Preventing Chronic Pain by Treating PTSD at Acute Pain Onset
This study is exploring ways to prevent chronic pain in people who are experiencing acute pain (sudden pain, like from an injury) and also have symptoms of Post-Traumatic Stress Disorder (PTSD). Researchers believe that untreated PTSD might increase the risk of acute pain becoming chronic pain. The study will test two different treatments: Stellate Ganglion Block (SGB), which is an injection of a local anesthetic into a nerve bundle in the neck, and Cognitive Processing Therapy (CPT), a type of talk therapy. The goal is to see if reducing PTSD symptoms with either of these treatments can stop acute pain from turning into chronic pain. Success will be measured by changes in your pain intensity and PTSD symptoms over about 6 months.
- Study design
- This interventional study plans to enroll 345 participants who will be randomly assigned to receive one of the two treatments or usual care.
- What's involved
- Participants will receive either 1-week massed CPT or two SGB treatments. You will also complete questionnaires and participate in interviews.
- Compensation
- Not stated in the trial record.
- Follow-up
- Your pain intensity and PTSD symptoms will be measured through study completion, for an average of 6 months.
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Preventing the Development of Chronic Pain: Treating PTSD at Acute Pain Onset
At a glance
Conditions
Where it's being run
1 sites across 1 statesStudy leadership
- John W Burns, PhD · PRINCIPAL_INVESTIGATOR · Rush University Medical Center
Who to contact
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What this trial measures
- Change in Patient-Reported Outcomes Measurement Information System (PROMIS) Pain IntensityThrough study completion, for an average of 6 months
Intensity of chronic pain reported by subject. The PROMIS Pain Intensity scale consists of 3 questions with a 5-point response scale ranging from "Had no pain" -to "Very severe. " Participants are asked how intense their pain has been in the past 7 days. Higher scores indicate more intense pain.
- Change in PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (PCL-5) Self-Reported PTSD SymptomsThrough study completion, for an average of 6 months
PCL-5 will be used to measure self-reported PTSD symptoms. The PCL-5 consists of 20 questions that ask how much a given symptom has bothered the participant within a specified time period. Each question has a 5 point response scale ranging from "not at all" (0) to "extremely" (4). Higher scores indicate greater PTSD symptom severity.