Ravyts Scott G, Carnahan Nicolette, Campbell Claudia, Castillo Renan, Wegener Stephen, Rassu Fenan S, Lumley Mark A, Aaron Rachel
Department of Psychological Science, University of North Carolina at Charlotte, Charlotte, North Carolina, USA.
Department of Physical Medicine and Rehabilitation, Johns Hopkins School of Medicine, Baltimore, Maryland, USA.
BMJ Open. 2025 Mar 15;15(3):e093102. doi: 10.1136/bmjopen-2024-093102.
Nearly half of individuals who sustain orthopaedic trauma develop chronic pain and experience significant levels of depression and anxiety. Emotional awareness and expression therapy (EAET) is a newly developed psychological intervention designed to treat chronic pain by helping patients process psychological trauma and conflict to reduce pain. The purpose of this study is to examine the feasibility of delivering EAET to individuals who sustained traumatic orthopaedic injuries requiring surgery and who have chronic pain 6 months after hospital discharge.
The study will consist of a single-arm design. Thirty individuals who sustained traumatic orthopaedic injuries requiring surgery and who reported chronic pain 6 months after hospital discharge will be recruited. Participants will receive eight sessions of individually administered EAET delivered via telehealth and complete self-report questionnaires at three timepoints (pretreatment, post-treatment and 3-month follow-up). Quantitative sensory testing will also be done before and after treatment. The primary outcome of the study is feasibility (eg, per cent of eligible patients recruited and per cent of study completers) and acceptability as reported by responses to a self-report questionnaire.
This study has been approved by the Johns Hopkins Institutional Review Board. All data are expected to be collected by 2026, with results of this study to be disseminated via relevant peer-reviewed journals and scientific conferences.
ClinicalTrials.gov NCT05989230. Registered on 14 August 2023.
近一半遭受骨科创伤的患者会出现慢性疼痛，并伴有显著程度的抑郁和焦虑。情绪觉察与表达疗法（EAET）是一种新开发的心理干预方法，旨在通过帮助患者处理心理创伤和冲突来减轻疼痛，从而治疗慢性疼痛。本研究的目的是检验对因创伤性骨科损伤接受手术且出院6个月后仍有慢性疼痛的个体实施情绪觉察与表达疗法的可行性。
本研究将采用单臂设计。将招募30名因创伤性骨科损伤接受手术且出院6个月后报告有慢性疼痛的个体。参与者将通过远程医疗接受八次单独实施的情绪觉察与表达疗法，并在三个时间点（治疗前、治疗后和3个月随访）完成自我报告问卷。治疗前后还将进行定量感觉测试。本研究的主要结果是可行性（例如，招募的符合条件患者的百分比和研究完成者的百分比）以及自我报告问卷反馈所显示的可接受性。
本研究已获得约翰霍普金斯机构审查委员会的批准。所有数据预计在2026年前收集完成，本研究结果将通过相关同行评审期刊和科学会议进行传播。
ClinicalTrials.gov NCT05989230。于2023年8月14日注册。
