ClinicalTrials.gg
RecruitingNCT05131256OBéMOUpdated Jul 26, 2022

fMRI Study of Emotion Regulation in Patients Suffering From Obesity With or Without Binge Eating Disorder and Seeking Bariatric Surgery

An interventional study of Neurofunctional characterization of emotional regulation (fMRI) in Obesity and Binge-Eating Disorder, sponsored by CHU de Reims. Recruiting at 1 site in France. Open to participants aged 18 Years to 60 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-07-26.

Sponsored by CHU de Reims · Not applicable, Interventional, and Basic science

From the registry’s dates

  • Primary completion was expected by Jul 2025, 1 year 3 months ago, but the record still lists the study as recruiting.
  • Started Jul 2022; still recruiting 4 years 3 months later.

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Phase
Not applicable
Study type
Interventional
Enrollment
90
Allocation
Non-randomized
Ages
18 Years to 60 Years
Sex
All
01

Where this study stands

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

Among 475 studies in Obesity with a site in France — 111 open to participants now, 127 under way, 25 of them phase 3. Obesity · France.

Planned enrollment
163rd of 354
90 · median 80
Started
2022
with 26 others
No phase
258 of 475
63 open now
Primary completion
2025-07
later than 14 of 126 live
Registered
332nd of 475
by date

Among the 475 studies in Obesity with a site in France, this one is the 163rd largest by planned enrollment of the 354 interventional ones that give a count, is one of 27 that started in 2022, is one of 258 with no phase, reaches primary completion later than 14 of the 126 other live ones, and was the 332nd registered.

Obesity

11,536 studies on the registry are indexed under Obesity; 2,042 are open to participants now.

Browse Obesity studies →

Open to participants now

111 of the 475 studies in Obesity with a site in France are open now. Recruiting first, the newest first:

106 more — sign in →

All 111 open studies →

A study can be open while its sites in France have not opened yet or have stopped. Only those recruiting at a site in France →

Who these studies take

Of the 1,339 Obesity studies recruiting now, 377 (28%) set no upper age limit and 859 (64%) stop at 75 or younger; 167 take children under 18; 490 take healthy volunteers.

This study: 18 Years to 60 Years · all sexes · healthy volunteers too.

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02

Study summary

Obesity is a major public health problem and Binge eating disorder (BED) is very frequently observed in patients considered for weight loss surgery and seems to influence their outcome critically. Literature highlights a global emotional overload in individuals with BED, but few are known on the mechanisms involved. The purpose of this study is to fill this gap by comparing the neurofunctional profiles of emotion regulation between patients suffering from obesity, with or without BED and healthy participants during the performance of emotion regulation tasks. Results may help to understand the neural bases of the impairments observed in patients with obesity, with or without BED, which may in turn help to propose, in the long term, potential new therapeutic approaches.

Read the detailed description

Obesity is a major public health problem and frequently associated with Binge eating disorder (BED) in patients considered for weight loss surgery and seems to influence their outcome critically. It may be due, in part, to an ineffective or a maladaptive emotional regulation. Emotion regulation is the ability to exert control over one's own emotional state. The relative absence of this ability would indicate the presence of difficulties in emotion regulation, or an emotion dysregulation. Individuals with disordered eating may have a greater vulnerability to use maladaptive emotion regulation strategies. In the eating behaviours, an emotion dysregulation can cause weight gain that can lead to overweight or obesity. Accordingly, patients suffering from obesity, and with BED may have a greater vulnerability to use maladaptive emotion regulation strategies. However, few studies have investigated the neurofunctional profiles of emotion regulation in patients suffering from obesity with and without BED and seeking bariatric surgery.

The aim of the study is to explore the neural correlates of emotion regulation in patients suffering from obesity, with or without BED, in comparison with those of healthy participants. We also aim to describe the relationship between the neural correlates, eating behaviours and assessed psychological profiles.

03

Conditions studied

  • Obesity
  • Binge-Eating Disorder

Keywords

  • Obesity
  • Emotion
  • fMRI
  • Emotion regulation
  • Binge eating disorder
04

Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Group 1: Patients suffering from obesity, seeking bariatric surgery, and with BED.

Inclusion criteria:

  • Patients between 18 and 60 years old, men or women, right-handed
  • Having a diagnosis of obesity class 2 or 3 and seeking bariatric surgery
  • With Binge eating disorder (BED)
  • Possibility to the use of MRI
  • Patients being a native French speaker
  • Patients enrolled in the national healthcare insurance program
  • Patients consenting to participate to the study

Exclusion criteria:

  • The presence of a current substance use disorder as defined by criteria
  • The presence of neurological disorders or head trauma
  • The presence of any intellectual disability, of pervasive developmental disorders or learning difficulties (especially of dysphasia and dyspraxia)
  • A current mood episode as defined by DSM-5 criteria
  • A diagnosis of schizophrenia or of bipolar disorder according to DSM-5 criteria
  • Handling of psychotropics substances
  • A sensorial impairment uncorrected (visual and/or hearing)
  • to the use of MRI
  • Pregnant woman and people particularly protected by the law

Group 2: Patients suffering from obesity, seeking bariatric surgery, and without BED.

