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Investigating the Neural Systems That Support the Beneficial Effects of Positive Emotion on Stress Regulation

Investigating the Neural Systems That Support the Beneficial Effects of Positive Emotion on Stress Regulation

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04496258
Enrollment
99
Registered
2020-08-03
Start date
2021-10-05
Completion date
2022-04-14
Last updated
2024-08-27

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

Conditions

Behavior

Keywords

cognition, reappraisal

Brief summary

For this study, community participants visited the PI's psychophysiology lab for a single experimental session. In this study, participants completed a brief mood measure, followed by a task training in which a research assistant described and gave examples of cognitive reappraisal in response to negative images. Participants were then randomly assigned to positive or neutral emotion induction conditions, delivered by virtual reality. Then, participants completed an event-related, picture-based cognitive reappraisal task for 23 minutes. Following the task, participants once again responded to a mood measure, completed post-task questionnaires (individual difference measures) and answered a series of questions regarding the task they completed, including difficulty of regulation, or any images that were personally relevant. The investigators predicted that the positive emotion induction would result in powerful effects on self-reported emotion, which may or may not interact with the cognitive reappraisal condition.

Detailed description

For the studies, participants were recruited via paper and electronic flyers on campus and in the surrounding communities. Interested participants were screened via phone, email and/or web form to assess eligibility according to criteria listed elsewhere. If participants qualified, they were be invited to complete a single laboratory session in the PI's lab. Once arriving at the laboratory, participants completed the consent process, in which a research assistant trained in ethical principles regarding human subjects research answered any questions about the consent form and verbally reinforced the key rights of the participants outlined there. Once both parties were satisfied, the consent form was signed. Participants sat with a trained research assistant/experimenter who gave an overview of the entire session, and then began training for the cognitive reappraisal task. The training took 10-15 minutes. During the training, the experimenter offered several possible reappraisals of negative images and allowed the participants to offer their own as well, providing encouragement and feedback. During this training, the experimenter also went over the method of responding (using the VR equipment). Participants were reminded during training that they may stop the experiment at any point if the pictures are too upsetting. Immediately following task training, participants will made a general mood rating using the mDES. Then, they were randomly assigned to a positive or neutral mood induction, to be delivered via the VR headset for three minutes. Participants were encouraged to explore the VR environment, which was either a positive (beach scene) or neutral (office scene). The VR environment was implemented using a headset with integrated audio. After the VR exploration, participants made a rating of their current positive and negative affect in the VR environment. Then, participants completed the reappraisal task in the VR environment. The task took approximately 23 minutes. Finally, participants completed post-task individual difference measures.

Interventions

BEHAVIORALPositive Emotion Induction

Participants are expected to have a positive emotional response to the more positive beach scene.

BEHAVIORALNeutral Emotion Induction

Participants are expected to have a neutral emotional response to the neutral office scene.

Sponsors

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

Study design

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

Eligibility

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

Inclusion criteria

* Community members ages 18-55 * Fluent in English * Without present psychotic symptoms

Exclusion criteria

* None

Design outcomes

Primary

MeasureTime frameDescription
Means of Self-reported Emotion RatingsDuring the reappraisal task, individual ratings for each picture were taken immediately after viewing the image. The mean rating across all images was computed after the experiment was complete.The mean of each negative and positive emotion score were calculated post-reappraisal task. Higher scores indicate higher positive and negative emotions. The scale for both positive and negative was 1 - 9 where 1 was not positive at all/not negative at all and 9 was very positive/very negative. The minimum score was 1 and the maximum score was 9.
Mood Ratings (Pos)Baseline, and post-reappraisal taskBefore putting on the VR headset and at the end of the experiment, participants used the modified Differential Emotions Scale (mDES; Fredrickson, 2013; Izard, 1977) to rate their current mood. We defined the mDES as a mood measure because it was intended to measure participants' current mood absent of a stimulus intended to evoke an emotional response (Rosenberg,1998). The mDES consists of 20 questions and is comprised of two sub-scales for positive and negative emotions with 10 questions for each subscale respectively. Scales are comprised of averaging all positive scores together and all negative scores together. In our study, participants were asked to rate their current experience of all 20 emotions on a five-point Likert Scale (1 - not at all to 5 - Extremely). Minimum socre = 1, maximum score = 5. Higher scores indicate higher levels of positive/negative mood.
Mood Induction RatingsPre-reappraisalTaskAfter the VR induced mood induction, and prior to starting the reappraisal task participants rated their positive and negative emotions on a 1-9 scale, where 1 is not at all and 9 is extremely.

