Treating Chronic Pain and Depression in HIV+ Patients in Primary Care Settings
Status: | Completed |
---|---|
Conditions: | Depression |
Therapuetic Areas: | Psychiatry / Psychology |
Healthy: | No |
Age Range: | 18 - 75 |
Updated: | 4/21/2016 |
Start Date: | November 2012 |
End Date: | August 2015 |
The purpose of this study is to determine whether participation in the study intervention,
which involves collaboration between the study interventionist and the participant's primary
care physician, will reduce symptoms of pain and depression in HIV+ patients.
which involves collaboration between the study interventionist and the participant's primary
care physician, will reduce symptoms of pain and depression in HIV+ patients.
Inclusion Criteria:
- Chronic Pain (pain duration for at least six months with a mean score of 5 or higher
on the BPI Pain Interference Scale)
- Pain severity of 40 or higher on a Visual Analog Scale (0-100) indicating "worst pain
in the last week"
- At least one trial of PCP-recommended medication (i.e. acetominophen, NSAIDS,
skeletal muscle relaxants) judged through interviews with patients and PCPs
- QIDS score of ≥ 9 (depression severity)
- Stable dose of an antidepressant, if using, for the previous 2 months
- Age 18 or older
- HIV+
Exclusion Criteria:
- Lifetime DSM-IV diagnosis of bipolar disorder, schizophrenia, or other chronic
psychotic condition
- Current DSM-IV diagnosis of substance dependence for alcohol, sedative/ hypnotic
drugs, stimulants, or cocaine
- Suicidal ideation or behavior requiring immediate attention
- In psychotherapy or in a multidisciplinary pain management program
- Expected surgery in the next 6 months
- Pain thought to be due to cancer, infection, or inflammatory arthritis
- Pregnancy
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Butler Hospital Founded in 1844, Butler Hospital is the state's only non-profit, free-standing psychiatric hospital...
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