Effectiveness of acceptance and commitment therapy (ACT) on depression and sleep quality in painful diabetic neuropathy: a randomized clinical trial

Davoudi, Mohammadreza; Taheri, Amir Abbas; Foroughi, Ali Akbar; Ahmadi, Seyed Mojtaba; Heshmati, Khatereh

doi:10.1007/s40200-020-00609-x

Cited by 15 publications

(7 citation statements)

References 19 publications

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“…Persons with idiopathic PN, for example, as well as those with PN from less common causes, also suffer from negative psychological symptoms but are infrequently included in research studies 39 . The finding from this pilot of decreased depression is consistent with a study that used ACT for treatment of depression among individuals with diabetic neuropathy 40 . However, this was a younger group (ages 35–65 years), and treatment consisted of 8 weeks of 90-minute sessions face-to-face in a group format.…”

Section: Discussionsupporting

confidence: 73%

Usability and Acceptability of a Videoconference Program for the Treatment of Depression in Adults With Peripheral Neuropathy

Decker

King²,

Cassisi³

et al. 2023

CIN: Computers, Informatics, Nursing

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Peripheral neuropathy is a debilitating neurological disorder affecting 13% to 14% of the US population. Estimates for co-occurring mood disorders in individuals with neuropathy range from 30% to 47%, but sparse evidence exists regarding depression treatment for adults with neuropathy. A cognitive-behavioral treatment, Acceptance and commitment therapy, is known to reduce depression in people with chronic pain, but little is known about its effectiveness in adults with neuropathy, particularly when the treatment is provided via videoconference. Acceptability and usability of this therapeutic treatment provided via videoconference was assessed in participants with peripheral neuropathy and symptoms of depression. Participants completed pre- and post-self-report outcome measures: the nine-item depression scale of the Patient Health Questionnaire and the 36-item Short-Form Health Survey. They also completed the Acceptability e-Scale and Post-Study System Usability Questionnaire after treatment. Depression decreased significantly, with scores declining from an average of 9.2 to 5.1 on the Patient Health Questionnaire (P < .05). The Short-Form Health Survey indicated significant improvement post-treatment on the “Energy/Fatigue” and “Emotional Well Being” subscales. The intervention was rated by participants as acceptable and demonstrated high usability. This initial therapeutic treatment via videoconference offers promise to treat depression in older adults with neuropathy.

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Section: Discussionsupporting

confidence: 73%

Usability and Acceptability of a Videoconference Program for the Treatment of Depression in Adults With Peripheral Neuropathy

Decker

King²,

Cassisi³

et al. 2023

CIN: Computers, Informatics, Nursing

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“…Moreover, Zakiei et al (23) concluded that therapists and health specialists could combine ACT with other therapies to improve sleep quality. Several other studies have also noted the effectiveness of ACT on sleep quality and duration (24)(25)(26).…”

Section: Introductionmentioning

confidence: 88%

The Effectiveness of Acceptance and Commitment Therapy, Transcranial Direct Current Stimulation, and Pharmacotherapy on The Sleep Quality of Women with Chronic Pain: A Randomized Clinical Trial

