Actively Recruiting

Phase Not Applicable
Age: 18Years - 35Years
FEMALE
ID07037017

Neurophysiological Effects of Cognitive-Behavioral Therapy in Restrictive-Type Anorexia Nervosa Using EEG, GSR, and Eye-Tracking

Led by Istanbul Nisantasi University · Updated on 2025-06-25

60

Participants Needed

1

Research Sites

4 weeks

Total Duration

On this page

Sponsors

I

Istanbul Nisantasi University

Lead Sponsor

U

Uskudar University

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are evaluating the effects of Cognitive-Behavioral Therapy (CBT) on brain activity, physiological responses, and attention in females aged 18 to 35 with restrictive-type anorexia nervosa (AN). This trial compares a 12-week CBT program to a waitlist group receiving no active treatment. The study aims to understand how CBT influences neural markers related to attention and emotional processing, physiological arousal, and visual attention to food and body images, helping to develop biomarker-informed treatments for AN. Participants in the CBT group will attend weekly 60-minute individual therapy sessions targeting body image distortion, maladaptive thoughts, emotional regulation, and food-related avoidance behaviors. Both the CBT and waitlist groups undergo baseline and 12-week follow-up assessments including electroencephalography (EEG), galvanic skin response (GSR), and eye-tracking while viewing images related to self-appearance, food, and other female bodies. The study will measure changes in neural signals such as P300, Late Positive Potential, and frontal alpha asymmetry, as well as physiological arousal and gaze patterns. Throughout the study, participants complete psychometric questionnaires assessing eating disorder symptoms, depression, anxiety, obsessive-compulsive symptoms, and emotion regulation at baseline and after 12 weeks. Researchers will monitor neural and physiological changes alongside behavioral outcomes to understand CBT's impact. The total participation involves assessments before and after the 12-week intervention or observation period, providing insights into objective biomarkers of therapeutic change in AN.

CONDITIONS

Brief Title

CBT Effects on Neural, Physiological, and Attentional Responses in Anorexia Nervosa

Who Can Participate

Age: 18Years - 35Years
FEMALE

Eligibility Criteria

Eligible

You may qualify if you...

  • Female participants aged 18 to 35
  • Diagnosed with restrictive-type anorexia nervosa according to DSM-5 criteria
  • Body Mass Index (BMI) between 15.0 and 18.5
  • Medically stable to participate in psychological and neurophysiological assessments
  • Willing to attend weekly therapy sessions (for CBT group) and complete pre- and post-assessments
  • Able to provide informed consent
Not Eligible

You will not qualify if you...

  • Current or past diagnosis of bulimia nervosa, binge-eating disorder, or other eating disorders
  • Presence of severe psychiatric disorders such as psychosis, bipolar disorder, or substance use disorder
  • History of neurological illness or traumatic brain injury
  • Use of psychotropic medication within the last 6 weeks
  • Prior participation in structured Cognitive-Behavioral Therapy for an eating disorder
  • Pregnancy
  • Visual or neurological impairments preventing accurate EEG, GSR, or eye-tracking recordings

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Outpatient Treatment

Duration - 12 weeks

Participants in the CBT group attend weekly 60-minute individual therapy sessions for 12 weeks targeting body image distortion, cognitive restructuring, emotional regulation, and exposure to food-related stimuli. The waitlist group does not receive therapy during this period.

Weekly visits for 12 weeks

Assessment Visits

Duration - Baseline and Week 12

Participants complete neurophysiological (EEG), physiological (GSR), and attentional (eye-tracking) assessments, along with psychometric questionnaires, at baseline and after 12 weeks to measure changes related to the intervention or waitlist period.

2 visits (in-person)

Trial Site Locations

Total: 1 location

1

Üsküdar University Neuro Marketing Lab.

Istanbul, Turkey (Türkiye)

Actively Recruiting

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Research Team

M

Metin Çınaroğlu, Phd

S

Selami Varol Ülker, Phd

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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Published Research Related To This Trial

Cognitive Behavioral Therapy Reduces Symptom Severity and Normalizes Neurophysiological and Attentional Reactivity in Anorexia Nervosa: A Randomized Controlled Trial.

Eda Yılmazer, Metin Çınaroğlu, Selami Varol Ülker...

https://pubmed.ncbi.nlm.nih.gov/41892652