[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100598140":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":18,"centralContacts":25,"locations":34,"responsibleParty":73,"collaborators":75,"id":78,"slug":79,"hasResults":80,"nctId":81,"briefTitle":82,"officialTitle":82,"acronym":18,"eligibilityCriteria":83,"healthyVolunteers":80,"sex":84,"minAge":85,"maxAge":86,"enrollmentInfo":87,"targetDuration":18,"studyType":90,"phases":91,"briefSummary":93,"conditions":94,"keywords":98,"overallStatus":37,"whyStopped":18,"lastUpdateSubmitDate":105,"lastUpdatePostDateStruct":106,"startDateStruct":109,"completionDateStruct":111,"leadSponsor":113,"locationsCount":114},{"fullName":5,"class":6},"University of Haifa","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Pain-acceptance intervention group","EXPERIMENTAL","Patients in the pain-acceptance group will undergo a battery of baseline assessments in the first session, and receive a two-week intervention.\n\nFirst, they receive an explanation of pain acceptance, and practice it with the experimenter through discussion and metaphors, and do two exercises: STOP and a cold-pressor task.\n\nNext, they conduct two weeks of home practice. At home, they are asked to use the pain-acceptance strategy whenever they feel pain. After one week, the experimenter will conduct a short video call with the patient, to discuss the progress and the difficulties that arise in using the acceptance training.\n\nThe experimenter also supports them by phone and video call as needed. Further, they complete a brief survey on pain, disability, strategy use, and ease on a daily base.\n\nAfter two weeks, they return for a follow-up assessment including questionnaires, cognitive tasks, and the cold-pressor test. Two weeks later they complete an online follow-up survey.",[13],"Behavioral: Pain-acceptance intervention",{"label":15,"type":16,"description":17,"interventionNames":18},"treatment-as-usual group","NO_INTERVENTION","Patients in the treatment-as-usual group will first complete baseline assessments, including questionnaires, a cognitive task, and the Cold Pressor Task. Following this, they will engage in a brief structured conversation with the experimenter to provide an interaction comparable to that of the intervention group.\n\nFor the next two weeks, participants will complete daily online surveys delivered each evening via text message, assessing pain severity and functional disability experienced that day. At the end of the first week, they will also have a video call with the experimenter to discuss their feelings.\n\nAfter two weeks, participants will return for a second assessment session, after which they will be offered the opportunity to receive the pain-acceptance intervention. Finally, two weeks after this session, they will complete the same battery of questionnaires online as administered previously.",null,[20],{"type":21,"name":22,"description":23,"armGroupLabels":24,"otherNames":18},"BEHAVIORAL","Pain-acceptance intervention","The intervention start with a conversation and inquiry about the participant's pain while continuously validating his experience and creating a shared understanding of their struggles and difficulties due to the pain.\n\nNext, the experimenter explain the relations between distress, pain and suffering, emphasizing that in many cases trying to control our pain, emotions and thoughts leads us to undesirable results through emotional avoidance, anger and escape. This explanation will be accompanied with commonly used metaphors to enhance participants' understanding. Afterwards, participants are familiarized with the strategy of \"emotional acceptance of pain\". The strategy will be comprehensively explained and participants will practice it with the experimenter twice: Firstly, by practicing with the mental exercise of \"STOP\" (i.e. Stop, Take a step back, Observe, Procced Mindfully); Secondly by practicing the pain acceptance strategy while feeling moderate pain, and discuss their experience.",[9],[26,31],{"name":27,"role":28,"phone":29,"phoneExt":18,"email":30},"Sulamit Grinapol","CONTACT","+972 047771718","s_grinapol@rambam.health.gov.il",{"name":32,"role":28,"phone":18,"phoneExt":18,"email":33},"Einav