Central Sensitisation, Chronic Pain, Distress, Emotional, HIV, Immune System and Related Disorders
Conditions
Keywords
Chronic pain, HIV, Innate Immune Response, Mental health, Hyperalgesia, secondary
Brief summary
This case-control study focuses on pain in HIV, which is common despite antiretroviral therapy and compromises quality of life, mental health and daily functioning. Specifically, it will investigate the relationships between psychosocial distress, inflammation and pain in HIV.
Detailed description
We plan to recruit 100 people and follow them for 6 months, taking repeated measures. Participants who report persistent pain at enrolment will be assessed at 0 (baseline), 2, 4, and 6 months. Participants who report no pain at enrolment will be assessed at 0 (baseline) and 6 months. All participants will also be invited to participate in weekly remote assessment of selected self-reported outcomes.
Interventions
As above
Sponsors
Study design
Eligibility
Inclusion criteria
* HIV-positive with viral suppression * report either persistent pain or no pain at enrolment
Exclusion criteria
* pregnancy * acute psychiatric condition requiring urgent care * cognitive impairment preventing full participation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hopkins Symptom Checklist 25-item questionnaire | Baseline | Psychosocial distress |
| Provoked inflammatory response | Baseline | Multiplex assay |
| Brief Pain Inventory | Baseline | Pain intensity |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Secondary hyperalgesia (surface area) | Baseline assessment only | Induced in a subgroup |
| Brief Pain Inventory | Baseline | Pain locations |
Countries
South Africa