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Numerous factors can influence the processing of pain message: the affective or emotional, the sensorial and the cognitive components. Interindividual variations at the emotional and cognitive levels may interfere with the pain message and the consecutive behavior. Some modifications in these components are observed in psychiatric troubles, but their influences on the behavior to pain have not been studied, although they have been studied in some populations characterized as non communicating, with obvious cognitive degradations (subject with dementia, older, newborns,…).In an other study in course, the past pain experience is explored in relation to results to experimental pain tests, emotional and anxious characteristics. This present pilot study aims at studying the infra-verbal behavioural signs during experimentally induced pain in subjects with schizophrenia, major depression, and controls.
The objective is to search for behavioral non verbal indicators of pain during experimentally induced pain (pressure application, ischemia induction).
Included subjects are subjected to experimental pain tests : pressure application (160 kPa) with an algometer to determine the pain with Visual Analogic Scale (VAS), and ischemia induction to determine the time needed to feel pain with an intensity equivalent to 3 with the VAS.
Subjects are filmed during experimentation to identify the corporal mobility signs, facial expression signs and sonorous signs associated to pain stimulation.
Neurophysiological measures complete these observations : surface electromyogram, heart rate measure, blood pressure.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| SC | Experimental | behavior as defined with facial, corporal and vocal indicators during experimental pain tests for subjects with schizophrenia |
|
| controls | Experimental | behavior as defined with facial, corporal and vocal indicators during experimental pain tests for subjects without any psychiatric trouble |
|
| MD | Experimental | behavior as defined with facial, corporal and vocal indicators during experimental pain tests for subjects with major depression |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| pain tests | Other | pain induction with pressure application or ischemia on the arm |
|
| Measure | Description | Time Frame |
|---|---|---|
| Indicators / Minute | number of corporal mobility, facial expression and sound indicators | during pain tests (average 1 hour) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Dominique Malauzat, MD | Centre Hospitalier Esquirol | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre Hospitalier Esquirol | Limoges | 87025 | France |
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| ID | Title | Description |
|---|---|---|
| FG000 | Control | behavior during experimental pain tests for control subjects pain tests: pain induction with pressure application or ischemia on the arm |
| FG001 | SChizophrenia | behavior during experimental pain tests for subjects with schizophrenia pain tests: pain induction with pressure application or ischemia on the arm |
| FG002 | Major Depression | behavior during experimental pain tests for subjects with major depression pain tests: pain induction with pressure application or ischemia on the arm |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
subjects with major depression
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| ID | Title | Description |
|---|---|---|
| BG000 | Major Depression | subjects with major depression |
| BG001 | Schizophrenia | subjects with schizophrenia |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Median |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Indicators / Minute | number of corporal mobility, facial expression and sound indicators | Posted | Median | 95% Confidence Interval | indicators/minute | during pain tests (average 1 hour) |
|
12 months
no adverse event to be reported
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Diagnosis | diagnosis according to the DSM-IV-TR : major depression and schizophrenia, or control. pain tests: pain induction with pressure application or ischemia on the arm |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr Murielle Girard | Centre Hospitalier Esquirol | 0033555431028 | murielle.girard@ch-esquirol-limoges.fr |
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| ID | Term |
|---|---|
| D012559 | Schizophrenia |
| D003865 | Depressive Disorder, Major |
| D010146 | Pain |
| D001519 | Behavior |
| ID | Term |
|---|---|
| D019967 | Schizophrenia Spectrum and Other Psychotic Disorders |
| D001523 | Mental Disorders |
| D003866 | Depressive Disorder |
| D019964 | Mood Disorders |
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| BG002 |
| Control |
subjects without psychiatric disorders |
| BG003 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Region of Enrollment | Count of Participants | Participants |
|
| OG002 | Group of Subjects Without Psychiatric Troubles C | control subjects without any psychiatric disorder and experimentating the same pain tests as the other groups: pain induction with pressure application or ischemia on the arm. and observation of the behavior as defined with facial, corporal and vocal indicators during experimental pain tests |
|
|
|
| 0 |
| 49 |
| 0 |
| 49 |
| 0 |
| 49 |
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| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |