Chronic Low Back Pain
Conditions
Keywords
chronic low back pain, cognitive-behavioral therapy, Mindful Based Stress Reduction, pain clinics, anxiety, quality of life, chronic pain
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.
Interventions
BEHAVIORALCognitive Behavioral Treatment
Behavioral treatment to reduce pain in chronic back pain patients
BEHAVIORALMindfulness Based Stress Reduction
Behavioral treatment to reduce pain in chronic back pain patients
Sponsors
Spanish Back Pain Research Network (REIDE)
Fondo de Investigacion Sanitaria
Universitat Autonoma de Barcelona
Kovacs Foundation
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No
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.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Degree of improvement in: anxiety, quality of life | immediately after therapy, at 3 months, and at 12 months |
Secondary
| Measure | Time frame |
|---|---|
| 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 |
Countries
Spain
Outcome results
None listed