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RecruitingNCT05892900tVNS-BPDUpdated Dec 1, 2023

Transcutaneous Vagus Nerve Stimulation (tVNS) for Borderline Personality Disorder (tVNS-BPD)

An interventional study of Transcutaneous vagus nerve stimulation (tVNS) and Sham transcutaneous vagus nerve stimulation (Sham tVNS) in Borderline Personality Disorder, sponsored by Sahlgrenska University Hospital. Recruiting at 1 site in Sweden. Open to female participants aged 18 Years to 50 Years. Per ClinicalTrials.gov, last updated 2023-12-01.

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

From the registry’s dates

  • Primary completion was expected by Dec 2024, 1 year 9 months ago, but the record still lists the study as recruiting.
  • Started Mar 2023; still recruiting 3 years 6 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
42
Allocation
Randomized
Ages
18 Years to 50 Years
Sex
Female
01

Study summary

The goal of this clinical trial is to test the efficacy of transcutaneous vagus nerve stimulation (tVNS) in borderline personality disorder. The main question it aims to answer is:

  • Is tVNS effective in acutely reducing emotional reactivity in borderline personality disorder?

Participants will be randomized to a single session of tVNS or sham-tVNS while going through an affect-inducing procedure. It will consist of the presentation of one neutral and three negative affect-inducing videos in sequence, each of which is followed by a post-induction period during which participants will rate the quality and intensity of their current self-reported emotions.

Researchers will compare the tVNS and sham tVNS groups to see if there is a difference in the intensity of the self-reported emotions between the groups.

Read the detailed description

The study will be a randomized, single-blind, sham-controlled trial. The goal of this clinical trial is to test the efficacy of transcutaneous vagus nerve stimulation (tVNS) acutely reduce emotional vulnerability and improve emotional regulation in borderline personality disorder. The main questions it aims to answer are:

  • Is tVNS effective in acutely reducing emotional reactivity in borderline personality disorder?
  • Is tVNS effective in acutely reducing baseline emotional arousal in borderline personality disorder?
  • Is tVNS effective in acutely ease emotional recovery in borderline personality disorder?
  • Is tVNS effective in acutely improve emotional regulation in borderline personality disorder?

The participants will be randomized to a single session of tVNS or sham-tVNS while going through an affect induction procedure. It will consist of the presentation of one neutral and three negative affect-evoking 4-minutes-long videos in sequence, each of which is followed by a 4-minutes post-induction period during which participants will rate the quality and intensity of their current self-reported emotions (post-induction ratings) and the perceived effectiveness in managing their emotions during the video presentation. The rating of the current self-reported emotions will be repeated after every post-induction period (recovery ratings).

To test the difference in negative emotional arousal at every stage and the perceived effectiveness in managing emotions between the tVNS and sham tVNS groups, mixed models with individuals as random effects will be used. These models will take into account the repeated measurements of the same individuals at baseline, pre-induction, post-induction, and recovery.

02

Conditions studied

  • Borderline Personality Disorder

Keywords

  • transcutaneous vagus nerve stimulation
  • borderline personality disorder
  • emotional vulnerability
  • emotion regulation
03

In context

Personality Disorders

336 studies on the registry are indexed under Personality Disorders; 48 are open to participants now.

This study's planned enrollment of 42 is below the median of 75 across 229 interventional studies indexed under Personality Disorders.

Browse Personality Disorders studies →

Lead sponsor

Sahlgrenska University Hospital is the lead sponsor of 259 studies on the registry; 68 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Swedish-speaking and able to provide informed consent to participate in the study
  • Female and between the ages 18 and 50 years old.
  • Current DSM-5 (Diagnostic and statistical manual of mental disorder-5) diagnosis of BPD based on the Structured Clinical Interview for DSM-5 Personality Disorders (SCID-5-PD)
  • Capable (in the Investigator's opinion) and willing to comply with all study requirements.

Exclusion criteria

Exclusion Criteria:

  • Any unstable medical and/or neurological condition
  • Currently pregnant
  • Any significant neurological disorder or condition likely to be associated with increased intracranial pressure or cognitive impairment (e.g., a space occupying brain lesion, a history of stroke, a cerebral aneurysm, a seizure disorder, Parkinson's disease, Huntington's chorea, multiple sclerosis)
  • Current diagnosis of delirium, dementia or another cognitive disorder secondary to a general medical condition
  • Established diagnosis of a developmental and neuropsychiatric disorder (e.g. Down syndrome, autism-spectrum disorder, ADHD)
  • Non-correctable clinically significant sensory impairment (i.e., cannot hear or see well enough to complete the affect induction procedure, follow and answer the survey instructions and questions)
  • Alcohol or substance use disorder (relating to opioids, cocaine, amphetamine or benzodiazepine) currently or within the past 1 month
  • Daily treatment with antiepileptics (e.g., carbamazepine, gabapentin, lamotrigine, levetiracetam, pregabalin, sodium valproate, topiramate) or benzodiazepines (last dose over 7 days before the screening)
  • Alcohol or substance use disorder (relating to opioids or cocaine) currently or within the past 1 month
  • Intracranial implant (e.g., aneurysm clips, shunts, stimulators, cochlear implants, or electrodes) or any other metal object within or near the head, excluding the mouth, that cannot be safely removed
  • History or diagnosis of bipolar or chronic psychotic disorder (e.g., schizophrenia, schizoaffective disorder).
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
42 participants (estimated)

