Effectiveness of the psychological and pharmacological treatment of catastrophisation in patients with fibromyalgia: a controlled randomised trial

ISRCTN ISRCTN10804772
DOI https://doi.org/10.1186/ISRCTN10804772
Secondary identifying numbers ETES nº PI07/90959
Submission date
11/06/2008
Registration date
29/09/2008
Last edited
02/10/2014
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Musculoskeletal Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Javier Garcia-Campayo
Scientific

Servicio de Psiquiatría
Hospital Universitario Miguel Servet
Avda Isabel La Católica 1
Zaragoza
50009
Spain

Phone +34 (0)976 25 36 21
Email jgarcamp@arrakis.es

Study information

Study designMulticentre three-arm random allocation controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific title
Study objectivesPharmacological and psychological treatments are more effective for the treatment of pain catastrophising in patients with fibromyalgia than usual treatment at primary care level.
Ethics approval(s)Ethical Review Board of the Regional Health Authority, February 2007, ref: ETES nº PI07/90959
Health condition(s) or problem(s) studiedFibromyalgia
InterventionPsychological intervention:
Manualised protocol developed by Prof. Escobar et al, of the University of New Jersey, for the treatment of somatoform disorders that has been adapted by our group for the treatment of fibromyalgia. It includes 10 weekly sessions of cognitive-behaviour therapy.

Pharmacological intervention:
In this group of patients, pregabalin (300 - 450 mg/day), recommended for the treatment of fibromyalgia, associated with duloxetine (60 - 120 mg/day) if there is comorbid depression, will be administered.

Treatment as usual at primary care level:
This group will follow the usual treatment given at primary care level.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Pregabalin, duloxetine
Primary outcome measureThe major outcome is pain catastrophising in patients with fibromyalgia. This construct will be assessed with the Spanish version of the Pain Catastrophising Scale. Assessments will take place at baseline, 3 months, 6 months and 1-year post-intervention
Secondary outcome measures1. The following socio-demographic data will be collected: sex, age, marital status, education, occupation and social class: administered only at baseline
2. The diagnosis of psychiatric disorders will be made with the Structured Polyvalent Psychiatric Interview, a psychiatric interview extensively used for the study of somatoform disorders: administered only at baseline
3. Hamilton test for Anxiety (HAM-A) and for Depression (HAM-D); assessments will take place at baseline, 3 months, 6 months and 1-year post-intervention
4. Fibromyalgia Impact Questionnaire (FIQ): the FIQ is a 10-item self-report questionnaire developed to measure the health status of fibromyalgia patients; assessments will take place at baseline, 3 months, 6 months and 1-year post-intervention
Overall study start date01/09/2008
Completion date31/12/2009

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants180 patients (60 in each of the three groups)
Key inclusion criteria1. Aged 18 - 65 years, either sex
2. Able to understand and read Spanish
3. Fulfil criteria for primary fibromyalgia according to the American College of Rheumatology
4. No previous psychological treatment
5. No pharmacological treatment or acceptance to discontinue it two weeks before the onset of the study
6. Signed informed consent
Key exclusion criteria1. Severe Axis I psychiatric disorder (dementia, schizophrenia, paranoid disorder, abuse of alcohol and/or drug disorders)
2. Severe Axis II disorder from the clinician viewpoint that prevents the patient from following the treatment protocol
3. Pregnancy or lactation
4. Refusal to participate
Date of first enrolment01/09/2008
Date of final enrolment31/12/2009

Locations

Countries of recruitment

  • Spain

Study participating centre

Servicio de Psiquiatría
Zaragoza
50009
Spain

Sponsor information

The Carlos III Health Institute (Instituto de Salud Carlos III) (Spain)
Research organisation

C/ Sinesio Delgado 6
Madrid
28029
Spain

Phone +34 (0)91 82 22 131
Email oficina.informacion@isciii.es
Website http://www.isciii.es
ROR logo "ROR" https://ror.org/00ca2c886

Funders

Funder type

Research organisation

The Carlos III Health Institute (Instituto de Salud Carlos III) (Spain) (ref: ETES nº PI07/90959)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Protocol article protocol 23/04/2009 Yes No
Results article results 01/10/2014 Yes No