Living with painful diabetic neuropathy: insights from focus groups into fears and coping strategies

Iris M Kanera, Charlotte C M van Laake-Geelen, Joop M Ruijgrok, Marielle E J B Goossens, Jeroen R de Jong, Jeanine A Verbunt, Margot Geerts, Rob J E M Smeets, Hanne P J Kindermans

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

OBJECTIVE: Painful diabetic neuropathy (PDN) is known to negatively affect quality of life. Being physically active is a crucial part of successful diabetes self-management, but regimen adherence is often low. Coping strategies and fears have shown to be related to less physical activity (PA). The aim of the present study was to obtain more in-depth information on psychological risk factors leading to less PA in persons with PDN.

DESIGN: Three semi-structured focus group interviews were conducted with a representative sample of persons with PDN (N = 12). Data were transcribed verbatim and analysed using a hybrid method of thematic analyses and a grounded theory approach.

MAIN OUTCOME MEASURES: Fears and coping strategies related to PA in persons with PDN.

RESULTS: Several specific fears were identified; fear of hypoglycaemia, fear of pain increase, fear of total exhaustion, fear of physical injury, fear of falling, fear of loss of identity, and fear of negative evaluation by others. To cope with these fears, avoidance, remaining active, cognitive distraction, and acceptance strategies were described.

CONCLUSION: In persons with PDN, diabetes-related fears and pain-related fears play a role in less engagement in PA, indicating the need for new methods for improving self-management in persons with PDN.

Original languageEnglish
Pages (from-to)84-105
Number of pages22
JournalPsychology & Health
Volume34
Issue number1
Early online date15 Oct 2018
DOIs
Publication statusPublished - 2019

Keywords

  • CATASTROPHIZING SCALE
  • DIAGNOSTIC QUESTIONNAIRE
  • DISABILITY INDEX
  • Diabetes
  • EXPOSURE IN-VIVO
  • LOW-BACK-PAIN
  • MOVEMENT (RE)INJURY
  • PERIPHERAL NEUROPATHY
  • PHYSICAL-ACTIVITY
  • PSYCHOMETRIC PROPERTIES
  • QUALITY-OF-LIFE
  • coping
  • diabetes self-care
  • fear
  • neuropathic pain
  • self-management

Cite this

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title = "Living with painful diabetic neuropathy: insights from focus groups into fears and coping strategies",
abstract = "OBJECTIVE: Painful diabetic neuropathy (PDN) is known to negatively affect quality of life. Being physically active is a crucial part of successful diabetes self-management, but regimen adherence is often low. Coping strategies and fears have shown to be related to less physical activity (PA). The aim of the present study was to obtain more in-depth information on psychological risk factors leading to less PA in persons with PDN.DESIGN: Three semi-structured focus group interviews were conducted with a representative sample of persons with PDN (N = 12). Data were transcribed verbatim and analysed using a hybrid method of thematic analyses and a grounded theory approach.MAIN OUTCOME MEASURES: Fears and coping strategies related to PA in persons with PDN.RESULTS: Several specific fears were identified; fear of hypoglycaemia, fear of pain increase, fear of total exhaustion, fear of physical injury, fear of falling, fear of loss of identity, and fear of negative evaluation by others. To cope with these fears, avoidance, remaining active, cognitive distraction, and acceptance strategies were described.CONCLUSION: In persons with PDN, diabetes-related fears and pain-related fears play a role in less engagement in PA, indicating the need for new methods for improving self-management in persons with PDN.",
keywords = "CATASTROPHIZING SCALE, DIAGNOSTIC QUESTIONNAIRE, DISABILITY INDEX, Diabetes, EXPOSURE IN-VIVO, LOW-BACK-PAIN, MOVEMENT (RE)INJURY, PERIPHERAL NEUROPATHY, PHYSICAL-ACTIVITY, PSYCHOMETRIC PROPERTIES, QUALITY-OF-LIFE, coping, diabetes self-care, fear, neuropathic pain, self-management",
author = "Kanera, {Iris M} and {van Laake-Geelen}, {Charlotte C M} and Ruijgrok, {Joop M} and Goossens, {Marielle E J B} and {de Jong}, {Jeroen R} and Verbunt, {Jeanine A} and Margot Geerts and Smeets, {Rob J E M} and Kindermans, {Hanne P J}",
year = "2019",
doi = "10.1080/08870446.2018.1518526",
language = "English",
volume = "34",
pages = "84--105",
journal = "Psychology & Health",
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Living with painful diabetic neuropathy : insights from focus groups into fears and coping strategies. / Kanera, Iris M; van Laake-Geelen, Charlotte C M; Ruijgrok, Joop M; Goossens, Marielle E J B; de Jong, Jeroen R; Verbunt, Jeanine A; Geerts, Margot; Smeets, Rob J E M; Kindermans, Hanne P J.

