, and Health”. Annals of Behavioral Medicine. Oxford University Press (OUP). doi:10.1007/s12160-009-9101-z.
- Blanchard, Edward B., Jacqueline Jones-Alexander, Todd C. Buckley, and Catherine A. Forneris. 1996. “Psychometric Properties of the PTSD Checklist (PCL)”. Behaviour Research and Therapy. Elsevier BV. doi:10.1016/0005-7967(96)00033-2.
- Crandall, Christian S., Jeanne J. Preisler, and Julie Aussprung. 1992. “Measuring Life Event Stress in the Lives of College Students: The Undergraduate Stress Questionnaire (USQ)”. Journal of Behavioral Medicine. Springer Science and Business Media LLC. doi:10.1007/bf00844860.
- Burckhardt, Carol S., Susan L. Woods, Alyce A. Schultz, and Donna M. Ziebarth. 1989. “Quality of Life of Adults with Chronic Illness: A Psychometric Study”. Research in Nursing & Health. Wiley. doi:10.1002/nur.4770120604.
- Eckner, James T., Jeffrey S. Kutcher, and James K. Richardson. 2010. “Pilot Evaluation of a Novel Clinical Test of Reaction Time in National Collegiate Athletic Association Division I Football Players”. Journal of Athletic Training. Journal of Athletic Training/NATA. doi:10.4085/1062-6050-45.4.327.
- Bush, Kristen. 1998. “The AUDIT Alcohol Consumption Questions (audit-c)an Effective Brief Screening Test for Problem Drinking”. Archives of Internal Medicine. American Medical Association (AMA). doi:10.1001/archinte.158.16.1789.
- Lee, Sung W., Paul J. Laurienti, Jonathan H. Burdette, Catherine L. Tegeler, Ashley R. Morgan, Sean L. Simpson, Lee Gerdes, and Charles H. Tegeler. 2018. “Functional Brain Network Changes Following Use of an Allostatic, Closed-loop, Acoustic Stimulation Neurotechnology for Military-related Traumatic Stress”. Journal of Neuroimaging. Wiley. doi:10.1111/jon.12571.
- Buysse, Daniel J., Charles F. Reynolds III, Timothy H. Monk, Susan R. Berman, and David J. Kupfer. 1989. “The Pittsburgh Sleep Quality Index: A New Instrument for Psychiatric Practice and Research”. Psychiatry Research. Elsevier BV. doi:10.1016/0165-1781(89)90047-4.
- Hale, T. Sigi, Susan L. Smalley, Jeff Dang, Grant Hanada, James Macion, James T. McCracken, James J. McGough, and Sandra K. Loo. 2010. “ADHD Familial Loading and Abnormal EEG Alpha Asymmetry in Children with ADHD”. Journal of Psychiatric Research. Elsevier BV. doi:10.1016/j.jpsychires.2009.11.012.
- Hale, T. Sigi, Susan L. Smalley, Grant Hanada, James Macion, James T. McCracken, James J. McGough, and Sandra K. Loo. 2009. “Atypical Alpha Asymmetry in Adults with ADHD☆”. Neuropsychologia. Elsevier BV. doi:10.1016/j.neuropsychologia.2009.03.021.
- Cohen, Hagit, Jonathan Benjamin, Amir B. Geva, Mike A. Matar, Zeev Kaplan, and Moshe Kotler. 2000. “Autonomic Dysregulation in Panic Disorder and in Post-traumatic Stress Disorder: Application of Power Spectrum Analysis of Heart Rate Variability at Rest and in Response to Recollection of Trauma or Panic Attacks”. Psychiatry Research. Elsevier BV. doi:10.1016/s0165-1781(00)00195-5.
- Shah, Amit J., Rachel Lampert, Jack Goldberg, Emir Veledar, J. Douglas Bremner, and Viola Vaccarino. 2013. “Posttraumatic Stress Disorder and Impaired Autonomic Modulation in Male Twins”. Biological Psychiatry. Elsevier BV. doi:10.1016/j.biopsych.2013.01.019.
