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A mechanism-based approach to the prevention of chronic pain and its comorbid mental disorders

A mechanism-based approach to the prevention of chronic pain and its comorbid mental disorders - MechPain

Status
Active, not recruiting
Phases
Phase 2
Study type
Interventional
Source
DRKS
Registry ID
DRKS00037181
Enrollment
450
Registered
2025-06-17
Start date
2026-02-02
Completion date
Unknown
Last updated
2026-01-12

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

Conditions

pain, depression, anxiety

Interventions

Group 1: Workpackage 1 – Meta-analysis Analysis of existing published longitudinal studies to identify core predictors of the transition to chronicity across pain subtypes (subacute stage of musculosk

Sponsors

Abteilung Neuropsychologie und psychologische Resilienzforschung, AG Lernen und Plastizität bei psychischen Störungen, Zentralinstitut für Seelische Gesundheit
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Inclusion criteria

Inclusion criteria: - Presence of group membership (primary musculoskeletal pain, or neuropathic pain, or primary headache in the subacute stage, i.e. less than 3 months since the onset of symptoms) - Sufficient eyesight for mobile phone use (possibly with visual aid) - Age limit - at least 18 years old - Sufficient legal capacity to sign a declaration of consent - Sufficient proficiency of the German language

Exclusion criteria

Exclusion criteria: - Persons with current primary mental disorder that needs treatment - Persons with secondary pain - Contra-indications to Magnetic Resonance Imaging - Pregnancy - Persons unable to consent - Persons with inadequate or unclear treatment of the underlying disease, current application for reduced earning capacity pension, ongoing psychotherapy and severe physical or psychiatric comorbidity

Design outcomes

Primary

MeasureTime frame
Workpackages 1 and 2 Factors in the subacute stage of musculoskeletal pain, neuropathic pain or headache, longitudinal evaluation of: pain intensity, pain-related interference, anxiety, depression to predict chronicity Workpackage 3 Subjects with symptoms as in WP1-2, cross-sectional evaluation of: pain intensity, pain-related interference, anxiety, depression Workpackage 4 Subjects with symptoms as in WP1-2, measurement of: suitability of the digital tasks, adherence to the treatment, modular tasks performance Workpackage 5 Subjects with symptoms as in WP1-2, longitudinal evaluation of (pre- and post-intervention, 3-month follow-up): pain intensity, pain-related interference, anxiety, depression

Secondary

MeasureTime frame
Workpackages 1, 2 Factors in the subacute stage of musculoskeletal pain, neuropathic pain or headache, longitudinal evaluation of: behavioural, psychophysiological, psychometric, neurobiological predictors of pain, predicting chronicity Workpackage 3 Subjects with symptoms as in WP1-2, cross-sectional evaluation of: sensory performance, body perception, pain behavior, stress-induced analgesia, learning and sensory processing, stress level, somatic symptom, state of health, personality, mental disorders, childhood/adolescence experience, Ecological Momentary Assessment of self-reported pain, fear of pain, emotional distress, minor stressors Workpackage 4 (none) Workpackage 5 Subjects with symptoms as in WP1-2, longitudinal evaluation of (pre- and post-intervention, 3-month follow-up): sensory performance, body perception, pain behavior, stress-induced analgesia, learning and sensory processing, stress level, somatic symptom, state of health, personality, mental disorders, childhood/adolescence experience, Ecological Momentary Assessment of self-reported pain, fear of pain, emotional distress, minor stressors

Countries

Germany

Contacts

Public ContactHerta Flor

Abteilung Neuropsychologie und psychologische Resilienzforschung, AG Lernen und Plastizität bei psychischen Störungen, Zentralinstitut für Seelische Gesundheit

Sekretariat.Flor@zi-mannheim.de+49-(0)621-17036302

Outcome results

None listed

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