Psychological Pain Treatment in Endometriosis

NCT ID: NCT02761382

Last Updated: 2022-05-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

58 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-03-31

Study Completion Date

2018-10-31

Brief Summary

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This study evaluates the effects of psychological treatment on pain, quality of life and work ability among women with endometriosis related chronic pelvic pain in a three-armed, randomised study. One group will receive mindfulness-based psychological treatment, the second group will receive a non-specific general psychological treatment (a psychological placebo) and the third group will be a waiting list control (treatment as usual).

Detailed Description

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Conditions

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Endometriosis Pelvic Pain Chronic Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Mindfulness-based treatment

The mindfulness-based psychological treatment consists of 10 weekly group sessions of 3 hours duration. The treatment is based on Mindfulness-based stress reduction (MBSR), Mindfulness-based cognitive therapy (MBCT) and Acceptance and commitment therapy (ACT). The intervention is partly manualized to accommodate demands of methodology, accuracy and repeatability. The group sessions will include:

1. mindfulness-training (including meditation and yoga),
2. therapy based on ACT, and
3. patient-education in themes specifically targeted living with endometriosis-related chronic pelvic pain.

Group Type EXPERIMENTAL

Mindfulness-based psychological treatment

Intervention Type OTHER

Non-specific treatment

The non-specific general psychological treatment is matched the mindfulness-based psychological treatment and consists of 10 weekly group sessions of 3 hours duration. The treatment is based on Client-centered therapy. The intervention is partly manualized to accommodate demands of methodology, accuracy and repeatability. The group sessions will include:

1. relaxation and physical training,
2. therapy based on the non-specific factors of psychological treatment which emphasize a focus on the relation and alliance between the therapist and the client and the therapist being a warm empathic, non-directive and unconditionally accepting support, and
3. patient-education in themes specifically targeted living with endometriosis-related chronic pelvic pain.

Group Type EXPERIMENTAL

Non-specific psychological treatment

Intervention Type OTHER

Waiting list control

Participants in this arm will be on the waiting list to participate in one of the two experimental treatments after a period of six months. Participants will receive medical treatment as usual in this period.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Mindfulness-based psychological treatment

Intervention Type OTHER

Non-specific psychological treatment

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Endometriosis diagnosed by laparoscopy or MRI.
* Moderate to severe endometriosis-related chronic pelvic pain.
* Relevant clinical and surgical treatment according to the European Society of Human Reproduction and Embryology (ESHRE) guidelines for endometriosis have been tried.

Exclusion Criteria

* Fibromyalgia, Colitis Chron or Colitis Ulcerosa
* Severe psychiatric diagnosis
* Pregnancy or planned pregnancy during the study period
Minimum Eligible Age

18 Years

Maximum Eligible Age

47 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Aarhus University Hospital

OTHER

Sponsor Role collaborator

TrygFonden, Denmark

INDUSTRY

Sponsor Role collaborator

Copenhagen University Hospital, Denmark

OTHER

Sponsor Role collaborator

Endometriose Foreningen

UNKNOWN

Sponsor Role collaborator

University of Aarhus

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Axel Forman

Role: STUDY_CHAIR

Aarhus University Hospital

Lene Vase

Role: STUDY_DIRECTOR

University of Aarhus

Karina E Hansen

Role: PRINCIPAL_INVESTIGATOR

University of Aarhus

Locations

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Aarhus University Hospital, Department of Obstetrics and Gynecology

Aarhus N, , Denmark

Site Status

Copenhagen University Hospital, Department of Gynaecology

Copenhagen, , Denmark

Site Status

North Denmark Regional Hospital

Hjørring, , Denmark

Site Status

Countries

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Denmark

References

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Hansen KE, Brandsborg B, Kesmodel US, Forman A, Kold M, Pristed R, Donchulyesko O, Hartwell D, Vase L. Psychological interventions improve quality of life despite persistent pain in endometriosis: results of a 3-armed randomized controlled trial. Qual Life Res. 2023 Jun;32(6):1727-1744. doi: 10.1007/s11136-023-03346-9. Epub 2023 Feb 17.

Reference Type DERIVED
PMID: 36797461 (View on PubMed)

Other Identifiers

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AUENDO

Identifier Type: -

Identifier Source: org_study_id

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