Trial Outcomes & Findings for Pain Catastrophizing and Prescription Opioid Craving (NCT NCT04097743)

NCT ID: NCT04097743

Last Updated: 2026-01-12

Results Overview

Craving was assessed using a 0-100 Visual Analogue Scale (VAS), with higher scores indicating greater craving in the past 24 hours.

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

93 participants

Primary outcome timeframe

At day 7 (after intervention)

Results posted on

2026-01-12

Participant Flow

Participant milestones

Participant milestones
Measure
Coping Statement
Daily practice of pain coping statements for 7 days Coping Statement: Daily practice of coping statement
Control
No instruction about pain coping statement.
Overall Study
STARTED
44
49
Overall Study
COMPLETED
43
49
Overall Study
NOT COMPLETED
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Coping Statement
Daily practice of pain coping statements for 7 days Coping Statement: Daily practice of coping statement
Control
No instruction about pain coping statement.
Overall Study
Non-compliance of the study instruction.
1
0

Baseline Characteristics

Pain Catastrophizing and Prescription Opioid Craving

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Coping Statement
n=44 Participants
Daily practice of pain coping statements for 7 days Coping Statement: Daily practice of coping statement
Control
n=49 Participants
No instruction about pain coping statement.
Total
n=93 Participants
Total of all reporting groups
Age, Continuous
60.4 years
STANDARD_DEVIATION 13.4 • n=210 Participants
61.6 years
STANDARD_DEVIATION 9.83 • n=19 Participants
61.0 years
STANDARD_DEVIATION 11.6 • n=8 Participants
Sex: Female, Male
Female
25 Participants
n=210 Participants
29 Participants
n=19 Participants
54 Participants
n=8 Participants
Sex: Female, Male
Male
19 Participants
n=210 Participants
20 Participants
n=19 Participants
39 Participants
n=8 Participants
Race/Ethnicity, Customized
White/Caucasian
40 Participants
n=210 Participants
37 Participants
n=19 Participants
77 Participants
n=8 Participants
Race/Ethnicity, Customized
White/Hispanic/Latino
1 Participants
n=210 Participants
4 Participants
n=19 Participants
5 Participants
n=8 Participants
Race/Ethnicity, Customized
African American/Black
0 Participants
n=210 Participants
4 Participants
n=19 Participants
4 Participants
n=8 Participants
Race/Ethnicity, Customized
Asian
2 Participants
n=210 Participants
2 Participants
n=19 Participants
4 Participants
n=8 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
0 Participants
n=210 Participants
0 Participants
n=19 Participants
0 Participants
n=8 Participants
Race/Ethnicity, Customized
Pacific Islander/Native Hawaiian
0 Participants
n=210 Participants
0 Participants
n=19 Participants
0 Participants
n=8 Participants
Race/Ethnicity, Customized
Prefer not to say
0 Participants
n=210 Participants
2 Participants
n=19 Participants
2 Participants
n=8 Participants
Race/Ethnicity, Customized
Other
1 Participants
n=210 Participants
0 Participants
n=19 Participants
1 Participants
n=8 Participants
Opioid Craving
Craving
27 Participants
n=210 Participants
27 Participants
n=19 Participants
54 Participants
n=8 Participants
Opioid Craving
Non-craving
16 Participants
n=210 Participants
22 Participants
n=19 Participants
38 Participants
n=8 Participants

PRIMARY outcome

Timeframe: At day 7 (after intervention)

Craving was assessed using a 0-100 Visual Analogue Scale (VAS), with higher scores indicating greater craving in the past 24 hours.

Outcome measures

Outcome measures
Measure
Coping Statement
n=44 Participants
Daily practice of pain coping statements for 7 days Coping Statement: Daily practice of coping statement
Control
n=49 Participants
No instruction about pain coping statement.
Craving
12.68 score on a scale
Standard Deviation 20.06
18.49 score on a scale
Standard Deviation 27.76

PRIMARY outcome

Timeframe: At day 14 (7 days after intervention)

Craving was assessed using a 0-100 Visual Analogue Scale (VAS), with higher scores indicating greater craving in the past 24 hours.

Outcome measures

Outcome measures
Measure
Coping Statement
n=44 Participants
Daily practice of pain coping statements for 7 days Coping Statement: Daily practice of coping statement
Control
n=49 Participants
No instruction about pain coping statement.
Craving
12.77 score on a scale
Standard Deviation 12.84
21.40 score on a scale
Standard Deviation 22.92

SECONDARY outcome

Timeframe: At day 7 (after intervention)

Salivary cortisol level was the mean of samples collected at wake-up, 30 minutes after waking, and at 9:00 PM. Higher scores indicate higher cortisol levels.

Outcome measures

Outcome measures
Measure
Coping Statement
n=44 Participants
Daily practice of pain coping statements for 7 days Coping Statement: Daily practice of coping statement
Control
n=49 Participants
No instruction about pain coping statement.
Cortisol
0.41 ug/dL
Standard Deviation 0.62
0.84 ug/dL
Standard Deviation 3.19

SECONDARY outcome

Timeframe: At day 14 (7 days after intervention)

Salivary cortisol level was the mean of samples collected at wake-up, 30 minutes after waking, and at 9:00 PM. Possible scores range 0.012-3.000 ug/dL. Higher scores indicate higher cortisol levels.