Jabali

Mojtabaei

Mirhashemi

2022

Jundishapur J Chronic Dis Care

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Background: Sleep quality is a major factor affecting physical and mental health. Poor sleep quality is a common complaint in many psychiatric disorders. Objectives: The present study aimed to investigate the effectiveness of acceptance and commitment therapy (ACT), transcranial direct current stimulation (tDCS), and pharmacotherapy on the sleep quality of women with chronic pain in Tehran, Iran. Methods: This randomized clinical trial with a pre-test, post-test, and follow-up design and a control group was performed on the statistical population of all women with chronic pain visiting Pardis Pain Clinic, Tehran, Iran, in 2020. The sample consisted of 60 women with chronic pain. We randomly divided the participants into four groups ACT, pharmacotherapy, tDCS, and control (N = 15 per group). The research instrument was the Pittsburgh sleep quality index (PSQI). The data were analyzed using repeated measures analysis of variance by the SPSS software. Results: The participants aged 46.67 ± 8.39, 48.24 ± 7.54, 47.67 ± 7.42, and 47.39 ± 6.85 years in the ACT, pharmacotherapy, tDCS, and control groups, respectively. ACT (F = 7.76, P < 0.001), pharmacotherapy (F = 17.97, P < 0.001), and tDCS (F = 9.37, P < 0.001) significantly improved the sleep quality of patients with chronic pain compared to the control group. The effects of ACT, pharmacotherapy, and tDCS on the sleep quality of women with chronic pain did not significantly differ (P > 0.05). Conclusions: ACT and tDCS intervention programs effectively improved the sleep quality of patients with chronic pain. Therefore, ACT and tDCS are recommended to enhance sleep quality in chronic pain patients.

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“…It encompasses non-pharmacological treatments and interventions such as herbal preparations or supplements, which may have pharmacological effects but are not regulated by federal agencies, so potency and potentially toxic contaminates vary. Non-pharmacological interventions for chronic pain include cognitive behavioural therapy, mindfulness-based approaches, such as acceptance and commitment therapy, exercise, yoga, meditation and acupuncture 97 98. These interventions demonstrate a significant, but typically small, improvement on rating scales assessing pain, quality of life measures and severity of depression (typically in the order of 1–2 points) 97 98.…”

Section: Management Advancesmentioning

confidence: 99%

“…Non-pharmacological interventions for chronic pain include cognitive behavioural therapy, mindfulness-based approaches, such as acceptance and commitment therapy, exercise, yoga, meditation and acupuncture 97 98. These interventions demonstrate a significant, but typically small, improvement on rating scales assessing pain, quality of life measures and severity of depression (typically in the order of 1–2 points) 97 98. The antioxidants alpha-lipoic acid and acetyl-L-carnitine reduce oxidative stress and may lessen pain in diabetic neuropathy, as measured by modest reductions in pain and disability scales 97 99.…”

Section: Management Advancesmentioning

confidence: 99%

Advances in diagnosis and management of distal sensory polyneuropathies

Silsby

Feldman

Dortch

et al. 2023

J Neurol Neurosurg Psychiatry

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Distal sensory polyneuropathy (DSP) is characterised by length-dependent, sensory-predominant symptoms and signs, including potentially disabling symmetric chronic pain, tingling and poor balance. Some patients also have or develop dysautonomia or motor involvement depending on whether large myelinated or small fibres are predominantly affected. Although highly prevalent, diagnosis and management can be challenging. While classic diabetes and toxic causes are well-recognised, there are increasingly diverse associations, including with dysimmune, rheumatological and neurodegenerative conditions. Approximately half of cases are initially considered idiopathic despite thorough evaluation, but often, the causes emerge later as new symptoms develop or testing advances, for instance with genetic approaches. Improving and standardising DSP metrics, as already accomplished for motor neuropathies, would permit in-clinic longitudinal tracking of natural history and treatment responses. Standardising phenotyping could advance research and facilitate trials of potential therapies, which lag so far. This review updates on recent advances and summarises current evidence for specific treatments.

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Effectiveness of acceptance and commitment therapy (ACT) on depression and sleep quality in painful diabetic neuropathy: a randomized clinical trial

Cited by 15 publications

References 19 publications

Usability and Acceptability of a Videoconference Program for the Treatment of Depression in Adults With Peripheral Neuropathy

Usability and Acceptability of a Videoconference Program for the Treatment of Depression in Adults With Peripheral Neuropathy

The Effectiveness of Acceptance and Commitment Therapy, Transcranial Direct Current Stimulation, and Pharmacotherapy on The Sleep Quality of Women with Chronic Pain: A Randomized Clinical Trial

Advances in diagnosis and management of distal sensory polyneuropathies

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