Treatment of Globus Sensations With Psychotherapy
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Purpose
The purpose of this study is to determine whether psychotherapy (based on exposure techniques) is effective in the treatment of functional somatic symptoms (FSS)/Somatoform Disorders (as exemplified here in subjects with globus sensations in the throat).
| Condition | Intervention | Phase |
|---|---|---|
|
Somatoform Disorders Globus Hystericus |
Behavioral: Exposure-based psychotherapy for somatic symptoms Behavioral: Relaxation therapy |
Phase 2 Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Psychotherapy and Psychobiology of Somatoform Disorders (Globus Sensations): A Randomized Controlled Trial |
- Clinical Global Impression Scale - indirect (change from baseline) [ Time Frame: Baseline, after waiting period (an expected average of 8 weeks after baseline), post-therapy (expected average of 16 weeks after baseline) ] [ Designated as safety issue: No ]German version
- Glasgow-Edinburgh Throat Scale (change from baseline) [ Time Frame: Baseline, after waiting period (exp. average of 8 weeks after baseline), post-therapy (exp. average of 16 weeks after baseline), Follow-up 1 (exp. average of 6 months after post-therapy), Follow-up 2 (exp. average of 24 months after post-therapy) ] [ Designated as safety issue: No ]German version
- Functional Esophageal Disorder Module Interview (change from baseline) [ Time Frame: Baseline, after waiting period (exp. average of 8 weeks after baseline), post-therapy (exp. average of 16 weeks after baseline), Follow-up 1 (exp. average of 6 months after post-therapy), Follow-up 2 (exp. average of 24 months after post-therapy) ] [ Designated as safety issue: No ]German version
- Screening for somatoform disorder (SOMS-7) (change from baseline) [ Time Frame: Baseline, after waiting period (exp. average of 8 weeks after baseline), post-therapy (exp. average of 16 weeks after baseline), Follow-up 1 (exp. average of 6 months after post-therapy), Follow-up 2 (exp. average of 24 months after post-therapy) ] [ Designated as safety issue: No ]
- Acceptance & Action Questionnaire (AAQ-II) [ Time Frame: Baseline, after waiting period (exp. average of 8 weeks after baseline), post-therapy (exp. average of 16 weeks after baseline), Follow-up 1 (exp. average of 6 months after post-therapy), Follow-up 2 (exp. average of 24 months after post-therapy) ] [ Designated as safety issue: No ]German version
- Fragebogen zu Körper und Gesundheit (FKG-SSAS) [ Time Frame: Baseline, after waiting period (exp. average of 8 weeks after baseline), post-therapy (exp. average of 16 weeks after baseline), Follow-up 1 (exp. average of 6 months after post-therapy), Follow-up 2 (exp. average of 24 months after post-therapy) ] [ Designated as safety issue: No ]
- Daily Symptom Exposure Interview [ Time Frame: Baseline, after waiting period (exp. average of 8 weeks after baseline), post-therapy (exp. average of 16 weeks after baseline), Follow-up 1 (exp. average of 6 months after post-therapy), Follow-up 2 (exp. average of 24 months after post-therapy) ] [ Designated as safety issue: No ]German version
- Hospital Anxiety and Depression Scale [ Time Frame: Baseline, after waiting period (exp. average of 8 weeks after baseline), post-therapy (exp. average of 16 weeks after baseline), Follow-up 1 (exp. average of 6 months after post-therapy), Follow-up 2 (exp. average of 24 months after post-therapy) ] [ Designated as safety issue: No ]German version
- Positive and Negative Affect Scale [ Time Frame: Baseline, after waiting period (exp. average of 8 weeks after baseline), post-therapy (exp. average of 16 weeks after baseline), Follow-up 1 (exp. average of 6 months after post-therapy), Follow-up 2 (exp. average of 24 months after post-therapy) ] [ Designated as safety issue: No ]
- Sheehan Disability Scale [ Time Frame: Baseline, after waiting period (exp. average of 8 weeks after baseline), post-therapy (exp. average of 16 weeks after baseline), Follow-up 1 (exp. average of 6 months after post-therapy), Follow-up 2 (exp. average of 24 months after post-therapy) ] [ Designated as safety issue: No ]German version
- Whiteley Index [ Time Frame: Baseline, after waiting period (exp. average of 8 weeks after baseline), post-therapy (exp. average of 16 weeks after baseline), Follow-up 1 (exp. average of 6 months after post-therapy), Follow-up 2 (exp. average of 24 months after post-therapy) ] [ Designated as safety issue: No ]German version
