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The Effects of Transcutaneous Auricular Vagus Nerve Stimulation (taVNS) on Anxiety Responses and Emotional Regulation

The Modulatory Effects of Transcutaneous Auricular Vagus Nerve Stimulation (taVNS) on Anxiety Responses and Emotional Regulation

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07369908
Enrollment
140
Registered
2026-01-27
Start date
2025-10-09
Completion date
2026-04-16
Last updated
2026-01-27

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

Conditions

Healthy Male and Female Volunteers

Keywords

taVNS, anxiety, emotional regulation, high-trait anxiety

Brief summary

The main aim of this study is to investigate whether transcutaneous auricular vagus nerve stimulation (taVNS) can reduce anxiety and have an effect on emotional regulations

Detailed description

Transcutaneous auricular vagus nerve stimulation (taVNS) is a non-invasive method for modulating vagal nerve function and has shown potential efficacy in alleviating anxiety symptoms and improving emotional regulation. But the neural mechanisms of how taVNS affects anxiety and emotional regulation remain unclear. Therefore, we focus on this question by combining behavioral meausres, skin conductance response, heart rate variability and fMRI in this study. A participant-blinded, sham-controlled, between-subject design is employed in this study. In a randomised order, a total of 140 healthy males and females with or without high trait anxiety are recruited and receive the stimulation of taVNS on their tragus (experimental group) or earlobe (sham control group). After the participants arrive at the laboratory, they first complete a roughly 30-minute personality trait questionnaire and prepare for the experiment. Then, they undergo a 7-minute resting-state fMRI scan, followed by a 15-minute taVNS session. Next, they complete a 7-minute resting-state scan and a 60-minute task-based scan (a modified emotional regulation task). During the entire procedure, saliva samples will be collected three times for subsequent physiological hormone analyses, and participants' skin conductance and electrocardiogram data will also be recorded. During the modified emotional regulation task, subjects are instructed to regulate their emotional responses to negative pictures (high vs. low intensity) using reinterpretation/distance strategies or to only look these pictures. We also record subjects' rating scores on their anxiety levels during these conditions ("reinterpretation" vs. "distance" vs. "look") and successful usage of emotional regulation strategies. Questionnaire scores including State-Trait Anxiety Inventory, Beck Depression Inventory II, Beck Anxiety Inventory, Autism Spectrum Quotient, Toronto Alexithymia Scale, Social Responsiveness Scale, Emotion Regulation Questionnaire, Cognitive Emotion Regulation Questionnaire, Multidimensional Assessment of Interoceptive Awareness, Positive and Negative Affect Schedule will also be collected.

Interventions

DEVICEtaVNS on tragus of subjects with high trait anxiety

15 minutes taVNS on tragus

DEVICEtaVNS on earlobe of subjects with high trait anxiety

15 minutes taVNS on earlobe

DEVICEtaVNS on tragus of subjects with no high trait anxiety

15 minutes taVNS on tragus

DEVICEtaVNS on earlobe of subjects with no high trait anxiety

15 minutes taVNS on earlobe

Sponsors

University of Electronic Science and Technology of China
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
BASIC_SCIENCE
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to 30 Years
Healthy volunteers
Yes

Inclusion criteria

* Healthy subjects without past or current psychiatric or neurological disorders.

Exclusion criteria

* History of head injury. * Medical or psychiatric illness. * Subjects take a certain drug for a long period of time. * Subjects have metal implants in their bodies.

Design outcomes

Primary

MeasureTime frameDescription
Brain activity patterns in response to negative pictures during emotional regulation60 minutesSubjects will receive task-based fMRI scanning (i.e., the modified emotional regulation task) after taVNS and two resting-state fMRI scanning sessions. We will examine these brain response patterns in the modified emotional regulation task via both the conventional univariate analysis and the machine learning-based multivariate pattern analysis.
Resting-state functional conetivity changes15 minutesSubjects will receive resting-state fMRI scanning twice before and after taVNS. We will examine resting-state functional conetivity changes induced by taVNS via examining functional conetivity differences between pre- and post-taVNS sessions.
Behavioral indices in the task60 minutesAnxiety and success ratings after each regulation trial are recorded in the task. Subjects are instructed to rate their anxiety and success levels using a 9-point Likert scale within 4 seconds (1 = not at all, 9 = very anxious or successful)

Secondary

MeasureTime frameDescription
Skin conductance responses (SCR) in the emotional regulation task during fMRI scanning60 minutesSkin Conductance Response (SCR) data in response to negative pictures while using different regulation strategies are recorded in the emotional regulation task.
HRV in resting-state fMRI and emotional regulation task75 minutes during scanningHeart beat variability (HRV) data are recorded in resting-state fMRI and emotional regulation task.
Saliva samples analysisThree time points: pre-taVNS (baseline, 0 minute), immediate post-taVNS (60 minutes post-taVNS), and the end of experiment (70 minutes post-scanning).Saliva samples will be collected three times for subsequent physiological hormone analysis.

Countries

China

Contacts

CONTACTKeith M Kendrick, Dr
k.kendrick.uestc@gmail.com86-28-61830811
PRINCIPAL_INVESTIGATORShuxia Yao, Dr

University of Electronic Science and Technology of China

Outcome results

None listed

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