- Spitzer, Robert L., Kurt Kroenke, Janet B. W. Williams, and Bernd Löwe. 2006. “A Brief Measure for Assessing Generalized Anxiety Disorder”. Archives of Internal Medicine. American Medical Association (AMA). doi:10.1001/archinte.166.10.1092.
- Roberts, Helen C., Hayley J. Denison, Helen J. Martin, Harnish P. Patel, Holly Syddall, Cyrus Cooper, and Avan Aihie Sayer. 2011. “A Review of the Measurement of Grip Strength in Clinical and Epidemiological Studies: Towards a Standardised Approach”. Age and Ageing. Oxford University Press (OUP). doi:10.1093/ageing/afr051.
- Thibodeau, Ryan, Randall S. Jorgensen, and Sangmoon Kim. 2006. “Depression, Anxiety, and Resting Frontal EEG Asymmetry: A Meta-analytic Review.”. Journal of Abnormal Psychology. American Psychological Association (APA). doi:10.1037/0021-843x.115.4.715.
- Marzano, Cristina, Michele Ferrara, Emilia Sforza, and Luigi De Gennaro. 2008. “Quantitative Electroencephalogram (EEG) in Insomnia: A New Window on Pathophysiological Mechanisms”. Current Pharmaceutical Design. Bentham Science Publishers Ltd.. doi:10.2174/138161208786549326.
- Tsuji, Hisako, Martin G. Larson, Ferdinand J. Venditti, Emily S. Manders, Jane C. Evans, Charles L. Feldman, and Daniel Levy. 1996. “Impact of Reduced Heart Rate Variability on Risk for Cardiac Events”. Circulation. Ovid Technologies (Wolters Kluwer Health). doi:10.1161/01.cir.94.11.2850.
- Dekker, J. M., E. G. Schouten, P. Klootwijk, J. Pool, C. A. Swenne, and D. Kromhout. 1997. “Heart Rate Variability from Short Electrocardiographic Recordings Predicts Mortality from All Causes in Middle-aged and Elderly Men: The Zutphen Study”. American Journal of Epidemiology. Oxford University Press (OUP). doi:10.1093/oxfordjournals.aje.a009049.
- Beauchaine, Theodore P., and Julian F. Thayer. 2015. “Heart Rate Variability as a Transdiagnostic Biomarker of Psychopathology”. International Journal of Psychophysiology. Elsevier BV. doi:10.1016/j.ijpsycho.2015.08.004.
- Chandra, Preeti, Robin L. Sands, Brenda W. Gillespie, Nathan W. Levin, Peter Kotanko, Margaret Kiser, Fredric Finkelstein, et al.. 2011. “Predictors of Heart Rate Variability and Its Prognostic Significance in Chronic Kidney Disease”. Nephrology Dialysis Transplantation. Oxford University Press (OUP). doi:10.1093/ndt/gfr340.
- Gerdes, Lee, Peter Gerdes, Sung W. Lee, and Charles H. Tegeler. 2013. “HIRREM™: A Noninvasive, Allostatic Methodology for Relaxation and Auto-calibration of Neural Oscillations”. Brain and Behavior. Wiley. doi:10.1002/brb3.116.
- Lazarev, V.V., A. Pontes, A.A. Mitrofanov, and L.C. deAzevedo. 2010. “Interhemispheric Asymmetry in EEG Photic Driving Coherence in Childhood Autism”. Clinical Neurophysiology. Elsevier BV. doi:10.1016/j.clinph.2009.10.010.
- Katz-Leurer, Michal, Hemda Rotem, Ofer Keren, and Shirley Meyer. 2010. “Heart Rate and Heart Rate Variability at Rest and During Exercise in Boys Who Suffered a Severe Traumatic Brain Injury and Typically-developed Controls”. Brain Injury. Informa UK Limited. doi:10.3109/02699050903508234.
- Minassian, Arpi, Mark A. Geyer, Dewleen G. Baker, Caroline M. Nievergelt, Daniel T. O’Connor, and Victoria B. Risbrough. 2014. “Heart Rate Variability Characteristics in a Large Group of Active-duty Marines and Relationship to Posttraumatic Stress”. Psychosomatic Medicine. Ovid Technologies (Wolters Kluwer Health). doi:10.1097/psy.0000000000000056.
