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Clinical Trial NCT07225049 for PTSD, Chronic Pain is recruiting. See the Trial Radar Card View and AI discovery tools for all the details. Or ask anything here.
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Integrated PTSD and Chronic Pain Treatment 20 Virtual

Recruiting
Clinical Trial NCT07225049 is an interventional study for PTSD, Chronic Pain that is recruiting. It started on December 8, 2025 with plans to enroll 20 participants. Led by Weill Medical College of Cornell University, it is expected to complete by August 1, 2027. The latest data from ClinicalTrials.gov was last updated on December 17, 2025.
Brief Summary
Posttraumatic stress disorder (PTSD) occurs in approximately 7% of adults in the general population. PTSD greatly impacts quality of life and often co-occurs with other conditions such as chronic pain. Individuals with co-morbid PTSD and chronic pain demonstrate higher PTSD symptoms and pain (as well as greater anxiety, depression, disability, and opioid use) compared to those with only one of those conditions. Gold ...Show More
Official Title

Pilot of an Integrated Treatment for Comorbid PTSD and Chronic Pain

Conditions
PTSDChronic Pain
Other Study IDs
  • 25-01028464
NCT ID Number
Start Date (Actual)
2025-12-08
Last Update Posted
2025-12-17
Completion Date (Estimated)
2027-08
Enrollment (Estimated)
20
Study Type
Interventional
PHASE
N/A
Status
Recruiting
Keywords
PTSD
Chronic Pain
Integrated Treatment
Comorbidity
Prolonged Exposure
CBT for Chronic Pain
Cognitive Behavioral Therapy for Chronic Pain
Primary Purpose
Treatment
Design Allocation
N/A
Interventional Model
Single Group
Masking
None (Open Label)
Arms / Interventions
Participant Group/ArmIntervention/Treatment
ExperimentalIntegrated PTSD and Chronic Pain Treatment
Integrated treatment combining modules from Prolonged Exposure Therapy with Cognitive Behavioral Therapy for Chronic Pain
Integrated Treatment for PTSD and Chronic Pain
The intervention consists of 12 90-minute virtual psychotherapy sessions scheduled twice per week. The treatment integrates modules from Prolonged Exposure and Cognitive Behavioral Therapy for Chronic Pain.
Primary Outcome Measures
Outcome MeasureMeasure DescriptionTime Frame
Feasibility Indicator: Number of Participants Screened
Feasibility assessment will include number of participants screened defined as number of individuals who complete our initial eligibility screener.
Baseline
Feasibility Indicator: Enrollment
Feasibility assessment will include enrollment defined as number of participants signing the informed consent form.
Baseline
Feasibility Indicator: Number of Sessions Attended
Feasibility assessment will include the number of sessions attended on average (out of 12).
Post-Treatment Assessment at approximately 6 weeks
Feasibility Indicator: Attrition Percentage
A feasibility measure of attrition will be assessed by examining the percent of individuals who did not complete all 12 intervention sessions.
Post-Treatment Assessment at approximately 6 weeks
Feasibility Indicator: Number of Assessments Attended
A feasibility indicator of number of assessments (baseline and post-treatment) attended will be measured.
Baseline and Post-Treatment Assessment at approximately 6 weeks
Feasibility Indicator: Percentage of Self-Reports Completed
Self-reports are administered at each assessment (baseline and post-intervention) as well as every other treatment session (every 2 weeks up to 12 weeks). Therefore, there are 8 total self-report assessments and the percentage of those completed will be calculated.
Baseline, Post-Intervention at approximately 6 weeks, Every Other Treatment Session (Every 2 weeks up to 12 weeks)
Intervention Satisfaction
Intervention satisfaction will be rated with a Likert scale ranging from 1-10 with greater scores indicating higher satisfaction.
Post-Treatment Assessment at approximately 6 weeks
Intervention Acceptability
Intervention acceptability will be measured on a Likert scale ranging from 1-10 with greater scores indicating higher acceptability.
Post-Treatment Assessment at approximately 6 weeks
Qualitative Intervention Feedback
Open-ended questions that include assessing overall impressions of treatment, feedback on the frequency and length of sessions, challenges or barriers, likelihood of recommending this treatment to a friend, and comparison of this treatment to other treatments received in the past.
Post-Treatment Assessment at approximately 6 weeks
Secondary Outcome Measures
Outcome MeasureMeasure DescriptionTime Frame
Change in Score on the Clinician Administered PTSD Score (CAPS-5)
Change in Clinician-Administered PTSD Scale for DSM-5 (CAPS-5) Score. Total Scores range from 0-80. Higher scores indicate greater symptom severity.
Baseline to approximately 6 weeks
Change in Score on the PTSD Checklist for DSM-5 (PCL-5)
The well-validated PCL-5 will assess self-reported PTSD symptom severity. Scores range from 0-80. Higher scores indicate greater symptom severity.
Baseline to approximately 6 weeks
Change in Score on the Pain Severity Subscale of the Brief Pain Inventory (BPI)
Pain severity is a 4-item subscale with ranges from 0-10. Greater scores indicate higher pain severity.
Baseline to approximately 6 weeks
Change in Score on the Pain Interference Subscale of the Brief Pain Inventory (BPI)
Pain interference is a 7-item subscale with ranges from 0-10. Greater scores indicate greater pain interference.
Baseline to approximately 6 weeks
Change in Score on the Pain Catastrophizing Scale (PCS)
The 13-item PCS measure has scores ranging from 0-52, with higher scores indicating greater pain catastrophizing. Three subscales (rumination, magnification, and helplessness) are summed to form the total score.
Baseline to approximately 6 weeks
Change in Score on the Chronic Pain Acceptance Questionnaire (CPAQ)
This 20-item measure results in a total score ranging from 0-120 with high scores reflecting greater acceptance of pain. Two subscales (activity engagement and pain willingness) are summed to create the total score.
Baseline to approximately 6 weeks
Change in Score on the Posttraumatic Cognitions Inventory (PTCI)
The 33-item PTCI yields three subscores: negative cognitions about the self, negative cognitions about the world, and self-blame. Items are averaged so the range of scores for each subscale is 0-7 with higher scores representing more maladaptive cognitions. A total score is calculated by summing each of the 33 items yielding a score between 33-231, with higher scores indicating more maladaptive cognitions.
Baseline to approximately 6 weeks
Change in Score on the Fear-Avoidance Components Scale (FACS)
This 20-item measure results in total scores ranging from 0-100, with greater scores indicating more severe fear-avoidance beliefs.
Baseline to approximately 6 weeks
Change in Score on the Anxiety Sensitivity Index (ASI-3)
This 18-item measure results in a total score ranging from 0-72 with higher scores reflecting greater anxiety sensitivity. Three subscales (physical concerns, cognitive concerns, and social concerns) are summed to create a total score.
Baseline to approximately 6 weeks
Change in Score on the Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST)
The ASSIST is a questionnaire that screens for all levels of problem or risky substance use in adults including tobacco, alcohol, cannabis, cocaine, amphetamine-type stimulants, inhalants, sedatives, hallucinogens, opioids, and other drugs. A score for each substance ranges from 0-39 with higher scores indicating greater problems or risks related to substance use. A total score is not computed and instead, each substance will be analyzed individually.
Baseline to approximately 6 weeks
Change in Score on the Expectancies for Alcohol Analgesia (EAA) Measure
The EAA is a 5-item scale. Items are summed to generate a total score ranging from 0-45 with higher scores indicating greater expectancy for alcohol analgesia.
Baseline to approximately 6 weeks
Change in Score on the Difficulties in Emotion Regulation Scale (DERS-18)
This 18-item measure results in a total score ranging from 18-90 with higher scores reflecting greater difficulties with emotion regulation.
Baseline to approximately 6 weeks
Change in Score on the Patient Health Questionnaire (PHQ-9)
The PHQ-9 scores range from 0-27. Higher scores indicate greater symptom severity.
Baseline to approximately 6 weeks
Change in Score on the Insomnia Severity Index (ISI)
7 item self-report measure. Total scores range from 0-28, with higher scores indicating higher insomnia severity.
Baseline to approximately 6 weeks
Change in Score on the Multidimensional Assessment of Interoceptive Awareness (MAIA-2)
This is a 37-item measure that results in 8 subscales: noticing, not-distracting, not-worrying, attention regulation, emotional awareness, self-regulation, body listening, and trust. Each subscale ranges from 0-5, where higher scores reflect more awareness of bodily sensations. A total score is not computed, and instead, each subscale is analyzed individually.
Baseline to approximately 6 weeks
Change in Score on the Quality of Life Inventory (QOLI)
The assessment yields an overall score and profile in 16 areas of life; health, self-esteem, goals and values, money, work, play, learning, creativity, helping, love, friends, children, relatives, home, neighborhood, and community. Subscales are computed by multiplying satisfaction (-3 to +3) by importance (0 to 2) and resulting scores are averaged to yield a total score ranging from -6 to +6, with higher scores indicate higher level of quality of life.
Baseline to approximately 6 weeks
Participation Assistant
Eligibility Criteria