Secondary

MeasureTime frameDescription
Number of Participants With Full Task ComplianceImmediately after the reappraisal taskParticipants were asked about self-reported task compliance. For example, one question asked What percentage of the time were you able to follow the LOOK instruction? The participants were rating their self-compliance for each task from 0% (non-compliant) to 100% (fully compliant). There are no right or wrong answers to this question and these responses are more descriptive/exploratory. They are not used in any specific analyses. The number of participants analyzed below indicates the number of participants that were fully compliant across both conditions.
Number of Participants Reviewed for Possible Prior Experience With the Reappraisal Task and/or Task ImagesPost-reappraisal taskParticipants were asked whether they have any experience with reappraisal or the specific images presented in the task. The first question asked Have you ever been trained to change your emotions by changing the way you think (in therapy, or in another experiment, or anywhere else)? Participants can choose Yes or No for this question. The participant will have to extrapolate if they have changed their emotions before using a fill in the blank. The next question askedHave you ever seen any of these exact emotional images before? If participants answered yes, they were once again asked to extrapolate which images they have seen and what emotional response was generated by these images using a fill in the blank option. These are descriptive and not used in any formal analyses. The number of participants analyzed below indicates the the number of participant responses we reviewed.
DWECK-E (Theries of Emotion Scale)Post-reappraisal taskThe theories of emotion scale was developed for use by Maya Tamir, Oliver P. John, Sanjay Srivastava, and James J. Gross in 2007, based on Carol Dweck's Implicit Theories of Intelligence scale (Dweck, 1999). It's used to measure beliefs about the malleable nature of emotion on a scale of 1 (strong disagree) to 5 (strongly agree) where higher scores indicate stronger agreement with the belief. There are 4 items, 2 of which are reverse coded. Scores are taken by averaging the response items. The minimum score is 1 and the maximum range is 5.
Brief Resilience ScalePost-reappraisal taskThe BRS is a self-report measure that assesses the ability to bounce back or recover from stress on a 1-5 scale. Higher scores indicate higher levels of resilience.
Satisfaction With Life ScalePost-reappraisal taskA 5-item scale designed to measure global cognitive judgments of one's life satisfaction (not a measure of either positive or negative affect). Participants indicate how much they agree or disagree with each of the 5 items using a 7-point scale that ranges from 7 strongly agree to 1 strongly disagree. Higher scores indicate higher levels of satisfaction. The scale is summed to produce a score, and the possible range of scores is 5-35.
The Igroup Presence Questionnaire (IPQ)Post-reappraisal taskThe Igroup Presence Questionnaire (IPQ) is a self-report scale for measuring the sense of presence experienced in a virtual environment (VE). It contains three subscales that assess aspects of presence: spatial presence, involvement, and experience realism. Higher scores indicate higher sense of presence. Items were rated on a scale of 0 to 6 and items for each subscale are averaged to get each subscale core. The Range for all subscales are 0-6.
Brief CopePost-reappraisal taskThe Brief-COPE is a 28 item self-report questionnaire designed to measure effective and ineffective ways to cope with a stressful life event. Sub-scales are reported. Higher scores indicate higher use of the coping strategy. he Brief COPE is comprised of 14 scales, each of which assesses the degree to which a respondent utilizes a specific coping strategy. The scales are: Active Coping, Planning, Positive Reframing, Acceptance, Humor, Religion, Using Emotional Support, Using Instrumental Support, Self-Distraction, Denial, Venting, Substance Use, Behavioral Disengagement, Self-Blame. Items are rated on a 4-point Likert scale, ranging from 1 - I haven't been doing this at all to 4 - I've been doing this a lot. Each of the scales is comprised of 2 items; total scores on each scale range from 2 (minimum) to 8 (maximum). Total scores for each sub scales are calculated by summing the items. There is no overall total score.
The Big Five Inventory-10 (BFI-1)Post-reappraisal taskA 10 item self-report scale that is designed to measure the big five personality traits (extraversion, agreeableness, conscientiousness, neuroticism, and openness) on a scale of 1-5 where higher values indicate higher indication of the personality trait. Certain individual items are reversed scored on this measure. The subscales in our data were calculated using averages to produce a score. The possible range for each subscale reported included a minimum value of 1 and a maximum value of 5.
Debriefing of InstructionsPost-reappraisal taskFollowing the VR task, participants were asked to report the task instructions in their own words. The first questions asked participants to reiterate the instructions they were given for the cognitive reappraisal task (for example: What were you instructed to do during the 'LOOK' trials?) This is a fill in the blank question and there are no right or wrong answers. All participants' responses are viewed to ensure understanding of the task instruction. There are no scores to report for this measure. Rather this, outcome serves more as a comprehension check than an actual analysis of interest.
Task DifficultyPost-reappraisal taskThe next batch of questions asked the participants questions about the difficulty of the task. The questions asked were: How difficult was it to follow the 'LOOK' instruction? And: How difficult was it to follow the 'DECREASE' instruction? Participants will be rating the level of difficulty on a scale of 1 to 7 with 1 being not difficult at all to 7 being very difficult. There are no right or wrong answers to this question. The range of scores is 1-7.

