Status:
COMPLETED
Emotional Awareness and Expression Therapy (EAET) or Cognitive Behavior Therapy (CBT) for Older Veterans With Chronic Musculoskeletal Pain
Lead Sponsor:
VA Greater Los Angeles Healthcare System
Conditions:
Musculoskeletal Pain
Eligibility:
All Genders
50+ years
Phase:
NA
Brief Summary
A randomized clinical trial for Veterans age 50 years and older with chronic musculoskeletal pain in which Emotional Awareness and Expression Therapy (EAET) is compared against Cognitive Behavior Ther...
Detailed Description
Outpatient Veterans age 50 years and older at the West Los Angeles VA Medical Center who have chronic musculoskeletal pain complete baseline questionnaires and are randomized into one of two forms of ...
Eligibility Criteria
Inclusion
- Veteran;
- Age 50 years and older;
- 3 months of musculoskeletal pain including low back pain and other regional pain syndromes (e.g. neck, leg, pelvic pain and temporomandibular joint disorders), whiplash, widespread pain (e.g. fibromyalgia), or tension headaches.
Exclusion
- Leg pain greater than back pain (to exclude radiculopathy in isolation);
- Electromyography (EMG)-confirmed "tunnel" syndromes (e.g. carpal or tarsal tunnel syndrome) without any other pain complaints;
- Autoimmune disease that typically generates pain (e.g. systemic lupus erythematosus, rheumatoid arthritis, inflammatory bowel disease, ankylosing spondylitis);
- Confirmed hip or knee osteoarthritis without any other pain complaints;
- Cancer pain, sickle cell disease, neuralgias (e.g. trigeminal neuralgia), burn pain, infection associated with pain (e.g. vertebral infection), cauda equina syndrome, gout as the only pain complaint, migraine or cluster headaches only;
- Uncontrolled severe psychiatric disorder including current psychotic disorder (e.g. schizophrenia or bipolar I disorder not controlled with medications), dissociative identity disorder, or active suicide/violence risk in the past 6 months;
- Moderate to severe cognitive impairment or dementia (Mini-Mental State Exam score ≤ 25);
- Active severe alcohol or substance use disorder that inhibits the participant's ability to attend sessions or participate in homework;
- Currently with pain-related litigation or applying for compensation or compensation increase (e.g. applying for VA service connection or applying for VA service connection increase for pain);
- Unable to fluently read/converse in English;
- Planning to move from the area in the next 6 months.
Key Trial Info
Start Date :
October 19 2017
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
August 28 2019
Estimated Enrollment :
64 Patients enrolled
Trial Details
Trial ID
NCT03844880
Start Date
October 19 2017
End Date
August 28 2019
Last Update
September 7 2020
Active Locations (1)
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1
VA Greater Los Angeles Healthcare Center
Los Angeles, California, United States, 90073