Psychological mechanisms of change in the interdisciplinary multimodal treatment of pain disorders of the musculoskeletal system.

Not Applicable

Conditions: People with chronic pain in the musculoskeletal system. The following diagnoses, among others, can be assigned as main diagnoses:F45.41, M54.4, M54.5, M53.1, M25.50, M25.55, M53.0, M54.6, M25.56, M54.2, M25.51, M51.1, M54.84, M54.87, M25.57, M77.0, M79.67, M16.2, F45.0
M00-M99
Diseases of the musculoskeletal system and connective tissue

Registration Number: DRKS00034091

Lead Sponsor: Medical School Berlin

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Pending

Sex: All

Target Recruitment: 143

Inclusion Criteria

People with chronic pain in the musculoskeletal system requiring interdisciplinary multimodal pain therapy, previous outpatient treatment methods that have not been successful or have only been successful in the short term, written consent to participate in the study, sufficient knowledge of German and ability to understand and process the questionnaires and instruction material.

Exclusion Criteria

Participation in other studies, lack of group compatibility, inadequate physical capacity for the physical exercise program content, physical or mental illnesses that hinder therapy (e.g. significant internal illnesses or psychotic symptoms), clear conflict of interest between requesting a pension and alleviating symptoms, serious organic cause of pain (e.g. tumor, fracture, inflammation), pregnancy.

Study & Design

Study Type: interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The primary dependent variable is pain perception. <br>Survey by self-report at T0, T1 (T0 + at least 14 days) and T2 (T1 + 4 weeks) using the von Korff pain questionnaire (Von Korff et al., (1992). The subscales for pain intensity, disability and the total score for pain graduation will be used.

Secondary Outcome Measures

Name	Time	Method
Pain severity (von Korff, von Korff et al., 1992) at T0, T1, T2.<br>Health-related quality of life (VR12, Buchholz, Feng, Buchholz, Kazis, & Kohlmann, 2021) at T0, T1, T2.<br>Wellbeing (FW-7, Basler, H. D. 1999) at T0, T1, T2.<br>Mental health (DASS, Nilges & Essau, 2021) at T0, T1, T2.<br>Confidence in treatment (10-point scale (questions to measure confidence; https://link.springer.com/article/10.1007/s00278-017-0184-x ) at T0.<br>Catastrophizing (PCS, Meyer, Sprott, & Mannion, 2008) at T0, T1, T2.<br>Pain avoidance and endurance strategies (AE-FS, Wolff, Willburger, Hallner, Rusu, Rusche, Schulte, & Hasenbring, 2018) at T0.<br>Self-efficacy (FESS, Mangels, Schwarz, Sohr, Holme, & Rief, 2009) at T0, T1, T2.<br>Self-control (SCS-KD, Bertrams & Dickhäuser, 2009) at T0.<br>Coordination and stability (obj. assessed by S3-Check, Raschner, Lembert, Platzer, Patterson, Hilden, & Lutz, 2008) at T1, T2.<br>Strength and endurance (obj. assessed by frontal support, Tan, Aziz, Teh, & Chia, 2004) at T1, T2.