Charité - Berlin University of Medicine
Berlin, State of Berlin, 10117, Germany
Location status: Recruiting
NCT Number: NCT06308484
Our primary objective is to integrate tVNS and mindfulness meditation within a structured mindfulness-based relapse prevention (MBRP) program for detoxified alcohol-dependent patients (AD). We aim to determine whether neuromodulation can enhance mindfulness-based relapse prevention compared to mindfulness practice alone. In this context, we will investigate potential changes in the interaction of top-down control and cue reactivity, as well as assess the severity of AUD. Measurements of drinking behavior, cravings, and abstinence rates will be conducted up to three months post-treatment. Our second objective is to examine the causal role of frontal midline theta oscillations (FMΘ) in MBRP and cognitive control. To achieve this, we will first establish closed-loop amplitude-modulated transcranial alternating current stimulation (CLAM-tACS) to selectively modulate FMΘ oscillations during MBRP meditation exercises in AUD patients (2).
Interested in participating?
Request Info18 year–70 year
All sexes
Interventional
Not applicable
Berlin, State of Berlin, 10117, Germany
Location status: Recruiting
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
Patients that are enrolled in a MBRP program will be subjected to weekly tVNS stimulation during a 30-minute audio guided mindfulness exercise.
Patients that are enrolled in a MBRP program will be subjected to weekly CLAM-tACS stimulation during a 30-minute audio guided mindfulness exercise.
Time frame: Pre and post intervention after 6-8 weeks
Before and after the treatment, we will assess cognitive control on a behavioral (response inhibition) and neurophysiological level (electroencephalogram) using a Simon GoNogo task, which reliably triggers activation of the frontal midline regions (Swick et al., 2011).
Time frame: Pre and post intervention after 6-8 weeks
Additionally, interoceptive control is intended to be measured using a heartbeat detection task (Kleckner et al., 2015).
Time frame: Pre and post intervention after 6-8 weeks
Evaluate physiological reactivity to alcohol cues through a passive viewing task developed based on the guidelines of Ekhitiari et al. (2022) and measure subjective cue-induced cravings.
Time frame: pre, ad interim at every tVNS and CLAM-tACS stimulation (once per week for 6-8 weeks), post after 6-8 weeks
Heartrate change due to stimulation
Time frame: pre, ad interim at every tVNS and CLAM-tACS stimulation (once per week for 6-8 weeks), post after 6-8 weeks
Heartrate variability change due to stimulation
Time frame: pre, post after 6-8 weeks
Trait and state mindfulness
Time frame: pre, post after 6-8 weeks, follow-up three months later
Frequency of drinking days and quantity of alcohol consumed
Time frame: pre, post after 6-8 weeks, follow-up three months later
Craving, urge and dependence severity assessed via questionnaires.
Contact information is provided by the study sponsor or research team.
Charite University, Berlin, Germany
Other
Neuromodulation and Mindfulness as Therapeutic Treatment in Detoxified Patients With AUD
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