| Unique ID issued by UMIN | UMIN000060131 |
|---|---|
| Receipt number | R000068084 |
| Scientific Title | Proactive Use of Cognitive Behavioral Therapy: Can Preoperative Psychological Intervention Reduce Postoperative Pain After Spine Surgery? |
| Date of disclosure of the study information | 2025/12/22 |
| Last modified on | 2025/12/19 12:04:31 |
Proactive Use of Cognitive Behavioral Therapy: Can Preoperative Psychological Intervention Reduce Postoperative Pain After Spine Surgery?
Proactive Use of Cognitive Behavioral Therapy: Can Preoperative Psychological Intervention Reduce Postoperative Pain After Spine Surgery?
Proactive Use of Cognitive Behavioral Therapy: Can Preoperative Psychological Intervention Reduce Postoperative Pain After Spine Surgery?
Proactive Use of Cognitive Behavioral Therapy: Can Preoperative Psychological Intervention Reduce Postoperative Pain After Spine Surgery?
| Japan |
Spinal stenosis
| Orthopedics |
Others
NO
The purpose of this study is to compare treatment outcomes between patients who receive cognitive behavioral therapy (CBT) before spinal surgery and those who do not. This study aims to investigate whether the application of CBT from the preoperative period improves surgical outcomes and to examine the significance of preoperative CBT. In addition, patient characteristics for whom CBT is effective will be explored. If preoperative CBT is shown to be effective, it is expected that implementing psychological interventions from the preoperative stage may help prevent postoperative pain and its chronification in the future.
Efficacy
Japanese Orthopaedic Association back pain evaluation questionnaire (JOABPEQ)
Pain Catastrophizing Scale (PCS)
Interventional
Parallel
Randomized
Individual
Open -but assessor(s) are blinded
No treatment
2
Treatment
| Other |
Cognitive behavioral therapy (CBT) will be conducted once preoperatively and twice during postoperative hospitalization, with each session lasting approximately 40-50 minutes. Participants will complete questionnaires assessing outcome measures (approximately 10 minutes) at the following time points: preoperatively (Visit 1), 3 months postoperatively (Visit 2), 6 months postoperatively (Visit 3), 1 year postoperatively (Visit 4), and 2 years postoperatively (Visit 5). Surgical outcomes will be evaluated based on these assessments.
Participants in the control group who do not receive CBT will be asked to complete questionnaires assessing outcome measures (approximately 10 minutes) at the following time points: preoperatively (Visit 1), 3 months postoperatively (Visit 2), 6 months postoperatively (Visit 3), 1 year postoperatively (Visit 4), and 2 years postoperatively (Visit 5). Surgical outcomes will be evaluated based on these assessments.
| 20 | years-old | <= |
| 80 | years-old | >= |
Male and Female
Patients who will undergo spinal surgery at Toyama University Hospital.
Patients whose pain can be evaluated and whose preoperative Visual Analog Scale (VAS) score is greater than 5.
Patients who are judged to be eligible for this study by the principal investigator (or sub-investigator) based on medical history, physical examination, and clinical assessment.
Patients who have provided written informed consent and who are judged by the principal investigator (or sub-investigator) to be able to comply with the study requirements, undergo the examinations, tests, and surgery necessary for the conduct of this study, and report symptoms during the study period.
Patients who did not provide informed consent to participate in the study.
Patients who have difficulty with verbal communication.
Patients with a history of cognitive impairment or dementia.
100
| 1st name | Yoshiharu |
| Middle name | |
| Last name | Kawaguchi |
University of Toyama
Department of Orthopaedic Surgery
930-0194
2630 Sugitani,Toyamashi,Toyama,Japan
076-434-7353
zenji@med.u-toyama.ac.jp
| 1st name | Yuko |
| Middle name | |
| Last name | Mizukami |
University of Toyama
Department of Orthopaedic Surgery
930-0194
2630 Sugitani,Toyamashi,Toyama,Japan
076-434-7353
yk1022@med.u-toyama.ac.jp
University of Toyama
University of Toyama
Self funding
University of Toyama, Research Ethics Office for Human Subjects
2630 Sugitani,Toyamashi,Toyama,Japan
076-415-8857
kenrinri@adm.u-toyama.ac.jp
NO
| 2025 | Year | 12 | Month | 22 | Day |
Unpublished
Preinitiation
| 2025 | Year | 10 | Month | 16 | Day |
| 2026 | Year | 01 | Month | 05 | Day |
| 2029 | Year | 03 | Month | 31 | Day |
| 2025 | Year | 12 | Month | 19 | Day |
| 2025 | Year | 12 | Month | 19 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000068084