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Feature Articles

Randomized Trial of the Effect of Mindfulness-Based Stress Reduction on Pain-Related Disability, Pain Intensity, Health-Related Quality of Life, and A1C in Patients With Painful Diabetic Peripheral Neuropathy

  1. Howard J. Nathan1–3,
  2. Patricia Poulin2–5,
  3. Denise Wozny2,
  4. Monica Taljaard2,6,
  5. Cathy Smyth1,
  6. Ian Gilron7–9,
  7. Alexander Sorisky2,10,11,
  8. Heather Lochnan10 and
  9. Yaad Shergill2
  1. 1University of Ottawa, Department of Anesthesiology, Ottawa, Ontario, Canada
  2. 2Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
  3. 3The Ottawa Hospital, Ottawa, Ontario, Canada
  4. 4University of Ottawa, Department of Psychology, Ottawa, Ontario, Canada
  5. 5University of Ottawa, Department of Anesthesiology and Pain Medicine, Ottawa, Ontario, Canada
  6. 6University of Ottawa, School of Epidemiology, Public Health and Preventive Medicine, Ottawa, Ontario, Canada
  7. 7Queen’s University, Department of Anesthesiology & Perioperative Medicine, Kingston, Ontario, Canada
  8. 8Queen’s University, Department of Biomedical & Molecular Sciences, Kingston, Ontario, Canda
  9. 9Queen’s University, Centre for Neuroscience Studies, Kingston, Ontario, Canada
  10. 10University of Ottawa, Department of Medicine, Ottawa, Ontario, Canada
  11. 11University of Ottawa, Department of Biochemistry, Microbiology, and Immunology, Ottawa, Ontario, Canada
  1. Corresponding author: Howard J. Nathan, hnathan{at}toh.ca
Clinical Diabetes 2017 Dec; 35(5): 294-304. https://doi.org/10.2337/cd17-0077
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Abstract

IN BRIEF Painful diabetic peripheral neuropathy (PDPN) has a large negative impact on patients’ physical and mental functioning, and pharmacological therapies rarely provide more than partial relief. Mindfulness-based stress reduction (MBSR) is a group psychosocial intervention that was developed for patients with chronic illness who were not responding to existing medical treatments. This study tested the effects of community-based MBSR courses for patients with PDPN. Among patients whose PDPN pharmacotherapy had been optimized in a chronic pain clinic, those randomly assigned to treatment with MBSR experienced improved function, better health-related quality of life, and reduced pain intensity, pain catastrophizing, and depression compared to those receiving usual care.

  • © 2017 by the American Diabetes Association.

Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. See http://creativecommons.org/licenses/by-nc-nd/3.0 for details.

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Clinical Diabetes: 35 (5)

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December 2017, 35(5)
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Randomized Trial of the Effect of Mindfulness-Based Stress Reduction on Pain-Related Disability, Pain Intensity, Health-Related Quality of Life, and A1C in Patients With Painful Diabetic Peripheral Neuropathy
Howard J. Nathan, Patricia Poulin, Denise Wozny, Monica Taljaard, Cathy Smyth, Ian Gilron, Alexander Sorisky, Heather Lochnan, Yaad Shergill
Clinical Diabetes Dec 2017, 35 (5) 294-304; DOI: 10.2337/cd17-0077

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Randomized Trial of the Effect of Mindfulness-Based Stress Reduction on Pain-Related Disability, Pain Intensity, Health-Related Quality of Life, and A1C in Patients With Painful Diabetic Peripheral Neuropathy
Howard J. Nathan, Patricia Poulin, Denise Wozny, Monica Taljaard, Cathy Smyth, Ian Gilron, Alexander Sorisky, Heather Lochnan, Yaad Shergill
Clinical Diabetes Dec 2017, 35 (5) 294-304; DOI: 10.2337/cd17-0077
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© 2018 by the American Diabetes Association. Clinical Diabetes Print ISSN: 0891-8929, Online ISSN: 1945-4953.