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CTRI Number  CTRI/2025/02/080108 [Registered on: 07/02/2025] Trial Registered Prospectively
Last Modified On: 15/05/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Relationship of thoughts about pain with pain overthinking, functional disability, and pain intensity in rheumatoid arthritis patients.  
Scientific Title of Study   Relationship of Metacognitions with Pain Catastrophising, Disability and Pain Intensity in Patients with Rheumatoid Arthritis 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Lakshmi Jain 
Designation  Masters Student 
Affiliation  Manipal College of Health Professions  
Address  Department of Clinical Psychology, Manipal College of Health Professions, Manipal Academy of Higher Education, Bangalore, Karnataka

Bangalore
KARNATAKA
560017
India 
Phone  9560526546  
Fax    
Email  lakshmi.mhsblr2023@learner.manipal.edu  
 
Details of Contact Person
Scientific Query
 
Name  Jeeshma Vijin  
Designation  Assistant Professor  
Affiliation  Manipal College of Health Professions  
Address  Department of Clinical Psychology, Manipal College of Health Professions, Manipal Academy of higher Education, Bangalore, Karnataka

Bangalore
KARNATAKA
560017
India 
Phone  8217723817  
Fax    
Email  jeeshmaclipsy@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Jeeshma Vijin 
Designation  Assistant Professor  
Affiliation  Manipal College of Health Professions  
Address  Department of Clinical Psychology, Manipal College of Health Professions, Manipal Academy of higher Education, Bangalore, Karnataka

Bangalore
KARNATAKA
560017
India 
Phone  8217723817  
Fax    
Email  jeeshmaclipsy@gmail.com  
 
Source of Monetary or Material Support  
No.98, Rustam Bagh Road, Old Airport Road, Department of Clinical Psychology, Manipal College of Health Professions,Manipal Academy of Higher Education, Bangalore 560017  
 
Primary Sponsor  
Name  Manipal Academy of Higher Education 
Address  No.98, Rustam Bagh Road, Old Airport Road, Department of Clinical Psychology, Manipal College of Health Professions,Manipal Academy of Higher Education, Bangalore 560017  
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Lakshmi Jain  Manipal Hospitals  Department of Rheumatology, Outpatient Service, -1 floor, Manipal Hospital #98, HAL Old Airport Road, 560017 Bangalore KARNATAKA
Bangalore
KARNATAKA 
9560526546

lakshmi.mhsblr2023@learner.manipal.edu 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ethics Committee of Manipal Hospitals Bangalore   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M059||Rheumatoid arthritis with rheumatoid factor, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1. All patients (both males and females) diagnosed with Rheumatoid Arthritis.
2. Lying between 18-65 years of age.
3. Fulfilling ACR criteria for Rheumatoid Arthritis. 
 
ExclusionCriteria 
Details  1. Patients below 18 years of age and over 65 years of age.
2. Individuals with neurological diseases, failure of the liver and kidneys, pregnancy, major psychiatric diseases and severe chronic obstructive pulmonary disease 
 
Method of Generating Random Sequence    
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
Pain Metacognitions Questionnaire  At baseline (0 days)
 
 
Secondary Outcome  
Outcome  TimePoints 
Pain Catastrophising Scale  At baseline (0 days) 
Health Assessment Questionnaire- Disability Index  At baseline (0 days) 
Visual Analogue Scale  At baseline (0 days) 
 
Target Sample Size   Total Sample Size="384"
Sample Size from India="384" 
Final Enrollment numbers achieved (Total)= "400"
Final Enrollment numbers achieved (India)="400" 
Phase of Trial   N/A 
Date of First Enrollment (India)   28/02/2025 
Date of Study Completion (India) 15/05/2025 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) 15/05/2025 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

There is evident research on the role of metacognitions in patients with fibromyalgia, chronic pain, chronic fatigue syndrome, muscle dystrophy and certain psychological disorders such as schizophrenia, depression, OCD, PTSD and GAD. Systematic reviews have revealed a strong relationship between metacognitions, pain catastrophising and severity of pain in patients with chronic musculoskeletal pain, emphasising its consideration in preliminary assessments. However, there is no known evidence of studies on the relationship of metacognitions with pain catastrophising, disability and pain intensity in patients with rheumatoid arthritis. It is also not known if duration of disease, geographical factors and medication consumption play a role and thus need to be studied further. Thus, the specific influences of metacognitions on pain catastrophising, disability and pain intensity in patients with Rheumatoid arthritis need to be studied. There is also no evident study that has been conducted on the Indian population, which needs to be considered as different cultural attitudes play a role towards pain, illness and rehabilitation.

 
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