iACT for PTSD and Chronic Pain

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-65
SponsorSkane University Hospital

About this trial

The primary aim of this study is to investigate the effect of Internet-delivered Acceptance and commitment therapy for PTSD and comorbid chronic pain using a randomized controlled trial with waitlist control.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

a CAPS of ≥25

subjected to single traumatic events

were able to understand Swedish

had symptoms of chronic pain that interfered significantly with everyday life

Disqualifiers

repeated and extensive traumatic events

had other acute or severe psychiatric disorders or symptoms that warranted designation as the primary disorder (ongoing substance dependence, untreated bipolar disorder, OCD, psychotic symptoms, severe depression)

were actively abusing analgesic medications (including narcotics), alcohol or other drugs

had great difficulty to harbour and handle strong emotions that could lead to emotional outbursts or self-harming behavior

Trial design

Design model

Parallel

Treatments tested in this trial

  • iACT for PTSD and Chronic Pain

    Behavioral

    The participants will go through internet-based Acceptance and Commitment Therapy which mainly involves: 1) Exercises focused on developing acceptance, defusion, and mindfulness skills; 2) Identification of personal values as well as valued steps and feared situations to approach during the program 3) Written exposure exercises focusing on the traumatic memory adapted from Written exposure therapy (WET) using an ACT-based framework. The treatment is delivered on a safe internet platform. Participants have planned telephone contact with their assigned psychologist 3 times during the program and can also contact their psychologist via a message system in the platform and expect answer within 48 hours.

Treatment groups

40 Participants
are divided into 2 treatment groups
Group A: TreatmentExperimental treatment 1 intervention
Group B: WaitlistNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

PTSD symptom severity as measured by the the Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5) and the Life Events Checklist (LEC-5)

(changes between assessments)

Time frame
Baseline, mid-treatment (3 weeks), mid-treatment (7 weeks), two-week-post treatment, 3 month-follow-up, 12-month follow-up.

Secondary outcomes

1

Anxiety and depression as measured by the Hospital Anxiety and Depression Scale (HADS)

(changes between assessments)

Time frame
Baseline, two-week-post treatment, 3 month-follow-up, 12-month follow-up.
2

Psychological inflexibility as measured by the Psychological Inflexibility in Pain Scale (PIPS)

(changes between assessments)

Time frame
Baseline, two-week-post treatment, 3 month-follow-up, 12-month follow-up.
3

General acceptance as measured by the Swedish Acceptance and Action Questionnaire (SAAQ)

(changes between assessments)

Time frame
Baseline, mid-treatment (3 weeks), mid-treatment (7 weeks), two-week-post treatment, 3 month-follow-up, 12-month follow-up.
4

Posttraumatic Cognitions as measured by the Posttraumatic Cognitions Inventory (PTCI)

(changes between assessments)

Time frame
Baseline, two-week-post treatment, 3 month-follow-up, 12-month follow-up.

Other outcomes

Sponsors and contacts

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