Resilience in people with opioid use disorder

A Novel Human Laboratory Model of Resilience Among Individuals With Opioid Use Disorder

Not applicable Interventional Johns Hopkins University · NCT06954402

This project will test whether short lab tasks performed during stress and non‑stress sessions match up with self‑rated resilience in adults with opioid use disorder.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment125 (estimated)
Ages18 Years and up
SexAll
SponsorJohns Hopkins University Academic / other
Locations2 sites (Baltimore, Maryland and 1 other locations)
Trial IDNCT06954402 on ClinicalTrials.gov

What this trial studies

This outpatient, within‑subject randomized study has participants complete two experimental sessions in random order: one using an acute stress induction and one using a non‑stress control. In each session participants perform standardized tasks designed to probe cognitive, emotional, and control aspects of resilience while researchers collect task performance, physiological measures, and self‑reported stress responses. The goal is to develop and validate a laboratory model that links objective behaviors and physiology to subjective resilience in people with OUD. Sessions occur at a single clinical site and use established stress paradigms adapted for this population.

Who should consider this trial

Good fit: Adults (18+) who meet DSM‑5 criteria for current opioid use disorder or are receiving OUD pharmacotherapy, can give informed consent, and have a urine test positive for opioids are ideal candidates.

Not a fit: People who are pregnant or breastfeeding, have unstable serious psychiatric or medical conditions that interfere with participation, or are not currently using opioids are unlikely to gain benefit from participation.

Why it matters

Potential benefit: If successful, the approach could provide objective measures of resilience that help identify who is at higher risk of stress‑related relapse and guide tailored interventions.

How similar studies have performed: Related laboratory stress paradigms have been used successfully in addiction and psychiatric research to link stress reactivity to clinical outcomes, but applying them specifically to model resilience in OUD is relatively novel.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Can provide informed consent and can comply with study procedures
2. Adults aged ≥18 years
3. Meet Diagnostic and Statistical Manual (DSM-5) criteria for current opioid use disorder or are currently receiving pharmacotherapy for the treatment of OUD (e.g. methadone or buprenorphine maintenance treatment \[remission\])
4. Urine sample that tests positive for opioids
5. Test negative for pregnancy at screening (females only)

Exclusion Criteria:

1. Being pregnant or breastfeeding
2. Significant mental health or physical disorder, or life circumstances, that is judged by the investigators to interfere with study participation

Where this trial is running

Baltimore, Maryland and 1 other locations

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Opioid Use Disorderopioidsopioid use disorderstress
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.