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CompletedNCT06298526UdSA_ANUpdated Sep 8, 2025

Auditory Sensory Attenuation in Anorexia Nervosa

An observational study in Anorexia Nervosa, sponsored by Istituto Auxologico Italiano. Completed at 1 site in Italy. Open to female participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-09-08.

Sponsored by Istituto Auxologico Italiano · Observational

Study type
Observational
Model
Case-control
Time perspective
Cross-sectional
Enrollment
31
Ages
18 Years and older
Sex
Female
01

Study summary

The goal of this observational cross-sectional study is to test the sensory attenuation effect with auditory stimuli comparing women affected by anorexia nervosa and healthy-weight women. Specifically, the study aims to test whether the sensory attenuation effect (i.e., the perceived loudness of a self-generated sound is weaker than when another person produces the same sound):

i) is observed in anorexia nervosa ii) it can be modulated in interactive action contexts, as was previously observed in healthy participants.

Participants will compare the loudness of target sound with a comparison tone, which can be prompt by the participant by pressing a button on their own will (i.e., individual context) or upon the experimenter\'s signal (i.e., interactive context); externally-generated sounds are produced in the opposite way.

Read the detailed description

The perceived loudness of a self-generated sound is generally weaker than when another person produces the same sound. This effect is known as sensory attenuation, and it is considered a proof of sense of agency (i.e., it relies on the anticipation of the sensory-motor effects of one\'s intentional action). Recently, it was suggested that this effect is enhanced in interactive action contexts in healthy individuals, meaning that sounds are produced as a consequence of cooperation between individuals.

Participants will compare the loudness of target sound with a comparison tone, which could be generated in 4 different conditions:

i) participants press a button ii) the experimenter press the button iii) participants press the button upon the experimenter\'s signal (i.e., who touch the participants\' arm) iv) the experimenter presses the button upon the participants\' signal (i.e., who touch the experimenter\'s arm).

However, it is not clear whether the same effect of cooperation can be observed also when individuals experience difficulties in social interactions and relationships.

To this purpose, the study compared the sensory attenuation effect for auditory stimuli in a traditional (i.e., individual) and interactive context, comparing women affected by anorexia nervosa with healthy-weight women.

Indeed, relational difficulties and social withdrawal characterized this clinical condition.

02

Conditions studied

  • Anorexia Nervosa

Keywords

  • anorexia nervosa
  • sensory attenuation
  • anhedonia
  • cognitive empathy
  • interpersonal difficulties
03

In context

Anorexia Nervosa

455 studies on the registry are indexed under Anorexia Nervosa; 126 are open to participants now.

This study's enrollment of 31 is below the median of 72 across 135 observational studies indexed under Anorexia Nervosa.

Browse Anorexia Nervosa studies →

Lead sponsor

Istituto Auxologico Italiano is the lead sponsor of 196 studies on the registry; 78 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

women affected by anorexia nervosa will be recruited at the IRCCS Istituto Auxologico Italiano, San Giuseppe Hospital, Piancavallo, VB, Italia (eating and nutritional disorders ward).

women with healthy weight will be recruited in the local community and among the researchers contacts

Inclusion criteria

  • diagnosis of anorexia nervosa according to the DSM-V classification (experimental group)
  • BMI ranged between 19 - 25 kg/m2 (controls)
  • handedness: right

Exclusion criteria

Exclusion Criteria:

  • history of eating disorders (controls)
  • major psychiatric conditions (e.g., psychosis, personality disorders)
  • developmental disorders (e.g., autism spectrum disorders)
  • neurological or brain injuries disorders
  • motor impairments
05

Study design

Observational model
Case-control
Time perspective
Cross-sectional
Enrollment
31 participants (actual)
Patient registry
No

Groups and cohorts

  • women with anorexia nervosa

    DSM-V criteria for anorexia nervosa must be satisfied

  • healthy weight women

    BMI range: 19-29 kg/m2

06

What researchers measure

Primary outcomes

  1. point of subjective equality (PSE)

    individual PSE in each experimental condition is obtained by fitting observed judgements of loudness, relative to seven possible comparison tones. The PSE represents the tone loudness that participants perceive as loud as the target sound (i.e., the sound intensity which records only 50% of correct judgments "which sounds was louder?")

    Time frame: day 1

Secondary outcomes

  1. cognitive empathy

    Interpersonal Reactivity Index - IRI: 28-item self-report questionnaire on a 5-point Likert scale (from 1 -does not describe me well to 5 - describes me very well). Four components of cognitive empathy are measured: i) perspective taking (IRI-PT); ii) fantasy (IRI-F); iii) empathic concern (IRI-EC); iv) personal distress (IRI-PD); each subscale includes 7 items (total scores range from 1 to 35): the higher the score, the higher the expression of cognitive empathy described in each subscale.

    Time frame: day 1

  2. interpersonal pleasure

    Anticipatory and Consummatory Interpersonal Pleasure Scale - ACIPS: 17-item self-reported questionnaire scored on 6-point Likert scale (from 1 - very false for me to 6-very true for me). ACIPS total score ranges from 1 to 102: higher scores indicate higher anticipatory and consummatory interpersonal pleasure.

    Time frame: day 1

07

Study locations

1 site
  • IRCCS Istituto Auxologico Italiano, San Giuseppe Hospital
    Piancavallo, VCO 28824, Italy
08

References and documents

Publications

  • Colle L, Hilviu D, Boggio M, Toso A, Longo P, Abbate-Daga G, Garbarini F, Fossataro C. Abnormal sense of agency in eating disorders. Sci Rep. 2023 Aug 30;13(1):14176. doi: 10.1038/s41598-023-41345-5. PubMed 37648816 ↗
  • Weiss C, Herwig A, Schutz-Bosbach S. The self in social interactions: sensory attenuation of auditory action effects is stronger in interactions with others. PLoS One. 2011;6(7):e22723. doi: 10.1371/journal.pone.0022723. Epub 2011 Jul 27. PubMed 21818373 ↗

Individual participant data

Plan to share: Yes — upload of anonymized raw experimental data on public repository (i.e., Zotero)

Supporting information: Csr

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 8, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06298526
Lead sponsor
Istituto Auxologico Italiano
Responsible party
Sponsor
First posted
Mar 7, 2024
Start date
Mar 1, 2023
Primary completion
Feb 29, 2024
Completion
Jun 30, 2025
Last update
Sep 8, 2025

Oversight

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

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This study is completed, as verified in Sep 2025. You cannot join it, but the record below documents what was studied.

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