Clinical Study on Implicit Learning, Comorbidity and Stress Vulnerability in Chronic Functional Pain
Study Details
Study Description
Brief Summary
The project investigates on the role of pain avoidance, comorbidity and stress response for the development of chronic somatic and visceral pain. We, the researchers at University Hospital Mannheim, assume that implicit operant learning of pain sensitization is a central mechanism of the process of pain becoming chronic, which is augmented by fear and by avoidance behaviour. Somatic and psychological comorbidity as well as stress factors are further promoting factors in chronic pain development.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
Study 1: Implicit operant learning of sensitization and habituation in an experimental heat pain model will be investigated and compared in healthy controls, chronic pain patients with fibromyalgia, with and w/o visceral pain.
Study 2: Functional imaging of implicit operant learning of sensitization and habituation in an experimental heat pain model (same subgroups as in study 1).
Study Design
Outcome Measures
Primary Outcome Measures
Eligibility Criteria
Criteria
Inclusion Criteria:
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Fibromyalgia according to American College of Rheumatology (ACR) criteria
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Visceral hypersensitivity according to ROME criteria
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Chronic pain according to International Association for the Study of Pain (IASP) criteria
Exclusion Criteria:
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Abnormal quantitative sensory testing
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Psychiatric or neurological anamnesis, except fear and depression
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Acute major depression
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Substance abuse
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | University of Mannheim - Otto-Selz-Institute | Mannheim | Germany | D-68131 |
Sponsors and Collaborators
- Universitätsmedizin Mannheim
- German Research Foundation
Investigators
- Study Director: Rupert Hoelzl, Prof. Dr. phil., University of Mannheim
- Study Director: Hans-Joachim Bender, Prof. Dr. med. rer. nat., Universitätsmedizin Mannheim
- Study Director: Lothar-Rudi Schad, Prof. Dr. rer. nat., German Cancer Research Centre Heidelberg
Study Documents (Full-Text)
None provided.More Information
Publications
- Hölzl R, Kleinböhl D, Huse E. Implicit operant learning of pain sensitization. Pain. 2005 May;115(1-2):12-20.
- Kleinböhl D, Hölzl R, Möltner A, Rommel C, Weber C, Osswald PM. Psychophysical measures of sensitization to tonic heat discriminate chronic pain patients. Pain. 1999 May;81(1-2):35-43.
- DFG HO 904/11-3,4