Gozansky","einavgoz@gmail.com",[35,57],{"facility":36,"status":37,"city":38,"state":18,"zip":39,"country":40,"countryCode":41,"cosmosGeoPoint":42,"geoPoint":47,"contacts":48},"Psychiatric Division, Rambam Health Care Campus","RECRUITING","Haifa","3109601","Israel","IL",{"type":43,"coordinates":44},"Point",[45,46],34.99928,32.81303,{"lat":46,"lon":45},[49,52,55],{"name":50,"role":28,"phone":51,"phoneExt":18,"email":30},"Shulamit Grinapol, Ph.D.","04-7771718",{"name":53,"role":54,"phone":18,"phoneExt":18,"email":18},"Shulamit Grinapol","PRINCIPAL_INVESTIGATOR",{"name":56,"role":54,"phone":18,"phoneExt":18,"email":18},"Itai Horowitz",{"facility":5,"status":37,"city":38,"state":18,"zip":58,"country":40,"countryCode":41,"cosmosGeoPoint":59,"geoPoint":61,"contacts":62},"3498838",{"type":43,"coordinates":60},[45,46],{"lat":46,"lon":45},[63,67,68,70,71],{"name":64,"role":28,"phone":65,"phoneExt":18,"email":66},"Hadas Okon-Singer","+972-4-8249671","hadasos@psy.haifa.ac.il",{"name":32,"role":54,"phone":18,"phoneExt":18,"email":18},{"name":69,"role":54,"phone":18,"phoneExt":18,"email":18},"Lihi Carmel",{"name":64,"role":54,"phone":18,"phoneExt":18,"email":18},{"name":72,"role":54,"phone":18,"phoneExt":18,"email":18},"Irit Weissman-Fogel",{"type":74,"investigatorFullName":18,"investigatorTitle":18,"investigatorAffiliation":18,"oldNameTitle":18,"oldOrganization":18},"SPONSOR",[76],{"name":77,"class":6},"Rambam Health Care Campus","100598140","pain-acceptance-training-in-patients-experiencing-emotional-distress-and-somatic-symptoms-examination-of-dialectical-thinking-as-a-mediating-factor-100598140",false,"NCT07067619","Pain Acceptance Training in Patients Experiencing Emotional Distress and Somatic Symptoms: Examination of Dialectical Thinking as a Mediating Factor","Inclusion Criteria:\n\n1. Men and Women\n2. Aged 18-70\n3. Able to provide a signed informed consent\n4. Experiencing significant pain symptoms that interfere with daily-life functioning\n5. Experiencing significant emotional distress symptoms\n\nExclusion Criteria:\n\nPatients under the age of 18 and\u002For diagnosed with one or more of the following diagnoses will be excluded from participation in the study:\n\n1. Patients rating their average pain in the last week and in the last month as less than 3 in a 0-10 numerical rating scale (i.e. NPS)\n2. Patients rating their emotional distress levels as less than 25 in a 10-50 numerical rating scale (i.e. Kessler Psychological Distress Scale \\[K10\\])\n3. Patients diagnosed with psychotic disorders and\u002For suffering from psychotic symptoms.\n4. Patients diagnosed with Autism Spectrum disorder.\n5. Patients diagnosed with Intellectual disability.\n6. Patients diagnosed with eating disorders.\n7. Patients with Immediate suicidal risk.\n8. Patients who initiated a new drug and\u002For psychotherapy treatment within the last month.\n9. Pregnant women.\n10. Patients currently serving in the IDF.","ALL","18 Years","70 Years",{"count":88,"type":89},100,"ESTIMATED","INTERVENTIONAL",[92],"NA","Somatic symptoms, including physical pain, are highly prevalent among mental health patients. Current treatments have limited effectiveness for these symptoms, primarily because of patients' diminished introspective capacity and lack of emotional awareness. The current study proposes pain acceptance training as a new intervention. This intervention relies on the tenets of dialectical thinking, particularly on maintaining a dialectic perspective - at once acknowledging both the desire to end the pain and the ability to accept it as it is. We aim to examine the following: (1) the efficacy of pain acceptance training in the alleviation of somatic pain in patients with somatic symptoms; (2) the role of dialectical thinking as a mediator of pain acceptance training efficacy.",[95,96,97],"Chronic Pain","Somatic Pain","Comorbid Pain and Emotional Difficulties",[99,100,101,102,103,104],"Chronic pain","Somatic pain","Pain Acceptance","Intervention","Training","Experimental pain","2026-04-28",{"date":107,"type":108},"2026-05-04","ACTUAL",{"date":110,"type":108},"2024-12-01",{"date":112,"type":89},"2026-12",{"name":5,"class":6},2]