Somatic symptom disorder mainly pain
Conditions
Interventions
Internet-Based Cognitive Behavioral Therapy(16weeks)
Treatment as usual(16weeks)
Sponsors
Chiba University Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Patients falling under all the following conditions are targeted. 1) Treatment of "somatic symptoms (pain of main symptoms)" in DSM-5 Person satisfying abandonment. 2) Chronic pain is a primary complaint that can not be explained by mental illness even if there is a complication of depression or other anxiety disorder). 3) Persons who are aged over the age of eighty and over 75 years. 4) After sufficiently describing the participation of this exam, after sufficient understanding, it is based on the individual's willingness to do so. Person who got the written consent form (In the case of a minor, you can include the consent of parents can be unnecessary) 5) Persons who have mental and physical conditions that can be practiced on a sustained basis for a minimum of 4 months by understanding cognitive behavioral therapy. 6) Persons who have Internet and computer environments that can accept remote cognitive behavioral therapy (vCBT) by videoconference. 7) Regarding medicinal therapy for chronic pain, (1) I wanted to accept one or more sufficient period (8 weeks or more) enough, I wanted to suggest a marked - to - moderate improvement, or (2)one or more medications due to problems of tolerability Those who tried to demonstrate improvement from moderate to moderate. 8) General treatment for chronic pain (periodic interview with the doctor within 8 weeks is essential and the effect of the medicine is not concerned) is carried out, during the examination, drugs corresponding to chronic pain No new start or additional changes of therapy are planned.
Exclusion criteria
Exclusion criteria: It does not cover those who fall under any of the following 1) Combination of serious mental disorders such as neurocognitive disorder group of DSM-5, psychotic disorder, bipolar disorder, substance-related disorder and so on, interruption of cognitive behavior therapy is expected due to these symptoms worsening Person. 2) The major pain factor is cancer pain. 3) A person who does not show clear QOL decline even with chronic pain (PDAS: Pain Disability Assessment Scale refers to the score such as 9 or less). 4) Persons with mental retardation, those with neurocognitive disorders (dementia), those with autistic spectrum spectroscopy, and therefore for which cognitive behavioral therapy is expected to be difficult. In case 5) Persons who have the danger of imminent suicide and are expected to interrupt cognitive behavioral therapy. 6) Persons who are anticipated to have cessation of cognitive behavioral therapy because they repeat anti-social behavior. 7) Persons who are expected to have cessation of cognitive behavioral therapy because they have significant progressive physical disorder. 8) Persons who are difficult to contact with researchers. 9) Other persons who are judged inappropriate for the examination responsible doctor or the test sharing psychologist to safely carry out this test. 10) Person who involves litigation or compensation concerning pain symptoms.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Numerical Rating Scale (NRS) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) EQ-5D-5L(EuroQol5-Dimension-5Levels) 2) BPI-J(Brief Pain Inventory) 3) PCS(Pain Catastrophizing Scale) 4) PDAS(Pain Disability Assessment scale) 5) BDI-2(Beck Depression Inventory) 6) PHQ-9(Patient Health Questionnare-9) 7) GHQ-7(Generalized anxiety disorder-7) 8) CGI-C(Clinical Global Impression of Change Scale) | — |
Countries
Japan
Contacts
Public ContactKayoko Taguchi
Chiba University Cognitive Behavior Physiology Laboratory
Outcome results
None listed