The Effect of Mindfulness Meditation on Painful Diabetic Peripheral Neuropathy in Adults Older Than 50 Years

Abstract

This pilot study explored the effect of mindfulness meditation for diabetic neuropathy. Twenty participants (10 in each group) completed the study. No significant differences were found between the groups. However, differences between the means were found on 2 constructs: pain quality of life and symptom-related quality of life. Further studies may show efficacy.

Mindfulness Meditation for Chronic Pain: A Systematic Review

“…Mindfulness meditation improved self-reported pain more than cognitive behavioral therapy (SMD 0.56; CI 0.16, 0.96) but not more than a nutritional program (SMD 0.08; CI −0.30, 0.45) (Teixeira, 2010). MBSR had no significant effect on pain unpleasantness compared with massage (SMD −0.30; CI −1.34, 0.74) (PlewsOgan et al, 2005) or on Pain Perception Scale affective component scores compared with relaxation training (SMD 0.08; CI −0.30, .45) .…”

“…The median short-term follow-up time was eight weeks (range 4-12 weeks). Figure 3.3 shows a positive effect of meditation on pain from 0-12 weeks in 17 studies (Brown and Jones, 2013;Cash et al, 2015;Cathcart et al, 2014;Esmer et al, 2010;Morone, Greco, and Weiner, 2008;Omidi and Zargar, 2014;Plews-Ogan et al, 2005;Teixeira, 2010;Wells et al, 2014;Zautra et al, 2008;Parra-Delgado and LatorrePostigo, 2013;Rahmani and Talepasand, 2015;Gaylord et al, 2011;Ljotsson, Falk, et al, 2010), which was statistically significant in five studies Omidi and Zargar, 2014;Wells et al, 2014;Rahmani and Talepasand, 2015;Gaylord et al, 2011). The pooled analysis of all 24 RCTs showed a significant positive effect (SMD 0.27; CI 0.04, 0.50; 24 RCTs; I 2 64.6%).…”

“…Five (Brown and Jones, 2013;la Cour and Petersen, 2015;Ljotsson, Falk, et al, 2010;Rahmani and Talepasand, 2015) of the 13 studies reporting mental health-related quality of life reported a significant effect, and this effect is significant in the pooled analysis (SMD 0.44; CI 0.18, 0.69; 13 RCTs; I 2 50.6%) (Brown and Jones, 2013;Gaylord et al, 2011;la Cour and Petersen, 2015;Ljotsson, Falk, et al, 2010;Meize-Grochowski et al, 2015;Morone, Greco and Weiner, 2008;Plews-Ogan et al, 2005;Rahmani and Talepasand, 2015;Teixeira, 2010;Wells et al, 2014). 1 Twelve studies measured physical health-related quality of life (Brown and Jones, 2013;Gaylord et al, 2011;la Cour and Petersen, 2015;Ljotsson, Falk, et al, 2010;Meize-Grochowski et al, 2015;Morone, Greco, and Weiner, 2008;Rahmani and Talepasand, 2015;Teixeira, 2010;Wells et al, 2014), and four of these studies used a remote intervention (Ljotsson, Falk, et al, 2010;Meize-Grochowski et al, 2015;Teixeira, 2010). 2 Three (Ljotsson, Falk, et al, 2010;Rahmani and Talepasand, 2015) of the 12 and all of those using a remote intervention report a significant positive effect of meditation on physical health-related quality of life.…”

“…Pain scales and comparators varied from study to study (Astin et al, 2000;Brown and Jones, 2013;Cash et al, 2015;Cathcart et al, 2014;Davis and Zautra, 2013;Day et al, 2014;Dowd et al, 2015;Esmer et al, 2010;la Cour and Petersen, 2015;Meize-Grochowski et al, 2015;Morone, Greco, and Weiner, 2008;Morone et al, 2009;Omidi and Zargar, 2014;Plews-Ogan et al, 2005;Teixeira, 2010;Wells et al, 2014;Zautra et al, 2008;Parra-Delgado and Latorre-Postigo, 2013;Rahmani and Talepasand, 2015;Gaylord et al, 2011;Ljotsson, Falk, et al, 2010). The median follow-up time was 12 weeks, with a range of four to 60 weeks.…”

“…Eleven studies were judged to be poor; eight of these were primarily due to issues with completeness of reporting outcome data, such as inadequate or missing ITT analysis or less than 80-percent follow-up Brown and Jones, 2013;Cathcart et al, 2014;Esmer et al, 2010;Meize-Grochowski et al, 2015;Morone et al, 2009;Omidi and Zargar, 2014;PlewsOgan et al, 2005). Three studies were judged poor primarily due to unclear methods (Rahmani and Talepasand, 2015;Teixeira, 2010;Wong, 2009).…”