Low Back Pain, PTSD
Conditions
Brief summary
Aim The aim is to test whether a short psychotherapeutic intervention targeting Post Traumatic Stress Disorder (PTSD) symptoms will have an additional positive effect on the outcomes of the Standard Multidisciplinary Program (SMP) against chronic back pain development.
Detailed description
Focus Patients with back pain often demonstrate symptoms of PTSD measured via the Harvard Trauma Questionnaire Scale (HTQ). It has been found that PTSD and pain may maintain each other. Methods Thousand consecutive patients with Low Back Pain (LBP) referred to the Spine Center are screened for PTSD. It is expected that 100 patients will meet the inclusion criteria and be randomized to SMP or to SMP plus 10 psychotherapeutic sessions, that will include the shock-trauma method 'Somatic Experiencing'. Conclusion The project started in 2013, so there have not yet been any results. Currently total reached 65 back pain patients; 34 patients in the SMP + sessions intervention arm. Effect parameters are: Pain, daily function, EuroQOL and (HTQ), anxiety and depression, fear avoidance (Tampa Scale for Kinesiophobia) on entry, and at 6/12 months. This Nested Randomized Trial in a Cohort Design is one of the very first studies targeting both PTSD and chronic pain-related symptomatology.
Interventions
Standard back pain treatment
Standard back pain treatment plus 10 psychotherapeutic session, that will include the shock-trauma method somatic experiencing.
Sponsors
Study design
Eligibility
Inclusion criteria
* Back pain: from 1/2 Y duration or longer * Trauma according to HTQ
Exclusion criteria
\-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Functional status, Roland Morris Scale | 0, 1 year | scale ranging from 0-24 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Harvard Trauma Questionnaire | 0, 1 year | scale ranging from 17-68 |
| Back pain intensity, numeric rating scale | 0, 1 year | scale ranging from 0-10 |
Countries
Denmark