Eligible Ages
Adult, Older Adult
Minimum Age
18 Years
Eligible Sexes
All
  • 18 years or older
  • English-speaking
  • Currently meets criteria for PTSD, assessed by the CAPS-5 (any trauma type) - Chronic pain, assessed by greater than or equal to 4 on a scale of 0-10 pain severity over the past 3 months
  • Medically stable at the time of study enrollment (chronic illness and disability does not prevent attendance of outpatient therapy sessions)
  • Stable on psychotropic medication for past 60 days
  • Agreed to not change current medication or pain-related treatments over the course of the study unless medically necessary

  • Lifetime diagnosis of schizophrenia, other psychotic disorder, or bipolar I disorder
  • Participation in concurrent evidence-based psychological treatment for PTSD or chronic pain during the past 3 months
  • Participants must not participate in an evidence-based psychological treatment for either PTSD or pain during the course of the study.
  • Moderate or severe substance use in the past 90 days
  • Cognitive impairment to the degree that the patient cannot provide informed consent or fill out assessment measures
  • Participants who in the PI's judgement pose a current homicidal or suicidal risk
Weill Medical College of Cornell University logoWeill Medical College of Cornell University
Study Central Contact
Contact: Mariel Emrich, MS, 212-821-0783, [email protected]
1 Study Locations in 1 Countries

New York

Weill Cornell Medicine, New York, New York, 10065, United States
Mariel Emrich, MS, Contact, 212-821-0783, [email protected]
JoAnn Difede, PhD, Principal Investigator
Recruiting