ClinicalTrials.gg
CompletedNCT03414619Updated Mar 18, 2020

The Role of Cognitive Control in the Transdiagnostic Conceptualization of "Intrusive Thoughts"

An interventional study of Cognitive Control Tasks and Script Driven Imagery in Obsessive-Compulsive Disorder, Generalized Anxiety Disorder and Major Depressive Disorder, sponsored by Massachusetts General Hospital. Completed at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-03-18.

Sponsored by Massachusetts General Hospital · Not applicable, Interventional, and Diagnostic

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Phase
Not applicable
Study type
Interventional
Enrollment
75
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 23 studies in Obsessive-Compulsive Disorder by Massachusetts General Hospital — none open to participants now, 2 under way, none of them phase 3. Obsessive-Compulsive Disorder · Massachusetts General Hospital.

Enrollment
5th of 20
75 · median 37
Started
2018
with 1 other
No phase
14 of 23
none open now
Registered
16th of 23
by date

Among the 23 studies in Obsessive-Compulsive Disorder by Massachusetts General Hospital, this one is the 5th largest by enrollment of the 20 interventional ones that give a count, is one of 2 that started in 2018, is one of 14 with no phase, and was the 16th registered.

Obsessive-Compulsive Disorder

635 studies on the registry are indexed under Obsessive-Compulsive Disorder; 165 are open to participants now.

Browse Obsessive-Compulsive Disorder studies →

Open to participants now

None of the 23 studies in Obsessive-Compulsive Disorder by Massachusetts General Hospital is open now. The open studies under Obsessive-Compulsive Disorder, anywhere →

Where they have run

Who these studies take

Of the 119 Obsessive-Compulsive Disorder studies recruiting now, 30 (25%) set no upper age limit and 81 (68%) stop at 75 or younger; 28 take children under 18; 18 take healthy volunteers.

This study: 18 Years and older · all sexes · healthy volunteers too.

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Download CSVNarrow it in search →With an account: the 23 studies in Obsessive-Compulsive Disorder by Massachusetts General Hospital as a file.
02

Study summary

The investigators are examining whether difficulties with cognitive control (i.e., the ability to stop one's thought process and shift attention) is a common problem across three types of repetitive, negative thinking: obsessions (as seen in obsessive compulsive disorder, OCD), worries (as seen in generalized anxiety disorder, GAD), and ruminations (as seen in major depressive disorder, MDD).

Read the detailed description

The primary aims of this study are to utilize self-report and behavioral measures to examine whether cognitive control is a common factor across three types of repetitive negative thinking (RNT): obsessions in OCD, worries in GAD, and ruminations in MDD. Specifically, the investigators aim to test whether individuals with obsessions, worries, and depressive ruminations demonstrate impaired cognitive control on executive functioning neuropsychological tasks (i.e., response inhibition, set shifting, attentional disengagement) relative to individuals without any psychiatric diagnoses. Additionally, the investigators will examine whether these deficits are associated with self-report measures of RNT as well as in vivo responding during a laboratory paradigm designed to induce intrusive thinking. Findings could inform psychological treatment of these problematic intrusions using novel transdiagnostic approaches.

03

Conditions studied

  • Obsessive-Compulsive Disorder
  • Generalized Anxiety Disorder
  • Major Depressive Disorder

Keywords

  • OCD
  • GAD
  • MDD
  • Rumination
  • Obsession
  • Worry
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  1. Adults (age 18+)
  2. Intrusive thoughts group: intrusive thought in the domain of obsessions, worries, or depressive ruminations with a score above the clinical mean (≥ 37) on the trait repetitive negative thinking measure (Perseverative Thinking Questionnaire, PTQ)
  3. Non-psychiatric control (NPC) group: A score 1 SD below the community mean (≤ 15) on the trait repetitive negative thinking measure (PTQ)
  4. Sufficient fluency of English to understand study procedures and questionnaires
  5. Ability to provide .
  6. Comfortable and capable of using a computer and completing reaction-time tasks.

Exclusion criteria

Exclusion Criteria:

  1. Acute psychosis, mania, or suicidality
  2. Diagnosis of post-traumatic stress disorder (PTSD; in order to preserve diagnostic clarity of the domains of intrusive thoughts under investigation)
  3. Serious neurological disorder or impairment (e.g., brain damage, blindness), attention deficit hyperactivity disorder (ADHD), intellectual disability, or autism.
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
75 participants (actual)

Study arms

  • Experimental
    Intrusive Thoughts Group

    Clinically significant intrusive thought in the domain of obsessions, worries, or depressive ruminations with a score above the clinical mean (≥ 37) on the trait repetitive negative thinking measure (Perseverative Thinking Questionnaire, PTQ). These participants will receive the Cognitive Control Tasks and Script Driven Imagery Intervention.

