Evidence map›Paper›PMID 31309355›Full record

Trial reportJournal of behavioral medicine2020

Mediators and moderators of change in mindfulness-based stress reduction for painful diabetic peripheral neuropathy.

Karolina A Rozworska, Patricia A Poulin, Amanda Carson, Giorgio A Tasca, Howard J Nathan

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Journal of behavioral medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Review
  5. Psychologic Impacts on Diabetic Neuropathic Pain.Current pain and headache reports · 2022
    Review
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Karolina A RozworskaDepartment of Psychology, The Ottawa Hospital, 501 Smyth Road, Room 7300, Ottawa, ON, K1H 8L6, Canada. k.rozworska@alumni.ubc.ca.ORCID 0000-0003-1180-0233
Patricia A PoulinDepartment of Psychology, The Ottawa Hospital, 501 Smyth Road, Room 7300, Ottawa, ON, K1H 8L6, Canada.
Amanda CarsonFaculty of Health, Department of Psychology, York University, 4700 Keele Street, Toronto, ON, M3J 1P3, Canada.
Giorgio A TascaFaculty of Social Sciences, School of Psychology, The University of Ottawa, 136 Jean-Jacques Lussier, Ottawa, ON, K1N 6N5, Canada.
Howard J NathanFaculty of Medicine, Department of Anesthesiology and Pain Medicine, The University of Ottawa, 1053 Carling Ave, Ottawa, ON, K1Y 4E9, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Painful diabetic peripheral neuropathy (PDPN) is a chronic pain condition with modest response to pharmacotherapy. Participation in mindfulness-based stress reduction (MBSR) leads to improvements in pain-related outcomes but the mechanisms of change are unknown. The present study examined the mediators and moderators of change in 62 patients with PDPN who participated in a randomized controlled trial comparing MBSR to waitlist. Changes in mindfulness and pain catastrophizing were tested simultaneously as mediators. Increased mindfulness mediated the association between participation in MBSR and improved pain severity, pain interference, and the physical component of health-related quality of life (HRQoL) 3 months later. The mediation effect of pain catastrophizing was not significant. Linear moderated trends were also found. Post-hoc moderated mediation analyses suggested that MBSR patients with longer histories of diabetes might increase their mindfulness levels more, which in turn leads to improved pain severity and physical HRQoL. These results allow for a deeper understanding of pathways by which MBSR benefits patients with PDPN.

Indexed as

CatastrophizationChronic PainDiabetes MellitusDiabetic NeuropathiesFemaleHumansMaleMiddle AgedMindfulnessQuality of LifeStress, PsychologicalChronic painDiabetesMindfulnessNeuropathic painPain management

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.