Mind Body Therapy for the Treatment of Chronic Pain

Beth Israel Deaconess Medical Center35 enrolled

Overview

Chronic pain syndromes without identified organic etiology remain a challenge for physicians. Many syndromes, including back pain, are believed to have potential underlying psychological etiology; however, the exact link remains elusive. The goal of this study is to determine if mind body therapies can help people suffering from chronic back pain. The study is a randomized, partially blinded trial examining the effectiveness of Mind Body Syndrome Therapy (MBST) in reducing disability from back pain and alleviating back pain. The investigators will secondarily investigate whether MBST can improve participant quality of life and reduce the need for pain-related hospitalization. The design of the this study consists of 3 arms with one being the intervention (MBST), one being usual care, and one being a second mind-body intervention (active control). This education program consists of a series of personal interviews and group and/or individualized lectures/sessions. Participants will also be provided reading material to study during the intervention period, and asked to continue their usual care while going through the MBST program.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Chronic Pain Chronic Pain Syndrome

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Adult patient 18 \> years old * Chronic back pain * Pain persistent for ≥3 days/week for the past 3 months prior to enrollment * Willingness to consider mind-body intervention Exclusion Criteria: * Patients \< 18 years of age * Diagnosed organic disease as cause of pain, such as (but not limited) to malignancy, neurologic disorder (i.e., amyotrophic lateral sclerosis), cauda equina syndrome. Pain related to disc disease is not an exclusion unless there are neurological impairments. * Patients with a diagnosis of significant psychiatric co-morbidities such as schizophrenia, dementia and bipolar disorder.

Outcomes

Primary Outcomes

Pain Disability: Roland Morris Disability Index

Change in the Roland Morris Disability Index (Scale 0-24 with 24 being worst)

Time frame: change over 26 weeks

Secondary Outcomes

Average Pain: Brief Pain Inventory Survey

Average pain as determined in the Brief Pain Inventory Survey (Scale 0-10 with 10 being worst)

Time frame: 4 weeks, 8 weeks, 13, weeks, 26 weeks

Pain Bothersomeness (Back Specific): Brief Pain Inventory Survey

Back pain bothersomeness as determined from modified Brief Pain Inventory Survey. (Scale 0-10 with 10 being the worst)