- Tegeler, Charles H., Catherine L. Tegeler, Jared F. Cook, Sung W. Lee, and Nicholas M. Pajewski. 2015. “Reduction in Menopause-related Symptoms Associated with Use of a Noninvasive Neurotechnology for Autocalibration of Neural Oscillations”. Menopause. Ovid Technologies (Wolters Kluwer Health). doi:10.1097/gme.0000000000000422.
- Tegeler, Charles H., Hossam A. Shaltout, Catherine L. Tegeler, Lee Gerdes, and Sung W. Lee. 2015. “Rightward Dominance in Temporal High‐frequency Electrical Asymmetry Corresponds to Higher Resting Heart Rate and Lower Baroreflex Sensitivity in a Heterogeneous Population”. Brain and Behavior. Wiley. doi:10.1002/brb3.343.
- Morin, Charles M., Geneviève Belleville, Lynda Bélanger, and Hans Ivers. 2011. “The Insomnia Severity Index: Psychometric Indicators to Detect Insomnia Cases and Evaluate Treatment Response”. Sleep. Oxford University Press (OUP). doi:10.1093/sleep/34.5.601.
- Bradley, Katharine A., Kristen R. Bush, Amee J. Epler, Dorcas J. Dobie, Tania M. Davis, Jennifer L. Sporleder, Charles Maynard, Marcia L. Burman, and Daniel R. Kivlahan. 2003. “Two Brief Alcohol-screening Tests from the Alcohol Use Disorders Identification Test (AUDIT)”. Archives of Internal Medicine. American Medical Association (AMA). doi:10.1001/archinte.163.7.821.
- Bradley, Katharine A., Anna F. DeBenedetti, Robert J. Volk, Emily C. Williams, Danielle Frank, and Daniel R. Kivlahan. 2007. “AUDIT-C as a Brief Screen for Alcohol Misuse in Primary Care”. Alcoholism: Clinical and Experimental Research. Wiley. doi:10.1111/j.1530-0277.2007.00403.x.
- Park, Joo Eon, Ji Yeon Lee, Suk-Hoon Kang, Jin Hee Choi, Tae Yong Kim, Hyung Seok So, and In-Young Yoon. 2017. “Heart Rate Variability of Chronic Posttraumatic Stress Disorder in the Korean Veterans”. Psychiatry Research. Elsevier BV. doi:10.1016/j.psychres.2017.05.011.
- Minassian, Arpi, Adam X. Maihofer, Dewleen G. Baker, Caroline M. Nievergelt, Mark A. Geyer, and Victoria B. Risbrough. 2015. “Association of Predeployment Heart Rate Variability with Risk of Postdeployment Posttraumatic Stress Disorder in Active-duty Marines”. JAMA Psychiatry. American Medical Association (AMA). doi:10.1001/jamapsychiatry.2015.0922.
- Pyne, Jeffrey M., Joseph I. Constans, Mark D. Wiederhold, Douglas P. Gibson, Timothy Kimbrell, Teresa L. Kramer, Jeffery A. Pitcock, et al.. 2016. “Heart Rate Variability: Pre-deployment Predictor of Post-deployment PTSD Symptoms”. Biological Psychology. Elsevier BV. doi:10.1016/j.biopsycho.2016.10.008.
- Kleiger, Robert E., J.Philip Miller, J.Thomas Bigger Jr., and Arthur J. Moss. 1987. “Decreased Heart Rate Variability and Its Association with Increased Mortality After Acute Myocardial Infarction”. The American Journal of Cardiology. Elsevier BV. doi:10.1016/0002-9149(87)90795-8.
- Bellesi, Michele, Brady A. Riedner, Gary N. Garcia-Molina, Chiara Cirelli, and Giulio Tononi. 2014. “Enhancement of Sleep Slow Waves: Underlying Mechanisms and Practical Consequences”. Frontiers in Systems Neuroscience. Frontiers Media SA. doi:10.3389/fnsys.2014.00208.