Other

MeasureTime frameDescription
Depression Trait DifferencesPost-reappraisal taskThe participants were given the Beck's Depression Inventory(BDI-II) which measures symptoms of depression and were used to examine any between-subjects trait differences. The BDI-II is a 21 self-report measure looking at symptoms of depression with ratings falling between 0 and 3 (0 being not at all and 3 would indicate experiencing these symptoms on a constant basis). There are no subscales. Higher scores indicate higher levels of depressive symptoms. Scores range from 0 - 63
Emotional Regulation Trait DifferencesBaselineThe Emotion Regulation Questionnaire (ERQ) looks at methods of regulating emotions and will be used to examine any between-subjects trait differences. The ERQ is a 10-item self-report questionnaire assessing the use of two strategies to alter emotions: cognitive reappraisal and expressive suppression. The scale is rated on a 7-point Likert scale with 1 being strongly disagree and 7 being strongly agree. Six items are categorized as using cognitive reappraisal while four of the items assess expressive suppression. Higher scores indicate higher use of the emotion regulation strategies. The scale scores were computed by taking the average of the items included in each sub scale. The possible range for each sub scale is 1-7

Countries

United States

Participant flow

Participants by arm

ArmCount
Positive VR Scene
Participants will explore a virtual reality (VR) environment of a beach scene. Participants will be randomly assigned (between subjects) to beach or office scene. VR will be presented on an Occulus Rift device. Positive Emotion Induction: Participants are expected to have a positive emotional response to the more positive beach scene.
47
Neutral VR Scene
Participants will explore a virtual reality (VR) environment of a neutral office scene. Participants will be randomly assigned (between subjects) to beach or office scene. VR will be presented on an Occulus Rift device. Neutral Emotion Induction: Participants are expected to have a neutral emotional response to the neutral office scene.
49
Total96

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyWithdrawal by Subject21

Baseline characteristics

CharacteristicPositive VR SceneNeutral VR SceneTotal
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
0 Participants0 Participants0 Participants
Age, Categorical
Between 18 and 65 years
47 Participants49 Participants96 Participants
Age, Continuous19.98 years
STANDARD_DEVIATION 4.33
19.08 years
STANDARD_DEVIATION 1.45
19.5 years
STANDARD_DEVIATION 3.42
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants4 Participants7 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
40 Participants45 Participants85 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
4 Participants0 Participants4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants1 Participants1 Participants
Race (NIH/OMB)
Asian
4 Participants2 Participants6 Participants
Race (NIH/OMB)
Black or African American
4 Participants3 Participants7 Participants
Race (NIH/OMB)
More than one race
4 Participants3 Participants7 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants0 Participants1 Participants
Race (NIH/OMB)
Unknown or Not Reported
4 Participants3 Participants7 Participants
Race (NIH/OMB)
White
30 Participants37 Participants67 Participants
Region of Enrollment
United States
47 participants49 participants96 participants
Sex: Female, Male
Female
30 Participants34 Participants64 Participants
Sex: Female, Male
Male
17 Participants15 Participants32 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 490 / 50
other
Total, other adverse events
0 / 490 / 50
serious
Total, serious adverse events
0 / 490 / 50

Outcome results

Primary

Means of Self-reported Emotion Ratings

The mean of each negative and positive emotion score were calculated post-reappraisal task. Higher scores indicate higher positive and negative emotions. The scale for both positive and negative was 1 - 9 where 1 was not positive at all/not negative at all and 9 was very positive/very negative. The minimum score was 1 and the maximum score was 9.

