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Trial registered on ANZCTR
Registration number
ACTRN12607000655448
Ethics application status
Approved
Date submitted
6/12/2007
Date registered
21/12/2007
Date last updated
28/09/2016
Type of registration
Retrospectively registered
Titles & IDs
Public title
Chronic pain and post traumatic stress disorder (PTSD) in survivors of war and torture – efficacy of a biofeedback-based cognitive behavioral therapy (CBT): A randomized trial
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Scientific title
The efficacy of CBT-biofeedback for traumatised refugees suffering from chronic pain
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Secondary ID [1]
290234
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nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Posttraumatic Stress Disorder and Chronic Pain
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Condition category
Condition code
Mental Health
2724
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0
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Other mental health disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The treatment protocol consists of 10 weekly sessions of 90 minutes within three months. Every session lasts 90 minutes each. In the initial sessions, the predominant physical and psychological problems as well as problems of the patient’s current life situation are discussed. Furthermore, psychoeducation is delivered and an individual model of the patient’s current complaints and possible ways to recovery is developed. In sessions three through nine, therapist and patient focus on the individual primary pain. Different relaxation strategies are introduced and trained with the help of CBT-BF. In addition, patients receive daily homework to exercise progressive muscle relaxation. In session nine, pain-related problems such as dysfunctional cognitions and behaviour, or inactivity are modified using standard CBT techniques. In session ten, the learned methods and strategies for coping with chronic pain are reviewed and evaluated regarding their use in future pain situations. Farewell at termination of treatment is included.
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Intervention code [1]
2344
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Treatment: Other
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Comparator / control treatment
Individuals assigned to the waiting-list receive the same treatment after being reassessed after a period of 3 months waiting
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Control group
Active
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Outcomes
Primary outcome [1]
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verbal rating scale (VRS)
German Pain Coping Questionnaire (FESV)
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Assessment method [1]
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Timepoint [1]
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only 3-months follow up
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Primary outcome [2]
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Posttraumatic Diagnostic Scale (PDS)
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Assessment method [2]
299763
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Timepoint [2]
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pre, post, 3 months follow up
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Secondary outcome [1]
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Psychophysiological stress-pain-assessment (electromyography (EMG), heart rate and the skin conductance)
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Assessment method [1]
6058
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Timepoint [1]
6058
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only 3 months follow up,
no skin conductance
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Secondary outcome [2]
328046
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Hopkins Symptom Checklist (HSCL-25 anxiety)
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Assessment method [2]
328046
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Timepoint [2]
328046
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pre, post 3 months follow up
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Eligibility
Key inclusion criteria
Traumatic experience, chronic pain.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Neuropathic pain, Current psychotic, bipolar, substance-related, or severe personality disorder
risk of psychosis, suicidal intentions, substance abuse, pronounces dissociative tendenicies, currently receiving pain-treatment elsewhere
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Central randomized by computer
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomization by computer
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/01/2007
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Actual
8/05/2007
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Date of last participant enrolment
Anticipated
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Actual
29/05/2009
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Date of last data collection
Anticipated
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Actual
30/11/2016
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Sample size
Target
60
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Accrual to date
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Final
34
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Recruitment outside Australia
Country [1]
708
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Germany
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State/province [1]
708
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Country [2]
709
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Switzerland
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State/province [2]
709
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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Stiftung Ueberleben
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Address [1]
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Turmstrasse 21
10559 Berlin
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Country [1]
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Germany
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Primary sponsor type
Individual
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Name
Dr. Christine Knaevelsrud
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Address
Treatment Center for Torture Victims
GSZ
Moabit Turmstrasse 21
10559 Berlin
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Country
Germany
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Secondary sponsor category [1]
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Individual
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Name [1]
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Dr. Julia Mueller
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Address [1]
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Department of Psychiatry
University Hospital Zurich
Culmannstrasse 8
8091 Zurich
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Country [1]
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Switzerland
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Charite Berlin
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Ethics committee address [1]
4803
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Ethics committee country [1]
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Germany
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Date submitted for ethics approval [1]
4803
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Approval date [1]
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05/05/2007
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Ethics approval number [1]
4803
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Summary
Brief summary
Background: Chronic pain and posttraumatic stress disorder (PTSD) are frequently seen in non-western refugees. Only few controlled trials have been reported on the efficacy of interventions addressing chronic pain and PTSD. No convincing treatment concepts exist so far. The present study want to examine the efficacy of a newly developed pain-focused short-term cognitive-behavioural biofeedback (CBT-BF) approach that addresses chronic pain in traumatised refugees. Method: Traumatised refugees with chronic pain are allocated at random to ten sessions of a manualized CBT-Biofeedback (CBT-BF) approach conducted over 10 weeks period or a waiting list control group. We expect CBT-BF to be useful for traumatized migrants with primarily body-oriented illness concepts. We hypothesize that the intervention will significantly improve clinical symptoms of chronic pain. Furthermore, we expect improvements in secondary outcomes such as symptom levels of PTSD, anxiety and depression, psy-chophysiological and psychoneuroendocrinological markers of pain, namely elevated cortisol and Electromy-ogram (EMG) levels, and quality of life. Conclusion: If CBT-BF proves to be an effective treatment for chronic pain in traumatised migrants, our results will lend support to the establishment of CBT-BF in this group of patients. From an economic perspective, this study could make a contribution towards savings in health expenditure as it may provide the basis for a selective and directed use of psychotherapeutic interventions in a population that is difficult to treat due to both their differing cultural backgrounds and the chronicity, severity and multimorbidity of their disorders.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof Christine Knaevelsrud
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Address
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Freie Universität Berlin
Habelschwerdter Allee 45
14195 Berlin
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Country
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Germany
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Phone
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+49 30 838 55736
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Dr. Christine Knaevelsrud
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Address
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Freie Universität Berlin
Habelschwerdter Allee 45
14195 Berlin
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Country
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Germany
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Phone
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+49 30 838 55736
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Fax
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+49 (0)30 838-458472
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr. Christine Knaevelsrud
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Address
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Freie Universität Berlin
Habelschwerdter Allee 45
14195 Berlin
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Country
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Germany
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Phone
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+49 30 838 55736
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Fax
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+49 (0)30 838-458472
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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