In: Psychology & Health, Vol. 34, No. 1, 2019, p. 84-105.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Living with painful diabetic neuropathy

T2 - insights from focus groups into fears and coping strategies

AU - Kanera, Iris M

AU - van Laake-Geelen, Charlotte C M

AU - Ruijgrok, Joop M

AU - Goossens, Marielle E J B

AU - de Jong, Jeroen R

AU - Verbunt, Jeanine A

AU - Geerts, Margot

AU - Smeets, Rob J E M

AU - Kindermans, Hanne P J

PY - 2019

Y1 - 2019

N2 - OBJECTIVE: Painful diabetic neuropathy (PDN) is known to negatively affect quality of life. Being physically active is a crucial part of successful diabetes self-management, but regimen adherence is often low. Coping strategies and fears have shown to be related to less physical activity (PA). The aim of the present study was to obtain more in-depth information on psychological risk factors leading to less PA in persons with PDN.DESIGN: Three semi-structured focus group interviews were conducted with a representative sample of persons with PDN (N = 12). Data were transcribed verbatim and analysed using a hybrid method of thematic analyses and a grounded theory approach.MAIN OUTCOME MEASURES: Fears and coping strategies related to PA in persons with PDN.RESULTS: Several specific fears were identified; fear of hypoglycaemia, fear of pain increase, fear of total exhaustion, fear of physical injury, fear of falling, fear of loss of identity, and fear of negative evaluation by others. To cope with these fears, avoidance, remaining active, cognitive distraction, and acceptance strategies were described.CONCLUSION: In persons with PDN, diabetes-related fears and pain-related fears play a role in less engagement in PA, indicating the need for new methods for improving self-management in persons with PDN.

AB - OBJECTIVE: Painful diabetic neuropathy (PDN) is known to negatively affect quality of life. Being physically active is a crucial part of successful diabetes self-management, but regimen adherence is often low. Coping strategies and fears have shown to be related to less physical activity (PA). The aim of the present study was to obtain more in-depth information on psychological risk factors leading to less PA in persons with PDN.DESIGN: Three semi-structured focus group interviews were conducted with a representative sample of persons with PDN (N = 12). Data were transcribed verbatim and analysed using a hybrid method of thematic analyses and a grounded theory approach.MAIN OUTCOME MEASURES: Fears and coping strategies related to PA in persons with PDN.RESULTS: Several specific fears were identified; fear of hypoglycaemia, fear of pain increase, fear of total exhaustion, fear of physical injury, fear of falling, fear of loss of identity, and fear of negative evaluation by others. To cope with these fears, avoidance, remaining active, cognitive distraction, and acceptance strategies were described.CONCLUSION: In persons with PDN, diabetes-related fears and pain-related fears play a role in less engagement in PA, indicating the need for new methods for improving self-management in persons with PDN.

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KW - DISABILITY INDEX

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KW - LOW-BACK-PAIN

KW - MOVEMENT (RE)INJURY

KW - PERIPHERAL NEUROPATHY

KW - PHYSICAL-ACTIVITY

KW - PSYCHOMETRIC PROPERTIES

KW - QUALITY-OF-LIFE

KW - coping

KW - diabetes self-care

KW - fear

KW - neuropathic pain

KW - self-management

U2 - 10.1080/08870446.2018.1518526

DO - 10.1080/08870446.2018.1518526

M3 - Article

C2 - 30320508

VL - 34

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EP - 105

JO - Psychology & Health

JF - Psychology & Health

SN - 0887-0446

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ER -