Low Back Pain Clinical Trial
Official title:
The Association Amongst Acupuncture Analgesia, Expectancy, and Psychiatric Comorbidity in Patients With Low Back Pain
It is our hypothesis that patient's expectations concerning treatment outcome will be influenced by their psychiatric symptoms, and that this expectancy will have a strong influence on the efficacy of acupuncture treatment to suppress experimentally induced pain. We will conduct a study, monitoring expectations but not manipulating them, in a cohort of patients with chronic low back pain.
Specific Aim: To characterize subjective analgesia (behavioral effect) of different
expectancy levels on verum and sham acupuncture treatment and the relative contribution of
acupuncture treatment and expectancy to the resultant analgesia in healthy normals and in
those with low back pain, controlling for psychiatric comorbidity.
Hypothesis 1: Patients with low back pain, low psychiatric comorbidity, and high
expectations for acupuncture treatment will experience the same magnitude of acupuncture
analgesia to thermal pain stimuli as healthy volunteers with high expectations for
treatment.
Hypothesis 2: Patients with low back pain and high psychiatric comorbidity will experience
less acupuncture analgesia compared to patients with low back pain and low psychiatric
comorbidity, regardless of the level of expectations for acupuncture treatment.
Hypothesis 3: Patients with low back pain and high psychiatric comorbidity will have
increased acupuncture placebo analgesia to thermal pain stimuli than both other groups.
;
Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Single Blind (Subject), Primary Purpose: Treatment
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