Brain Stimulation for Epilepsy and Mental Health

This study aims to understand how emotion processing works in the brain, especially in people with epilepsy and mental health conditions. Researchers will use Electrical Pulse Train Stimulation, a procedure where mild electrical pulses are delivered through implanted electrodes (sEEG) in your brain. This helps them see how different brain areas affect your emotions and thinking. They are looking for people aged 18 and older who have sEEG electrodes implanted for epilepsy surgery evaluation, specifically in the amygdala and medial prefrontal cortex. The study will measure how brain connections change and how they relate to anxiety symptoms and responses to threats, with measurements taken at 20 minutes. The goal is to learn more about how brain circuits are involved in emotional problems, which could lead to new treatments in the future.

Study design
This interventional study plans to enroll 30 participants. It is not specified if it is randomized or blinded.
What's involved
You would perform simple cognitive tasks and receive mild electrical stimulations through your implanted sEEG electrodes during pre- and post-test periods.
Compensation
Not stated in the trial record.
Follow-up
The primary measurements for brain connectivity and emotional responses are taken at 20 minutes.

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NCT05854160

Stimulation-Induced Changes in Fronto-Limbic Network

Recruiting
NAAges 18+Interventional
University of Alabama at Birmingham
~30 participants
Updated 2026-06-23 on ClinicalTrials.gov
What's tested:Electrical Pulse Train Stimulation

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Fronto-limbic connectivity and autonomic or expectation responses
Measured over 20 Minutes
+2 more outcomes measured
Epilepsy
Mental Disorders
1 sites across 1 states
Alabama1
  • Adam Goodman, PhD · PRINCIPAL_INVESTIGATOR · University of Alabama at Birmingham

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Eligibility criteria

Inclusion

1\) implantation of sEEG electrodes for SOC epilepsy surgery evaluation
2\) cognitive ability to perform simple tasks and to understand instructions
3\) implanted electrodes in the amygdala and medial PFC regions
4\) competency to understand and sign a written informed consent.

Exclusion

1\) an inability to complete the task
  • Fronto-limbic connectivity and autonomic or expectation responses20 Minutes

    We will test for a positive linear relationship (Pearson r correlation test) between dmPFC to amygdala connectivity values (Granger causality coefficient; sEEG) and physiologic (Skin conductance beta estimates; finger electrodes) and cognitive (self-report; expectancy) threat regulation measures.

  • Fronto-limbic connectivity strength relation to anxiety symptom severity by conducting between-subjects group-level comparisons20 Minutes

    We will test for a positive linear relationship (Pearson r test) between dmPFC to amygdala effective connectivity values (Granger causality coefficient; sEEG) and measures of anxiety symptom severity (Self-report; Beck Anxiety Inventory \[BAI\])

  • Anticipatory fronto-limbic connectivity exerting a causal effect on regulation of predictable threat responses using within-subjects group-level comparisons.20 Minutes

    We will test for an effect of stimulation pulse trains (2-sec; sEEG) delivered to the dmPFC by using four (Pre-acquisition stimulation, Pre-acquisition sham, Post-acquisition stimulation, Post-acquisition sham) repeated samples t-tests comparing the factor of Condition (Cue+Threat vs Threat-Alone) on amygdala responses (gamma band power changes; sEEG).