Mechanisms of Affective Touch in Chronic Pain (MATCP)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Laura K Case, PhD
- Phone Number: 858-246-4968
- Email: lcase@health.ucsd.edu
Study Locations
-
-
California
-
La Jolla, California, United States, 92093
- ACTRI
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- ages 18-65
- fluent in English
- physician diagnosis of Fibromyalgia but no other chronic pain conditions (patients) or no evidence of chronic pain (healthy volunteers)
Exclusion Criteria:
- Sensory, motor, or anatomic differences or injuries relevant to study procedures
- Known anomalies of the central nervous system (including stroke, dementia, aneurysm, or personal history of psychosis)
- Pregnancy
- Inability to rate pain or sensations
- Major medical conditions such as kidney, liver, cardiovascular (hypertension, preexisting cardiac arrhythmia), autonomic, pulmonary, or neurological problems (e.g., seizure disorder) or a chronic systemic disease (e.g., diabetes).
- History of blood clots or first-degree family members with clotting disorders
- Current use of opiate medication(s)
- Contraindications to MRI if participating in pilot MRI study
- Unable to identify a heat stimulus 50C or lower that generates a rating of a 7 on our VAS scale
- History of fainting or seizures
- History of frostbite
- Open cut or sore on hand to be immersed in cold water bath
- Fracture of limb to be immersed
- History of Reynaud's phenomenon (hands get white, then blue on exposure to cold, then red on warming)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Basic Science
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: Single
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Chronic Pain Intensity Using the Chronic Pain Grade Questionnaire
Time Frame: Day 1
|
The investigators will measure chronic pain levels using the Characteristic Pain Intensity score, a subscale of the Chronic Pain Grade Questionnaire (CPGQ).
The questions that contribute to the subscale each use a scale from 0-10 where 0 is 'no pain' and 10 is 'pain as bad could be', and their mean is multiplied by 10.
The intensity subscale score thus ranges from 0 to 100, where 0 would be least pain reported and 100 would be the most pain reported.
This measure will be included in a linear regression model to determine whether this measure significantly predicts differences in ratings of touch pleasantness.
|
Day 1
|
|
Trauma History Using the Childhood Trauma Questionnaire
Time Frame: Day 1
|
The investigators will measure trauma history using the Childhood Trauma Questionnaire.
The total score ranges from 25-125, where 25 is the least childhood trauma (better) and 125 is the greatest childhood trauma (worse).
This measure will be included in a linear regression model to determine whether this measure significantly predicts differences in ratings of touch pleasantness.
|
Day 1
|
|
Current Depression Using the Hospital Anxiety and Depression Scale Without Chronic Pain
Time Frame: Day 1
|
The investigators will measure current depression using the Hospital Anxiety and Depression Scale (HADS).
The HADS consists of two sub scales for depression and anxiety.
The depression sub scale ranges from 0 - 21 where 0 indicates no depression (better) and 21 indicates highest depression levels (worse).
This measure will be included in a linear regression model to determine whether this measure significantly predicts differences in ratings of touch pleasantness.
|
Day 1
|
|
Ratings of Affective Touch
Time Frame: Day 1
|
Touch pleasantness/unpleasantness ratings will be assessed in response to each sensory stimulus (brushing, tapping, and pressure) using a Visual Analog Scale.
Anchors were defined as far left = 'extremely unpleasant' (coded as -100), midpoint = 'neutral' (coded as 0), and far right = 'extremely pleasant' (coded as 100).
Affective touch perception is defined as the difference in ratings between the affective and neutral touch conditions (rating of brushing minus rating of tapping) during the Day 1 baseline and will be compared between individuals with and without chronic pain.
This value ranged from 200 (brushing extremely pleasant and tapping extremely unpleasant) to -200 (tapping extremely pleasant and brushing extremely unpleasant).
These values are not inherently 'better' or 'worse' but represent individual differences in preference for affective touch.
|
Day 1
|
|
Change in Heat Pain Intensity From Before to After the Cold Water Bath
Time Frame: Day 1
|
Pain intensity will be measured before and after the left hand is submerged in cold water (conditioned pain modulation task).
Pain intensity will be assessed with a Visual Analog Scale.
Anchors are defined as far left = 'no sensation' (coded as -100), midpoint = 'pain threshold' (coded as 0), and far right = 'intolerable pain' (coded as 100).
Change in heat pain ratings after cold water bath ranges from -200 to 200 where higher scores indicate pain increases after cold water bath (worse) and lower scores indicate pain reduction (better).
|
Day 1
|
|
Change in Heat Pain Intensity From Before to After Gentle Brushing
Time Frame: Day 2
|
Pain intensity will be measured before and after gentle brushing (affective-touch-pain task) on a Visual Analog Scale.
Anchors are defined as far left = 'no sensation' (coded as -100), midpoint = 'pain threshold' (coded as 0), and far right = 'intolerable pain' (coded as 100).
Change in heat pain ratings after brushing ranges from -200 to 200 where higher scores indicate pain increases (worse) and lower scores indicate pain reduction (better).
|
Day 2
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Breathing Rate
Time Frame: Day 1
|
Respiration rate will be measured during baseline affective touch (brushing).
|
Day 1
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 191669
- 4R00AT009466-02 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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