A Virtual Reality Mindfulness Application for Aggression in Schizophrenia

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-64
SponsorManhattan Psychiatric Center

About this trial

The study investigates whether a virtual reality-based mindfulness based intervention can reduce impulsive aggression in individuals with schizophrenia or schizoaffective disorder. The primary goal is to evaluate whether mindfulness delivered via VR (MBI-VR) improves emotion regulation and engages the dorsomedial prefrontal cortex (dmPFC), a brain region involved in cognitive control and regulation of emotional responses. The study also examines whether these effects show a dose-related relationship.

Participants will be randomized to receive different doses of MBI-VR intervention or distraction tasks and will complete repeated mindfulness VR sessions. Brain activity will be measured using functional magnetic resonance imaging (fMRI) during an emotion regulation task, along with clinical assessments of impulsive aggression related symptoms.

Eligibility criteria

Qualifiers

Is willing and able to provide written informed consent to participate in the study, attend study visits, and comply with study-related requirements and assessments.

Fluent in written and spoken English, confirmed by ability to read and understand the informed consent form.

Be on optimized and stable atypical antipsychotic treatment as indicated by no antipsychotic changes in 2 weeks prior to enrollment.

Demonstrate documented evidence of good medication adherence for the 2 weeks prior to enrollment, as determined by electronic medication records review and prescriber reported adherence to prescribed schedule as documented in the participant's medical records.

Disqualifiers

Have past head trauma

Diagnosed with a neurological disorder

Are pregnant or breastfeeding women as evidenced by the participant's medical record.

Have unstable medical illness that compromises the safety of the patient

Trial design

Treatments tested in this trial

  • Mindfulness-Based Virtual Reality Intervention

Treatment groups

58 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Manhattan Psychiatric Center

Lead sponsor

National Institute of Mental Health (NIMH)

Collaborator