- Tegeler, Charles H., Catherine L. Tegeler, Jared F. Cook, Sung W. Lee, Lee Gerdes, Hossam A. Shaltout, Christopher M. Miles, and Sean L. Simpson. 2016. “A Preliminary Study of the Effectiveness of an Allostatic, Closed-loop, Acoustic Stimulation Neurotechnology in the Treatment of Athletes with Persisting Post-concussion Symptoms”. Sports Medicine - Open. Springer Science and Business Media LLC. doi:10.1186/s40798-016-0063-y.
- Fortunato, John E., Catherine L. Tegeler, Lee Gerdes, Sung W. Lee, Nicholas M. Pajewski, Meghan E. Franco, Jared F. Cook, Hossam A. Shaltout, and Charles H. Tegeler. 2015. “Use of an Allostatic Neurotechnology by Adolescents with Postural Orthostatic Tachycardia Syndrome (POTS) Is Associated with Improvements in Heart Rate Variability and Changes in Temporal Lobe Electrical Activity”. Experimental Brain Research. Springer Science and Business Media LLC. doi:10.1007/s00221-015-4499-y.
- Burckhardt, Carol S, and Kathryn L Anderson. 2003. “[]”. Health and Quality of Life Outcomes. Springer Science and Business Media LLC. doi:10.1186/1477-7525-1-60.
- Lee, Paul H, Duncan J Macfarlane, TH Lam, and Sunita M Stewart. 2011. “Validity of the International Physical Activity Questionnaire Short Form (IPAQ-SF): A Systematic Review”. International Journal of Behavioral Nutrition and Physical Activity. Springer Science and Business Media LLC. doi:10.1186/1479-5868-8-115.
- Khandoker, Ahsan H., Herbert F. Jelinek, and Marimuthu Palaniswami. 2008. “Heart Rate Variability and Complexity in People with Diabetes Associated Cardiac Autonomic Neuropathy”. 2008 30th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE. doi:10.1109/iembs.2008.4650261.
- Bastien, C. 2001. “Validation of the Insomnia Severity Index as an Outcome Measure for Insomnia Research”. Sleep Medicine. Elsevier BV. doi:10.1016/s1389-9457(00)00065-4.
- Offenbächer, Martin, Sebastian Sauer, Niko Kohls, Millard Waltz, and Peter Schoeps. 2011. “Quality of Life in Patients with Fibromyalgia: Validation and Psychometric Properties of the German Quality of Life Scale (QOLS-G)”. Rheumatology International. Springer Science and Business Media LLC. doi:10.1007/s00296-011-2184-4.
- Tegeler CL, Howard LJ, Schmidt KD, Cook JF, Kumar S, Simpson SL, Lee SW, Gerdes L, Tegeler CH. 0389 USE OF A CLOSED-LOOP ACOUSTIC STIMULATION NEUROTECHNOLOGY IMPROVES SYMPTOMS OF MODERATE TO SEVERE INSOMNIA: RESULTS OF A PLACEBO-CONTROLLED TRIAL. Sleep. 2017;40:A145-A.
- Tegeler, Catherine L., Lee Gerdes, Hossam A. Shaltout, Jared F. Cook, Sean L. Simpson, Sung W. Lee, and Charles H. Tegeler. 2017. “Successful Use of Closed-loop Allostatic Neurotechnology for Post-traumatic Stress Symptoms in Military Personnel: Self-reported and Autonomic Improvements”. Military Medical Research. Springer Science and Business Media LLC. doi:10.1186/s40779-017-0147-0.
- Shaltout HA, Tegeler CL, Lee SW, Tegeler CH. 0363 IN SUBJECTS WITH INSOMNIA, USE OF A CLOSED-LOOP ACOUSTIC STIMULATION NEUROTECHNOLOGY IMPROVES HEART RATE VARIABILITY AND BAROREFLEX SENSITIVITY: RESULTS OF A PLACEBO-CONTROLLED CLINICAL TRIAL. Sleep. 2017;40:A135-A
- Radloff LS. The CES-D Scale: A Self-Report Depression Scale for Research in the General Population. Applied Psychological Measurement. 1977;1:385-401.
- FW W, BT L, DS H, JA H, TM K. The PTSD Checklist (PCL): Reliability, validity, and diagnostic utility. 9th Annual Meeting of the International Society for Traumatic Stress Studies. San Antonio, TX.
