Chronic low back pain often results in psychosocial and physical disability. A subgroup of these patients shows fear of (re)injury and avoidance behaviour leading to higher disability. The purpose of this study is to determine whether exposure in vivo is more effective in the treatment of fear avoidant chronic back pain patients than psychological treatment as usual (cognitive behavioural psychotherapy).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
68
5-10 sessions based on an individualized fear hierarchy
graded activity, relaxation techniques and cognitive interventions
Philipps University Marburg, Department of Clinical Psychology and Psychotherapy
Marburg, Germany
Change from baseline in pain severity at 3 and 6 months after admission
Numeric Rating Scale (NRS)
Time frame: from Pretest (admission) to Posttest (an expected average of 3 months after admission) to Follow-up (an expected average of 6 months after admission)
Change from baseline in pain disability at 3 and 6 months after admission
Pain Disability Index (PDI) Quebec Back Pain Disability Scale (QBPDS)
Time frame: from Pretest (admission) to Posttest (an expected average of 3 months after admission) to Follow-up (an expected average of 6 months after admission)
Change in fear avoidance from Pretest to two in-between time points to Posttest
Tampa Scale of Kinesiophobia (TSK) Pain Anxiety Symptom Scale (PASS)
Time frame: from Pretest (admission) to one in-between timepoint (an expected 10 weeks after admission) to Posttest (an expected average of 3 months after admission) to Follow-up (an expected average of 6 months after admission)
Change in pain catastrophizing from Pretest to two in-between timepoints to Posttest to Follow-up
Pain Catastrophizing Scale (PCS)
Time frame: from Pretest (admission) to one in-between timepoint (an expected 10 weeks after admission) to Posttest (an expected average of 3 months after admission) to Follow-up (an expected average of 6 months after admission)
Change in emotional distress from Pretest to two in-between timepoints to Posttest to Follow-up
Hospital Anxiety and Depression Scale (HADS)
Time frame: from Pretest (admission) to one in-between timepoint (an expected 10 weeks after admission) to Posttest (an expected average of 3 months after admission) to Follow-up (an expected average of 6 months after admission)
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Change in quality of life from Pretest to two in-between timepoints to Posttest to Follow-up
EuroQol (EQ-5D)
Time frame: from Pretest (admission) to one in-between timepoint (an expected 10 weeks after admission) to Posttest (an expected average of 3 months after admission) to Follow-up (an expected average of 6 months after admission)
Change in physical activity from Pretest to two in-between timepoints to Posttest to Follow-up Time
International Physical Activity Questionnaire(IPAQ)
Time frame: from Pretest (admission) to one in-between timepoint (an expected 10 weeks after admission) to Posttest (an expected average of 3 months after admission) to Follow-up (an expected average of 6 months after admission)