A randomized controlled trial of cognitive behavioral therapy compared with diabetes education for diabetic peripheral neuropathic pain.
Diana M HigginsAlicia A HeapyEugenia ButaKathryn M LaChappelleKristin L SerowikRebecca CzlapinskiRobert D KernsPublished in: Journal of health psychology (2020)
A randomized controlled trial compared cognitive behavioral therapy (CBT) and diabetes education (ED) as an adjunctive treatment for diabetic peripheral neuropathic pain (DPNP). We examined change from baseline to 12- and 36-week follow-up in overall pain intensity (NRS), neuropathic pain intensity/quality, pain interference, and mental health functioning, among others. Although CBT participants demonstrated improvement in pain intensity NRS, there were no between-condition differences at either follow-up. CBT reduced neuropathic pain intensity at 12-weeks more than ED. At 36-weeks, CBT was superior to ED for improving pain interference and mental health functioning. Results provide evidence of benefit of CBT for DPNP.ClinicalTrials.gov Identifier: NCT00830011.
Keyphrases
- neuropathic pain
- spinal cord
- spinal cord injury
- mental health
- type diabetes
- emergency department
- high intensity
- cardiovascular disease
- healthcare
- quality improvement
- chronic pain
- glycemic control
- clinical trial
- obsessive compulsive disorder
- mental illness
- metabolic syndrome
- gestational age
- wound healing
- insulin resistance
- weight loss
- chemotherapy induced