- Kaplan NM RB. Technique of blood pressure measurement in the diagnosis of hypertension. UpToDate. Barkris GL, Sheridan AM, eds. Waltham, MA; 2010.
- Spironelli C, Penolazzi B, Angrilli A. Dysfunctional hemispheric asymmetry of theta and beta EEG activity during linguistic tasks in developmental dyslexia. Biol Psychol. 2008 Feb;77(2):123-31. doi: 10.1016/j.biopsycho.2007.09.009. Epub 2007 Oct 2.
- Heart rate variability: standards of measurement, physiological interpretation and clinical use. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Circulation. 1996 Mar 1;93(5):1043-65. No abstract available.
- Spitzer RL, Kroenke K, Williams JB, Lowe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006 May 22;166(10):1092-7. doi: 10.1001/archinte.166.10.1092.
- Metzger LJ, Paige SR, Carson MA, Lasko NB, Paulus LA, Pitman RK, Orr SP. PTSD arousal and depression symptoms associated with increased right-sided parietal EEG asymmetry. J Abnorm Psychol. 2004 May;113(2):324-9. doi: 10.1037/0021-843X.113.2.324.
- Riemann D, Spiegelhalder K, Feige B, Voderholzer U, Berger M, Perlis M, Nissen C. The hyperarousal model of insomnia: a review of the concept and its evidence. Sleep Med Rev. 2010 Feb;14(1):19-31. doi: 10.1016/j.smrv.2009.04.002. Epub 2009 May 28.
- Dekker JM, Schouten EG, Klootwijk P, Pool J, Swenne CA, Kromhout D. Heart rate variability from short electrocardiographic recordings predicts mortality from all causes in middle-aged and elderly men. The Zutphen Study. Am J Epidemiol. 1997 May 15;145(10):899-908. doi: 10.1093/oxfordjournals.aje.a009049.
- Carnethon MR, Golden SH, Folsom AR, Haskell W, Liao D. Prospective investigation of autonomic nervous system function and the development of type 2 diabetes: the Atherosclerosis Risk In Communities study, 1987-1998. Circulation. 2003 May 6;107(17):2190-5. doi: 10.1161/01.CIR.0000066324.74807.95. Epub 2003 Apr 14.
- Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989 May;28(2):193-213. doi: 10.1016/0165-1781(89)90047-4.
- Thibodeau R, Jorgensen RS, Kim S. Depression, anxiety, and resting frontal EEG asymmetry: a meta-analytic review. J Abnorm Psychol. 2006 Nov;115(4):715-29. doi: 10.1037/0021-843X.115.4.715.
- Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983 Dec;24(4):385-96. No abstract available.
- Smarr KL, Keefer AL. Measures of depression and depressive symptoms: Beck Depression Inventory-II (BDI-II), Center for Epidemiologic Studies Depression Scale (CES-D), Geriatric Depression Scale (GDS), Hospital Anxiety and Depression Scale (HADS), and Patient Health Questionnaire-9 (PHQ-9). Arthritis Care Res (Hoboken). 2011 Nov;63 Suppl 11:S454-66. doi: 10.1002/acr.20556. No abstract available.
- Cohen H, Benjamin J, Geva AB, Matar MA, Kaplan Z, Kotler M. Autonomic dysregulation in panic disorder and in post-traumatic stress disorder: application of power spectrum analysis of heart rate variability at rest and in response to recollection of trauma or panic attacks. Psychiatry Res. 2000 Sep 25;96(1):1-13. doi: 10.1016/s0165-1781(00)00195-5.
- Rabe S, Beauducel A, Zollner T, Maercker A, Karl A. Regional brain electrical activity in posttraumatic stress disorder after motor vehicle accident. J Abnorm Psychol. 2006 Nov;115(4):687-98. doi: 10.1037/0021-843X.115.4.687.
- Lee PH, Macfarlane DJ, Lam TH, Stewart SM. Validity of the International Physical Activity Questionnaire Short Form (IPAQ-SF): a systematic review. Int J Behav Nutr Phys Act. 2011 Oct 21;8:115. doi: 10.1186/1479-5868-8-115.
