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Trial registered on ANZCTR
Registration number
ACTRN12618000907246
Ethics application status
Approved
Date submitted
25/05/2018
Date registered
30/05/2018
Date last updated
16/09/2019
Date data sharing statement initially provided
16/09/2019
Type of registration
Prospectively registered
Titles & IDs
Public title
The mind-body relationship of common physical symptoms in the community.
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Scientific title
Epidemiology of Multiple Somatic Symptoms in the community, and its association with illness related cognitions`
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Secondary ID [1]
295004
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Multiple Somatic Symptoms
308024
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Somatic Symptom Disorder
308025
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Somatisation
308055
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Health Anxiety
308056
0
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Condition category
Condition code
Mental Health
307059
307059
0
0
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Other mental health disorders
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Public Health
307060
307060
0
0
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Epidemiology
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
This is a longitudinal study based on questionnaire data. Multiple somatic symptoms are determined via the Patient Health Questionnaire - 15 (PHQ-15). Those who score high on the PHQ-15 experience a collection of symptoms such as back pain, stomach ache, dizziness and headache. Over a 1 year period, these symptoms will be correlated with co-morbid diseases and psychological health, in order to a) determine the stability of these symptoms and b) its temporal relationship with co-morbid diseases and psychological health.
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Intervention code [1]
301341
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Not applicable
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Multiple Somatic symptom (Patient Health Questionnaire - 15). Symptom severity cut-offs;
0 - 9 = mild, 9 - 14 = moderate, 15 - 30 = severe. Determine the numbers of participants with multiple somatic symptoms
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Assessment method [1]
306032
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Timepoint [1]
306032
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Baseline and 1 year follow-up
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Secondary outcome [1]
347387
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Whitely Scale for hypochondriasis - 7. Higher scores reflect increased health anxiety. Change in hypochondriasis and identify temporal relationships with multiple somatic symptoms.
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Assessment method [1]
347387
0
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Timepoint [1]
347387
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Baseline and 1 year follow up
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Secondary outcome [2]
347388
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Patient Health Questionnaire - 4. Higher scores reflect increased anxiety and depressive symptoms. Change in anxiety and depression. Change in anxiety and depression, and identify temporal relationships with multiple somatic symptoms.
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Assessment method [2]
347388
0
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Timepoint [2]
347388
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Baseline and 1 year follow up
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Secondary outcome [3]
347389
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Cognitive Emotion Regulation Questionnaire - (Catastrophising sub scale ). Higher scores reflect symptom catastrophising. Change in catastrophising, and identify temporal relationships with multiple somatic symptoms.
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Assessment method [3]
347389
0
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Timepoint [3]
347389
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Baseline and 1 year follow up
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Secondary outcome [4]
347390
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Co-morbid chronic diseases. Total score represents increased medical co-morbidity. This was designed specifically for the study. A checklist of common chronic disorders is presented, in addition to a space for participants to indicate any other chronic diseases they have been diagnosed with.
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Assessment method [4]
347390
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Timepoint [4]
347390
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Baseline and 1 year follow up
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Secondary outcome [5]
348297
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Short Form 12 V2 - Quality of Life Scale
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Assessment method [5]
348297
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Timepoint [5]
348297
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Baseline and 1-year follow up
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Eligibility
Key inclusion criteria
Random selection of community individuals from NSW electorates (Bradfield, Bennelong, North Sydney, Sydney, Grayndler, Reid, Parramatta and Mitchell)
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Non-response to survey
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Study design
Purpose
Psychosocial
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Duration
Longitudinal
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Selection
Random sample
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Timing
Prospective
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Statistical methods / analysis
1. Descriptive analyses: all measures will be reported descriptively. Numeric measures
will be reported as mean and standard deviation while qualitative measures will be
reported as count and percentage. The prevalence of individual with clinical rates of
low, moderate or high MSS will be reported along with 95% confidence intervals.
2. Cross-sectional analyses: Common connections between MSS with respect to
psychosocial factors will be understood through multivariate modelling.
