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Stress and the Sympathetic Nervous System in Adults With Depression

NCT04838262, Not applicable, Completed, University of Delaware; results first posted 2025-01-13

Trial 11

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

FieldValueSource
TitleStress and the Sympathetic Nervous System in Adults With DepressionClinicalTrials.gov
NCT numberNCT04838262ClinicalTrials.gov
StatusCompletedClinicalTrials.gov
PhasesNot applicableClinicalTrials.gov
Enrollment94 participants, actualClinicalTrials.gov
Lead sponsorUniversity of DelawareClinicalTrials.gov
ConditionsMajor Depressive DisorderClinicalTrials.gov
InterventionsAcute StressorsClinicalTrials.gov
First posted2021-04-09ClinicalTrials.gov
Last updated2025-01-13ClinicalTrials.gov
Results first posted2025-01-13ClinicalTrials.gov

Registered outcomes 3

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescriptionSource
PrimaryPercent of Days Participants Report Stressors8 days before interventionthe percentage of days that participants reported stressors over the course of 8 days before the intervention, measured each day via self-report using ecological momentary assessmentClinicalTrials.gov
PrimaryNegative Affective Reactivity to Daily Stressors8 days before intervention
Negative affect was measured each day via self-report using ecological momentary assessment using Positive and Negative Affect Schedule (possible range 1-5 arbitrary units, AU), and negative affective reactivity score was defined as the magnitude of the change in negative affect on days when stressors occurred compared to negative affect on non-stressor days over the 8-day timeframe. A singe negative affective reactivity score was calculated for each participant using two-level multi-level modeling (within person slopes). This outcome was operationalized as described in the funded grant and does not have a scale/construct name. There is no defined/set range: more negative slopes indicate a paradoxical increase in negative affect on stressor days, whereas more positive slopes indicate a greater decline in negative affect on stressor days.
ClinicalTrials.gov
PrimaryChange in Muscle Sympathetic Nerve Activity in Response to Acute Stress (Compared to Resting Baseline Activity)3 minutes after each laboratory-based intervention
muscle sympathetic nerve activity was measured using microneurography and the change was calculated as the difference between the mean value during baseline and during the mean value during each of three laboratory-based interventions (cold pressor test, Stroop color word test, International Affective Picture System); a larger value indicates a greater increase in sympathetic activity
ClinicalTrials.gov

Outcomes 3

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured asSource
PRIMARYPercent of Days Participants Report Stressors8 days before intervention
This protocol was registered and approved as a Single Arm/Group Assignment Intervention Model, consistent with the description in the associated funded grant. All participants received the same intervention. Data are reported separately for each group (HA, MDD); however, the influence of depression on the outcome variables was determined statistically by the presence of a significant interaction term in the model when combining Arm/Group.
percent of daysMEANClinicalTrials.gov
PRIMARYNegative Affective Reactivity to Daily Stressors8 days before intervention
This protocol was registered and approved as a Single Arm/Group Assignment Intervention Model, consistent with the description in the associated funded grant. All participants received the same intervention. Data are reported separately for each group (HA, MDD); however, the influence of depression on the outcome variables was determined statistically by the presence of a significant interaction term in the model when combining Arm/Group.
AU stressor days/AU non-stressor daysMEANClinicalTrials.gov
PRIMARYChange in Muscle Sympathetic Nerve Activity in Response to Acute Stress (Compared to Resting Baseline Activity)3 minutes after each laboratory-based intervention
This protocol was registered and approved as a Single Arm/Group Assignment Intervention Model, consistent with the description in the associated funded grant. All participants received the same intervention. Data are reported separately for each group (HA, MDD); however, the influence of depression on the outcome variables was determined statistically by the presence of a significant interaction term in the model when combining Arm/Group.
bursts per minuteMEANClinicalTrials.gov

