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The role of anxiety in negative treatment expectations and its impact on pain perception

The role of anxiety in negative treatment expectations and its impact on pain perception - CPAX

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
DRKS
Registry ID
DRKS00027390
Enrollment
47
Registered
2022-05-16
Start date
2022-05-15
Completion date
Unknown
Last updated
2025-04-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Pain perception Healthy volunteers

Interventions

Group 1: Nocebo instruction with Sham Naloxone Infusion and pharmacological modulation with midazolam 2mg Group 2: Nocebo instruction with Sham Naloxone Infusion without pharmacological modulation wi

Sponsors

Universitätsklinikum Essen
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 40 Years

Inclusion criteria

Inclusion criteria: Age =18 Jahre, Weight 50-100kg, Consent and fluent German skills, healthy

Exclusion criteria

Exclusion criteria: Any drug or alcohol abusus, chronic or acute pain conditions or diseases, severe depression, epilepsy, diabetes, schizophrenia, suicidality, hypersensitivity or allergies against study medication, participation to other studies with study medication or methods within the last 3 months, use of beta blockers, benzodiazepins, corticosteroids, hormonal contraceptives, working in night shift

Design outcomes

Primary

MeasureTime frame
Effects of pain-related anxiety on negative treatment expectations and hyperalgesia (Pain: Visual Analogue Scale as Area under the Curve (AUC); Anxiety: Visual Analogue Scale from 0 to 100 during the measurements with cold water bath at the second time of measurement in comparison to baseline measurement)

Secondary

MeasureTime frame
Extent of nocebo hyperalgesia(difference between subjective pain ratings between baseline measurements and test phase), pharmacokinetics of Midazolam, temporal dynamics of salivary stress markers (salivary alpha amylase and cortisol) with cold pressor test, perceived pain-related stress (Stress Visual Analogue Scale), pain-related and general state anxiety (Visual Analogue Scale), pain perception as well as tolerability, credibility and side effects of the test(Generic Assessment of Side Effects, GASE). Explorative outcomes are psychological and personality parameters (somatosensory amplification (Somatosensory Amplification Scale, SSAS), perceived stress (Perceived Stress Scale, PSS), chronic stress (Trier Inventory for Chronic Stress, TICS), state and trait anxiety and depression (State-Trait-Angst-Depressions-Inventar, STADI State), fear of pain (Fear of Pain Questionnaire - III, FPQ-III), catastrophising thinking related to pain (Pain Catastrophizing Scale, PCS), personality factors (10 item Big Five Inventory (BFI-10) and Behavioral Inhibition System Behavioral Approach System (BISBAS), previous treatment experiences, treatment expectations, and treatment effects (Generic rating scale for previous treatment experiences, treatment expectations, and treatment effects GEEE)), general impression of the experimenter to the subjects (Wärme und Kompetenz).

Countries

Germany

Contacts

Public ContactAngelika Kunkel

Universitätsklinikum Essen

angelika.kunkel@uk-essen.de004920172326467

Outcome results

None listed

Source: DRKS (via WHO ICTRP) · Data processed: Feb 4, 2026