- Salivary Cortisol Awakening Response [ Time Frame: Baseline, after waiting period (exp. average of 8 weeks after baseline), post-therapy (exp. average of 16 weeks after baseline) ] [ Designated as safety issue: No ]
- DNA-methylation [ Time Frame: Baseline, after waiting period (exp. average of 8 weeks after baseline), post-therapy (exp. average of 16 weeks after baseline) ] [ Designated as safety issue: No ]
- Questions on adverse/side effects [ Time Frame: Baseline, after waiting period (exp. average of 8 weeks after baseline), post-therapy (exp. average of 16 weeks after baseline), Follow-up 1 (exp. average of 6 months after post-therapy), Follow-up 2 (exp. average of 24 months after post-therapy) ] [ Designated as safety issue: Yes ]
- psychophysiological reaction after symptom-relevant stimulus exposure [ Time Frame: Baseline, after waiting period (exp. average of 8 weeks after baseline), post-therapy (exp. average of 16 weeks after baseline) ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 100 |
| Study Start Date: | May 2012 |
| Estimated Primary Completion Date: | April 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Exposure-based Psychotherapy for Somatic Symptoms
First: 1-2 months waiting period; followed by: exposure-based psychotherapy
|
Behavioral: Exposure-based psychotherapy for somatic symptoms
Application of different types of exposure-based psychotherapeutic interventions (behavioral therapy), adapted for subjects with somatic symptoms (Somatoform Disorders/Functional Somatic Syndromes)
Other Names:
|
|
Active Comparator: Relaxation Therapy
First: 1-2 months waiting period; followed by: relaxation therapy
|
Behavioral: Relaxation therapy
Progressive muscle relaxation (Jacobson)
Other Name: Progressive relaxation
|
Detailed Description:
Functional somatic symptoms (FSS) and somatoform disorders are characterized by the presence of medically unexplained symptoms. They are among the most prevalent disorders in the general medical setting, leading to individual suffering and having huge impact on public health alike. Unfortunately, many patients still remain untreated and not all patients get better, even when receiving currently proposed treatments. The aim of the present project is twofold: First, we want to improve the understanding of risk factors and psychobiological processes leading to the development of FSS. Second, we will explore and evaluate new ways of treating subjects with FSS. Within the project, we will examine subjects with globus sensations in the throat, a very common und impairing form of FSS. The proposed study i) may provide insight into the development of FSS, thereby improving our way by which we recognize and diagnose subjects with FSS, and ii) may help fostering our understanding of how to better treat subjects suffering from FSS.
Eligibility| Ages Eligible for Study: | 18 Years to 60 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Sufficient spoken and written knowledge of German
- Presence of globus sensations and somatoform disorder
- Clinically significant impairment
Exclusion Criteria:
- Current (past 12 months) severe chronic physical illnesses, especially neurological, endocrine or metabolic diseases
- Current (past 12 months) substance dependence or eating disorder
- Lifetime history of psychotic disorder or bipolar disorder
Contacts and Locations| Contact: Gunther Meinlschmidt, Ph.D. | gunther.meinlschmidt@unibas.ch |
| Switzerland | |
| University of Basel | Recruiting |
| Basel, Switzerland, 4055 | |
| Contact: Gunther Meinlschmidt, Ph.D. gunther.meinlschmidt@unibas.ch | |
| Study Director: | Gunther Meinlschmidt, Ph.D. | University of Basel, Ruhr-University Bochum |
| Study Director: | Roselind Lieb, Ph.D. | University of Basel |
More Information
No publications provided
| Responsible Party: | University Hospital, Basel, Switzerland |
| ClinicalTrials.gov Identifier: | NCT01590992 History of Changes |
| Other Study ID Numbers: | PT1_135328_A |
| Study First Received: | April 11, 2012 |
| Last Updated: | November 27, 2012 |
| Health Authority: | Switzerland: Swissmedic |
Keywords provided by University Hospital, Basel, Switzerland:
|
Somatoform disorder Functional Somatic Syndrome Functional Somatic Symptoms Somatic Symptom Disorder |
globus sensation globus pharynges globus hystericus |
Additional relevant MeSH terms:
|
Conversion Disorder Somatoform Disorders Mental Disorders |
ClinicalTrials.gov processed this record on May 19, 2013