An observational study in Obsessive Compulsive Disorder, sponsored by NYU Langone Health. Completed at 1 site in United States. Open to participants aged 18 Years to 60 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-07-26.
Sponsored by NYU Langone Health · Observational
The Research Domain Criteria (RDoC) approach seeks to address the neurobiological mechanisms of sensory symptoms in patients with obsessive-compulsive disorder (OCD) by investigating dimensional components of behavior that more closely align with brain circuitry. This project focuses on the dimensional symptom of sensory phenomena (SP), which are uncomfortable or aversive sensory experiences that drive repetitive behaviors in OCD, including "not just right" sensations, physical urges, and sensations of disgust. SP are very prevalent, occurring in 60-80% of OCD patients, and experienced as highly distressing. Unfortunately, SP are not well addressed by standard treatment approaches, which may be in part because their neurobiological mechanisms are not well understood.
This project builds on our preliminary data to (1) investigate the neural mechanisms of SP in large OCD cohort showing the full range of SP severity and (2) probe for familial risk markers in unaffected siblings of patients. For Aim 1, SP will be measured in 100 OCD patients using the Sensory Phenomena Scale. Diffusion and fMRI data will be acquired during rest and fMRI tasks. In order to identify familial risk markers, Aim 2 will compare sensory phenomena and neural circuitry between OCD probands, 50 unaffected biological siblings of OCD patients, and 50 unrelated healthy controls without a family history of Axis 1 disorders.
This project investigates the neurobiological mechanisms of sensory symptoms in patients with obsessive-compulsive disorder (OCD) and their siblings using task-based fMRI, resting-state functional connectivity, and diffusion MRI approaches. OCD is a chronic disorder presenting a high public health burden. Treatment presents a particular challenge because OCD is extremely heterogeneous, with clusters of symptoms likely derived from differing neural etiologies.
This study will involve 18-60 year-old male or female volunteer subjects of any racial or ethnic group. This will include 100 OCD patients, 50 unaffected biological siblings (SIB) and 50 healthy controls (HC).
Additional criteria for healthy controls (HC):
Additional criteria for siblings (SIB):
Additional criteria for OCD patients:
Exclusion Criteria:
Healthy controls (HC, n=50) without a family history of OCD will be matched to SIB.
Other: Tasked based functional MRI (fMRI) · Other: Eye Tracking Device
Healthy controls (HC, n=50) without a family history of OCD will be matched to SIB.
Other: Tasked based functional MRI (fMRI) · Other: Eye Tracking Device
Healthy controls (HC, n=50) without a family history of OCD will be matched to SIB.
Other: Tasked based functional MRI (fMRI) · Other: Eye Tracking Device
2-3 brief computer tasks while brain activity is being measured. The tasks performed will involve making button press responses to letters, numbers or shapes on the computer screen.
Camera aimed at eyes to record eye movements during tasks
Brain activation in relation to sensory phenomena severity in patients with OCD
Statistical modeling using path analysis will test whether brain activation, functional connectivity, and diffusion measures predict Sensory Phenomena (SP) better than alternative models of predictive influence.
Time frame: 4 Hours
This study is completed, as verified in Jul 2024. You cannot join it, but the record below documents what was studied.
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Compulsive Personality Disorder→
NYU Langone Health