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Members with chronic pain will be invited to participate in a 2-hour zoom-delivered pain psychology class entitled "Pain, Stress, & Emotions". Surveys are completed at baseline (prior to the online class), a satisfaction survey is completed after the class, and post-treatment surveys completed 2, 4, 8, and 12 1weeks after class attendance.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Pain, Stress, & Emotions Class | Experimental | No active or placebo comparator will be used. This is a single-arm study design. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pain, Stress and Emotions | Behavioral | 2-hour, zoom-delivered, group intervention focused on teaching patients how pain is processed in their brain and learning about the role of psychosocial factors in their pain conditions. |
| Measure | Description | Time Frame |
|---|---|---|
| Pain Intensity NRS | Self-reported pain intensity rating | Change from baseline to 1-Month follow-up (with secondary 2-month follow-up) |
| Measure | Description | Time Frame |
|---|---|---|
| Patient-Reported Outcomes Measurement Information System: Pain Interference short form 6a | self-reported pain interference levels | Change from baseline to 1-Month follow-up (with secondary 2-month follow-up) |
| Patient-Reported Outcomes Measurement Information System: Depression 6a |
| Measure | Description | Time Frame |
|---|---|---|
| Pain Attributions Questionnaires | Two self-report questionnaires were developed to assess psychological and brain influences on pain. The 4-item psychological attribution scale assesses patients' beliefs that their thoughts and feelings and psychological therapy impacts pain, and the 3-item brain attribution scale assesses patient's beliefs that their pain is brain-based. Mean scores will be computed for both scales separately (0-4; higher scores indicating greater belief that pain is a brain-related [brain attribution] construct and that pain is affected by thoughts, feelings, and psychological interventions [psychological attribution]) |
Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Stanford University | Palo Alto | California | 94304 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29751205 | Background | Holmes HJ, Thakur ER, Carty JN, Ziadni MS, Doherty HK, Lockhart NA, Schubiner H, Lumley MA. Ambivalence over emotional expression and perceived social constraints as moderators of relaxation training and emotional awareness and expression training for irritable bowel syndrome. Gen Hosp Psychiatry. 2018 Jul-Aug;53:38-43. doi: 10.1016/j.genhosppsych.2018.05.002. Epub 2018 May 3. | |
| 30252113 |
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| ID | Term |
|---|---|
| D059350 | Chronic Pain |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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Uncontrolled, prospective, single arm, pre-post intervention study
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self-reported depression |
| Change from baseline to 1-Month follow-up (with secondary 2-month follow-up) |
| Patient-Reported Outcomes Measurement Information System: Anxiety 6a | self-reported anxiety | Change from baseline to 1-Month follow-up (with secondary 2-month follow-up) |
| Patient-Reported Outcomes Measurement Information System: Physical Function 8b | self-reported physical functioning | Change from baseline to 1-Month follow-up (with secondary 2-month follow-up) |
| Patient-Reported Outcomes Measurement Information System: Sleep Disturbance 6a | self-reported sleep disturbance | Change from baseline to 1-Month follow-up (with secondary 2-month follow-up) |
| Patient-Reported Outcomes Measurement Information System: social isolation 6a | self-reported social isolation | Change from baseline to 1-Month follow-up (with secondary 2-month follow-up) |
| Patient-Reported Outcomes Measurement Information System: fatigue 6a | self-reported fatigue | Change from baseline to 1-Month follow-up (with secondary 2-month follow-up) |
| Patient-Reported Outcomes Measurement Information System: anger 5a | self-reported anger | Change from baseline to 1-Month follow-up (with secondary 2-month follow-up) |
| Ambivalence over Emotional Expression (AEQ) | self-reported ambivalence levels about emotional expression | Change from baseline to 1-Month follow-up (with secondary 2-month follow-up) |
| Emotion-Approach Coping | 8-item emotion approach coping scale | Change from baseline to 1-Month follow-up (with secondary 2-month follow-up) |
| Pain Bothersomeness | single-item assessing self-reported levels of pain bothersomeness | Change from baseline to 1-Month follow-up (with secondary 2-month follow-up) |
| Change from baseline to 1-Month follow-up (with secondary 2-month follow-up) |
| Pain Catastrophizing Scores; measured with Pain Catastrophizing Scale | Pain Catastrophizing Scale (Sullivan et al., 1995): A summed score of the 13 catastrophizing items will be computed (0-52, higher scores indicate greater catastrophizing) | Change from baseline to 1-Month follow-up (with secondary 2-month follow-up) |
| Background |
| Carty JN, Ziadni MS, Holmes HJ, Tomakowsky J, Peters K, Schubiner H, Lumley MA. The Effects of a Life Stress Emotional Awareness and Expression Interview for Women with Chronic Urogenital Pain: A Randomized Controlled Trial. Pain Med. 2019 Jul 1;20(7):1321-1329. doi: 10.1093/pm/pny182. |
| 29154608 | Background | Ziadni MS, Carty JN, Doherty HK, Porcerelli JH, Rapport LJ, Schubiner H, Lumley MA. A life-stress, emotional awareness, and expression interview for primary care patients with medically unexplained symptoms: A randomized controlled trial. Health Psychol. 2018 Mar;37(3):282-290. doi: 10.1037/hea0000566. Epub 2017 Nov 20. |
| 28643436 | Background | Thakur ER, Holmes HJ, Lockhart NA, Carty JN, Ziadni MS, Doherty HK, Lackner JM, Schubiner H, Lumley MA. Emotional awareness and expression training improves irritable bowel syndrome: A randomized controlled trial. Neurogastroenterol Motil. 2017 Dec;29(12):10.1111/nmo.13143. doi: 10.1111/nmo.13143. Epub 2017 Jun 22. |
| 36466215 | Derived | Ziadni MS, Sturgeon JA, Lumley MA. "Pain, Stress, and Emotions": Uncontrolled trial of a single-session, telehealth, emotional awareness and expression therapy class for patients with chronic pain. Front Pain Res (Lausanne). 2022 Nov 18;3:1028561. doi: 10.3389/fpain.2022.1028561. eCollection 2022. |