Time frame: During the reappraisal task, individual ratings for each picture were taken immediately after viewing the image. The mean rating across all images was computed after the experiment was complete.

ArmMeasureGroupValue (MEAN)Dispersion
Positive VR SceneMeans of Self-reported Emotion RatingsNegative emotion rating in response to viewing neutral images2.68 units on a scaleStandard Deviation 0.84
Positive VR SceneMeans of Self-reported Emotion RatingsPositive emotion rating in response to viewing neutral images5.09 units on a scaleStandard Deviation 1.81
Positive VR SceneMeans of Self-reported Emotion RatingsNegative emotion rating in response to viewing negative images5.33 units on a scaleStandard Deviation 1.49
Positive VR SceneMeans of Self-reported Emotion RatingsPositive emotion rating in response to viewing negative images3.5 units on a scaleStandard Deviation 1.63
Positive VR SceneMeans of Self-reported Emotion RatingsNegative emotion rating in response to reappraising negative images4.14 units on a scaleStandard Deviation 1.46
Positive VR SceneMeans of Self-reported Emotion RatingsPositive emotion rating in response to reappraising negative images4.44 units on a scaleStandard Deviation 1.58
Neutral VR SceneMeans of Self-reported Emotion RatingsNegative emotion rating in response to reappraising negative images4.24 units on a scaleStandard Deviation 1.38
Neutral VR SceneMeans of Self-reported Emotion RatingsNegative emotion rating in response to viewing neutral images2.75 units on a scaleStandard Deviation 1.13
Neutral VR SceneMeans of Self-reported Emotion RatingsPositive emotion rating in response to viewing negative images2.81 units on a scaleStandard Deviation 1.14
Neutral VR SceneMeans of Self-reported Emotion RatingsPositive emotion rating in response to viewing neutral images4.35 units on a scaleStandard Deviation 1.81
Neutral VR SceneMeans of Self-reported Emotion RatingsPositive emotion rating in response to reappraising negative images3.86 units on a scaleStandard Deviation 1.37
Neutral VR SceneMeans of Self-reported Emotion RatingsNegative emotion rating in response to viewing negative images5.90 units on a scaleStandard Deviation 1.12
Primary

Mood Induction Ratings

After the VR induced mood induction, and prior to starting the reappraisal task participants rated their positive and negative emotions on a 1-9 scale, where 1 is not at all and 9 is extremely.

Time frame: Pre-reappraisalTask

Population: In addition to the exclusion criteria discuss above, certain participants appeared to miss the time window they had to make their rating selection.

ArmMeasureGroupValue (MEAN)Dispersion
Positive VR SceneMood Induction RatingsPositive Rating7.38 units on a scaleStandard Deviation 1.56
Positive VR SceneMood Induction RatingsNegative Rating1.45 units on a scaleStandard Deviation 0.83
Neutral VR SceneMood Induction RatingsPositive Rating4.81 units on a scaleStandard Deviation 2
Neutral VR SceneMood Induction RatingsNegative Rating2.52 units on a scaleStandard Deviation 1.61
Primary

Mood Ratings (Pos)

Before putting on the VR headset and at the end of the experiment, participants used the modified Differential Emotions Scale (mDES; Fredrickson, 2013; Izard, 1977) to rate their current mood. We defined the mDES as a mood measure because it was intended to measure participants' current mood absent of a stimulus intended to evoke an emotional response (Rosenberg,1998). The mDES consists of 20 questions and is comprised of two sub-scales for positive and negative emotions with 10 questions for each subscale respectively. Scales are comprised of averaging all positive scores together and all negative scores together. In our study, participants were asked to rate their current experience of all 20 emotions on a five-point Likert Scale (1 - not at all to 5 - Extremely). Minimum socre = 1, maximum score = 5. Higher scores indicate higher levels of positive/negative mood.

