Hippocampal Memory Circuits in Delusions
| Status: | Not yet recruiting |
|---|---|
| Conditions: | Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 16 - 35 |
| Updated: | 3/21/2019 |
| Start Date: | April 2019 |
| End Date: | December 1, 2023 |
| Contact: | Kamber Hart |
| Email: | Kamber.Hart@nyulangone.org |
| Phone: | 646 754 4843 |
This study will investigate dentate gyrus (DG) and hippocampal CA3 sub field function, using
the pattern separation paradigm, as reflected by the difference in brain activation in
response to same-as-previously- seen (OLD) vs. similar-to-previously-seen (SIM) objects in
first episode psychosis (FEP) subjects before and after anti psychotic treatment and in
matched healthy controls (HC). The current study uses three novel high-resolution task-based
and post-encoding resting fMRI measures to probe hippocampal circuitry in delusions. It will
also study CA1 function, using a sequential associative mismatch paradigm, as reflected by
activation of CA1 in response to mismatching information compared to memory of that stimulus
in FEP subjects before and after antipsychotic treatment and in matched HC. Finally, this
study will evaluate plasticity of hippocampal intrinsic functional connectivity (IFC) in
response to memory consolidation, using an encoding-plasticity paradigm, in FEP subjects
before and after anti psychotic treatment and in matched HC. For each of the three imaging
projects, a total of 50 FEP subjects and 50 matched healthy controls (HC) will be studied;
hence, 300 subjects will be studied over 5 years. Within each paradigm, medication-naive FEP
subjects will be studied at baseline and 8 weeks after starting anti psychotic medication. HC
participants will be studied at baseline and 8 weeks later but will not receive any
treatment.
the pattern separation paradigm, as reflected by the difference in brain activation in
response to same-as-previously- seen (OLD) vs. similar-to-previously-seen (SIM) objects in
first episode psychosis (FEP) subjects before and after anti psychotic treatment and in
matched healthy controls (HC). The current study uses three novel high-resolution task-based
and post-encoding resting fMRI measures to probe hippocampal circuitry in delusions. It will
also study CA1 function, using a sequential associative mismatch paradigm, as reflected by
activation of CA1 in response to mismatching information compared to memory of that stimulus
in FEP subjects before and after antipsychotic treatment and in matched HC. Finally, this
study will evaluate plasticity of hippocampal intrinsic functional connectivity (IFC) in
response to memory consolidation, using an encoding-plasticity paradigm, in FEP subjects
before and after anti psychotic treatment and in matched HC. For each of the three imaging
projects, a total of 50 FEP subjects and 50 matched healthy controls (HC) will be studied;
hence, 300 subjects will be studied over 5 years. Within each paradigm, medication-naive FEP
subjects will be studied at baseline and 8 weeks after starting anti psychotic medication. HC
participants will be studied at baseline and 8 weeks later but will not receive any
treatment.
Inclusion Criteria:
- Males and females 16 to 35 years of age, inclusive, at the time of informed consent
- Right-handed
- Must have experienced a first episode of non-affective psychosis over the past five
years
- Must exhibit a persistence of delusions for at least 4 days per week for at least 4
weeks in the absence of psychotomimetic substance use or other potential organic
etiologies, including epilepsy or significant head trauma.
- Must score at least a 2 (mild to moderate) on the "Amount of preoccupation with
delusions" and "Conviction" items on the Psychotic Symptom Rating Scale (PSYRATS).
Exclusion Criteria:
- Diagnosis of major mood disorder or other Axis I disorder other than Schizophrenia,
Schizoaffective Disorder or Schizophreniform Disorder.
- Significant medical or neurological illness by history or physical exam including
seizure disorder, history of loss of consciousness related to head trauma or
developmental disorder including mental retardation.
- Metal implants, pacemaker, or other metal in the body or medicinal patch.
- History of claustrophobia.
- Currently taking any anti psychotic medication (within 4 weeks).
We found this trial at
1
site
New York, New York 11375
Principal Investigator: Donald Goff, MD
Phone: 646-754-4843
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