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CompletedNCT00007267Updated Aug 9, 2017

Psychological Treatments for Scleroderma

A Phase 2 interventional study of Cognitive behavioral therapy and Disease/health education in Pain, Depression and Scleroderma, sponsored by Johns Hopkins University. Completed at 1 site in United States. Open to participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2017-08-09.

Sponsored by Johns Hopkins University · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
89
Allocation
Randomized
Ages
18 Years to 85 Years
Sex
All
01

Study summary

This study will examine the effectiveness of two psychological treatment approaches designed to help people who have scleroderma with three important areas of daily living: pain, depression, and distress about changes in appearance. The study will also evaluate the impact of depression on the two psychological treatments. Because psychological approaches requiring a trained professional can be expensive and are often not available to most patients, this study will also look at the effectiveness of a self-help treatment approach.

Read the detailed description

This study will examine the efficacy of psychological interventions designed to target important areas of daily living for people with scleroderma: pain, depression, and distress about disfigurement. The study will also examine the effect of clinical depression on impact of the psychological treatments. Because psychological interventions requiring a trained professional can be costly and are often not available to the majority of patients, the study will also examine the efficacy of a self-help intervention.

The study will recruit 201 patients with systemic sclerosis who report symptoms of pain, depression, or distress about disfigurement and will randomly assign them to one of three interventions: individual cognitive behavioral therapy, self-help cognitive behavioral intervention facilitated by a psychologist, or a disease/health education intervention. An individual blinded to intervention assignment will collect measures of pain, functioning, distress about disfigurement, and mood at baseline and following the 8-week intervention period.

Both the cognitive-behavioral self-help materials and the educational materials (eight written chapters and audiotapes) will be designed for home use but will be supplemented by two individual sessions and two telephone contacts with the professional. Patients will be followed for 1 year after completing the active intervention phase.

These findings will increase understanding of the quality of life of individuals with scleroderma and determine whether self-help interventions can be used effectively to manage pain, depression, and distress about disfigurement.

02

Conditions studied

  • Pain
  • Depression
  • Scleroderma
  • Systemic Sclerosis

Keywords

  • Scleroderma
  • Systemic sclerosis
  • Depression
  • Pain
  • Disfigurement
  • Body image dissatisfaction
  • Cognitive-behavioral therapy
  • Self-help
  • Psychological intervention
03

In context

Scleroderma, Systemic

688 studies on the registry are indexed under Scleroderma, Systemic; 223 are open to participants now.

This study's enrollment of 89 is above the median of 34 across 493 interventional studies indexed under Scleroderma, Systemic.

Browse Scleroderma, Systemic studies →

Lead sponsor

Johns Hopkins University is the lead sponsor of 1,782 studies on the registry; 313 are open to participants now.

Of its 203 completed or terminated interventional studies of FDA-regulated products, 140 (69%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Diagnosis of CREST or systemic sclerosis
  • Short-Form McGill Pain Questionnaire score 6 or higher
  • Satisfaction with Appearance score of 15 or higher
  • Beck Depression score of 10 or higher

Exclusion criteria

Exclusion Criteria:

  • Patients reporting severe depression with suicidal ideation
  • Delirium, dementia, or cognitive impairment (Mini Mental State Examination (MMSE) \< 24))
  • Terminal illness with a life expectancy of less than 1 year
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
89 participants (actual)

Study arms

  • Experimental
    1

    Participants will receive individual cognitive behavioral therapy

    Behavioral: Cognitive behavioral therapy

  • Experimental
    2

    Participants will receive self-help cognitive behavioral intervention facilitated by a psychologist

    Behavioral: Self-help cognitive behavioral intervention facilitated by a psychologist

  • Active comparator
    3

    Participants will receive a disease/health education intervention

    Behavioral: Disease/health education

Interventions

  • BehavioralCognitive behavioral therapy
  • BehavioralDisease/health education
  • BehavioralSelf-help cognitive behavioral intervention facilitated by a psychologist
06

What researchers measure

Primary outcomes

  1. Depressive symptoms

    Time frame: Measured at Week 8

Secondary outcomes

  1. Body image dissatisfaction

    Time frame: Measured at Week 8

  2. Pain

    Time frame: Measured at Week 8

07

Study locations

1 site
  • Johns Hopkins Bayview Medical Center
    Baltimore, Maryland 21224, United States
08

References and documents

Publications

  • Haythornthwaite JA, Heinberg LJ, McGuire L. Psychologic factors in scleroderma. Rheum Dis Clin North Am. 2003 May;29(2):427-39. doi: 10.1016/s0889-857x(03)00020-6. PubMed 12841303 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 9, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00007267
Lead sponsor
Johns Hopkins University
Collaborators
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
Responsible party
Sponsor
First posted
Dec 18, 2000
Start date
Jun 2001
Primary completion
Jun 2006
Completion
Jun 2006
Last update
Aug 9, 2017

Study contacts

Jennifer A. Haythornthwaite
principal investigator · Johns Hopkins University

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2017. You cannot join it, but the record below documents what was studied.

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