Reward Value Level
Conditions
Brief summary
The purpose of this study is to understand how stress, anxiety, and negative affect change learning and decision-making processes. The primary objective is to assess two forms of decision-making-reward adaptation and emotion prediction errors-differ as a function of stress and anxiety. The secondary objectives are to assess how individual differences measured in our studies relate to these decision variables.
Interventions
The SECPT is a validated laboratory stressor that combines physiological stress with social evaluative components; it is widely used to elicit acute stress responses in controlled settings. Participants are asked to submerge their nondominant hand into an ice-cold water (0-4°C) for 3 minutes, while videotaped and observed by one neutral-faced experimenter.
Participants assigned to the warm water control condition will perform a non-evaluative task with warm water.
Sponsors
Study design
Eligibility
Inclusion criteria
Aims 1-3: To be eligible for participation in this study, an individual must meet all of the following criteria: * 18-65 years of age * Able to speak, read, and write fluently in English * Be willing and able to follow study procedures and provide informed consent. Aim 4: To be eligible for participation in this study, an individual must meet all of the following criteria: * 18-65 years of age * Diagnosis of GAD * Able to speak, read, and write fluently in English * Be willing and able to follow study procedures and provide informed consent.
Exclusion criteria
Aims 1-3: Individuals will be excluded from participation if any of the following criteria are met: * History of or medication for neurologic or psychiatric disease * High-blood pressure or heart condition * Diabetes, food allergies, metabolic disorders or history of eating disorder * Use of corticosteroids or beta-blockers * Pregnancy Aim 4: Individuals will be excluded from participation if any of the following criteria are met: * High-blood pressure or heart condition * Diabetes, food allergies, metabolic disorders or history of eating disorder * Use of corticosteroids or beta-blockers * Lifetime history of bipolar disorder or any psychotic disorder; substance use disorder in past 3 months; eating disorder in past 6 months; current major depressive disorder (past is allowed) * Active suicidal ideation with plan and intent (indicated by score \>=4 on the Columbia Suicide Severity Scale) * Not on stable dose of psychiatric medication for at least 4 weeks prior to study participation * Pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Emotion Predictions - Pleasantness | Study Visit (Day 1 - Approx. 2 Hours) | Difference in pleasantness ratings before and after trial outcomes. (Aims 3 and 4) |
| Valence Rating Score of OASIS Images | Study Visit (Day 1 - Approx. 2 Hours) | Valence is rated on a scale from 0 (very negative) to 6 (very positive). (Aims 2 and 4) |
| Intensity Rating Score of OASIS Images | Study Visit (Day 1 - Approx. 2 Hours) | Intensity is rated on a scale from 0 (very low) to 6 (very high). (Aims 2 and 4) |
| Emotion Predictions - Valence | Study Visit (Day 1 - Approx. 2 Hours) | Difference in valence ratings before and after trial outcomes. (Aims 3 and 4) |
| Pleasantness Rating Score of OASIS Images | Study Visit (Day 1 - Approx. 2 Hours) | Pleasantness is rated on a scale from 0 (very unpleasant) to 6 (very pleasant). (Aims 2 and 4) |
| Subjective Value Assigned to Food Stimuli | Study Visit (Day 1 - Approx. 2 Hours) | Measured as participants' willingness-to-pay ($) for snack foods across the behavioral task. (Aims 1 and 4). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Holmes-RaHe Life Stress Inventory Score | Study Visit (Day 1 - Approx. 2 Hours) | Measurement of lifetime stress; comprises 43 items, each item represents a stressful event that may have occurred over the course of the participant's lifetime. The total score is the total number of stressful events that have occured; the total score ranges from 0-43; higher scores indicate greater lifetime stress. (Aims 3 and 4) |
| Multidimensional Assessment of Interoceptive Awareness (MAIA-2) Score | Study Visit (Day 1 - Approx. 2 Hours) | The MAIA-2 is a 37-item assessment of interoceptive awareness. Each item is rated on a 6-point Likert scale from 0 (never) to 5 (always); the total score is the average of responses and ranges from 0 to 5; higher scores indicate greater equates to more awareness of bodily sensation. |
| Perceived Stress Scale (PSS) Score | Study Visit (Day 1 - Approx. 2 Hours) | The PSS is a 10-item assessment of stressful feelings and thoughts over the past month; each item is rated on a 5-point Likert scale ranging from 0 (never) to 4 (fairly often). The total score is the sum of responses and ranges from 0-20. Higher scores indicate greater levels of perceived stress. (Aims 3 and 4) |
Countries
United States