- Roberts HC, Denison HJ, Martin HJ, Patel HP, Syddall H, Cooper C, Sayer AA. A review of the measurement of grip strength in clinical and epidemiological studies: towards a standardised approach. Age Ageing. 2011 Jul;40(4):423-9. doi: 10.1093/ageing/afr051. Epub 2011 May 30.
- Bush K, Kivlahan DR, McDonell MB, Fihn SD, Bradley KA. The AUDIT alcohol consumption questions (AUDIT-C): an effective brief screening test for problem drinking. Ambulatory Care Quality Improvement Project (ACQUIP). Alcohol Use Disorders Identification Test. Arch Intern Med. 1998 Sep 14;158(16):1789-95. doi: 10.1001/archinte.158.16.1789.
- Bradley KA, DeBenedetti AF, Volk RJ, Williams EC, Frank D, Kivlahan DR. AUDIT-C as a brief screen for alcohol misuse in primary care. Alcohol Clin Exp Res. 2007 Jul;31(7):1208-17. doi: 10.1111/j.1530-0277.2007.00403.x. Epub 2007 Apr 19.
- Tobaldini E, Nobili L, Strada S, Casali KR, Braghiroli A, Montano N. Heart rate variability in normal and pathological sleep. Front Physiol. 2013 Oct 16;4:294. doi: 10.3389/fphys.2013.00294.
- Burckhardt CS, Anderson KL. The Quality of Life Scale (QOLS): reliability, validity, and utilization. Health Qual Life Outcomes. 2003 Oct 23;1:60. doi: 10.1186/1477-7525-1-60.
- Avram J, Baltes FR, Miclea M, Miu AC. Frontal EEG activation asymmetry reflects cognitive biases in anxiety: evidence from an emotional face Stroop task. Appl Psychophysiol Biofeedback. 2010 Dec;35(4):285-92. doi: 10.1007/s10484-010-9138-6.
- Nolan RP, Jong P, Barry-Bianchi SM, Tanaka TH, Floras JS. Effects of drug, biobehavioral and exercise therapies on heart rate variability in coronary artery disease: a systematic review. Eur J Cardiovasc Prev Rehabil. 2008 Aug;15(4):386-96. doi: 10.1097/HJR.0b013e3283030a97.
- Blanchard EB, Jones-Alexander J, Buckley TC, Forneris CA. Psychometric properties of the PTSD Checklist (PCL). Behav Res Ther. 1996 Aug;34(8):669-73. doi: 10.1016/0005-7967(96)00033-2.
- Tegeler CH, Tegeler CL, Cook JF, Lee SW, Gerdes L, Shaltout HA, Miles CM, Simpson SL. A Preliminary Study of the Effectiveness of an Allostatic, Closed-Loop, Acoustic Stimulation Neurotechnology in the Treatment of Athletes with Persisting Post-concussion Symptoms. Sports Med Open. 2016 Dec;2(1):39. doi: 10.1186/s40798-016-0063-y. Epub 2016 Sep 14.
- Bradley KA, Bush KR, Epler AJ, Dobie DJ, Davis TM, Sporleder JL, Maynard C, Burman ML, Kivlahan DR. Two brief alcohol-screening tests From the Alcohol Use Disorders Identification Test (AUDIT): validation in a female Veterans Affairs patient population. Arch Intern Med. 2003 Apr 14;163(7):821-9. doi: 10.1001/archinte.163.7.821.
- Tsuji H, Larson MG, Venditti FJ Jr, Manders ES, Evans JC, Feldman CL, Levy D. Impact of reduced heart rate variability on risk for cardiac events. The Framingham Heart Study. Circulation. 1996 Dec 1;94(11):2850-5. doi: 10.1161/01.cir.94.11.2850.
- Morin CM, Belleville G, Belanger L, Ivers H. The Insomnia Severity Index: psychometric indicators to detect insomnia cases and evaluate treatment response. Sleep. 2011 May 1;34(5):601-8. doi: 10.1093/sleep/34.5.601.
