ReLIT for Anhedonia

KH
Overseen ByKatia Harle, MD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: VA Office of Research and Development
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

Anhedonia, a reduction in motivation and in the ability to feel positive emotions, is widespread among Veterans across a range of psychiatric disorders. This impairment is associated with poorer psychosocial functioning and is resistant to first-line medication and psychotherapy treatments. However, interventions to improve anhedonia are sorely lacking. Reward learning supports motivation to seek rewards, and this mechanism can be enhanced by engaging in reward exploration. Our preliminary findings suggest that this approach can help improve reward responsiveness and positive mood among depressed and anxious individuals. Thus, the proposed research will test the preliminary efficacy of a computerized reward learning training in improving reward sensitivity and reducing anhedonia in Veterans. This new intervention could offer a novel remotely accessible treatment and help enhance the efficacy of existing evidence-based treatments for depression and other psychiatric conditions in Veterans.

Who Is on the Research Team?

KH

Katia Harle, MD

Principal Investigator

VA San Diego Healthcare System, San Diego, CA

Are You a Good Fit for This Trial?

This trial is for Veterans who struggle with anhedonia (trouble feeling pleasure or motivation), often linked to depression. Participants should be adults and able to use a computer for remote training.

Inclusion Criteria

Being a Veteran
I have moderate or higher difficulty feeling pleasure in daily activities.
Having sufficient vision and reading skills to complete the study protocol
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Exclusion Criteria

Recent (past 3 months) or current severe alcohol or substance use disorder necessitating prioritization of substance use treatment
Lifetime history of psychotic or bipolar I disorder
Neurological/neurodevelopmental disorders or sensory deficits that may impact cognitive function to preclude completion of study procedure (including past loss of consciousness > 24 hours)
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What Are the Treatments Tested in This Trial?

Interventions

  • ReLIT (Reward Learning Intensive Training)

Trial Overview

The study compares a computerized reward learning program (ReLIT) designed to boost positive feelings and motivation, against a sham (placebo-like) training. Both are delivered remotely, and participants are randomly assigned.

How Is the Trial Designed?

3

Treatment groups

Experimental Treatment

Placebo Group

Group I: ReLIT - Moderate IntensityExperimental Treatment1 Intervention
Group II: ReLIT - High IntensityExperimental Treatment1 Intervention
Group III: ST (Sham Training)Placebo Group1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

VA Office of Research and Development

Lead Sponsor

Trials
1,691
Recruited
3,759,000+