Time frame: Baseline, and post-reappraisal task

Population: Several pre-registered exclusion criteria were applied prior to data analysis including: lack of understanding of the task (N = 5), missing more than 25% of trial level data (N = 8). Additional participants were excluded due to a corrupted data file (N =1) and mixing up the positive and negative ratings (N = 1), and outlier scores greater than 3 standard deviations above/below the mean for most outcome measures (N= 1). This left usable data for a total of 80 participants.

ArmMeasureGroupValue (MEAN)Dispersion
Positive VR SceneMood Ratings (Pos)Baseline Positive1.34 units on a scaleStandard Deviation 0.57
Positive VR SceneMood Ratings (Pos)Post-Task Positive.96 units on a scaleStandard Deviation 0.6
Positive VR SceneMood Ratings (Pos)Baseline Negative.81 units on a scaleStandard Deviation 0.34
Positive VR SceneMood Ratings (Pos)Post-Task Negative.71 units on a scaleStandard Deviation 0.42
Neutral VR SceneMood Ratings (Pos)Post-Task Negative.72 units on a scaleStandard Deviation 0.49
Neutral VR SceneMood Ratings (Pos)Baseline Positive1.04 units on a scaleStandard Deviation 0.53
Neutral VR SceneMood Ratings (Pos)Baseline Negative.77 units on a scaleStandard Deviation 0.51
Neutral VR SceneMood Ratings (Pos)Post-Task Positive.83 units on a scaleStandard Deviation 0.54
Secondary

Brief Cope

The Brief-COPE is a 28 item self-report questionnaire designed to measure effective and ineffective ways to cope with a stressful life event. Sub-scales are reported. Higher scores indicate higher use of the coping strategy. he Brief COPE is comprised of 14 scales, each of which assesses the degree to which a respondent utilizes a specific coping strategy. The scales are: Active Coping, Planning, Positive Reframing, Acceptance, Humor, Religion, Using Emotional Support, Using Instrumental Support, Self-Distraction, Denial, Venting, Substance Use, Behavioral Disengagement, Self-Blame. Items are rated on a 4-point Likert scale, ranging from 1 - I haven't been doing this at all to 4 - I've been doing this a lot. Each of the scales is comprised of 2 items; total scores on each scale range from 2 (minimum) to 8 (maximum). Total scores for each sub scales are calculated by summing the items. There is no overall total score.

Time frame: Post-reappraisal task

ArmMeasureGroupValue (MEAN)Dispersion
Positive VR SceneBrief CopeSelf-Distraction4.66 score on a scaleStandard Deviation 1.24
Positive VR SceneBrief CopeActive Coping5.39 score on a scaleStandard Deviation 1.53
Positive VR SceneBrief CopeDenial2.59 score on a scaleStandard Deviation 1
Positive VR SceneBrief CopeSubstance Use3.37 score on a scaleStandard Deviation 1.93
Positive VR SceneBrief CopeEmotional Support5.37 score on a scaleStandard Deviation 1.73
Positive VR SceneBrief CopeInstrumental Support5.2 score on a scaleStandard Deviation 1.86
Positive VR SceneBrief CopeBehavioral Disengagement3.07 score on a scaleStandard Deviation 1.57
Positive VR SceneBrief CopeVenting4.05 score on a scaleStandard Deviation 1.22
Positive VR SceneBrief CopePositive Reframing5.29 score on a scaleStandard Deviation 1.33
Positive VR SceneBrief CopePlanning5.29 score on a scaleStandard Deviation 1.63
Positive VR SceneBrief CopeHumor4.95 score on a scaleStandard Deviation 1.64
Positive VR SceneBrief CopeAcceptance5.63 score on a scaleStandard Deviation 1.67
Positive VR SceneBrief CopeReligion3.32 score on a scaleStandard Deviation 1.97
Positive VR SceneBrief CopeSelf-Blame4.93 score on a scaleStandard Deviation 1.59
Neutral VR SceneBrief CopeHumor5.08 score on a scaleStandard Deviation 1.75
Neutral VR SceneBrief CopeSelf-Distraction4.49 score on a scaleStandard Deviation 1.32
Neutral VR SceneBrief CopeVenting3.85 score on a scaleStandard Deviation 1.44
Neutral VR SceneBrief CopeActive Coping5.59 score on a scaleStandard Deviation 1.57
Neutral VR SceneBrief CopeReligion3 score on a scaleStandard Deviation 1.56
Neutral VR SceneBrief CopeDenial3.08 score on a scaleStandard Deviation 1.71
Neutral VR SceneBrief CopePositive Reframing4.92 score on a scaleStandard Deviation 1.58
Neutral VR SceneBrief CopeSubstance Use3.41 score on a scaleStandard Deviation 1.8
Neutral VR SceneBrief CopeAcceptance6.13 score on a scaleStandard Deviation 1.34
Neutral VR SceneBrief CopeEmotional Support5 score on a scaleStandard Deviation 2
Neutral VR SceneBrief CopePlanning5.49 score on a scaleStandard Deviation 1.64
Neutral VR SceneBrief CopeInstrumental Support4.74 score on a scaleStandard Deviation 1.76
Neutral VR SceneBrief CopeSelf-Blame5.15 score on a scaleStandard Deviation 1.65
Neutral VR SceneBrief CopeBehavioral Disengagement3.03 score on a scaleStandard Deviation 1.09
Secondary

