Resilience Among Individuals With Opioid Use Disorder

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorJohns Hopkins University

About this trial

The goal of this clinical trial is to develop a human laboratory model of resilience in people with opioid use disorder (OUD). The investigators aim to learn if objective tasks that measure cognitive, emotional, and control aspects of resilience match up with self-reported resilience during stress and non-stress situations.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Can provide informed consent and can comply with study procedures

Adults aged ≥18 years

Meet Diagnostic and Statistical Manual (DSM-5) criteria for current opioid use disorder or are currently receiving pharmacotherapy for the treatment of OUD (e.g. methadone or buprenorphine maintenance treatment [remission])

Urine sample that tests positive for opioids

Disqualifiers

Being pregnant or breastfeeding

Significant mental health or physical disorder, or life circumstances, that is judged by the investigators to interfere with study participation

Trial design

Design model

Crossover

Treatments tested in this trial

  • Acute Stress Intervention (MAST-based)

    Behavioral

    This intervention uses the Maastricht Acute Stress Test (MAST) to induce an acute stress response. Participants are exposed to standardized stress tasks while performing laboratory-based assessments of cognitive, emotional, and control aspects of resilience.

  • Non-Stress Intervention (NST-based)

    Behavioral

    In this control intervention, participants complete the same battery of laboratory tasks without exposure to the acute stressor.

Treatment groups

125 Participants
are divided into 2 treatment groups
Group A: Stress-First SequenceExperimental treatment 2 interventions
Group B: Non-Stress-First SequenceExperimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

Self-Reported Trait Resilience as assessed by Connor-Davidson Resilience Scale 25 (CD-RISC-25)

Instrument: Connor-Davidson Resilience Scale 25 Score Range: 0-100 Interpretation: Higher scores indicate greater resilience.

Time frame
Immediately after completing the task
2

Cognitive Flexibility: Stroop Color-Word Test reaction time

Instrument: Stroop Color-Word Test Unit: Milliseconds (ms) Interpretation: Higher values = slower performance (worse)

Time frame
Immediately after completing the task
3

Emotional Flexibility: Emotional Stroop Task reaction time

Instrument: Emotional Stroop Task Unit: Milliseconds (ms) Interpretation: Higher values = slower performance (worse).

Time frame
Immediately after completing the task
4

Perceived Controllability (Controllable) assessed by Social Controllability Task (SCT)

Instrument: Social Controllability Task Description: Participants ratings on a 0-100% sliding scale. Interpretation: Higher scores indicate greater perceived control.

Time frame
Immediately after completing the task

Secondary outcomes

1

Subjective Effects of Stress as assessed by the Subjective Effects Visual Analog Scale (VAS) Battery

Instrument: Subjective Effects Visual Analog Scale (VAS) Battery Instrument: VAS (0-100 mm) Interpretation: Higher scores indicate greater intensity of each subjective state.

Time frame
Immediately after completing the task
2

Heart Rate

Unit: Beats per minute (bpm) Interpretation: Higher = increased arousal

Time frame
Immediately after completing the task
3

Systolic Blood Pressure

Unit: mmHg Interpretation: Higher = greater pressure.

Time frame
Immediately after completing the task
4

Diastolic Blood Pressure

Unit: mmHg Interpretation: Higher = greater pressure.

Time frame
Immediately after completing the task

Other outcomes

Sponsors and contacts

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Johns Hopkins University

Lead sponsor

National Institute on Drug Abuse (NIDA)

Collaborator