Study arms

  • Experimental
    Transcutaneous vagus nerve stimulation (tVNS)

    1 tVNS session of ca 45 minutes The electrodes are placed at the left ear concha. The ear concha is principally innerved by the afferent branch of the vagus nerve

    Device: Transcutaneous vagus nerve stimulation (tVNS)

  • Sham comparator
    Sham Transcutaneous vagus nerve stimulation (tVNS)

    1 sham tVNS session of ca 45 minutes The electrodes are attached to the center of the left ear lobe, which is known to be free of cutaneous vagal innervation

    Device: Sham transcutaneous vagus nerve stimulation (Sham tVNS)

Interventions

  • DeviceTranscutaneous vagus nerve stimulation (tVNS)

    The electrodes are placed at the left ear concha. The ear concha is principally innerved by the afferent branch of the vagus nerve

    Also known as: Transcutaneous auricular vagus nerve stimulation (taVNS)

  • DeviceSham transcutaneous vagus nerve stimulation (Sham tVNS)

    The electrodes are attached to the center of the left ear lobe, which is known to be free of cutaneous vagal innervation

    Also known as: Sham Transcutaneous auricular vagus nerve stimulation (Sham taVNS)

06

What researchers measure

Primary outcomes

  1. Change in negative emotional arousal from baseline at immediately after affect-induction (post-induction ratings) as assessed by PANAS

    The emotional arousal will be measured through the self-reported ratings of negative emotions on the PANAS (PANAS-N). The scale uses adjectives that describe mood states rather than discrete emotions and are rated from 1 = very slightly or not at all to 5 = extremely.

    Time frame: Baseline and immediately after every of the four videos.

Secondary outcomes

  1. Change in negative emotional arousal from baseline at prior to affect-induction (pre-induction ratings) as assessed by PANAS

    The emotional arousal will be measured through the self-reported ratings of negative emotions on the PANAS (PANAS-N). The scale uses adjectives that describe mood states rather than discrete emotions and are rated from 1 = very slightly or not at all to 5 = extremely.

    Time frame: Baseline and 4 minutes after the tVNS/sham tVNS has begun, before the affect induction procedure.

  2. Change in negative emotional arousal from immediately after affect-induction at 4 minutes after affect induction (recovery ratings) as assessed by PANAS

    The emotional arousal will be measured through the self-reported ratings of negative emotions on the PANAS (PANAS-N). The scale uses adjectives that describe mood states rather than discrete emotions and are rated from 1 = very slightly or not at all to 5 = extremely.

    Time frame: Immediately after and at 4 minutes after every of the three affect inducing videos

  3. Perceived effectiveness in managing emotions (PEME) during affect induction.

    Participants will be asked during the post-induction period about their perceived effectiveness in managing their emotions (PEME) by asking them to rate "How difficult was it to manage your emotional response to this film clip?" from 1 = not at all to 9 = extremely. This scale will be interpreted as a subjective difficulty in regulating emotions in response to each video stimulus.

    Time frame: Immediately after every of the four videos

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Daros AR, Williams GE, Jung S, Turabi M, Uliaszek AA, Ruocco AC. More is not always better: Strategies to regulate negative mood induction in women with borderline personality disorder and depressive and anxiety disorders. Personal Disord. 2018 Nov;9(6):530-542. doi: 10.1037/per0000296. Epub 2018 Jul 12. PubMed 29999393 ↗
  • Guerriero G, Wartenberg C, Bernhardsson S, Gunnarsson S, Ioannou M, Liljedahl SI, et al. Efficacy of transcutaneous vagus nerve stimulation as treatment for depression: A systematic review. J Affect Disord Rep. 2021 Dec 1;6:100233. https://doi.org/10.1016/j.jadr.2021.100233

Individual participant data

Plan to share: No — This will be discussed if the occasion arises in order to follow GDPR rules

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 1, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05892900
Lead sponsor
Sahlgrenska University Hospital
Responsible party
Giuseppe Guerriero (Principal Investigator, Sahlgrenska University Hospital) — Principal investigator
First posted
Jun 7, 2023
Start date
Mar 24, 2023
Primary completion
Dec 31, 2024 (estimated)
Completion
Dec 31, 2025 (estimated)
Last update
Dec 1, 2023

Study contacts

Giuseppe Guerriero, MD, MSc
Contact
giuseppe.guerriero@vgregion.se
+46700823616
Steinn Steingrimsson, MD, PhD
Contact
steinn.steingrimsson@vgregion.se
+46722448372
Steinn Steingrimsson, MD, PhD
study chair · Sahlgrenska University Hospital

Oversight

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

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