COVID-19 Long Haul Syndrome
Conditions
Brief summary
The present study is a feasibility study in which we will determine if a mind-body program that we have previously developed for chronic back pain can improve the multiple somatic complaints associated with the COVID Long Haul Syndrome.
Detailed description
This study is a pilot and feasibility study to determine if a mind-body program that we have previously developed for chronic back pain can improve the multiple somatic complaints associated with the COVID Long Haul Syndrome in patients without evidence of ongoing tissue injury. We will perform a 12-week intervention consisting of a series of classes which will focus on knowledge therapy, desensitization, emotional expression, and stress reduction.
Interventions
BEHAVIORALMind Body Syndrome Therapy for Long Covid
The intervention consists of a mind-body based intervention for the COVID long haul syndrome. The components of the intervention include knowledge therapy, desensitization, emotional expression, and stress reduction techniques.
Sponsors
Beth Israel Deaconess Medical Center
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Feasibility/pilot Study
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Adult patient ≥ 18 years old * New symptoms attributed to the post-covid long-haul syndrome (extremity pain, dyspnea, headaches, chest pain, fatigue) occurring after an acute phase of COVID19 * Minimum of at least 12 weeks after the end of the acute phase of COVID-19 infection * Persistence of symptoms for a least 1 month with no identified other organic etiology * Score ≥ 3 or more on the SSS-8 score * Symptoms present for a minimum of 4 days a week * Willingness to consider mind-body intervention
Exclusion criteria
* Patients \< 18 years of age * Patients \> 60 years of age * Diagnosed (non-COVID-19) organic disease as cause of pain, such as (but not limited) to malignancy, neurologic disorder (i.e., amyotrophic lateral sclerosis), cauda equina syndrome (note that pain related to disc disease is not an exclusion unless there are neurological impairments). * Patients with previous severe COVID-19 disease, defined as those who had been admitted to the ICU or have objective evidence of ongoing organ injury (e.g., persistent chest radiographic abnormalities or myocarditis) * Identified lung or cardiac injury in subjects with chest pain or dyspnea (e.g., chest radiograph abnormalities, cardiac ultrasound showing myocarditis or depressed ejection fraction ) * Patients with a diagnosis of significant psychiatric comorbidities such as schizophrenia or dementia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in somatic symptom severity | Baseline, 4, 8, and 13 weeks | Will be assessed using the Somatic Symptom Scale-8 (SSS-8). The minimum score is 0 and the maximum 32, with higher values indicating a worse outcome (more severe symptoms) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain intensity | Baseline 4, 8, and 13 weeks | Will be assessed using the Brief Pain Inventory (BPI). The minimum score is 0 and the maximum is 10, with higher values indicating higher pain. |
| Pain-related Anxiety | Baseline 4, 8, 13 weeks | Will be assessed using the Pain Anxiety Symptom Scale (PASS). The minimum score is 0 and the maximum 100, with higher values indicating higher pain anxiety |
| Fatigue | Baseline 4, 8, 13 weeks | Will be assessed using the Fatigue Severity Scale (FSS). The minimum score is 9 and the maximum 63, with higher scores indicating greater fatigue severity |
| Average Pain | Baseline, 4, 8, and 13 weeks | Will be assessed using the Brief Pain Inventory (BPI). The minimum score is 0 and the maximum is 10, with higher values indicating higher pain. |
| Brain Fog | Baseline, 4, 8, and 13 weeks | Will be assessed using a numerical rating scale (0-5). Higher numbers represent more severe of brain fog |
| Physical Functioning | Baseline, 4, 8, and 13 weeks. | Will be assessed using the Patient Reported Outcomes Measurement Information System (PROMIS) The minimum score is 0 and maximum is 16. Higher numbers represent less physical functioning capacity. |
| Dyspnea | Baseline 4, 8, and 13 weeks | Will be assessed using the Multidimensional Dyspnea Profile (MDP). A1, Scale: Scale about breathing sensations with a defined start- and endpoint (neutral - unbearable). Values reach from 0-10, and higher values represent a worse outcome. SQ1 (sensoric quality), Choice: 5 Phrases and terms about breathing sensations. Choose between yes and no and select one as most accurately. SQ2 (sensoric quality), Scales: 5 subscales about intensity of breathing sensations. Values reach from 0 - 10, and higher values represent a worse outcome. A2 (emotional quality), Scales: 5 subscales about emotions. Values reach from 0 - 10, and higher values represent a worse outcome. |
Countries
United States
Outcome results
None listed