3. Longitudinal analyses will be undertaken for two purposes. The first is to understand
the stability of individual MSS and also whether there is substitution between MSS which is possible given their reported comorbidity. The second is to understand whether psychological state at baseline predicts MSS state at follow-up. In doing so we will study mind-body and body-mind axes to determine whether a reciprocal relationship exists for MSS.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
6/03/2020
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Actual
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Date of last participant enrolment
Anticipated
6/04/2020
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Actual
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Date of last data collection
Anticipated
2/09/2020
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Actual
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Sample size
Target
1000
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Funding & Sponsors
Funding source category [1]
299587
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University
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Name [1]
299587
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Macquarie University
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Address [1]
299587
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Balaclava Road, Macquarie University, North Ryde, 2109 NSW
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Country [1]
299587
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Australia
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Primary sponsor type
University
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Name
Macquarie University
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Address
Balaclava Road, Macquarie University, North Ryde, 2109 NSW
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Country
Australia
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Secondary sponsor category [1]
298905
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None
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Name [1]
298905
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Address [1]
298905
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Country [1]
298905
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
300488
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Macquarie University Human Research Ethics Committee
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Ethics committee address [1]
300488
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Balaclava Road, Macquarie University, North Ryde 2019 NSW
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Ethics committee country [1]
300488
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Australia
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Date submitted for ethics approval [1]
300488
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10/04/2018
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Approval date [1]
300488
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01/06/2018
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Ethics approval number [1]
300488
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5201800286
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Summary
Brief summary
Multiple somatic symptoms (MSS) can be defined as a range of non-specific symptoms such as musculoskeletal pain, fatigue and abdominal pain, and are expressed in the absence of any clear pathology. MSS is measured on scale. Those who score highly on that scale are associated with a reduced quality of life and substantial increase in healthcare utilisation. By way of example, disorders such as Somatization Disorder (Diagnostic and Statistical Manual of Mental Disorders-V), fibromyalgia, chronic fatigue syndrome, functional Gastrointestinal disorders and multiple chemical sensitivity have all been associated with MSS. This study focuses on MSS, rather than specific diseases or only a few symptoms. It is important to do so, as MSS is considered to be a predictor of negative health consequences, independent of other chronic diseases or psychopathology. For the present study, MSS are identified using the Patient Health Questionnaire-15. At present a large proportion of Australians seek help for MSS, which places a burden on generalist and specialist services. In addition, the natural course of MSS is unfortunately unfavourable (meaning that symptoms suffered by people with MSS are less likely to resolve with time). By way of comparison, MSS stability rates are as high as depressive disorders and higher than anxiety disorders. However, to date, limited research of MSS has been conducted in an Australian community setting. Identifying, the prevalence of MSS in the community and related psychological predictors of its development and maintenance remains an important health priority. The present study seeks to address the following aims: 1. To determine the incidence and prevalence of MSS in an Australian community setting and its relationship with co-morbid chronic diseases, specific illness related cognitions and psychological distress. 2. To determine the stability of MSS over the course of 1 year. 3. To suggest potential psychosocial aetiologies for MSS by studying mind-body and body-mind interactions in these conditions.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof Michael Jones
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Address
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Balaclava Road, Macquarie University, North Ryde 2109 NSW
Department of Psychology
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Country
83818
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Australia
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Phone
83818
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+61 2 9850 8601
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Fax
83818
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Email
83818
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[email protected]
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Contact person for public queries
Name
83819
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David McNaughton
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Address
83819
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Balaclava Road, Macquarie University, North Ryde 2109 NSW
Department of Psychology
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Country
83819
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Australia
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Phone
83819
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+61 2 9850 8601
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Fax
83819
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Email
83819
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[email protected]
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Contact person for scientific queries
Name
83820
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David McNaughton
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Address
83820
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Balaclava Road, Macquarie University, North Ryde 2109 NSW
Department of Psychology
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Country
83820
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Australia
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Phone
83820
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+61 2 9850 8601
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Fax
83820
0
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Email
83820
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
Results from the study will be made available through peer reviewed publications and conference presentations.
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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