    Behavioral: Cognitive Control Tasks and Script Driven Imagery

  • Experimental
    Non-psychiatric Control Group

    A score 1 SD below the community mean (≤ 15) on the trait repetitive negative thinking measure (Perseverative Thinking Questionnaire, PTQ). These participants will also receive the Cognitive Control Tasks and Script Driven Imagery Intervention.

    Behavioral: Cognitive Control Tasks and Script Driven Imagery

Interventions

  • BehavioralCognitive Control Tasks and Script Driven Imagery

    All participants will receive a structured diagnostic assessment and complete self-report questionnaires about cognitive factors and anxiety/mood symptoms. They then will complete a battery of neuropsychological executive functioning tasks on the computer, each of which measures a different facet of cognitive control (i.e., response inhibition, cognitive flexibility, and attentional control). Finally, they will be guided through a standardized script-driven imagery paradigm that involves generating and listening to an individualized imaginal script associated with a moderately distressing intrusive thought. Self-report and psychophysiological data will be collected during this exercise.

06

What researchers measure

Primary outcomes

  1. Commission Errors on the Go/No Go Task

    In the Go/No Go Task participants press a button immediately upon detecting a target stimulus (e.g., a square), but are told to refrain from responding to a "no go" stimulus (e.g., a cross of similar size). The main outcome is commission errors (i.e., responding to a "no go" stimulus).

    Time frame: Day 1

  2. Response time on the Stroop Color Word Test

    In the Stroop Color Word Test participants are asked to name the color of the ink in which words are printed, rather than reading the words.

    Time frame: Day 1

  3. Perseverative Errors on the Wisconsin Card Sort Test

    In the Wisconsin Card Sort Test participants are asked to match a stack of response cards to four stimulus cards without knowing the matching rule. They receive feedback for each trial about whether their matching was correct or not. After ten consecutive correct trials, the matching criterion changes without notice requiring the use of flexible goal-driven strategies.

    Time frame: Day 1

  4. Gaze latency on the Attentional Engagement-Disengagement Task

    In the Attentional Engagement-Disengagement Task two emotional facial stimuli are presented on the computer screen (i.e., happy, disgusted, fearful, and sad faces paired with neutral faces) and eye tracking (when participants shift from the emotional to neutral face and vice versa) is measured.

    Time frame: Day 1

Secondary outcomes

  1. Perseverative Thinking Questionnaire (PTQ)

    The Perseverative Thinking Questionnaire is a 15-item measure of repetitive, negative thinking considered independent of disorder-specific content (e.g., "The same thoughts keep going through my mind again and again").

    Time frame: Day 1

  2. State measure of intrusive thinking

    Participants will be asked questions on a visual analog scale from 0 "not at all" to 100 "extremely" regarding state experiences of intrusive thoughts.

    Time frame: Day 1

07

Study locations

1 site
  • Massachusetts General Hospital
    Boston, Massachusetts 02114, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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

Ran from May 2018 to primary completion in Mar 2020, 21 months.

Of 234 non-industry interventional studies with no phase under Obsessive-Compulsive Disorder, half reached primary completion within 43 months of starting (the median), counting those still running; a quarter within 22 and three quarters within 65. This study's 21 months is below that.

Counting every sponsor, half of 237 studies reached it within 43 months; a quarter within 22 and three quarters within 65.

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

Registered
Jan 23, 2018
First posted
Jan 30, 2018
StartActual
May 18, 2018
Primary completionActual
Mar 6, 2020
CompletionActual
Mar 6, 2020
Last update
Mar 18, 2020
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 Mar 18, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03414619
Collaborators
Health Resources in Action, Inc.
Responsible party
Ryan Jane Jacoby (Ryan Jane Jacoby, Ph.D., Clinical Psychologist, OCD and Related Disorders Program, Massachusetts General Hospital) — Principal investigator
First posted
Jan 30, 2018
Start date
May 18, 2018
Primary completion
Mar 6, 2020
Completion
Mar 6, 2020
Last update
Mar 18, 2020

Study contacts

Ryan J Jacoby, Ph.D.
principal investigator · Massachusetts General Hospital

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 completed, as verified in Mar 2020. You cannot join it, but the record below documents what was studied.

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