MBCT-T for Preoperative Pain Catastrophizing and Pain Outcomes After Spine Surgery

NYU Langone Health

Status: Suspended

Conditions: Pain

Treatments: Behavioral: Telephone-Delivered Mindfulness-based Cognitive Therapy (MBCT-T)

Study type: Interventional

Funder types: Other

Identifiers

NCT05888025

19-00339

Details and patient eligibility

About

This is a two phase study. In phase 1, a focus group (N=5) will be conducted to adapt MBCT-T for use in the study population. In phase 2, a single-arm trial will be conducted examining four, weekly sessions of preoperative MBCT-T in subjects with high pain catastrophizing scheduled for spine surgery (N=20). Subjects will then be followed for two weeks postoperatively.

Enrollment: 25 estimated patients

Sex: All

Ages: 18 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Scheduled for one or two level lumbar spine surgery requiring an inpatient stay as well as patients having ambulatory 1 or 2 level lumbar spine surgeries
• PCS score ≥ 20
• Able to provide voluntary informed consent
• Telephone access
• Internet access

Exclusion criteria

• Non-English speaking
• Cognitively impaired, by history
• Bipolar disorder
• Borderline personality disorder
• Active post-traumatic stress disorder
• Schizoaffective disorder or any other disorder characterized by delusions or hallucinations
• History of self-harm or suicidality in past three months

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

---

25 participants in 1 patient group

MBCT-T

Experimental group

Description:

Participants with high pain catastrophizing who are scheduled for spine surgery will receive four weekly sessions of preoperative telephone-delivered mindfulness-based cognitive therapy (MBCT-T). They will then be followed for two weeks postoperatively.

Treatment:

Behavioral: Telephone-Delivered Mindfulness-based Cognitive Therapy (MBCT-T)