Central Sensitization Syndromes and Post-Traumatic Stress in Women: Psychological Profile and Intervention

NCT ID: NCT07313280

Last Updated: 2025-12-31

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

ENROLLING_BY_INVITATION

Clinical Phase

NA

Total Enrollment

12 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-10-02

Study Completion Date

2027-12-31

Brief Summary

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Central Sensitivity Syndromes (CSSs) are a group of conditions that are highly prevalent, particularly among women, and often occur alongside post-traumatic stress disorder (PTSD).

This research project has two aims: Study 1) to investigate the psychological profiles of women with CSS-PTSD comorbidity; and Study 2) to design and evaluate the effectiveness of distinct interventions for each profile identified in Study 1.

Detailed Description

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Central Sensitivity Syndromes (CSSs) are a group of conditions, including fibromyalgia and chronic pelvic pain, associated with symptoms such as perceived pain intensity, depression, anxiety, stress, sleep disturbances, and disability. These syndromes are highly prevalent, particularly among women, and often occur alongside post-traumatic stress disorder (PTSD). This condition stems from a variety of traumatic experiences and manifests as a range of symptoms in individuals with different psychological profiles. However, not all individuals who experience trauma develop PTSD or CSSs, nor do all individuals with CSSs have PTSD or exhibit the same symptom patterns. Transdiagnostic psychological variables may contribute to the development and maintenance of both conditions. Commonly observed factors in both CSSs and PTSD include emotional dysregulation, anxiety sensitivity, experiential avoidance, distress intolerance, and dissociation. These transdiagnostic vulnerability variables could be associated with each profile. Identifying these profiles may enable targeted interventions that address the underlying vulnerabilities driving CSS-PTSD comorbidity. By aligning treatment to individual vulnerability patterns, this approach aims to improve outcomes for women affected by CSS-PTSD.

Four PTSD profiles will be identified:

* Reactive (with prominent intrusions, avoidance, and hyperarousal).
* Dysphoric (with anhedonia and negative affect).
* Dissociative (with high negative and positive dissociative symptoms).
* Mixed (with high levels of all PTSD symptoms). However, no studies have analysed how these transdiagnostic vulnerability variables (emotion dysregulation, anxiety sensitivity, experiential avoidance, distress intolerance, and dissociation) are grouped and shape the different PTSD symptom profiles in populations with either PTSD or comorbid CSS. Therefore, the analysis of the association between PTSD profiles and transdiagnostic variables is exploratory.

The treatments will be developed based on the variables associated with each profile identified in Study 1.

Conditions

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Posttraumatic Stress Symptom Central Sensitization Chronic Pain Syndrome

Keywords

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Central Sensitivity Syndromes Post-traumatic stress Chronic pain Treatment

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Study 2 will undertake an empirical investigation employing a manipulative strategy within an experimental design.
Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Profile 1_Reactive

The arms will be developed based on the psychological profile identified in Study 1, given that a better understanding of CSS-PTSD comorbidity is necessary to design an effective intervention targeting the specific variables maintaining this condition.

Group Type EXPERIMENTAL

CSS-PTSD psychological interventions

Intervention Type BEHAVIORAL

The interventions will be developed based on the techniques previously developed within cognitive behavioural approaches, which have demonstrated efficacy in treating both conditions.

Profile 2_Dysphoric

The arms will be developed based on the psychological profile identified in Study 1, as a better understanding of CSS-PTSD comorbidity is necessary to design an effective intervention targeting the specific variables that maintain this condition.

Group Type EXPERIMENTAL

CSS-PTSD psychological interventions

Intervention Type BEHAVIORAL

The interventions will be developed based on the techniques previously developed within cognitive behavioural approaches, which have demonstrated efficacy in treating both conditions.

Profile 3_Dissociative

The arms will be developed based on the psychological profile identified in Study 1, given that a better understanding of CSS-PTSD comorbidity is necessary to design an effective intervention targeting the specific variables maintaining this condition.

Group Type EXPERIMENTAL

CSS-PTSD psychological interventions

Intervention Type BEHAVIORAL

The interventions will be developed based on the techniques previously developed within cognitive behavioural approaches, which have demonstrated efficacy in treating both conditions.

Profile 4_Mixed

The arms will be developed based on the psychological profile identified in Study 1, as a better understanding of CSS-PTSD comorbidity is necessary to design an effective intervention targeting the specific variables that maintain this condition.

Group Type EXPERIMENTAL

CSS-PTSD psychological interventions

Intervention Type BEHAVIORAL

The interventions will be developed based on the techniques previously developed within cognitive behavioural approaches, which have demonstrated efficacy in treating both conditions.

Interventions

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CSS-PTSD psychological interventions

The interventions will be developed based on the techniques previously developed within cognitive behavioural approaches, which have demonstrated efficacy in treating both conditions.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

1. being a biological woman.
2. having a medical diagnosis of CSS.
3. scoring \>36 on the Posttraumatic Stress Disorder Checklist for DSM-5, which indicates PTSD in people with chronic pain.
4. having the ability to understand and sign the informed consent form.

Exclusion Criteria

1. having a diagnosis of serious mental illness or neurodegenerative disease.
2. not being fluent in spoken and written Spanish.
3. undergoing treatment for an oncological, degenerative, or terminal disease.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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University of Malaga

OTHER

Sponsor Role lead

Ministerio de Ciencia, Innovación y Universidades, Spain

UNKNOWN

Sponsor Role collaborator

Responsible Party

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Elena R. Serrano-Ibáñez

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Hospital Universitario Regional de Málaga_Hospital Civil

Málaga, Málaga, Spain

Site Status

Hospital Universitario Virgen de la Victoria

Málaga, Málaga, Spain

Site Status

Área de Gestión Sanitaria Este de Málaga-Axarquía

Málaga, Torre Del Mar, Spain

Site Status

Countries

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Spain

Other Identifiers

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PID2023-152784OA-I00

Identifier Type: -

Identifier Source: org_study_id