Inclusion criteria:

  • Patients between 18 and 60 years old, men or women, right-handed
  • Having a diagnosis of obesity class 2 or 3 and seeking bariatric surgery
  • Without Binge eating disorder (BED)
  • Possibility to the use of MRI
  • Patients being a native French speaker
  • Patients enrolled in the national healthcare insurance program
  • Patients consenting to participate to the study

Exclusion criteria:

  • The presence of a current substance use disorder as defined by DSM-5 criteria
  • The presence of neurological disorders or head trauma
  • The presence of any intellectual disability, of pervasive developmental disorders or learning difficulties (especially of dysphasia and dyspraxia)
  • A current mood episode as defined by DSM-5 criteria
  • A diagnosis of schizophrenia or of bipolar disorder according to DSM-5 criteria
  • Handling of psychotropics substances
  • A sensorial impairment uncorrected (visual and/or hearing)
  • Contraindication to the use of MRI
  • Pregnant woman and people particularly protected by the law

Group 3: Healthy participants.

Inclusion criteria:

  • Men or women, right-handed, between 18 and 60 years old
  • Without overweight nor obesity
  • Native French speaker
  • Individuals enrolled in the national healthcare insurance program
  • Individuals consenting to participate to the study

Exclusion criteria:

  • Past obesity
  • The presence of neurological disorders or head trauma
  • The presence of any intellectual disability, of pervasive developmental disorders or learning difficulties (especially of dysphasia and dyspraxia)
  • Handling of psychotropics substances
  • A sensorial impairment uncorrected (visual and/or hearing)
  • Contraindication to the use of MRI
  • Pregnant woman and people particularly protected by the law
  • A current mood episode as defined by DSM-5 criteria
  • A diagnosis of schizophrenia or of bipolar disorder according to DSM-5 criteria
  • The presence of a current substance use disorder as defined by DSM-5 criteria
  • A diagnosis of eating disorder as defined by DSM-5 criteria
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.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
90 participants (estimated)

Study arms

  • Experimental
    patients suffering from obesity with BED

    Behavioral: Neurofunctional characterization of emotional regulation (fMRI)

  • Active comparator
    patients suffering from obesity without BED

    Behavioral: Neurofunctional characterization of emotional regulation (fMRI)

  • Active comparator
    healthy participants

    Behavioral: Neurofunctional characterization of emotional regulation (fMRI)

Interventions

  • BehavioralNeurofunctional characterization of emotional regulation (fMRI)

    Investigation of neurofunctional characterization of emotional regulation and its links with the eating behaviours of patients suffering from obesity using a comprehensive, clinical, and cognitive assessment and task-based MRI exams.

06

What researchers measure

Primary outcomes

  1. fMRI activations during an emotional regulation task (a cognitive reappraisal task)

    The participant either reappraises or passively watches negative or neutral pictures and rates his affect (visual analogue scale: 0 to 10, high scores mean negative feelings).

    Time frame: Day 0

  2. fMRI activations during the inhibition of an ongoing motor response under an emotional condition (emotional stop signal task)

    The participant is presented with a series of images comprised of neutral, positive, and negative categories and is instructed to categorize the images according to their valence (Go trials). Some trials include a stop signal indicating that the participant should inhibit his behavioral response and associated emotional reaction (Stop trials).

    Time frame: Day 0

  3. fMRI activations during the performance of an emotion regulation task (an emotional Stroop task)

    The participant is asked to count how many numbers are presented on the screen. Numbers may match the value of the number (congruent condition) or not (incongruent condition). The numbers are preceded by emotional stimuli (negative, positive, neutral). The participant also views the emotional stimuli pictures without counting numbers (view condition).

    Time frame: Day 0

Secondary outcomes

  1. Description of eating behaviours: Binge eating

    The Binge Eating Scale (BES) is a 16-item self-administered questionnaire used to assess the presence of binge eating behavior indicative of an eating disorder. Eight items describe behavioral manifestations (for example, eating fast or consuming large amounts of food) and eight items on associated feelings and cognitions (for example, fear of not stopping eating). Each item has a response range from 0 to 3 points (0 = no severity of the BES symptoms, 3 = serious problems on the BES symptoms). Marcus et al. (1988) created a range of scores for the BES from 0 to 46 points: a score of less than 17 points indicates minimal binge eating (BE) problems; a score between 18 and 26 points indicates moderate BE problems, and a score of more than 27 points indicates severe BE problems. We consider binge eating as a categorical variable (significant binge eating if BES score ≥18).

