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Psychological mechanisms of change in the interdisciplinary multimodal treatment of pain disorders of the musculoskeletal system – n-of-1.

Psychological mechanisms of change in the interdisciplinary multimodal treatment of pain disorders of the musculoskeletal system – n-of-1. - mcPain–n-of-1

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
DRKS
Registry ID
DRKS00034222
Enrollment
4
Registered
2024-05-06
Start date
2026-06-01
Completion date
Unknown
Last updated
2026-03-02

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

Conditions

M00-M99

Interventions

Group 1: Intervention in the form of an interdisciplinary multimodal pain therapy in an outpatient clinic. The treatment includes active treatment elements such as exercise therapy, relaxation techniq

Sponsors

MSB Medical School Berlin
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 64 Years

Inclusion criteria

Inclusion criteria: People with chronic pain in the musculoskeletal system who require interdisciplinary multimodal pain therapy and have a hypermobility syndrome, 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

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.

Design outcomes

Primary

MeasureTime frame
The primary dependent variable is pain intensity. Recorded in the self-report as a diary item at all points of measurement (day 1 - day 56). ("How would you rate your pain today? 0 "no pain" to 10 "worst pain imaginable").

Secondary

MeasureTime frame
Pain severity (von Korff, von Korff et al., 1992) at T0, T1, T2. Health-related quality of life (VR12, Buchholz, Feng, Buchholz, Kazis, & Kohlmann, 2021) at T0, T1, T2. Wellbeing (FW-7, Basler, H. D. 1999) at T0, T1, T2. Mental health (DASS, Nilges & Essau, 2021) at T0, T1, T2. Confidence in treatment (10-point scale (questions to measure confidence; https://link.springer.com/article/10.1007/s00278-017-0184-x ) at T0. Catastrophizing (PCS, Meyer, Sprott, & Mannion, 2008) at T0, T1, T2. Pain avoidance and endurance strategies (AE-FS, Wolff, Willburger, Hallner, Rusu, Rusche, Schulte, & Hasenbring, 2018) at T0. Self-efficacy (FESS, Mangels, Schwarz, Sohr, Holme, & Rief, 2009) at T0, T1, T2. Self-control (SCS-KD, Bertrams & Dickhäuser, 2009) at T0. Coordination and stability (obj. assessed by S3-Check, Raschner, Lembert, Platzer, Patterson, Hilden, & Lutz, 2008) at T1, T2. Coordination and stability (obj. recorded by S3-Check, Raschner, Lembert, Platzer, Patterson, Hilden, & Lutz, 2008) at T1, T2. Strength and endurance (obj. assessed by plank test, Tan, Aziz, Teh, & Chia, 2004) at T1, T2. Variables collected daily (day 1-day 56) as diary items: Social support (I am satisfied with the support I received today from people close to me. I am satisfied with the support I received from medical staff today. (0 "very dissatisfied" to 5 "very satisfied"). Self-efficacy - physical activity (I am sure that I will manage to be physically active today, even if I am in pain (0 "not at all" to 3 "exactly right")). Self-efficacy - pain-related in general (I can cope with my pain in most situations today (0 "not at all true" to 3 "exactly true")). Negative affect (How do you feel at the moment? (angry, frightened, nervous, anxious) Fear of movement (I am afraid that I might injure myself if I am physically active) Relaxation ("I feel very relaxed" 5-level response format) Physical activity ("Were you physically active in your free time today?" "How long did the

Countries

Germany

Contacts

Public ContactLena Fleig

MSB Medical School Berlin

lena.fleig@medicalschool-berlin.de+49 30 – 7668375816

Outcome results

None listed

Source: DRKS (via WHO ICTRP) · Data processed: Mar 14, 2026