The Effectiveness of Cognitive Behavioral Treatment and Mindfulness Based Stress Reduction for Chronic Low Back Pain Treated in Pain Clinics
Overview
- Phase
- Phase 2
- Intervention
- Not specified
- Conditions
- Chronic Low Back Pain
- Sponsor
- Kovacs Foundation
- Enrollment
- 330
- Locations
- 1
- Primary Endpoint
- Degree of improvement in: anxiety, quality of life
- Status
- Completed
- Last Updated
- 16 years ago
Overview
Brief Summary
The primary purpose of this study is to determine the effectiveness of two psychological techniques in chronic low back pain patients treated in hospital pain clinics. The techniques are: cognitive behavioral treatment and mindfulness based stress reduction (MBSR). This is a multiple site project in which patients come from 16 different pain clinics throughout Spain. The control group is formed by patients under usual medical treatment at pain clinics. The two intervention groups also receive usual medical treatment at pain clinics plus one psychological therapy treatment. The sample size is 330 subjects.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Chronic low back pain and failed back surgery patients
- •With or without referred or radiated pain
- •Who are between 18 and 70 years of age (inclusive)
Exclusion Criteria
- •Patients with red flags for systemic disease or criteria for surgery
- •With intolerable intensity of pain despite 6 weeks or more of non-surgical treatment
- •With pain that appears only on walking and disappears with sitting, persists after 6 months of conservative treatment, and is a possible spinal stenosis
- •Under psychological or psychiatric treatment
- •Unable to fill out the questionnaires
- •Have received cognitive behavioral treatment in the past
- •Have ongoing work litigation or are in the process of obtaining permanent disability.
Outcomes
Primary Outcomes
Degree of improvement in: anxiety, quality of life
Time Frame: immediately after therapy, at 3 months, and at 12 months
Secondary Outcomes
- Degree of improvement in: pain, disability, catastrophizing, depression, anger, analgesic medication, satisfaction with treatment received(immediately after therapy, at 3 months, and at 12 months)