    Time frame: Day 0

  2. Description of eating behaviours: Emotional eating, external eating, restraint eating

    The Dutch Eating Behavior Questionnaire (DEBQ) is administered using the French version to assess three components of eating behavior: emotional, external, and restrained eating. It is a self-report measure that contains 33 items. Thirteen items assess emotional eating, 10 items assess external eating, and 10 items assess restrained eating. Each item is rated on a 5-point Likert scale. Higher scores on each dimension mean worse eating behaviors.

    Time frame: Day 0

  3. Description of eating behaviours: Bulimic symptomatology

    The Bulimic Investigatory Test, Edinburgh (BITE) is a self-report questionnaire used to evaluate the presence and severity of bulimic symptomatology. It is composed of 33 items divided into two different subscales: a symptom subscale (30 items) and a severity subscale (3 items). Henderson and Freeman (1987) considered a BITE score under 10 points as indicative of no problem with eating behavior, a score between 10 and 20 points as indicative of abnormal eating patterns (from 15 to 20 points warns us of the presence of a possible subthreshold bulimia nervosa), and a score higher than 20 points constitutes altered eating patterns with a possible bulimia nervosa.

    Time frame: Day 0

  4. Description of psychological profiles (emotional, cognitive and personality): Emotion regulation

    The Difficulty in Emotion Regulation Scale (DERS) is a 36-item self-report questionnaire. It assesses six different aspects of emotional regulation including non-acceptance of emotional responses (Non-Acceptance), difficulty engaging in goal-directed behavior (Goals), impulse control difficulties (Impulse), lack of emotional awareness (Awareness), limited access to emotional regulation strategies (Strategies), and lack of emotional clarity (Clarity). Higher scores on each dimension indicate greater emotion dysregulation symptoms.

    Time frame: Day 0

  5. Description of psychological profiles (emotional, cognitive and personality): Depression severity

    Depression severity is assessed with the shortened Beck Depression Inventory (BDI). This is a widely used self-report scale consisting of 13 items, which has been validated in French. The total score is obtained by adding the scores of the 13 items and ranges from 0 to 39, with higher scores indicating greater depression symptoms.

    Time frame: Day 0

  6. Description of psychological profiles (emotional, cognitive and personality): Anxiety severity

    Anxiety severity is assessed with the Spielberger State-Trait Inventory (STAI) which is a 40-item scale, using a 4-point Likert scale for each item. This scale was used to measure both trait anxiety (how dispositionally anxious a person is across time and situations) and state anxiety (how anxious a person is feeling at a particular moment). Higher scores indicate greater anxiety symptoms.

    Time frame: Day 0

  7. Description of psychological profiles (emotional, cognitive and personality): Impulsivity

    We use the UPPS-P Impulsive Behavior Scale to assess the facets of impulsivity, i.e., Negative Urgency, Positive Urgency, (lack of) Premeditation, (lack of) Perseverance, and Sensation Seeking. This shortened version (20 items) has 4 items per scale, and each item is responded to on a 4-point Likert-type scale. Higher scores on each scale indicate greater impulsivity symptoms. This self-report scale has received endorsement from the National Institutes of Health's (NIH) PhenX Toolkit as the recommended self-report measure of impulsigenic traits.

    Time frame: Day 0

07

Study locations

1 of 1 sites recruiting
08

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 Jul 2022 (actual). Primary completion is estimated for Jul 2025, 36 months after the start.

Of 3,685 non-industry interventional studies with no phase under Obesity, half reached primary completion within 23 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 43. This study's planned 36 months is above that.

Counting every sponsor, half of 3,848 studies reached it within 22 months; a quarter within 9 and three quarters within 42.

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

Registered
Aug 3, 2021
First posted
Nov 23, 2021
StartActual
Jul 20, 2022
Primary completionEst.
Jul 20, 2025
CompletionEst.
Jul 20, 2025
Last update
Jul 26, 2022
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 Jul 26, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05131256
Lead sponsor
CHU de Reims
Responsible party
Sponsor
First posted
Nov 23, 2021
Start date
Jul 20, 2022
Primary completion
Jul 20, 2025 (estimated)
Completion
Jul 20, 2025 (estimated)
Last update
Jul 26, 2022

Study contacts

Farid BENZEROUK
Contact
fbenzerouk@chu-reims.fr
03 26 78 33 94 ext. 0033

Oversight

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

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