The role of physical activity and psychological coping strategies in the management of painful diabetic neuropathy – A systematic review of the literature

Davies, Ben; Cramp, Fiona; Gauntlett‐Gilbert, Jeremy; Wynick, David; McCabe, Candy

doi:10.1016/j.physio.2015.04.003

Cited by 22 publications

(19 citation statements)

References 33 publications

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“…Multidisciplinary education has been shown to empower rheumatoid arthritis patients to manage their condition and reduce disease activity in the longer term . We hypothesize that addressing these factors, for example through individualized interventions supporting patients to manage their oral and ocular dryness symptoms and with nonpharmacologic interventions such as exercise , pain management , and cognitive behavioral therapy for sleep disturbances , patients may feel more patient empowered. Modes of delivering these interventions need to be considered, and digital technologies, such as the use of mobile applications, can be used to empower patients to take charge of their own health and used as an adjunct to face‐to‐face care.…”

Section: Discussionmentioning

confidence: 99%

Mixed‐Methods Study Identifying Key Intervention Targets to Improve Participation in Daily Living Activities in Primary Sjögren's Syndrome Patients

Hackett

Deane

Newton

et al. 2018

Arthritis Care & Research

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ObjectiveFunctional ability and participation in life situations are compromised in many primary Sjögren's syndrome (SS) patients. This study aimed to identify the key barriers and priorities to participation in daily living activities, in order to develop potential future interventions.MethodsGroup concept mapping, a semiquantitative, mixed‐methods approach was used to identify and structure ideas from UK primary SS patients, adult household members living with a primary SS patient, and health care professionals. Brainstorming generated ideas, which were summarized into a final set of statements. Participants individually arranged these statements into themes and rated each statement for importance. Multidimensional scaling and hierarchical cluster analysis were applied to sorted and rated data to produce visual representations of the ideas (concept maps), enabling identification of agreed priority areas for interventions.ResultsA total of 121 patients, 43 adult household members, and 67 health care professionals took part. In sum, 463 ideas were distilled down to 94 statements. These statements were grouped into 7 clusters: Patient Empowerment, Symptoms, Wellbeing, Access and Coordination of Health Care, Knowledge and Support, Public Awareness and Support, and Friends and Family. Patient Empowerment and Symptoms were rated as priority conceptual themes. Important statements within priority clusters indicate patients should be taken seriously and supported to self‐manage symptoms of oral and ocular dryness, fatigue, pain, and poor sleep.ConclusionOur data highlighted the fact that in addition to managing primary SS symptoms, interventions aiming to improve patient empowerment, general wellbeing, access to health care, patient education, and social support are important to facilitate improved participation in daily living activities.

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Section: Discussionmentioning

confidence: 99%

Mixed‐Methods Study Identifying Key Intervention Targets to Improve Participation in Daily Living Activities in Primary Sjögren's Syndrome Patients

Hackett

Deane

Newton

et al. 2018

Arthritis Care & Research

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“…Less pain, depressive symptoms and better physical QoL could be predicted by the normal cognition and coping strategy (32,33). Cognitive factors play a vital role in patient adjustment, including helplessness catastrophizing and pain catastrophizing (34,35). Therefore, biopsychosocial treatment model including psychotherapeutic management should be developed for men patients with CP/CPPS who are refractory to drug therapy and physiotherapy.…”

Section: Discussionmentioning

confidence: 99%

Psychological factors and pain catastrophizing in men with chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS): a meta-analysis

Xiao-hong¹,

Zhan²,

Cui³

et al. 2020

Transl Androl Urol

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Background: Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is a chronic disease with a variety of psychosocial and somatic symptoms. CP/CPPS has substantial health care costs with unclear etiology, which may be caused by psychosocial factors. Moreover, previous studies suggested that cognitive processes played a crucial role in the perception of somatic pain. Therefore, the aim of this meta-analysis was to analyze the psychosocial characteristics in men with CP/CPPS, especially the symptom of pain catastrophizing.Methods: Relevant publications were searched in different databases including PubMed, MEDLINE, EMBASE, Google Scholar and the Cochran Library using the search terms of "Chronic prostatitis", "Chronic pelvic pain syndrome", "Psychosocial" and "Catastrophizing". The prevalence of psychological factors and pain catastrophizing in men with CP/CPPS were extracted and calculated.Results: Ten studies inclusive of 1,308 patients were included. Analysis of NIH-CPSI scores showed that the severity of CP/CPPS was 23.20 (95% CI: 21.13-25.28). The severity of pain catastrophizing was 13.81 (95% CI: 9.83-17.79) estimated by coping strategies questionnaire (CSQ), while the severity of pain catastrophizing was 24.83 (95% CI: 9.19-40.47) estimated by pain catastrophizing scale (PCS).The prevalence of psychosocial symptom was 0.43 (95% CI: 0.32-0.55), while the prevalence of pain catastrophizing was 0.26 (95% CI: 0.21-0.31). Conclusions:The psychological factors and pain catastrophizing in men with CP/CPPS was serious. Furthermore, the prevalence of psychosocial symptom and pain catastrophizing was high. There might be a link between pain catastrophizing and somatic symptoms in CPPS. Thus, further prospective studies are needed to evaluate the importance of psychosocial factors in symptom severity of CP/CPPS.

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“…In this context, a recent systematic review has examined the therapeutic importance of physical activity for treating pain in DSPN [113]. The evidence of improvement is insufficient; this may be due to limited data (2 studies), but also methodological limitations and risk of bias [113].…”

Section: Low Physical Activitymentioning

confidence: 99%

Risk Factors and Comorbidities in Diabetic Neuropathy: An Update 2015

2015

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■ AbstractDistal symmetric sensorimotor polyneuropathy (DSPN) is the most common neurological manifestation in diabetes. Major risk factors of DSPN include diabetes duration, hyperglycemia, and age, followed by prediabetes, hypertension, dyslipidemia, and obesity. Height, smoking, insulin resistance, hypoinsulinemia, and others represent an additional risk. Importantly, hyperglycemia, hypertension, dyslipidemia, obesity, and smoking are modifiable. Stringent glycemic control has been shown to be effective in type 1, but not to the same extent in type 2 diabetes. Antilipidemic treatment, especially with fenofibrate, and multi-factorial intervention have produced encouraging results, but more experience is necessary. The major comorbidities of DSPN are depression, autonomic neuropathy, peripheral artery disease, cardiovascular disease, nephropathy, retinopathy, and medial arterial calcification. Knowledge of risk factors and comorbidities has the potential to enrich the therapeutic strategy in clinical practice as part of the overall medical care for patients with neuropathy. This article provides an updated overview of DSPN risk factors and comorbidities.

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The role of physical activity and psychological coping strategies in the management of painful diabetic neuropathy – A systematic review of the literature

Abstract: Background: Diabetes is rising in prevalence; painful diabetic neuropathy (PDN) is one

Cited by 22 publications

References 33 publications

Mixed‐Methods Study Identifying Key Intervention Targets to Improve Participation in Daily Living Activities in Primary Sjögren's Syndrome Patients

Mixed‐Methods Study Identifying Key Intervention Targets to Improve Participation in Daily Living Activities in Primary Sjögren's Syndrome Patients

Psychological factors and pain catastrophizing in men with chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS): a meta-analysis

Risk Factors and Comorbidities in Diabetic Neuropathy: An Update 2015

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