A Consideration of the Psychological Aspects to Managing Patients with Painful Diabetic Neuropathy: An Insight into Pain Management Services at a Tertiary Centre in the UK
Painful diabetic neuropathy (pDN) is characterised by both sensory and affective disturbances, suggesting a complex bidirectional relationship of neuropathic pain and mood disorders. Data on pDN indicate that neuropathic pain reduces quality of life, including mood and physical and social functionin...
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| Veröffentlicht in: | Diabetes therapy 2021-02, Vol.12 (2), p.487-498 |
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| creator | Twiddy, Hannah Frank, Bernhard Alam, Uazman |
| description | Painful diabetic neuropathy (pDN) is characterised by both sensory and affective disturbances, suggesting a complex bidirectional relationship of neuropathic pain and mood disorders. Data on pDN indicate that neuropathic pain reduces quality of life, including mood and physical and social functioning. Depression and pain coping strategies such as catastrophising and social support predict pain severity. There is a significant and reciprocal relationship between depressed mood and increased pain. The key features of assessing people with neuropathic pain in relation to psychological aspects of their health are discussed in the context of management in a tertiary pain management centre (The Walton Centre, Liverpool, UK) including cognitive behavioural interventions amongst others to improve the quality of life in patients with pDN. We consider psychological issues as a factor influencing treatment and outcome in patients with pDN. |
| doi_str_mv | 10.1007/s13300-020-00983-y |
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Data on pDN indicate that neuropathic pain reduces quality of life, including mood and physical and social functioning. Depression and pain coping strategies such as catastrophising and social support predict pain severity. There is a significant and reciprocal relationship between depressed mood and increased pain. The key features of assessing people with neuropathic pain in relation to psychological aspects of their health are discussed in the context of management in a tertiary pain management centre (The Walton Centre, Liverpool, UK) including cognitive behavioural interventions amongst others to improve the quality of life in patients with pDN. 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We consider psychological issues as a factor influencing treatment and outcome in patients with pDN.</description><subject>Anxiety</subject><subject>Behavior modification</subject><subject>Cardiology</subject><subject>Care and treatment</subject><subject>Cognitive therapy</subject><subject>Coping</subject><subject>Diabetes</subject><subject>Diabetic neuropathies</subject><subject>Diabetic neuropathy</subject><subject>Drug therapy</subject><subject>Endocrinology</subject><subject>Internal Medicine</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental depression</subject><subject>Neuralgia</subject><subject>Pain</subject><subject>Pain management</subject><subject>Patient outcomes</subject><subject>Psychological aspects</subject><subject>Quality of life</subject><subject>Review</subject><issn>1869-6953</issn><issn>1869-6961</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp9Ustu1DAUjRCIVqU_wAJZYsMmxY4Tx2GBNBpeFQUq0a4tj3OTuMrYU9spmm_qT_bOTBlahLBl-XHPOb7XPln2ktETRmn9NjLOKc1pgYM2kufrJ9khk6LJRSPY0_264gfZcYxXFBtvmoax59kB51zUjSwOs9sZmXsXbQtBJ-sd8R1JA5DzuDaDH31vjR7JLK7ApEiSJ9-00711PTlHPDg8_GXTgDvrumkkH6xeQLKGfIcp-JVOw_odmTlyinf0QyLWocYGvBOCJUqQnxBurIFIdCKaXEBIVoc1mWMsAFK2GV1-fZE96_QY4fh-PsouP328mH_Jz358Pp3PznJTlSzlBeOiM13XCW6auuFQNrRtSxC8hraUBS8rAC2FLlkLTNZUdl1FWWW0ZmLBJD_K3u90V9NiCa3ZpKFHtQp2iWkpr616HHF2UL2_UbUshdgKvLkXCP56gpjU0kYD46gd-Cmqoqw5_gVtBEJf_wW98lNwWJ4qKlZwKSR7gOr1CApf2uO9ZiOqZqJivCxlXSDq5B8o7C0srfEOOovnjwjFjmCCjzFAt6-RUbVxmdq5TKHL1NZlao2kVw9fZ0_57SkE8B0gYsj1EP6U9B_ZO2LV3po</recordid><startdate>20210201</startdate><enddate>20210201</enddate><creator>Twiddy, Hannah</creator><creator>Frank, Bernhard</creator><creator>Alam, Uazman</creator><general>Springer Healthcare</general><general>Springer</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20210201</creationdate><title>A Consideration of the Psychological Aspects to Managing Patients with Painful Diabetic Neuropathy: An Insight into Pain Management Services at a Tertiary Centre in the UK</title><author>Twiddy, Hannah ; 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| source | DOAJ Directory of Open Access Journals; Springer Nature OA Free Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Anxiety Behavior modification Cardiology Care and treatment Cognitive therapy Coping Diabetes Diabetic neuropathies Diabetic neuropathy Drug therapy Endocrinology Internal Medicine Medicine Medicine & Public Health Mental depression Neuralgia Pain Pain management Patient outcomes Psychological aspects Quality of life Review |
| title | A Consideration of the Psychological Aspects to Managing Patients with Painful Diabetic Neuropathy: An Insight into Pain Management Services at a Tertiary Centre in the UK |
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