Mechanisms of Psychosocial Chronic Pain Treatments



Status:Recruiting
Conditions:Back Pain, Back Pain
Therapuetic Areas:Musculoskeletal
Healthy:No
Age Range:18 - 75
Updated:4/2/2016
Start Date:June 2014
Contact:John W Burns, PhD
Email:john_burns@rush.edu
Phone:312 942 0379

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Psychosocial interventions are attractive options for treating chronic low back pain, and
many approaches now have strong support for efficacy. However, few empirical data address
whether psychosocial pain treatments work because of mechanisms specified by theory, and
thus investigators know very little about HOW our treatments work. It may be that different
treatments work via distinct pathways that are specific to a given treatment (single effect
model), or it may be that different treatments work to the extent they all operate via key
mechanisms that they share (additive effects model). Examination of specific and/or shared
effects on outcomes of mechanisms will provide theoretical and empirical rationale for
enhancing procedures and techniques most closely linked to strong outcomes and incorporating
them into future interventions, while limiting the use of others that may be revealed as
inert.


Inclusion Criteria:

- significant daily chronic pain intensity (at least 4 on a 10-point scale; see below)
and interference in performing daily activities due to pain (at least 3 on a 6-point
scale; see below) for at least 6 months

- musculoskeletal pain of the low back and/or leg pain that may be related to history
of degenerative disk disease, spinal stenosis, or disk herniation (radiculopathy
subcategory), or muscular or ligamentous strain (chronic myofascial pain subcategory)

- age between 18 and 75 years.

Exclusion Criteria:

- meet criteria for alcohol or substance abuse problems

- meet criteria for past or present psychotic or bipolar disorders

- inability to understand English well enough to complete questionnaires or to
participate in therapy

- active suicidal ideation with intent

- pain is due to malignant conditions (eg, cancer, rheumatoid arthritis), migraine or
tension headache, fibromyalgia or complex regional pain syndrome.
We found this trial at
1
site
1653 W. Congress Parkway
Chicago, Illinois 60612
(312) 942-5000
Rush University Medical Center Rush University Medical Center encompasses a 664-bed hospital serving adults and...
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mi
from
Chicago, IL
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