Brief Resilience Scale

The BRS is a self-report measure that assesses the ability to bounce back or recover from stress on a 1-5 scale. Higher scores indicate higher levels of resilience.

Time frame: Post-reappraisal task

ArmMeasureValue (MEAN)Dispersion
Positive VR SceneBrief Resilience Scale2.83 score on a scaleStandard Deviation 0.69
Neutral VR SceneBrief Resilience Scale2.69 score on a scaleStandard Deviation 0.62
Secondary

Debriefing of Instructions

Following the VR task, participants were asked to report the task instructions in their own words. The first questions asked participants to reiterate the instructions they were given for the cognitive reappraisal task (for example: What were you instructed to do during the 'LOOK' trials?) This is a fill in the blank question and there are no right or wrong answers. All participants' responses are viewed to ensure understanding of the task instruction. There are no scores to report for this measure. Rather this, outcome serves more as a comprehension check than an actual analysis of interest.

Time frame: Post-reappraisal task

Population: Participants who completed and had full data for the in-person experiment.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Positive VR SceneDebriefing of Instructions41 Participants
Neutral VR SceneDebriefing of Instructions39 Participants
Secondary

DWECK-E (Theries of Emotion Scale)

The theories of emotion scale was developed for use by Maya Tamir, Oliver P. John, Sanjay Srivastava, and James J. Gross in 2007, based on Carol Dweck's Implicit Theories of Intelligence scale (Dweck, 1999). It's used to measure beliefs about the malleable nature of emotion on a scale of 1 (strong disagree) to 5 (strongly agree) where higher scores indicate stronger agreement with the belief. There are 4 items, 2 of which are reverse coded. Scores are taken by averaging the response items. The minimum score is 1 and the maximum range is 5.

Time frame: Post-reappraisal task

Population: Participants who completed and had full data for the in-person experiment and passed all other exclusion criteria.

ArmMeasureValue (MEAN)Dispersion
Positive VR SceneDWECK-E (Theries of Emotion Scale)3.59 score on a scaleStandard Deviation 0.81
Neutral VR SceneDWECK-E (Theries of Emotion Scale)3.46 score on a scaleStandard Deviation 0.7
Secondary

Number of Participants Reviewed for Possible Prior Experience With the Reappraisal Task and/or Task Images

Participants were asked whether they have any experience with reappraisal or the specific images presented in the task. The first question asked Have you ever been trained to change your emotions by changing the way you think (in therapy, or in another experiment, or anywhere else)? Participants can choose Yes or No for this question. The participant will have to extrapolate if they have changed their emotions before using a fill in the blank. The next question askedHave you ever seen any of these exact emotional images before? If participants answered yes, they were once again asked to extrapolate which images they have seen and what emotional response was generated by these images using a fill in the blank option. These are descriptive and not used in any formal analyses. The number of participants analyzed below indicates the the number of participant responses we reviewed.

