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Translational Model of Anhedonia

A Novel Bench-to-Bedside Translational Model of Anhedonia

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03856177
Enrollment
100
Registered
2019-02-27
Start date
2019-04-01
Completion date
2021-07-01
Last updated
2024-03-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Anhedonia

Brief summary

The proposed research addresses a major mental health issue (anhedonia) with a novel computationally-inspired translational technique in both humans and mice. This approach greatly increases the likelihood that a positive animal model result will be successfully translated to humans. This research plan thus offers a novel way to address the NIMH's mission of defining mechanisms of complex behaviors.

Detailed description

Although considered a trans-diagnostic phenotype, anhedonia can emerge from deficits in motivation, valuation, or hedonic appreciation, each of which reflect different neural processes and are differently expressed across individuals. There is a critical need to refine the construct of anhedonia in order to improve treatment. The long-term goal of this project is to combine computational, imaging, and causal manipulations to define a translational biomarker of diminished valuation in anhedonia. This proposal aims to identify how the EEG response known as the Reward Positivity (RewP) is a candidate biomarker specific to value-based deficiencies in anhedonia. The RewP is only elicited by the presentation of a rewarding outcome, it is decreased in depression, and it scales with the central feature of reinforcement learning models, the positive reward prediction error (+RPE). Importantly, this same neural response can be elicited in rodents using the same learning task as in humans. The objective of this proposal is to test whether induced emotion, depressed mood, and learned helplessness (in mice) directly diminish +RPE coding in the RewP. The rationale for this approach is that electrophysiology is a highly promising tool for identifying mechanisms of complex behaviors and translating these mechanisms between species. Aim 1 will determine if induced emotion and +RPE have independent or interactive effects on the RewP. Aim 2 will recruit depressed participants and determine if anhedonia and +RPE have independent or interactive influences on the source-level generators underlying the RewP (using MEG). Aim 3 will use the same task in a mouse model with infralimbic recordings; this will then test the causal diminishment (learned helplessness) and recovery (fluoxetine) of this mechanism. This proposed research is innovative because it identifies a computational function tightly tied to a neural response that directly addresses the disease-specific phenotype in human patients and is capable of being assessed, manipulated, and recovered within a rodent model. This contribution is expected to be significant because it will advance a translational mechanism for deficient valuation in anhedonia. Upon completion of these aims, the expected outcome will validate the RewP as a sensitive and specific mechanism of aberrant valuation in anhedonia. In line with the Research Domain Criteria framework, the use of computational modeling will facilitate algorithmic contrasts between multiple sub-constructs of approach motivation in the positive valence systems domain. The translational computational psychiatry approach advanced here links circuit-level dysfunction, aberrant computations, and trans-diagnostic behavioral phenotype. The successful completion of the aims advanced here will create a highly promising path for combining these strengths into a computationally-inspired, mechanistically tested, translatable model of aberrant valuation in anhedonia. This novel candidate biomarker will be translatable between species and testable in an outpatient clinic.

Interventions

Described in arm

Sponsors

National Institute of Mental Health (NIMH)
CollaboratorNIH
University of New Mexico
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
BASIC_SCIENCE
Masking
SINGLE (Investigator)

Masking description

Randomization will be based on the last digit (odd vs. even) of the participant's research identifier.

Intervention model description

Participants will be randomly assigned into neutral or emotionally evocative conditions prior to assessing EEG brain signals of reward.

Eligibility

Sex/Gender
ALL
Age
18 Years to 55 Years
Healthy volunteers
Yes

Inclusion criteria

* Men or women aged 18-55 * Free from psychoactive medication for at least 2 weeks

Exclusion criteria

* Participants unwilling or unable to give informed consent * Presence of other known medical or psychiatric comorbidity that in the investigator's opinion would compromise participation in the study * History of psychosis * Not fluent in English

Design outcomes

Primary

MeasureTime frameDescription
Reward Positivity Component of the Event-Related ElectroencephalogramThere will only be one day session (on the date of the randomization) where the Reward Positivity amplitude is assessedThe Reward Positivity is a fronto-centrally located positive voltage burst recorded in the EEG from about 200-500 ms following the receipt of a reinforcing outcome (e.g. money, points). Higher voltages (more positive numbers) indicate a larger reward response.

Countries

United States

Participant flow

Recruitment details

Participants were run in the Cognitive Rhythms and Computation Lab at UNM from 6/13/19 - 5/7/21

Pre-assignment details

There are no significant events to describe between enrollment and assignment.

Participants by arm

ArmCount
Neutral
A neutral mood induction will include reading a dull text while listening to non-evocative music for 5-15 minutes. Emotion Induction: Described in arm
50
Evocative
A mood induction procedure will be utilized. The procedure consists of a combination of re-experiencing an autobiographical sad personal event while listening to their choice of one of four sad music selections commonly used in mood induction. Visual analogue scale ratings will assess momentary sadness prior to, following, and at subsequent time points around the mood induction procedure. Emotion Induction: Described in arm
50
Total100

Baseline characteristics

CharacteristicNeutralEvocativeTotal
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
0 Participants0 Participants0 Participants
Age, Categorical
Between 18 and 65 years
50 Participants50 Participants100 Participants
Race (NIH/OMB)
American Indian or Alaska Native
3 Participants1 Participants4 Participants
Race (NIH/OMB)
Asian
1 Participants4 Participants5 Participants
Race (NIH/OMB)
Black or African American
3 Participants8 Participants11 Participants
Race (NIH/OMB)
More than one race
1 Participants3 Participants4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
6 Participants4 Participants10 Participants
Race (NIH/OMB)
White
36 Participants30 Participants66 Participants
Region of Enrollment
United States
50 Participants50 Participants100 Participants
Sex: Female, Male
Female
28 Participants28 Participants56 Participants
Sex: Female, Male
Male
22 Participants22 Participants44 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 500 / 50
other
Total, other adverse events
0 / 500 / 50
serious
Total, serious adverse events
0 / 500 / 50

Outcome results

Primary

Reward Positivity Component of the Event-Related Electroencephalogram

The Reward Positivity is a fronto-centrally located positive voltage burst recorded in the EEG from about 200-500 ms following the receipt of a reinforcing outcome (e.g. money, points). Higher voltages (more positive numbers) indicate a larger reward response.

Time frame: There will only be one day session (on the date of the randomization) where the Reward Positivity amplitude is assessed

ArmMeasureValue (MEAN)Dispersion
NeutralReward Positivity Component of the Event-Related Electroencephalogram7.29 MicrovoltsStandard Deviation 3.78
EvocativeReward Positivity Component of the Event-Related Electroencephalogram9.23 MicrovoltsStandard Deviation 3.64
p-value: 0.071t-test, 2 sided

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026