ClinicalTrials.gg
Status unknownNCT03382808Updated Dec 26, 2017

Emotion Recognition Training in Antisocial Violent Offenders With Psychopathic Traits

An interventional study of SEE Training and GAZE Training in Psychopathy, Violent Aggressive Behavior and Emotional Problem, sponsored by University Hospital Tuebingen. Status unknown at 1 site in Germany. Open to male participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2017-12-26.

Sponsored by University Hospital Tuebingen · Not applicable, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Dec 2017), so the status shown — last known as Recruiting — may be out of date.

From the registry’s dates

  • Registered 8 months after the study started (first participant enrolled Apr 2017, registered Dec 2017).
Phase
Not applicable
Study type
Interventional
Enrollment
80
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
Male
01

Study summary

Impaired recognition of affective facial expressions has been conclusively linked to antisocial and psychopathy. However, little is known about the modifiability of this deficit. This study aims to investigate whether and under which circumstances the proposed perceptual insensitivity can be addressed with a brief implicit training approach.

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Conditions studied

  • Psychopathy
  • Violent Aggressive Behavior
  • Emotional Problem
03

In context

Antisocial Personality Disorder

67 studies on the registry are indexed under Antisocial Personality Disorder; 10 are open to participants now.

This study's planned enrollment of 80 is below the median of 140 across 43 interventional studies indexed under Antisocial Personality Disorder.

Browse Antisocial Personality Disorder studies →

Lead sponsor

University Hospital Tuebingen is the lead sponsor of 490 studies on the registry; 108 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
Male
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Confirmed ASPD diagnosis
  • PCL-Score available
  • arrested for committing violent crimes

Exclusion criteria

Exclusion Criteria:

  • Insufficient knowledge of the German language
  • Diagnosed with schizophrenia
  • Substance abuse
  • Neurological disease (e.g. epilepsy)
  • Mental retardation
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
80 participants (estimated)

Study arms

  • Experimental
    SEE Training

    The training sequence comprises four weekly sessions using a modified dote-probe paradigm (fearful vs. neutral expression).

    Behavioral: SEE Training

  • Active comparator
    GAZE Training

    The GAZE training sequence comprises four weekly sessions using a modified dote-probe paradigm (averted vs. directed gaze).

    Behavioral: GAZE Training

Interventions

  • BehavioralSEE Training

    Participants are first presented with a fixation cross which indicates the beginning of a trial and is immediately followed by a bilateral presentation of a neutral and a fearful image (face) of the same model identity. The fearful expression is always replaced by an arrow pointing to the left or the right which remaines active until the participant indicates via button-press which direction the arrow is pointing to. The model identity, the position of the fearful cue and the arrow probe direction are pseudo-randomized across trials with no more than three identical sequential occurrences on each parameter. Each session consists of 360 trials in total, with 120 distinct trial types and three repetitions. Participants are trained with neutral and 75% fearful expressions only in the first session; the intensity of the fearful cue is successively decreased by 15% at every subsequent session.

  • BehavioralGAZE Training

    Participants are first presented with a fixation cross, which indicates the beginning of a trial and is immediately followed by a bilateral presentation of a direct gaze-image (neutral face) and an image of a neutral face (same model identity) displaying deviated gaze. The averted gaze-face is always replaced by an arrow pointing to the left or the right which remaines active until the participant indicates via button-press which direction the arrow is pointing to. The model identity, the position of the fearful cue and the arrow probe direction are pseudo-randomized across trials with no more than three identical sequential occurrences on each parameter. Each session consists of 360 trials in total, with 120 distinct trial types and three repetitions. Participants are trained with direct and 100% averted gaze images only in the first session; the intensity of the deviated gaze cue is successively decreased by 20% at every subsequent session.

06

What researchers measure

Primary outcomes

  1. Animated morph task

    Morphed images are presented, beginning with the neutral face that progresses into one of the six affective expressions. This procedure creates the impression of an animated clip depicting the development of facial emotive expressions. Participants are instructed to press a button as soon as they are able to identify the emerging expression.

    Time frame: change from pre-treatment to post-treatment after 8 weeks

Secondary outcomes

  1. Unconscious processing of affective facial expressions during interocular suppression in a breaking Continuous flash suppression paradigm

    Change in processing of unaware/unconsciously perceived emotional stimuli as assessed by number of faces correctly identified

    Time frame: pre-treatment, after 8 weeks (post-treatment)

  2. Eye-Tracking

    Change in recognition and visual processing of emotional faces as indicated by raw scores and group means for dwell time, total dwell time, and time to first AOI (mouth/eye region) hit

    Time frame: pre-treatment, after 8 weeks (post-treatment)

  3. Ambivalence Task

    Change in interpretation of ambiguous emotional faces as indicated by number of hostile judgments

    Time frame: pre-treatment, after 8 weeks (post-treatment)

  4. Emotional search paradigm

    Assessment of implicit perceptual biases for and explicit categorization of facial expression in an emotional search paradigm (change pre- to post-intervention)

    Time frame: pre-treatment, after 8 weeks (post-treatment)

  5. Affective prosody

    Change in recognition of non-verbal emotional aspects of language as assessed by number of correct classifications

    Time frame: pre-treatment, after 8 weeks (post-treatment)

  6. Multifaceted empathy test

    Assessment of cognitive and emotional empathy (change pre- to post-intervention)

    Time frame: pre-treatment, after 8 weeks (post-treatment)

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Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Schonenberg M, Christian S, Gausser AK, Mayer SV, Hautzinger M, Jusyte A. Addressing perceptual insensitivity to facial affect in violent offenders: first evidence for the efficacy of a novel implicit training approach. Psychol Med. 2014 Apr;44(5):1043-52. doi: 10.1017/S0033291713001517. Epub 2013 Jul 1. PubMed 23809680 ↗
  • Gibbon S, Khalifa NR, Cheung NH, Vollm BA, McCarthy L. Psychological interventions for antisocial personality disorder. Cochrane Database Syst Rev. 2020 Sep 3;9(9):CD007668. doi: 10.1002/14651858.CD007668.pub3. PubMed 32880104 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Apr 2017 (actual). Primary completion is estimated for Mar 2019, 23 months after the start.

Of 25 interventional studies with no phase under Antisocial Personality Disorder, half reached primary completion within 53 months of starting (the median), counting those still running; a quarter within 29 and three quarters within 66. This study's planned 23 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 12, 2017
First posted
Dec 26, 2017
StartActual
Apr 1, 2017
Primary completionEst.
Mar 1, 2019
CompletionEst.
Dec 31, 2019
Last update
Dec 26, 2017
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 26, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03382808
Collaborators
German Research Foundation
Responsible party
Sponsor
First posted
Dec 26, 2017
Start date
Apr 1, 2017
Primary completion
Mar 1, 2019 (estimated)
Completion
Dec 31, 2019 (estimated)
Last update
Dec 26, 2017

Study contacts

Michael Schönenberg, PhD
Contact
michael.schoenenberg@uni-tuebingen.de
004970712978355
Martin Hautzinger, Prof.
Contact
Michael Schönenberg, PhD
principal investigator · University Hospital Tuebingen

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Dec 2017. You cannot join it, but the record below documents what was studied.

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