Exploration of treatment processes during exposure and cognitive-behavioral therapy in the context of chronic low back pain in a multiple baseline single-case design.
The present study intends to specifically investigate treatment elements during exposure and cognitive-behavioral therapy, which are especially powerful in electing time contingent therapeutic change. hereby, it is the goal to explore further change processes, which play an important role during psychological treatment of individuals with CLBP and high levels of fear-avoidance.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
12
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
Therapeutic changes during the course of treatment compared to baseline
Specifically developed questionnaire on therapeutic change processes
Time frame: from baseline phase (1-3 weeks) to intervention phase (5 weeks)
Pain severity at posttest and follow-up compared to baseline pain severity
Brief Pain Inventory, BPI
Time frame: from pretest (admission) to posttests (an expected average of 8 weeks after admission) to follow-up (an expected average of 6 months after completion)
Pain-related anxiety at posttest and follow-up compared to baseline pain-related anxiety
Pain Anxiety Symptom Scale, PASS- D 20
Time frame: from pretest (admission) to posttests (an expected average of 8 weeks after admission) to follow-up (an expected average of 6 months after completion)
Pain catastrophizing thoughts at posttest and follow-up compared to baseline pain catastrophizing thoughts
Pain Catastrophizing Scale, PCS
Time frame: from pretest (admission) to posttests (an expected average of 8 weeks after admission) to follow-up (an expected average of 6 months after completion)
Perceived harmfulness of daily activities at posttest and follow-up compared to baseline perceived harmfulness of daily activities
Photo Series of Daily Actives, Phoda
Time frame: from pretest (admission) to posttests (an expected average of 8 weeks after admission) to follow-up (an expected average of 6 months after completion)
Pain-related avoidance behavior at posttest and follow-up compared to baseline pain-related avoidance behavior
Behavioral Avoidance Test, BAT Back
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Time frame: from pretest (admission) to posttests (an expected average of 8 weeks after admission) to follow-up (an expected average of 6 months after completion)
Change from baseline in global pain disability at posttest and follow-up compared to baseline global pain disability
Pain Disability Index, PDI
Time frame: from pretest (admission) to posttests (an expected average of 8 weeks after admission) to follow-up (an expected average of 6 months after completion)
Change from baseline in specific pain disability at posttest and follow-up compared to baseline specific pain disability
Quebec Back Pain Disability Scale, QBPDS
Time frame: from pretest (admission) to posttests (an expected average of 8 weeks after admission) to follow-up (an expected average of 6 months after completion)
Emotional distress at posttest and follow-up compared to baseline emotional distress
Hospital Anxiety and Depression Scale, HADS
Time frame: from pretest (admission) to posttests (an expected average of 8 weeks after admission) to follow-up (an expected average of 6 months after completion)
Biological stress markers distress at posttest and follow-up compared to baseline biological stress markers
collection of salivary cortisol using SaliCaps during the behavioral test, collection of hair samples
Time frame: from pretest (admission) to posttests (an expected average of 8 weeks after admission) to follow-up (an expected average of 6 months after completion)