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Trial registered on ANZCTR
Registration number
ACTRN12614000257662
Ethics application status
Approved
Date submitted
30/01/2014
Date registered
11/03/2014
Date last updated
14/08/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
The TWIN-E Brain Training Trial: A waitlist controlled trial of computerised training for improving mental wellbeing in healthy twins
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Scientific title
Impact of cognitive training on improving emotional and cognitive function and wellbeing: Testing predictors and moderators of treatment response in healthy twins.
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Secondary ID [1]
283917
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Nil
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Universal Trial Number (UTN)
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Trial acronym
TWIN-E (Twin Study in Wellbeing using Integrative Neuroscience of Emotion)
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Resilience and wellbeing
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Condition category
Condition code
Mental Health
291269
291269
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0
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Studies of normal psychology, cognitive function and behaviour
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
MyBrainSolutions (www.mybrainsolutions.com) cognitive training intervention.
Twin pairs are randomly assigned to either a training group or a waitlist control group.
Participants in the training group are requested to register online, complete a web assessment, after which they receive their personal brain scores. They are then instructed to play the recommended cognitive games (suited to their profile) for 30 minutes, 2-3 times a week, over a period of 30 days. These participants are then asked to complete the web assessment again, following the 30 days of training.
At the 30-day period, matched waitlist control participants are provided access to the web platform to complete their web assessment, and then are provided access to the training program.
To encourage adherence, participants are contacted by phone and/or email on a fortnightly basis. The online program also sends out automated reminders prior to the 30-day assessment period, encouraging adherence. Log-in time and date, game type and playing duration data are automatically collected by the cognitive training program.
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Intervention code [1]
288599
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Behaviour
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Comparator / control treatment
The control group is a waitlist control group. These participants are not required to do anything during the 30-day trial, but following the 30 days, they are provided access to the training portal to use like the treatment group were provided.
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Control group
Active
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Outcomes
Primary outcome [1]
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Mean Emotion Identification reaction time using an online Emotion Identification task (Mathersul et al 2009).
Mathersul D, Palmer D, Gur RC, Gur RE, Cooper N, Gordon E, Williams LM. (2009). Explicit identification and implicit recognition of facial emotions: II. Identifying core domains and relationships with general cognition. Journal of Clinical and Experimental Neuropsychology, 31, 278-291.
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Assessment method [1]
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Timepoint [1]
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At baseline and at 30 days after intervention commencement
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Primary outcome [2]
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Mean Cognitive Performance scores (memory, attention, executive functioning, response inhibition) using online cognitive tasks including the Motor Tapping task, Go-Nogo, Continuous Performance Test, Switching of Attention Test, Verbal Interference, Choice Reaction Time, Digit Span, Memory Recognition test and the Executive Maze (Mathersul et al. 2009).
Mathersul D, Palmer D, Gur RC, Gur RE, Cooper N, Gordon E, Williams LM. (2009). Explicit identification and implicit recognition of facial emotions: II. Identifying core domains and relationships with general cognition. Journal of Clinical and Experimental Neuropsychology, 31, 278-291.
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Assessment method [2]
291296
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Timepoint [2]
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At baseline and at 30 days after intervention commencement
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Secondary outcome [1]
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Mean DASS depression, anxiety and stress scores
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Assessment method [1]
306386
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Timepoint [1]
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At baseline and at 30 days after intervention commencement
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Secondary outcome [2]
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Mean mDES positive and negative emotion scores
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Assessment method [2]
306387
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Timepoint [2]
306387
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At baseline and at 30 days after intervention commencement
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Secondary outcome [3]
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Mean ERQ emotion regulation scores
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Assessment method [3]
306391
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Timepoint [3]
306391
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At baseline and at 30 days after intervention commencement
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Secondary outcome [4]
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Mean SWLS life satisfaction scores
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Assessment method [4]
306392
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Timepoint [4]
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At baseline and at 30 days after intervention commencement
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Secondary outcome [5]
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Mean WHO-QoL quality of life scores
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Assessment method [5]
306393
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Timepoint [5]
306393
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At baseline and at 30 days after intervention commencement
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Secondary outcome [6]
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Mean COMPAS-W wellbeing scores
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Assessment method [6]
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Timepoint [6]
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At baseline and at 30 days after intervention commencement
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Eligibility
Key inclusion criteria
Healthy same-sex monozygotic (MZ) and dizygotic (DZ) twins aged 18-65 years with pure European ancestry, and English as primary language.