Time frame: Post-reappraisal task

Population: Participants who completed and had full data for the in-person experiment and passed all other exclusion criteria.

ArmMeasureValue (NUMBER)
Positive VR SceneNumber of Participants Reviewed for Possible Prior Experience With the Reappraisal Task and/or Task Images41 participants
Neutral VR SceneNumber of Participants Reviewed for Possible Prior Experience With the Reappraisal Task and/or Task Images39 participants
Secondary

Number of Participants With Full Task Compliance

Participants were asked about self-reported task compliance. For example, one question asked What percentage of the time were you able to follow the LOOK instruction? The participants were rating their self-compliance for each task from 0% (non-compliant) to 100% (fully compliant). There are no right or wrong answers to this question and these responses are more descriptive/exploratory. They are not used in any specific analyses. The number of participants analyzed below indicates the number of participants that were fully compliant across both conditions.

Time frame: Immediately after the reappraisal task

Population: Participants who completed and had full data for the in-person experiment and passed all other exclusion criteria.

ArmMeasureValue (NUMBER)
Positive VR SceneNumber of Participants With Full Task Compliance41 participants
Neutral VR SceneNumber of Participants With Full Task Compliance39 participants
Secondary

Satisfaction With Life Scale

A 5-item scale designed to measure global cognitive judgments of one's life satisfaction (not a measure of either positive or negative affect). Participants indicate how much they agree or disagree with each of the 5 items using a 7-point scale that ranges from 7 strongly agree to 1 strongly disagree. Higher scores indicate higher levels of satisfaction. The scale is summed to produce a score, and the possible range of scores is 5-35.

Time frame: Post-reappraisal task

ArmMeasureValue (MEAN)Dispersion
Positive VR SceneSatisfaction With Life Scale22.32 score on a scaleStandard Deviation 6.25
Neutral VR SceneSatisfaction With Life Scale21.31 score on a scaleStandard Deviation 5.74
Secondary

Task Difficulty

The next batch of questions asked the participants questions about the difficulty of the task. The questions asked were: How difficult was it to follow the 'LOOK' instruction? And: How difficult was it to follow the 'DECREASE' instruction? Participants will be rating the level of difficulty on a scale of 1 to 7 with 1 being not difficult at all to 7 being very difficult. There are no right or wrong answers to this question. The range of scores is 1-7.

Time frame: Post-reappraisal task

Population: Participants who completed and had full data for the in-person experiment and passed all other exclusion criteria.

ArmMeasureGroupValue (MEAN)Dispersion
Positive VR SceneTask DifficultyLook Difficulty Rating2.41 units on a scaleStandard Deviation 1.55
Positive VR SceneTask DifficultyDecrease Difficulty Rating4.55 units on a scaleStandard Deviation 1.9
Neutral VR SceneTask DifficultyLook Difficulty Rating2.4 units on a scaleStandard Deviation 1.53
Neutral VR SceneTask DifficultyDecrease Difficulty Rating4.5 units on a scaleStandard Deviation 1.9
Secondary

The Big Five Inventory-10 (BFI-1)

A 10 item self-report scale that is designed to measure the big five personality traits (extraversion, agreeableness, conscientiousness, neuroticism, and openness) on a scale of 1-5 where higher values indicate higher indication of the personality trait. Certain individual items are reversed scored on this measure. The subscales in our data were calculated using averages to produce a score. The possible range for each subscale reported included a minimum value of 1 and a maximum value of 5.

Time frame: Post-reappraisal task

ArmMeasureGroupValue (MEAN)Dispersion
Positive VR SceneThe Big Five Inventory-10 (BFI-1)Agreeableness3.84 score on a scaleStandard Deviation 0.96
Positive VR SceneThe Big Five Inventory-10 (BFI-1)Neuroticism3.28 score on a scaleStandard Deviation 1.06
Positive VR SceneThe Big Five Inventory-10 (BFI-1)Conscientiousness3.6 score on a scaleStandard Deviation 0.96
Positive VR SceneThe Big Five Inventory-10 (BFI-1)Openness3.63 score on a scaleStandard Deviation 0.78
Positive VR SceneThe Big Five Inventory-10 (BFI-1)Extraversion3.27 score on a scaleStandard Deviation 1.14
Neutral VR SceneThe Big Five Inventory-10 (BFI-1)Openness3.64 score on a scaleStandard Deviation 0.97
Neutral VR SceneThe Big Five Inventory-10 (BFI-1)Extraversion2.99 score on a scaleStandard Deviation 0.94
Neutral VR SceneThe Big Five Inventory-10 (BFI-1)Agreeableness3.42 score on a scaleStandard Deviation 0.96
Neutral VR SceneThe Big Five Inventory-10 (BFI-1)Conscientiousness3.65 score on a scaleStandard Deviation 0.97
Neutral VR SceneThe Big Five Inventory-10 (BFI-1)Neuroticism3.27 score on a scaleStandard Deviation 1.02
Secondary

