Pain Resilience and Spiritual Health in Low Back Pain

NCT05148364 | Recruiting

• 1 other identifier: 211102
• Study Type: observational
• Target: 15
• Locations: 1 country
• Sites: 1

Brief Summary

In the management of chronic pain, it is very important to reaffirm the patient's self-worth and ability through psychological support and spiritual care. The role of spiritual consultant is to provide spiritual consultation and spiritual care, so that the medical team can truly implement a whole-person care of the patient including the body, mind, and family. Pain resilience of chronic pain patients' has been found to be a different construct from the general resilience in the field of chronic diseases. Pain resilience emphasizes the cognitive/emotional positivity and behavior persistence of pain patients' when facing pain. So far, there has been no research on the theme of "pain resilience and spiritual health". Researchers have seen the necessity of care and assistance for patients with chronic low back pain. Hence, this study would like to explore "how pain resilience and spiritual health affect the pain experience of patients with chronic low back pain ". Research objectives: 1. To understand how spiritual health and pain resilience interact to influence the the pain experience in patients with chronic low back pain and 2. To understand how spiritual health and pain resilience interact and influence they way how patients with chronic low back pain cope with pain. Method: This research plan will be implemented upon obtaining the approval from IRB. An estimated 15 cases will be enrolled. Through in-depth interviews and collection of observational data during interviews, the interviewer will record, transcribe and analyze the narratives and experience descriptions. The results of this study can become an important basis for clinical care of patients with chronic low back pain.

Conditions

Low Back Pain

Keywords

spirituality; low back pain

Outcome Measures

Primary Outcomes (3)

• Pain resilience scale (PRS)

  A 14-item scale used to measure the level of pain resilience. Participant could choose from 0 to 4 on each item to indicate how much one agrees to the statement used to describe one's reaction under persisting pain. "0" indicates "strongly disagree" while "4" indicates "fully agree". Higher total score on the PRS indicates higher resilience to pain.

  8 weeks

• Spirituality

  Participant gives a simple yes/no answer as to whether the participant has a religion or participate in religious activities.

  8 weeks

• Patient Health Questionnaire-9

  Patient Health Questionnaire-9 is a 9-item scale used to measure the level of depression in a respondent. Participant chooses from 0 to 3 on each item to indicate the frequency of experiencing each listed symptoms that might be part of depression. Higher total score indicates higher level of depression.

  8 weeks

Interventions

interview BEHAVIORAL

A spiritual consultant and a psychologist will interview the participants about their experiences of chronic low back pain, how they interpret their pain experience and how they cope with the persistent pain. Each participant will be interviewed individually. Questions related to the following three aspects will be asked: 1. Attributes: describe the changes in your personality, mood, and general happiness you have observed after you starting having chronic low back pain. 2. Pain resilience: How would you describe this persisting pain experience? How do you arrange your daily activity? What do you do to deal with this persistent pain? 3. Spirituality: As a person with chronic low back pain, how do you interpret this pain experience? Do you seek connections with higher powers (such as powers from religion) when you are desperate because of pain? Since the pain is chronic and persistent, it might not go away, how would you define your life?

Eligibility Criteria

• Age: 20 Years - 100 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Participants should have persistent low back pain that has lasted for at least three months. Pain is a very subjective experience, so it is not necessary that the participant has to be diagnosed by a physician.

You may qualify if:

• Individual with non-malignant persistent low back pain that has lasted for at least three months.
• Individual that is willing to undergo interview about their pain experience.
• Individual ages between 20 and 100.

You may not qualify if:

• Individual with cognitive or psychological impairments that may compromise the ability to understand the interviewing questionnaire.
• Individual younger that 20 years old.
• The pain is clearly related to spinal cancer.

Sponsors & Collaborators

• Changhua Christian Hospital: lead

Study Sites (1)

Changhua Christian Hospital

Chang-hua, 500, Taiwan

RECRUITING

Related Publications (4)

• Slepian PM, Ankawi B, Himawan LK, France CR. Development and Initial Validation of the Pain Resilience Scale. J Pain. 2016 Apr;17(4):462-72. doi: 10.1016/j.jpain.2015.12.010. Epub 2015 Dec 31.

  PMID: 26748044 RESULT

• Ankawi B, Slepian PM, Himawan LK, France CR. Validation of the Pain Resilience Scale in a Chronic Pain Sample. J Pain. 2017 Aug;18(8):984-993. doi: 10.1016/j.jpain.2017.03.013. Epub 2017 Apr 18.

  PMID: 28428092 RESULT

• Gonzalez CE, Okunbor JI, Parker R, Owens MA, White DM, Merlin JS, Goodin BR. Pain-Specific Resilience in People Living With HIV and Chronic Pain: Beneficial Associations With Coping Strategies and Catastrophizing. Front Psychol. 2019 Sep 6;10:2046. doi: 10.3389/fpsyg.2019.02046. eCollection 2019.

  PMID: 31555190 RESULT

• Liu LJ, Peng HL, Lin EM, Liang WP. Do We Ask What the Deities Can Do for Us? The Roles of Dao Religion and Resilience in Suicidality in Chronic Pain. Pain Res Manag. 2025 Apr 17;2025:3056383. doi: 10.1155/prm/3056383. eCollection 2025.

  PMID: 40276019 DERIVED

MeSH Terms

Conditions

Low Back Pain

Interventions

Interviews as Topic

Condition Hierarchy (Ancestors)

Back Pain; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Data Collection; Epidemiologic Methods; Investigative Techniques; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health

Study Officials

• Ling-Jun Liu, MSc

  Changhua Christian Hospital

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Ling-Jun Liu, MSc

CONTACT

+886-47238595; lingjun.liu1203@gmail.com

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 25, 2021
• First Posted: December 8, 2021
• Study Start: July 20, 2022
• Primary Completion: May 31, 2024
• Study Completion: May 31, 2024
• Last Updated: May 21, 2024

Record last verified: 2024-05

Locations

TW (1)