Interoceptive Engagement

Study Overview
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Brief Summary
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The proposed project is the first pilot test to examine interoceptive function as a mechanistic biomarker underlying Mindful Awareness in Body-oriented Therapy (MABT). MABT, an empirically-validated and manualized protocol is explicitly designed to teach interoceptive awareness skills for emotion regulation and is thus an ideal intervention approach in which to address this gap in research. This study uses a two group, randomized design to examine neural and physiological biomarkers in response to MABT. Twenty-four individuals reporting moderate stress will be recruited from the community and randomized to 8-week MABT intervention or the control condition. The study aims are to: 1) evaluate whether interoceptive training improves interoceptive function in the MABT vs control condition, and 2) explore whether changes in interoceptive function correlate with improved health outcomes. Analyses will include within and between-group ANOVA of brain activity with symptom change as a covariate. This is the first study to test whether a clinical intervention aimed specifically at cultivating interoceptive awareness effects change on interoceptive biomarkers. The results will support larger NIH proposals to more comprehensively validate neuro and behavioral biomarkers of interoceptive training to enhance mental health, particularly targeting depression and substance use disorder that have identified interoceptive dysfunction and poor emotion regulation.

Official Title
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Interoceptive Engagement in Response to Mindful Awareness in Body-oriented Therapy: A Pilot Test Comparison

Conditions
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Stress

Intervention / Treatment
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* Behavioral: Mindful Awareness in body-oriented therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: adult (over 18) Perceived Stress Scale scores indicating moderate stress levels naive to mindfulness-based approaches (no prior experience) agrees to forgo (non-study) manual therapies (e.g., massage) and mind-body therapies (e.g., mindfulness meditation) for 3 months (baseline to post-test) fluent in English can attend MABT and assessment sessions right-handed (for uniformity of neuroimaging results) Exclusion Criteria: lifetime diagnosis of mental health disorder unable to complete study participation (includes planned relocation, pending inpatient treatment, planned extensive surgical procedures, etc.) cognitive impairment, assessed by the Mini-Mental Status Exam (MMSE) if demonstrated difficulty comprehending the consent use of medications in the past 30 days that affect hemodynamic response lifetime head injuries or loss of consciousness longer than 5 min currently pregnant contraindications for MRI, e.g., claustrophobia, metal objects in body, etc.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Basic Science
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: MABT<br>Receive 8 weekly sessions of Mindful Awareness in Body-oriented Therapy (MABT). | Behavioral: Mindful Awareness in body-oriented therapy<br>* teaches interoceptive awareness skills for self care<br>|
| No Intervention: Control<br> | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| interoceptive function | Functional magnetic resonance imaging (fMRI) | 10 weeks |