Using TMS to Understand Neural Processes of Social Motivation

Purpose

The purpose of this study is to use transcranial magnetic stimulation (TMS) to better understand the neural circuits associated with social motivation. Participant includes four study visits each that range from 1.5 - 3.0 hours in duration over approximately a one month period. The first study visit involves answering survey questions, a clinical interview, and computer tasks. The second study visit involves a magnetic resonance imaging (MRI) scan, computer tasks, and a brief TMS protocol. The second and third study visits involve a full session of TMS followed by an MRI scan and computer tasks. Adults in the Auburn/Opelika area and surrounding areas who avoid social situations, experience symptoms of depression or social anxiety, and are between 25 years old and 50 years old are eligible to participate.

Conditions

  • Social Avoidant Behavior
  • Major Depressive Disorder
  • Social Anxiety Disorder

Eligibility

Eligible Ages
Between 25 Years and 50 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • A diagnosis of Major Depressive Disorder OR a diagnosis of Social Anxiety Disorder (assessed/confirmed at screening visit). - Scoring above clinical threshold on a measure of social avoidant behavior (assessed/confirmed at phone screen).

Exclusion Criteria

  • Unstable medication regimen (i.e., changes in medication or dosage in past 3 months). - Current or lifetime diagnosis of Bipolar Disorder. - A diagnosis of substance use disorder within past 12 months. - A diagnosis of psychotic-spectrum disorder such as Schizophrenia. - Pregnancy or probable pregnancy. - Medical illness or medical treatment that would preclude or inhibit study participation. - Neurological disorder or prior neurosurgical procedure. - History of seizures or head trauma. - Family history of epilepsy or personal epilepsy/seizures - Ferromagnetic implants or ferrmagnetic objects within body (e.g., pacemaker).

Study Design

Phase
N/A
Study Type
Interventional
Allocation
Randomized
Intervention Model
Crossover Assignment
Intervention Model Description
All participants will receive each dose of TMS in a counterbalanced order (AB or BA)
Primary Purpose
Basic Science
Masking
Double (Participant, Investigator)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
TMS A
Active continuous thetaburst stimulation administered over right dorsolateral prefrontal cortex for 40 seconds (600 pulses total)
  • Device: TMS
    TMS will be administered using a Cool B-65 coil to a personalized right dlPFC region.
Sham Comparator
TMS B
Sham continuous thetaburst stimulation administered over right dorsolateral prefrontal cortex for 40 seconds (600 pulses total)
  • Device: TMS
    TMS will be administered using a Cool B-65 coil to a personalized right dlPFC region.

Recruiting Locations

More Details

Status
Recruiting
Sponsor
Auburn University

Study Contact