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Assessment and Treatment for Chronic Pain in Veterans With Serious Mental Illness

CompletedNot applicableNCT04118283
View the official record on ClinicalTrials.gov

Recruiting status changes often. Contact the study team listed on ClinicalTrials.gov, and talk to your doctor before joining a study.

This study has no listed site in Canada in this snapshot. It is included as part of the worldwide chronic pain corpus.

Brief summary (from the registry)

Chronic pain has a highly negative impact on Veterans, especially those with serious mental illness (SMI). Chronic pain leads to poorer mental health and physical functioning, and represents a critical obstacle to rehabilitation and recovery. Despite known high prevalence rates of chronic pain in SMI populations, there is little research to: a) evaluate nonpharmacological pain management strategies in this population, and b) examine directional relations between chronic pain and SMI symptoms. This study aims to address research and clinical gaps by: a) testing the feasibility and acceptability of Cognitive Behavioral Therapy for Chronic Pain (CBT-CP) - a VA evidence-based psychotherapy for chronic pain - in Veterans with SMI, and b) better assessing the complex relation between chronic pain and psychiatric symptoms and their impact on functioning. Results from this study will inform us as to whether CBT-CP is feasible to implement, acceptable to Veterans with SMI, and worth examining in its standard or in an optimized form in a larger clinical trial.

Study details

Official title
Improving the Assessment and Treatment of Chronic Pain in Veterans With Serious Mental Illness
Conditions
  • Chronic Pain
  • Schizophrenia
  • Psychotic Disorders
  • Bipolar Disorder
  • Affective Disorders, Psychotic
Interventions
Sponsor
VA Office of Research and Development
Collaborators
VA Maryland Health Care System
Start date
2021-03-18
Primary completion
2025-07-04
Sex
All
Age range
from 18 Years
Results posted
No results posted in this snapshot
Countries
United States
Total sites listed
1

Eligibility criteria

Show eligibility criteria (verbatim from the registry)
Inclusion Criteria: * Have a chronic musculoskeletal pain diagnosis * Have a Defense and Veterans Pain Rating Scale (DVPRS) rating of 4 or greater for pain severity * Meet criteria for an SMI diagnosis (schizophrenia, schizoaffective disorder, bipolar disorder) per medical record * 18 years of age or older * Enrolled in outpatient programming within the VA Maryland Health Care System at time of consent/study reenrollment * Have regular access to a telephone * Capacity to sign informed consent Exclusion Criteria: * Are engaging in moderate-to-severe substance use that would impact their ability to participate and/or would require a higher level of care (as determined by treating provider) * Engagement in Cognitive Behavioral Therapy for Chronic Pain (CBT-CP), whether currently or in the past * Have a current acute pain condition or limited mobility (i.e., unable to walk one city block) that would interfere with their ability to engage in CBT-CP interventions (e.g., activity pacing/walking program)

Source: ClinicalTrials.gov (US National Library of Medicine), snapshot October 2026. Check the registry for current recruiting status. Record: https://clinicaltrials.gov/study/NCT04118283