The Igroup Presence Questionnaire (IPQ)

The Igroup Presence Questionnaire (IPQ) is a self-report scale for measuring the sense of presence experienced in a virtual environment (VE). It contains three subscales that assess aspects of presence: spatial presence, involvement, and experience realism. Higher scores indicate higher sense of presence. Items were rated on a scale of 0 to 6 and items for each subscale are averaged to get each subscale core. The Range for all subscales are 0-6.

Time frame: Post-reappraisal task

ArmMeasureGroupValue (MEAN)Dispersion
Positive VR SceneThe Igroup Presence Questionnaire (IPQ)Spatial Presence3.73 score on a scaleStandard Deviation 0.73
Positive VR SceneThe Igroup Presence Questionnaire (IPQ)Involvement3.79 score on a scaleStandard Deviation 1.4
Positive VR SceneThe Igroup Presence Questionnaire (IPQ)Experience Realism2.39 score on a scaleStandard Deviation 0.89
Neutral VR SceneThe Igroup Presence Questionnaire (IPQ)Involvement3.21 score on a scaleStandard Deviation 1.25
Neutral VR SceneThe Igroup Presence Questionnaire (IPQ)Spatial Presence3.58 score on a scaleStandard Deviation 1.15
Neutral VR SceneThe Igroup Presence Questionnaire (IPQ)Experience Realism2.43 score on a scaleStandard Deviation 1.17
Other Pre-specified

Depression Trait Differences

The participants were given the Beck's Depression Inventory(BDI-II) which measures symptoms of depression and were used to examine any between-subjects trait differences. The BDI-II is a 21 self-report measure looking at symptoms of depression with ratings falling between 0 and 3 (0 being not at all and 3 would indicate experiencing these symptoms on a constant basis). There are no subscales. Higher scores indicate higher levels of depressive symptoms. Scores range from 0 - 63

Time frame: Post-reappraisal task

ArmMeasureValue (MEAN)Dispersion
Positive VR SceneDepression Trait Differences12.37 score on a scaleStandard Deviation 9.32
Neutral VR SceneDepression Trait Differences13.73 score on a scaleStandard Deviation 7.45
Other Pre-specified

Emotional Regulation Trait Differences

The Emotion Regulation Questionnaire (ERQ) looks at methods of regulating emotions and will be used to examine any between-subjects trait differences. The ERQ is a 10-item self-report questionnaire assessing the use of two strategies to alter emotions: cognitive reappraisal and expressive suppression. The scale is rated on a 7-point Likert scale with 1 being strongly disagree and 7 being strongly agree. Six items are categorized as using cognitive reappraisal while four of the items assess expressive suppression. Higher scores indicate higher use of the emotion regulation strategies. The scale scores were computed by taking the average of the items included in each sub scale. The possible range for each sub scale is 1-7

Time frame: Baseline

ArmMeasureGroupValue (MEAN)Dispersion
Positive VR SceneEmotional Regulation Trait DifferencesCognitive Reappraisal Scale4.99 score on a scaleStandard Deviation 0.96
Positive VR SceneEmotional Regulation Trait DifferencesExpressive Suppression Scale3.35 score on a scaleStandard Deviation 1.33
Neutral VR SceneEmotional Regulation Trait DifferencesCognitive Reappraisal Scale4.81 score on a scaleStandard Deviation 0.89
Neutral VR SceneEmotional Regulation Trait DifferencesExpressive Suppression Scale4.01 score on a scaleStandard Deviation 1.27

Source: ClinicalTrials.gov · Data processed: Feb 10, 2026