Clinical Improvement and in Quality of Life-Functional Dyspepsia-
Influence of the Combined Psychological and Medical Treatment in the Improvement of Symptoms and Quality of Life in Patients With Functional Dyspepsia
1 other identifier
interventional
158
1 country
1
Brief Summary
Functional dyspepsia (FD)is defined as the presence of symptoms thought to originate in the gastroduodenal region with no evidence of structural disease that is likely to explain the symptoms. The cause of this condition is unclear, not being a recognized treatment for it. The conventional treatments for those patients are symptom based. Unfortunately, these medications are not very effective. Patients with FD report poorer health status, mental health, and social functioning than patients with structural gastrointestinal pathology. Our aim is to compare a combined intervention (medical plus psychological intervention) versus conventional intervention (medical intervention)in regard to the health related quality of life, symptomatology, anxiety and depression of those patients. The investigators hypothesized that compared with conventional intervention a combined intervention would yield significantly better short (after treatment) and medium term (six months after treatment) improvement of health related quality of life and symptoms.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Mar 2009
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2012
CompletedFirst Submitted
Initial submission to the registry
February 25, 2013
CompletedFirst Posted
Study publicly available on registry
March 1, 2013
CompletedResults Posted
Study results publicly available
June 21, 2019
CompletedJune 21, 2019
March 1, 2019
3.5 years
February 25, 2013
August 22, 2016
March 25, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
Change From Baseline in DYSPEPSIA RELATED HEALTH SCALE (DRHS)
The Dyspepsia Related Health Scale (DRHS) is a self-reported dyspepsia-specific questionnaire that consists of four scales: severity of common symptoms, pain intensity, pain disability, and satisfaction with dyspepsia-related health. The score, for each scale, ranges between 0 and 100, with 0 representing the most severe situation and 100 the least severe. It also yields a global score that ranges from 0 to 100, with higher scores indicating less severe dyspepsia. The adapted and validated Spanish version of this questionnaire is known as QoL-PEI (Quality of Life in relation to Stomach and Intestinal Problems Questionnaire). Its reliability was found to be satisfactory (Cronbach's alpha 0.92). Its factorial analysis confirmed the four scales found by the DRHS but added a global score scale. The convergent validity was moderate (0.54).
Participants will be followed at the recruit moment (t0) after treatment (t1) and six months after treatment (t2)
Secondary Outcomes (1)
Subjective Clinical Improvement
Subjective clinical improvement it is measured after treatment (t1) and six months after treatment (t2)
Other Outcomes (1)
Hospital Anxiety and Depression Scale
Participants will be followed at the recruit moment (t0) after treatment (t1) and six months after treatment (t2)
Study Arms (2)
Psychological support
EXPERIMENTALTen weekly sessions, which the first 8 were in group and the last 2 were individuals. It consists on a) an informational session; b) Beck's cognitive-behavioural therapy; and c) progressive-muscle relaxation according to Jacobson
No psychological support
ACTIVE COMPARATORPatients of this group only received the conventional medical treatment, not receiving any psychological support
Interventions
Eligibility Criteria
You may qualify if:
- to have chronic upper abdominal symptoms consistent with ROME III criteria for functional dyspepsia
- to have an endoscopy to exclude structural organic causes at the time of the recruitment
You may not qualify if:
- to have any organic pathology that could explain the dyspeptic symptoms
- to be using non-steroidal anti-inflammatory drugs (NSAIDs)
- to suffer physical or psychological impairments preventing them from properly completing the questionnaires
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Galdakao-Usansolo Hospital
Usansolo, Bizkaia, 48960, Spain
Related Publications (1)
Orive M, Barrio I, Orive VM, Matellanes B, Padierna JA, Cabriada J, Orive A, Escobar A, Quintana JM. A randomized controlled trial of a 10 week group psychotherapeutic treatment added to standard medical treatment in patients with functional dyspepsia. J Psychosom Res. 2015 Jun;78(6):563-8. doi: 10.1016/j.jpsychores.2015.03.003. Epub 2015 Mar 11.
PMID: 25791668RESULT
Results Point of Contact
- Title
- Dra Miren Orive
- Organization
- Hospital Galdakao-Usansolo
Study Officials
- PRINCIPAL INVESTIGATOR
Victor Manuel Orive, Doctor
Basurto University Hospital
- STUDY CHAIR
Jose Luis Cabriada, Doctor
Hospital Galdakao-Usansolo
- STUDY CHAIR
Aitor Orive, Doctor
Hospital Galdakao-Usansolo
- STUDY CHAIR
Begoña Matellanes, Psychology
University of Deusto
- STUDY CHAIR
Maria Josefa Ulloa, Nurse
Basurto University Hospital
- STUDY CHAIR
Jesus Angel Padierna, Doctor
Hospital Galdakao-Usansolo
- STUDY CHAIR
Antonio Escobar, Doctor
Basurto University Hospital
- STUDY CHAIR
Antonio Bernal, Doctor
Hospital Galdakao-Usansolo
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER GOV
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Msc
Study Record Dates
First Submitted
February 25, 2013
First Posted
March 1, 2013
Study Start
March 1, 2009
Primary Completion
September 1, 2012
Study Completion
December 1, 2012
Last Updated
June 21, 2019
Results First Posted
June 21, 2019
Record last verified: 2019-03