Status:

COMPLETED

An Evaluation of MBSR and CBT for Veterans With Chronic Pain

Lead Sponsor:

VA Office of Research and Development

Conditions:

Chronic Pain

Pain

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

Approximately fifty percent of Veterans report chronic pain. Management of chronic pain is often compounded by other life problems, including depression and posttraumatic stress disorder. Use of opioi...

Detailed Description

Background: Pain is one of the most common reasons Veterans seek health care. Mental health conditions (including PTSD, anxiety, and depression) are estimated to co-occur for 30-50% of Veterans with c...

Eligibility Criteria

Inclusion

  • All participants must meet criteria for chronic musculoskeletal pain, defined as:
  • musculoskeletal pain of low back
  • cervical spine, or extremities (hip, knee, or shoulder)
  • pain for at least 3 months
  • pain severity (worst or average pain score equal to or greater than 4)(i.e., score of 4 or greater on BPI items 3 or 5) and average pain interference (BPI items 9A-9G) rated equal to or great than 3 of 10 over prior week, as measured using the Brief Pain Inventory (BPI)

Exclusion

  • At baseline, the MINI psychiatric interview will determine psychiatric exclusion criteria:
  • uncontrolled psychotic disorder
  • current bipolar affective disorder with mania
  • current suicidal or homicidal ideation with intent in the last month
  • inpatient psychiatric admission within the past month
  • severe medical conditions that would limit participation (e.g., Class III or IV heart failure)
  • pending back surgery
  • Additional exclusion criteria include prior formal participation in MBSR or CBT-CP. The investigators will include subjects with Alcohol Use Disorder (AUD; defined by the MINI) but exclude those for whom alcohol use poses a safety threat (defined as current drinking and a past-year history of alcohol-related seizures or delirium tremens). The investigators will also include those with Opioid Use Disorder (OUD) and other Substance Use Disorder (SUD; each defined by the MINI).

Key Trial Info

Start Date :

January 27 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

September 30 2024

Estimated Enrollment :

217 Patients enrolled

Trial Details

Trial ID

NCT04486066

Start Date

January 27 2021

End Date

September 30 2024

Last Update

June 25 2025

Active Locations (1)

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1

VA Puget Sound Health Care System Seattle Division, Seattle, WA

Seattle, Washington, United States, 98108-1532