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Minimum age
18
Years
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Maximum age
65
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Current or lifetime psychiatric illness;
History of stroke or neurological disorder;
Genetic disorder;
Brain injury (causing loss of consciousness for more than 10 minutes);
Chronic and serious medical conditions (e.g., cancer, heart disease);
Blood-borne illnesses;
Drug/Alcohol substance abuse;
Sensory impairments to hearing, hand movement, or vision not corrected by glasses/lenses.
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation is not concealed
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using the coin-toss method
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
The project involves 1652 participants, or 826 twin pairs. The sample size is large enough to be robust, even with a possible 20% attrition rate (n=1322). For the MANOVAs there will be 83% power to detect the smallest effects at p<.01.
A minimum of 321 twin pairs is required to detect small to moderate genetic effects (>0.20). There is 82% power to detect the smallest effects (1.5-5%) of specific genes or environment at p<.01, with up to 15 predictors in the multiple regression model.
Repeated-measures MANOVAs will be used to compare training and control groups over the two time periods (pre- and post-intervention), with training frequency and type incorporated as moderating factors.
Genetic and environmental variation will be estimated using multivariate structural equation modeling.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/07/2010
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Actual
13/09/2010
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Date of last participant enrolment
Anticipated
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Actual
23/12/2013
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Date of last data collection
Anticipated
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Actual
31/07/2014
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Sample size
Target
1652
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Accrual to date
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Final
352
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Recruitment in Australia
Recruitment state(s)
ACT,NSW,NT,QLD,SA,TAS,WA,VIC
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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An appended study to a past Australian Research Council Linkage Grant (LP0883621), with Brain Resource as Industry Partner.
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Address [1]
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GPO Box 2702, Canberra ACT 2601
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Dr Justine M Gatt
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Address
Brain Dynamics Centre, University of Sydney
Cnr Hawkesbury Rd and Darcy St, Westmead Hospital
Westmead 2145
NSW
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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Prof Leanne Williams
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Address [1]
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Psychiatry and Behavioral Sciences VA Palo Alto (Sierra-Pacific MIRECC)
401 Quarry Rd,
Stanford University
Stanford, CA 94305
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Country [1]
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United States of America
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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The University of Sydney Human Research Ethics Committee
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Ethics committee address [1]
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Office of Ethics Administration, Level 6, Jane Foss Russell Building G02, The University of Sydney NSW 2006
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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26/05/2010
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Ethics approval number [1]
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03-2009/11430
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Summary
Brief summary
This project evaluates the effectiveness of a web-based cognitive training tool, MyBrainSolutions, in improving emotional and cognitive function over 30 days. The impact of the cognitive training on both trained and untrained real-world functions will be determined, as well as the minimum time commitment required to see improvement. By comparing identical to non-identical twins, a comparison of the relative impact of genetics versus environment in improving scores can be evaluated.
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Trial website
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Trial related presentations / publications
Gatt, J.M. et al. (2012), The TWIN-E project in emotional wellbeing: Study protocol and preliminary heritability results across four MRI and DTI measures. Twin Research and Human Genetics, 15(3), 419-441. doi: 10.1017/thg.2012.12.
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Public notes
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Contacts
Principal investigator
Name
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Dr Justine M Gatt
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Address
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Neuroscience Research Australia, and School of Psychology, UNSW; Barker St, Randwick, NSW, Australia 2031
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Country
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Australia
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Phone
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+61 2 93991812
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Fax
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N/A
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Email
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[email protected]
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Contact person for public queries
Name
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Justine M Gatt
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Address
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Neuroscience Research Australia, and School of Psychology, UNSW; Barker St, Randwick, NSW, Australia 2031
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Country
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Australia
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Phone
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+61 2 9399 1812
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Fax
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N/A
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Email
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[email protected]
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Contact person for scientific queries
Name
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Justine M Gatt
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Address
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Neuroscience Research Australia, and School of Psychology, UNSW; Barker St, Randwick, NSW, Australia 2031
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Country
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Australia
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Phone
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+61 2 93991812
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Fax
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N/A
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
The impact of online brain training exercises on experiences of depression, anxiety and emotional wellbeing in a twin sample.
2021
https://dx.doi.org/10.1016/j.jpsychires.2020.12.054
N.B. These documents automatically identified may not have been verified by the study sponsor.
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