- Burckhardt CS, Woods SL, Schultz AA, Ziebarth DM. Quality of life of adults with chronic illness: a psychometric study. Res Nurs Health. 1989 Dec;12(6):347-54. doi: 10.1002/nur.4770120604.
- Marzano C, Ferrara M, Sforza E, De Gennaro L. Quantitative electroencephalogram (EEG) in insomnia: a new window on pathophysiological mechanisms. Curr Pharm Des. 2008;14(32):3446-55. doi: 10.2174/138161208786549326.
- Beckham JC, Taft CT, Vrana SR, Feldman ME, Barefoot JC, Moore SD, Mozley SL, Butterfield MI, Calhoun PS. Ambulatory monitoring and physical health report in Vietnam veterans with and without chronic posttraumatic stress disorder. J Trauma Stress. 2003 Aug;16(4):329-35. doi: 10.1023/A:1024457700599.
- Offenbacher M, Sauer S, Kohls N, Waltz M, Schoeps P. Quality of life in patients with fibromyalgia: validation and psychometric properties of the German Quality of Life Scale (QOLS-G). Rheumatol Int. 2012 Oct;32(10):3243-52. doi: 10.1007/s00296-011-2184-4. Epub 2011 Oct 30.
- Gerdes L, Gerdes P, Lee SW, H Tegeler C. HIRREM: a noninvasive, allostatic methodology for relaxation and auto-calibration of neural oscillations. Brain Behav. 2013 Mar;3(2):193-205. doi: 10.1002/brb3.116. Epub 2013 Jan 14.
- Sterling P. Allostasis: a model of predictive regulation. Physiol Behav. 2012 Apr 12;106(1):5-15. doi: 10.1016/j.physbeh.2011.06.004. Epub 2011 Jun 12.
- Beauchaine TP, Thayer JF. Heart rate variability as a transdiagnostic biomarker of psychopathology. Int J Psychophysiol. 2015 Nov;98(2 Pt 2):338-350. doi: 10.1016/j.ijpsycho.2015.08.004. Epub 2015 Aug 11.
- Bastien CH, Vallieres A, Morin CM. Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep Med. 2001 Jul;2(4):297-307. doi: 10.1016/s1389-9457(00)00065-4.
- Stroganova TA, Nygren G, Tsetlin MM, Posikera IN, Gillberg C, Elam M, Orekhova EV. Abnormal EEG lateralization in boys with autism. Clin Neurophysiol. 2007 Aug;118(8):1842-54. doi: 10.1016/j.clinph.2007.05.005. Epub 2007 Jun 19.
- Kleiger RE, Miller JP, Bigger JT Jr, Moss AJ. Decreased heart rate variability and its association with increased mortality after acute myocardial infarction. Am J Cardiol. 1987 Feb 1;59(4):256-62. doi: 10.1016/0002-9149(87)90795-8.
- Marsac J. [Heart rate variability: a cardiometabolic risk marker with public health implications]. Bull Acad Natl Med. 2013 Jan;197(1):175-86. French.
- 2019. "Cereset Research Exploratory Study". ClinicalTrials.gov. https://clinicaltrials.gov/ct2/show/NCT03777267.
Frequently Asked Questions
Are there still opportunities for patients to join this medical experiment?
"Clinicaltrials.gov reports that this medical trial has begun its search for participants, having been initially published on April 12th 2019 and recently refreshed October 26th 2022." - Anonymous Online Contributor
What are the chief aims of this medical investigation?
"The aims of this trial, evaluated at the Baseline stage, V2 (14 days after final session), and V3 (4-6 weeks after V2) are to assess changes in blood pressure. Additional secondary objectives include evaluating alterations in perceived stress levels using the PSS (scores range from 0-40); insomnia severity with ISI scores ranging between 0-28; and gauging PTSD symptoms via PCL-C ratings which vary across 17 questions on a Likert scale resulting in scores within a spectrum of 17 to 85." - Anonymous Online Contributor
What is the total capacity of participants that this clinical trial can accept?
"Affirmative. The statistics posted on clinicaltrials.gov divulge that this research is now recruiting participants, with an initial post date of April 12th 2019 and most recent update from October 26th 2022. A total of 150 patients are desired for the study at a single site location." - Anonymous Online Contributor