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Impact of Psychology on Life Quality in Chronic and Cancer Pain Patients

Not Applicable
Conditions
Chronic Pain Syndrome
Psychology, Social
Interventions
Behavioral: Pain management program
Registration Number
NCT04317391
Lead Sponsor
Taipei Veterans General Hospital, Taiwan
Brief Summary

This study is to compare the effect of pain management program. We compare life quality, pain scores, sleep, anxiety and depression scores, and self report measures before and after mindfulness based pain management workshops.

Detailed Description

Chronic pain is a growing problem in modern society. One in every five person in developed countries have this condition. Chronic pain is pain that persists longer than six months. It lead to psychological disorders such as anxiety, depression, anger and chronic fatigue. It decreases life quality, lower self-esteem and decrease work force. Because of these factors and the high cost of treatment, it impacts social economics highly. Chronic pain is caused by wind-up effect of the nervous system which the inhibitory signals are impaired. The nervous systems is therefore tuned up. Mindfulness based pain management helps lower this wind-up effect by noticing self, to observe and release stress. It has been proven to alter brain activity, enhance self control, improve attention and decrease secretion of stress hormones. It decreases pain and allow patients to regain control of life.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
30
Inclusion Criteria
  • Pain condition for over six months, with diagnosis by pain physician to be of chronic pain or cancer pain.
Exclusion Criteria
  • Patients unable to communicate in Mandarin.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Pain management programPain management programAll enrolled patients participate in a 20 hour pain management program over a period of 8 weeks. The program is based on Mindfulness Based Stress Reduction with modifications to fulfill needs of the Taiwanese chronic pain population.
Primary Outcome Measures
NameTimeMethod
Eight weeks Brief Pain inventoryParticipants answer questionnaire at 8 weeks into pain management program

Assesses the severity of pain and its impact on functioning

One year Brief Pain inventoryParticipants answer questionnaire at one year after completion of pain management program

Assesses the severity of pain and its impact on functioning

Baseline Brief Pain inventoryBaseline

Assesses the severity of pain and its impact on functioning

Four week Brief Pain inventoryParticipants answer questionnaire at 4 weeks into pain management program

Assesses the severity of pain and its impact on functioning

Secondary Outcome Measures
NameTimeMethod
Baseline Pittsburgh Sleep Quality IndexBaseline

Assesses sleep quality

Eight week Pittsburgh Sleep Quality IndexParticipants answer questionnaire at 8 weeks into pain management program

Assesses sleep quality

One year Pittsburgh Sleep Quality IndexParticipants answer questionnaire at one year after completion of pain management program

Assesses sleep quality

Eight week Chronic Pain Acceptance QuestionnaireParticipants answer questionnaire at 8 weeks into pain management program

Assessment of acceptance of pain.

Baseline Pain catastrophizing scaleBaseline

self-report measurement tool that provided a valid index of catastrophizing in clinical and non-clinical populations

Eight week Visual analog scaleParticipants answer questionnaire at 8 weeks into pain management program

Pain scale at numbers 0 to 10

Eight week Depression, anxiety, and positive outlook scaleParticipants answer questionnaire at 8 weeks into pain management program

Assess mood in pain patients

Baseline Pain self-efficacy questionnaireBaseline

Assess the confidence people with ongoing pain have in performing activities while in pain.

One year Pain self-efficacy questionnaireParticipants answer questionnaire at one year after completion of pain management program

Assess the confidence people with ongoing pain have in performing activities while in pain.

Four week Visual analog scaleParticipants answer questionnaire at 4 weeks into pain management program

Pain scale at numbers 0 to 10

One year Visual analog scaleParticipants answer questionnaire at one year after completion of pain management program

Pain scale at numbers 0 to 10

Eight week Pain self-efficacy questionnaireParticipants answer questionnaire at 8 weeks into pain management program

Assess the confidence people with ongoing pain have in performing activities while in pain.

One year Pain catastrophizing scaleParticipants answer questionnaire at one year after completion of pain management program

self-report measurement tool that provided a valid index of catastrophizing in clinical and non-clinical populations

Baseline Chronic Pain Acceptance QuestionnaireBaseline

Assessment of acceptance of pain.

Four week Chronic Pain Acceptance QuestionnaireParticipants answer questionnaire at 4 weeks into pain management program

Assessment of acceptance of pain.

Baseline Five Facet Mindfulness QuestionnaireBaseline

Assessment on the five aspects of mindfulness

One year Depression, anxiety, and positive outlook scaleParticipants answer questionnaire at one year after completion of pain management program

Assess mood in pain patients

Baseline Visual analog scaleBaseline

Pain scale at numbers 0 to 10

Four week Pain self-efficacy questionnaireParticipants answer questionnaire at 4 weeks into pain management program

Assess the confidence people with ongoing pain have in performing activities while in pain.

Four week Pain catastrophizing scaleParticipants answer questionnaire at 4 weeks into pain management program

self-report measurement tool that provided a valid index of catastrophizing in clinical and non-clinical populations

Eight week Pain catastrophizing scaleParticipants answer questionnaire at eight weeks into pain management program

self-report measurement tool that provided a valid index of catastrophizing in clinical and non-clinical populations

Baseline Depression, anxiety, and positive outlook scaleBaseline

Assess mood in pain patients

Four week Depression, anxiety, and positive outlook scaleParticipants answer questionnaire at 4 weeks into pain management program

Assess mood in pain patients

Eight week Five Facet Mindfulness QuestionnaireParticipants answer questionnaire at 8 weeks into pain management program

Assessment on the five aspects of mindfulness

One year Five Facet Mindfulness QuestionnaireParticipants answer questionnaire at one year after completion of pain management program

Assessment on the five aspects of mindfulness

Four week Pittsburgh Sleep Quality IndexParticipants answer questionnaire at four weeks into pain management program

Assesses sleep quality

One year Chronic Pain Acceptance QuestionnaireParticipants answer questionnaire at one year after completion of pain management program

Assessment of acceptance of pain.

Four week Five Facet Mindfulness QuestionnaireParticipants answer questionnaire at 4 weeks into pain management program

Assessment on the five aspects of mindfulness

Trial Locations

Locations (1)

Taipei Veterans General Hospital

🇨🇳

Taipei City, Taiwan

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