NCT02122978

Brief Summary

Increasing research evidence supports the effectiveness of mindfulness based interventions; however, the exact mechanisms of change are poorly understood. Some evidence proposes that self-compassion is an important mechanism of change in the effectiveness of mindfulness based interventions. The current research will evaluate and compare the effectiveness of two mindfulness meditation approaches; Mindfulness Based Cognitive Therapy (MBCT) and Mindfulness based Self-compassion Therapy (MBSCT), for individuals with psoriasis, a skin condition commonly associated with stress. Blood analyses will be conducted to assess and compare the impact of the interventions on the immune system. Self-report questionnaires will explore participants' psychological functioning (e.g. self-compassion, depression, anxiety, worry). This study will also examine whether a relationship exists between immune functioning and psychological factors. An audio-guided MBSCT programme will be piloted, with a view to trialling as a more cost-effective alternative to traditional mindfulness interventions. Findings will enable us to design more effective interventions in the future, and yield clear results regarding the existence of a definite link between immunological functioning and psychological functioning. The main research hypothesis is that participants who complete a mindfulness based intervention will experience significantly greater psychological well-being, symptom reduction, and greater changes in telomerase and cytokine activity than individuals who only receive treatment as usual for their psoriasis.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
94

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Nov 2013

Geographic Reach
1 country

1 active site

Status
unknown

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

November 1, 2013

Completed
6 months until next milestone

First Submitted

Initial submission to the registry

April 23, 2014

Completed
2 days until next milestone

First Posted

Study publicly available on registry

April 25, 2014

Completed
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2015

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2015

Completed
Last Updated

April 25, 2014

Status Verified

April 1, 2014

Enrollment Period

1.5 years

First QC Date

April 23, 2014

Last Update Submit

April 24, 2014

Conditions

Keywords

psoriasisdermatologymindfulnessself-compassion

Outcome Measures

Primary Outcomes (4)

  • Change in immunological markers

    Telomerase, Cytokines, C Reactive Protein will be measured in blood at 4 time points.

    14 months

  • Psoriasis symptom control

    Measured by Psoriasis Area \& Severity Index (PASI) and drug dose reduction (if applicable)

    14 months

  • Psychological Well-Being

    As measured by: Hospital Anxiety and Depression Scale Penn State Worry Questionnaire Fears of Compassion Scales Five Facets of Mindfulness Questionnaire

    14 months

  • Quality of Life

    Measured by WHO QoL index and Dermatology Life Quality Index.

    14 months

Study Arms (3)

Mindfulness Based Cognitive Therapy

ACTIVE COMPARATOR

Mindfulness Based Cognitive Therapy

Behavioral: Mindfulness Based Cognitive Therapy

MBSCT 8 week course

EXPERIMENTAL

Mindfulness Based Self Compassion Therapy

Behavioral: Mindfulness Based Self Compassion Therapy

Mindfulness Based Self-Compassion - Audio guided

ACTIVE COMPARATOR

MBSC - minimal contact

Behavioral: MBSC - minimal contact

Interventions

MBCT 8 week course delivered by trained facilitator

Also known as: MBCT
Mindfulness Based Cognitive Therapy

8 week course in Mindfulness Based Self Compassion delivered remotely by audio guided MP3

Also known as: Mindfulness Based Self Compassion MP3
Mindfulness Based Self-Compassion - Audio guided

Mindfulness Based Self Compassion Therapy - 8 wee course delivered by trained facilitator

Also known as: MBSCT
MBSCT 8 week course

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • adults over 18 years
  • diagnosis of mild to severe psoriasis

You may not qualify if:

  • extraneous health issues which may influence immunological activity
  • Participants deemed unsuitable for MBCT or MBSCT after a psychological assessment
  • previous participation in a formal 8-week mindfulness programme (e.g., MBCT, MBSR).

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

St. Vincent's University Hospital

Dublin, Dublin, 4, Ireland

Location

MeSH Terms

Conditions

Psoriasis

Interventions

Mindfulness-Based Cognitive Therapy

Condition Hierarchy (Ancestors)

Skin Diseases, PapulosquamousSkin DiseasesSkin and Connective Tissue Diseases

Intervention Hierarchy (Ancestors)

MindfulnessCognitive Behavioral TherapyBehavior TherapyPsychotherapyBehavioral Disciplines and Activities

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Dr. Paul D'Alton

Study Record Dates

First Submitted

April 23, 2014

First Posted

April 25, 2014

Study Start

November 1, 2013

Primary Completion

May 1, 2015

Study Completion

May 1, 2015

Last Updated

April 25, 2014

Record last verified: 2014-04

Locations