Results by group 10

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnitsSource
Percent of Days Participants Report StressorsNon-depressed Healthy Adults (HA)36Standard Deviation 26percent of daysClinicalTrials.gov
Percent of Days Participants Report StressorsAdults With Major Depressive Disorder (MDD)40Standard Deviation 24percent of daysClinicalTrials.gov
Negative Affective Reactivity to Daily StressorsNon-depressed Healthy Adults (HA)0.24Standard Deviation 0.08AU stressor days/AU non-stressor daysClinicalTrials.gov
Negative Affective Reactivity to Daily StressorsAdults With Major Depressive Disorder (MDD)0.31Standard Deviation 0.10AU stressor days/AU non-stressor daysClinicalTrials.gov
Change in Muscle Sympathetic Nerve Activity in Response to Acute Stress (Compared to Resting Baseline Activity)Non-depressed Healthy Adults (HA)cold pressor test24.1Standard Deviation 12.0bursts per minuteClinicalTrials.gov
Change in Muscle Sympathetic Nerve Activity in Response to Acute Stress (Compared to Resting Baseline Activity)Adults With Major Depressive Disorder (MDD)cold pressor test21.4Standard Deviation 10.9bursts per minuteClinicalTrials.gov
Change in Muscle Sympathetic Nerve Activity in Response to Acute Stress (Compared to Resting Baseline Activity)Non-depressed Healthy Adults (HA)Stroop color word test-2.3Standard Deviation 6.9bursts per minuteClinicalTrials.gov
Change in Muscle Sympathetic Nerve Activity in Response to Acute Stress (Compared to Resting Baseline Activity)Adults With Major Depressive Disorder (MDD)Stroop color word test-2.6Standard Deviation 6.5bursts per minuteClinicalTrials.gov
Change in Muscle Sympathetic Nerve Activity in Response to Acute Stress (Compared to Resting Baseline Activity)Non-depressed Healthy Adults (HA)International Affective Picture System0.8Standard Deviation 3.7bursts per minuteClinicalTrials.gov
Change in Muscle Sympathetic Nerve Activity in Response to Acute Stress (Compared to Resting Baseline Activity)Adults With Major Depressive Disorder (MDD)International Affective Picture System2.3Standard Deviation 4.8bursts per minuteClinicalTrials.gov

Participant flow 6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits countedSource
Overall StudySTARTEDNon-depressed Healthy Adults (HA)51ClinicalTrials.gov
Overall StudySTARTEDAdults With Major Depressive Disorder (MDD)43ClinicalTrials.gov
Overall StudyCOMPLETEDNon-depressed Healthy Adults (HA)42ClinicalTrials.gov
Overall StudyCOMPLETEDAdults With Major Depressive Disorder (MDD)39ClinicalTrials.gov
Overall StudyNOT COMPLETEDNon-depressed Healthy Adults (HA)9ClinicalTrials.gov
Overall StudyNOT COMPLETEDAdults With Major Depressive Disorder (MDD)4ClinicalTrials.gov

Adverse events 0

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEventsSource

Adverse event totals 6

The totals the trial posted for each group.

TotalGroupAffectedAt riskSource
Total, all-cause mortalityNon-depressed Healthy Adults (HA)051ClinicalTrials.gov
Total, all-cause mortalityAdults With Major Depressive Disorder (MDD)043ClinicalTrials.gov
Total, other adverse eventsNon-depressed Healthy Adults (HA)051ClinicalTrials.gov
Total, other adverse eventsAdults With Major Depressive Disorder (MDD)043ClinicalTrials.gov
Total, serious adverse eventsNon-depressed Healthy Adults (HA)051ClinicalTrials.gov
Total, serious adverse eventsAdults With Major Depressive Disorder (MDD)043ClinicalTrials.gov

Papers 1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
38897296DERIVEDPubMed

Grants 0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

ProjectTitlePrincipal investigatorsOrganizationFunderFiscal yearsSource

Trial comparisons 2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Non-depressed Healthy Adults (HA) vs Adults With Major Depressive Disorder (MDD): deaths from any causeTrial comparisons
Non-depressed Healthy Adults (HA) vs Adults With Major Depressive Disorder (MDD): serious adverse eventsTrial comparisons

Tests 1

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

TestNamed asSource
Stroop Color-Word TestPrimary outcomeConductCognition

Source 5

FieldValueSource
Releasetrials-2026-11-12-0.4.0ClinicalTrials.gov
Release manifest SHA-2560f4a8d8c48aee2a7573ae0fa94ecbeab70c1adbe449bbc95c424bc7d3e97b9d4ClinicalTrials.gov
Registry capture2026-11-12ClinicalTrials.gov
Results copy, AACT2026-03-23ClinicalTrials.gov
NIH clinical studies file2026-11-13ClinicalTrials.gov

The same record as JSON

Release trials-2026-11-12-0.4.0

ClinicalTrials.gov's posted results, through CTTI's AACT: ClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299 ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

ClinicalTrials.gov: none stated ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

NIH RePORTER's clinical studies and project files: Public domain (NIH RePORTER)