Outcome measures

Outcome measures
Measure
Coping Statement
n=44 Participants
Daily practice of pain coping statements for 7 days Coping Statement: Daily practice of coping statement
Control
n=49 Participants
No instruction about pain coping statement.
Cortisol
0.53 ug/dL
Standard Deviation 1.62
0.35 ug/dL
Standard Deviation 0.41

SECONDARY outcome

Timeframe: At day 7 (after intervention)

The Patient-Reported Outcomes Measurement Information System (PROMIS) Anxiety 8-item short form was administered. 50 indicates the population mean with a standard deviation of 10. Possible T-Scores range from 20 - 80 and Higher scores indicate greater anxiety symptoms.

Outcome measures

Outcome measures
Measure
Coping Statement
n=44 Participants
Daily practice of pain coping statements for 7 days Coping Statement: Daily practice of coping statement
Control
n=49 Participants
No instruction about pain coping statement.
Anxiety Symptoms
52.27 T-score
Standard Deviation 8.88
50.14 T-score
Standard Deviation 8.31

SECONDARY outcome

Timeframe: At day 14 (7 days after intervention)

The Patient-Reported Outcomes Measurement Information System (PROMIS) Anxiety 8-item short form was administered. 50 indicates the population mean with a standard deviation of 10. Possible T-Scores range from 20 - 80. Higher scores indicate greater anxiety symptoms.

Outcome measures

Outcome measures
Measure
Coping Statement
n=44 Participants
Daily practice of pain coping statements for 7 days Coping Statement: Daily practice of coping statement
Control
n=49 Participants
No instruction about pain coping statement.
Anxiety Symptoms
52.91 T-score
Standard Deviation 49.79
11.04 T-score
Standard Deviation 8.84

SECONDARY outcome

Timeframe: At day 7 (after intervention)

The Patient-Reported Outcomes Measurement Information System (PROMIS) Depression 8-item short form was administered. 50 indicates the population mean with a standard deviation of 10. Possible T-Scores range from 20 - 80. Higher scores indicate greater depression symptoms.

Outcome measures

Outcome measures
Measure
Coping Statement
n=44 Participants
Daily practice of pain coping statements for 7 days Coping Statement: Daily practice of coping statement
Control
n=49 Participants
No instruction about pain coping statement.
Depression Symptoms
51.08 T-score
Standard Deviation 9.35
41.31 T-score
Standard Deviation 8.31

SECONDARY outcome

Timeframe: At day 14 (7 days after intervention)

The Patient-Reported Outcomes Measurement Information System (PROMIS) Depression 8-item short form was administered. 50 indicates the population mean with a standard deviation of 10. Possible T-Scores range from 20 - 80. Higher scores indicate greater depression symptoms.

Outcome measures

Outcome measures
Measure
Coping Statement
n=44 Participants
Daily practice of pain coping statements for 7 days Coping Statement: Daily practice of coping statement
Control
n=49 Participants
No instruction about pain coping statement.
Depression Symptoms
51.02 score on a scale
Standard Deviation 9.36
48.53 score on a scale
Standard Deviation 8.89

SECONDARY outcome

Timeframe: At day 14 (7 days after intervention)

The Current Opioid Misuse Measure (COMM), a 17-item questionnaire, was administered. Scores represent the total summed score and range from 0 to 68, with higher scores indicating greater opioid misuse

Outcome measures

Outcome measures
Measure
Coping Statement
n=44 Participants
Daily practice of pain coping statements for 7 days Coping Statement: Daily practice of coping statement
Control
n=49 Participants
No instruction about pain coping statement.
Prescription Opioid Misuse
8.30 total score on a scale
Standard Deviation 7.90
7.47 total score on a scale
Standard Deviation 6.67

Adverse Events

Coping Statement

Serious events: 1 serious events
Other events: 7 other events
Deaths: 0 deaths

Control

Serious events: 0 serious events
Other events: 13 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Coping Statement
n=44 participants at risk
Daily practice of pain coping statements for 7 days Coping Statement: Daily practice of coping statement
Control
n=49 participants at risk
No instruction about pain coping statement.
Psychiatric disorders
Suicidal thought without intent
2.3%
1/44 • Number of events 1 • 14 days
0.00%
0/49 • 14 days

Other adverse events

Other adverse events
Measure
Coping Statement
n=44 participants at risk
Daily practice of pain coping statements for 7 days Coping Statement: Daily practice of coping statement
Control
n=49 participants at risk
No instruction about pain coping statement.
Respiratory, thoracic and mediastinal disorders
Respiratory Infection
4.5%
2/44 • Number of events 2 • 14 days
8.2%
4/49 • Number of events 4 • 14 days
Renal and urinary disorders
Bladder Infection
0.00%
0/44 • 14 days
2.0%
1/49 • Number of events 1 • 14 days
Musculoskeletal and connective tissue disorders
Pain Flare-up
6.8%
3/44 • Number of events 3 • 14 days
10.2%
5/49 • Number of events 5 • 14 days
Musculoskeletal and connective tissue disorders
Bodily injury
2.3%
1/44 • Number of events 1 • 14 days
4.1%
2/49 • Number of events 2 • 14 days
Musculoskeletal and connective tissue disorders
Surgery
0.00%
0/44 • 14 days
2.0%
1/49 • Number of events 1 • 14 days
Social circumstances
Financial hardship
2.3%
1/44 • Number of events 1 • 14 days
0.00%
0/49 • 14 days

Additional Information

Dokyoung Sophia You, PhD

University of Oklahoma

Phone: 9186603923

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place