Skip to main content
OpenTrials
Recruiting

NCT Number: NCT05595434

Reality-monitoring & Stress

Reality-monitoring is a crucial cognitive process in daily life to remember the source of an information. Deficits of reality-monitoring have been shown into the continuum of schizophrenia, suggesting a preexisting alteration in population at-risk for psychosis that will be exacerbated during psychotic transition. It is admitted that stress plays a crucial role in the psychotic transition and can alter cognitive performances. However, less is known about the effects of stress on reality-monitoring, even though this process appears to be central in psychotic disorders.

The aim of this project is to investigate the effect of stress on reality-monitoring, both on behavioral and neurophysiological aspects

Recruiting

Interested in participating?

Request Info

Key information

Age range

18 year–30 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Centre Hospitalier le Vinatier

Bron, 69678, France

Location status: Recruiting

Location contact

Jerome Brunelin

SUB_INVESTIGATOR

Jérôme Brunelin

CONTACT

[email protected]

0437915297 ext. +33

Marine Mondino

CONTACT

[email protected]

0437915565 ext. +33

Marine Mondino

PRINCIPAL_INVESTIGATOR

About this study

Forty healthy subjects will be included in the study. Participants will be subject to a standardized stress protocol, half of them receiving an active stress and the other half receiving a placebo. All participants will also complete a reality-monitoring task, electrophysiological (EEG) recordings as well as socio-demographic and psychometric evaluations

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Right-handed Men and Women aged between 18 and 30
  • Having given their written informed consent
  • For women: oral contraceptive use
  • French speakers and readers

Exclusion criteria

  • Do not consent to be included in the study
  • Smokers
  • Night workers
  • Having visual or hearing impairments that could prevent the successful completion of tasks involving reading or listening to sounds
  • Taking drug treatment (except oral contraceptive)
  • Having a somatic pathology in particular neurological, endocrinal or blood circulation diseases (e.g., Raynaud's disease)
  • Having personal or first-degree relatives' history of diagnosed psychiatric disorders (according to the criteria of the Diagnostic and Statistical Manual of Mental Disorders - DSM5)
  • Having psychotic prodomes measured by a score above 6 in the "prodomal questionnaire' - PQ-16 (Ising et al., 2012)
  • Having developed musical abilities (that is, regularly practicing a musical instrument)
  • Being pregnant or nursing

Treatment and study plan

Acute Maastricht Stress Test (MAST), active condition.

Procedure

The MAST is a standardized stress protocol combining a 5 min preparation phase and 10 min acute stress phase. The last phase is composed by an alternation of physical and psychosocial stressors. In the active condition, participants have to switch between immersion of the hand into cold water and complex mental arithmetic operations.

Acute Maastricht Stress Test (MAST), placebo condition

Procedure

The MAST is a standardized stress protocol combining a 5 min preparation phase and 10 min acute stress phase. The last phase is composed by an alternation of physical and psychosocial stressors. In the placebo condition, participants have to switch between immersion of the hand into tempered water and simple mental arithmetic counts.

Primary outcomes

  1. Reality-monitoring performances

    Time frame: within 1 hour after the stress procedure

    scores obtained at the reality-monitoring task (accuracy, range 0-100%)

Secondary outcomes

  1. electroencephalogram (EEG) activity

    Time frame: 1time within 1 hour after the stress procedure

    EEG activity recorded at rest (spectral power) and during reality-monitoring task

  2. Working memory

    Time frame: 1 time within 1 hour after the stress procedure

    scores at the n-back task (expressed as % of good responses)

  3. Basic auditory performances

    Time frame: 1 time within 1 hour after the stress procedure

    scores at the Tone Matching Task (expressed as % of good responses)

  4. Salivary cortisol

    Time frame: throughout and within 1 hour after the stress procedure

    Salivary cortisol (in µg/L)

  5. Blood pressure

    Time frame: throughout and within 1 hour after the stress procedure

    blood pressure (both systolic and diastolic, in mmHg)

  6. Heart rate

    Time frame: throughout and within 1 hour after the stress procedure

    Heart rate (in beats per minute)

  7. expression rate of genes involved in the regulation of the glucocorticoid receptor signaling pathway

    Time frame: 1 time before and 1 time 1 hour after the stress procedure

    The expression rate of genes of the glucocorticoid receptor signaling pathway (NR3C1, FKBP4, HSP90, HSP70, FKBP5, BAG1, PTGES3)

  8. Subjective stress

    Time frame: 1 time before and 1 time 1 hour after the stress procedure

    Subjective stress assessed with the STAI-YA (scores between 20 and 80)

  9. Psychometric characteristics that may influence stress response (1)

    Time frame: Basline, before the stress procedure

    Scores at the 16-item Prodromal Questionnaire (PQ-16), ranging between 0 and 16 (higher scores indicate higher psychotic risks).

  10. Psychometric characteristics that may influence stress response (2)

    Time frame: Basline, before the stress procedure

    Scores at the Childhood Trauma Questionnaire (CTQ), between 28 and 140 (higher scores indicate higher trauma exposure)

  11. Psychometric characteristics that may influence stress response (3)

    Time frame: Basline, before the stress procedure

    State Trait Anxiety Inventory (form B) scores between 40 and 160 20 and 80 (STAI-YB) between 20 and 80 (higher scores indicate higher state anxiety)

  12. Psychometric characteristics that may influence stress response (4)

    Time frame: Basline, before the stress procedure

    Scores at the Schizotypal Personality Questionnaire (SPQ), between 0 and 74 (higher scores indicate higher schizotypal traits)

  13. Psychometric characteristics that may influence stress response (5)

    Time frame: Basline, before the stress procedure

    Scores at the Launay-Slade Hallucinations Scale (LSHS), between 0 and 64 (higher scores indicate a greater likelihood of experiencing hallucinations)

Study contacts

Contact information is provided by the study sponsor or research team.

Mondino Marine, PhD

CONTACT

[email protected]

0437915565 ext. +33

SARTLET Lydie

CONTACT

[email protected]

0437915531 ext. +33

Sponsors and collaborators

Lead sponsor

Hôpital le Vinatier

Other

Registry information

Official study title

Study of Reality-monitoring Process and Influence of Stress Using an Electrophysiological Approach

Acronym: REALIST

Important dates

Study start
2024
Primary completion
2025
Study completion
2025
First posted
Oct 27, 2022
Registry last updated
Jul 24, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.