Our research question is: *What is the additional value of pain neurophysiology education when it precedes cognitive behavioral therapy on the physical and psychological functioning of patients with chronic musculoskeletal pain?
ID
Source
Brief title
Condition
- Other condition
Synonym
Health condition
chronische pijn
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
The primary outcomes are the differences in pain intensity, pain coping, and
pain cognitions between patients that received both PNE and CBT and patients
that only received CBT.
Secondary outcome
Secondary measures are psychological complaints, quality of life, functional
status, kinesiophobia, health care use and dropout rates.
Background summary
Chronic pain is a common and disabling disorder. Epidemiologic data have shown
that chronic pain is a burden for the individual patient as well as for
society. Cognitive behavioral therapy (CBT) has proven its positive effects on
chronic pain, although the effect sizes are small and the adherence of patients
to CBT is restricted. Furthermore, CBT is often not in concordance with the
more biomedical view of patients on the cause of their pain. Pain
neurophysiology education (PNE) is a relatively new, promising educational
intervention for patients with chronic pain focusing on cognitive and
behavioral factors. PNE bridges the gap between the view of the patient on pain
and that of his physician by changing maladaptive pain cognitions (e.g. *pain
equals harm*). Our hypothesis is that PNE might make chronic pain patients more
receptive to cognitive behavioral interventions.
Study objective
Our research question is: *What is the additional value of pain neurophysiology
education when it precedes cognitive behavioral therapy on the physical and
psychological functioning of patients with chronic musculoskeletal pain?
Study design
Randomized controlled trial
Intervention
All participants (n = 90) will receive 10 weekly group sessions of cognitive
behavioral therapy of 2 hours each. Some of the patients (n = 30) will also
participate in a pain neurophysiology education program of 3 individual
sessions of 45 minutes each preceding CBT.
Study burden and risks
All participants will visit the hospital ten times for two-hour CBT sessions.
Additionally, all participants will fill-out 8 questionnaires at three
different time-points. Some of the participants (n = 30) will visit the
hospital an extra three times for 45 minutes education sessions. These
participants will also fill-out an extra questionnaire at three different
time-points. All participants have chance to benefit from the intervention,
since CBT is proven to have positive effects on chronic pain. It is
hypothesized that the participants that will also participate in the education
sessions will benefit even more. As far as known, there are risks associated to
both CBT and PNE.
's-Gravendijkwal 230
Rotterdam 3015 CE
NL
's-Gravendijkwal 230
Rotterdam 3015 CE
NL
Listed location countries
Age
Inclusion criteria
1) Chronic musculoskeletal pain
2) Ability to speak, read and write Dutch
3) a at least above average score on 2 subscales of the Four-Dimensional Symptom Questionnaire (4DSQ, Terluin 1996; Terluin et al. 2006), which was confirmed by means of an anamnestic interview with a psychologist and/or a score of 8 or higher on one of the subscales Hospital Anxiety and Depression Scales (HADS, Spinhoven et al. 1997).
4) Age >18
Exclusion criteria
1) Migraine,
2) Limited health literacy (as measured by the SBSQ (Chew et al. 2008; Fransen et al. 2011))
3) Currently being treated by a psychologist
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL52800.078.15 |