Sex Differences in Attentional Bias in Marijuana-dependent Individuals
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Purpose
The purpose of this study is to explore sex differences in cognitive functioning and responses to marijuana-related items, and to determine whether stress impacts these measures.
Hypothesis 1: Attentional bias will be greater for marijuana cues in male marijuana-dependent subjects relative to female marijuana-dependent or non-dependent male controls.
Hypothesis 2: Marijuana-dependent females will exhibit greater stress-induced changes in attentional bias and cognitive functioning than marijuana-dependent males.
| Condition | Intervention |
|---|---|
|
Marijuana Dependence |
Other: Cognitive stressor |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Intervention Model: Parallel Assignment Masking: Open Label |
| Official Title: | Sex Differences in Attentional Bias and Cognitive Functioning in Response to Stress in Marijuana-dependent Individuals |
- Primary outcome measures will be obtained from the auditory odd-ball task: differences while viewing the marijuana vs neutral video in reaction time (msec), errors of omission (%), and errors of commission (%). [ Time Frame: ~ 3 hours ] [ Designated as safety issue: No ]
- Secondary measures include subjective (craving and stress), physiological (heart rate and skin conductance), and stress hormone level (cortisol) assessments. [ Time Frame: ~ 3 hours ] [ Designated as safety issue: No ]
| Enrollment: | 40 |
| Study Start Date: | August 2009 |
| Study Completion Date: | February 2011 |
| Primary Completion Date: | February 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Active Comparator: non-marijuana dependent controls |
Other: Cognitive stressor
The Paced Auditory Serial Addition Task (PASAT-C), has been modified for use as a computerized laboratory-based stressor. Single digits are presented, and the patient must add each new digit to the one immediately prior to it and click on the appropriate answer. Failure to do so in the allotted time results in a noxious error sound.
|
| Experimental: Marijuana-dependent subjects |
Other: Cognitive stressor
The Paced Auditory Serial Addition Task (PASAT-C), has been modified for use as a computerized laboratory-based stressor. Single digits are presented, and the patient must add each new digit to the one immediately prior to it and click on the appropriate answer. Failure to do so in the allotted time results in a noxious error sound.
|
Detailed Description:
Ample evidence implicates both environmental cues and negative affective states in maintaining drug use or triggering relapse. However, although 'craving' is believed to drive continued drug use, it is not well understood how cognitive processes influence craving and relapse, nor how they may differ between the sexes. Therefore, the goal of this study protocol is to provide insight into sex differences in the cognitive aspects of drug craving and to assess the impact of stress on attentional bias for drug-related cues as well as on the availability of cognitive resources.
Eligibility| Ages Eligible for Study: | 18 Years to 65 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Inclusion criteria will include subjects between the ages of 18-65 who meet full DSM-IV criteria for marijuana dependence and non-dependent controls.
Exclusion Criteria:
- Exclusion criteria will include medications that may affect cognitive or HPA-axis functioning
- Current depression
- Bipolar disorder
- Attention deficit hyperactivity disorder
- History of psychosis
- Suicidal or homicidal intent
- Significant cognitive deficits
- Dependence on any substance other than marijuana, nicotine, or caffeine.
Contacts and Locations| United States, South Carolina | |
| Medical University of South Carolina, Dept. of Psychiatry/Clinical Neuroscience Division | |
| Charleston, South Carolina, United States, 29425 | |
| Principal Investigator: | Kimber L Price, PhD | Medical University of South Carolina |
More Information
No publications provided
| Responsible Party: | Kimber L. Price, Ph.D., Medical University of South Carolina |
| ClinicalTrials.gov Identifier: | NCT01179425 History of Changes |
| Other Study ID Numbers: | HR# 19292 |
| Study First Received: | November 17, 2009 |
| Last Updated: | April 13, 2011 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Medical University of South Carolina:
|
marijuana dependence cognition stress |
Additional relevant MeSH terms:
|
Marijuana Abuse Substance-Related Disorders Mental Disorders |
ClinicalTrials.gov processed this record on May 23, 2013