Unravelling pain in diabetic neuropathy patients: Exploring the relationship between perceived pain severity, lifestyle, and coping strategies mediated by self-focused attention and rumination: A cross-sectional study

Objective: Diabetes ranks highly among the world's non-communicable diseases, bringing about a host of physical and psychological impacts on those it afflicts. One such complication is neuropathy, often resulting in significant pain and discomfort. Diabetic neuropathy patients' perceived p...

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Main Authors: Fatemeh Hosseini, Amirhossein Yavari, Arya Haddadi
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:Heliyon
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Online Access:http://www.sciencedirect.com/science/article/pii/S2405844025007777
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author Fatemeh Hosseini
Amirhossein Yavari
Arya Haddadi
author_facet Fatemeh Hosseini
Amirhossein Yavari
Arya Haddadi
author_sort Fatemeh Hosseini
collection DOAJ
description Objective: Diabetes ranks highly among the world's non-communicable diseases, bringing about a host of physical and psychological impacts on those it afflicts. One such complication is neuropathy, often resulting in significant pain and discomfort. Diabetic neuropathy patients' perceived pain intensity, lifestyle, and pain management strategies measures will be examined in this study. This study also analyses how self-focused attention and rumination mediate this dynamic in Hamedan, Iran, 2023 patients. Methods: The study population comprised neuropathy patients in Hamadan province, Iran. A sample of 253 individuals was selected for the study. Data collection involved several questionnaires: The McGill Pain Questionnaire, Lifestyle Questionnaire, the Coping Strategies Questionnaire, the Self-Focused Attention Questionnaire, and the Rumination Questionnaire. The research model was evaluated using structural equation modeling with AMOS software version 24. Results: Path analysis revealed that the model exploring the relationship between lifestyle-based severity of pain perception and pain coping strategies, mediated by self-focused attention and rumination, was a good fit for patients with diabetic neuropathy. (P < 0.05) Conclusion: The findings suggest that an improved lifestyle and more effective pain management strategies are linked to decreased severity of pain perception in patients with diabetic neuropathy. Additionally, the research indicates that self-focused attention and high levels of rumination may lead to increased severity of pain perception in these individuals. This research has the potential to advance the understanding of diabetic neuropathy's underlying mechanisms and enhance treatment approaches, ultimately playing a significant role in improving the quality of life for these patients.
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spelling doaj-art-2abc363873094a81a506f9d6c75a949c2025-02-07T04:47:56ZengElsevierHeliyon2405-84402025-02-01113e42397Unravelling pain in diabetic neuropathy patients: Exploring the relationship between perceived pain severity, lifestyle, and coping strategies mediated by self-focused attention and rumination: A cross-sectional studyFatemeh Hosseini0Amirhossein Yavari1Arya Haddadi2Department of Clinical Psychology, Faculty of Medical Sciences, Islamic Azad University, Hamedan Branch, Hamedan, IranClinical Psychology, Faculty of Medical Sciences, Hamedan Branch, Islamic Azad University, Hamedan, Iran; Correponding author.Behavioral Disorders and Substance Abuse Research Center, Hamadan University of Medical Sciences, Hamadan, Iran; Corresponding author.Objective: Diabetes ranks highly among the world's non-communicable diseases, bringing about a host of physical and psychological impacts on those it afflicts. One such complication is neuropathy, often resulting in significant pain and discomfort. Diabetic neuropathy patients' perceived pain intensity, lifestyle, and pain management strategies measures will be examined in this study. This study also analyses how self-focused attention and rumination mediate this dynamic in Hamedan, Iran, 2023 patients. Methods: The study population comprised neuropathy patients in Hamadan province, Iran. A sample of 253 individuals was selected for the study. Data collection involved several questionnaires: The McGill Pain Questionnaire, Lifestyle Questionnaire, the Coping Strategies Questionnaire, the Self-Focused Attention Questionnaire, and the Rumination Questionnaire. The research model was evaluated using structural equation modeling with AMOS software version 24. Results: Path analysis revealed that the model exploring the relationship between lifestyle-based severity of pain perception and pain coping strategies, mediated by self-focused attention and rumination, was a good fit for patients with diabetic neuropathy. (P < 0.05) Conclusion: The findings suggest that an improved lifestyle and more effective pain management strategies are linked to decreased severity of pain perception in patients with diabetic neuropathy. Additionally, the research indicates that self-focused attention and high levels of rumination may lead to increased severity of pain perception in these individuals. This research has the potential to advance the understanding of diabetic neuropathy's underlying mechanisms and enhance treatment approaches, ultimately playing a significant role in improving the quality of life for these patients.http://www.sciencedirect.com/science/article/pii/S2405844025007777Severity of pain perceptionLifestylePain coping strategiesSelf-focused attentionRuminationDiabetic neuropathy
spellingShingle Fatemeh Hosseini
Amirhossein Yavari
Arya Haddadi
Unravelling pain in diabetic neuropathy patients: Exploring the relationship between perceived pain severity, lifestyle, and coping strategies mediated by self-focused attention and rumination: A cross-sectional study
Heliyon
Severity of pain perception
Lifestyle
Pain coping strategies
Self-focused attention
Rumination
Diabetic neuropathy
title Unravelling pain in diabetic neuropathy patients: Exploring the relationship between perceived pain severity, lifestyle, and coping strategies mediated by self-focused attention and rumination: A cross-sectional study
title_full Unravelling pain in diabetic neuropathy patients: Exploring the relationship between perceived pain severity, lifestyle, and coping strategies mediated by self-focused attention and rumination: A cross-sectional study
title_fullStr Unravelling pain in diabetic neuropathy patients: Exploring the relationship between perceived pain severity, lifestyle, and coping strategies mediated by self-focused attention and rumination: A cross-sectional study
title_full_unstemmed Unravelling pain in diabetic neuropathy patients: Exploring the relationship between perceived pain severity, lifestyle, and coping strategies mediated by self-focused attention and rumination: A cross-sectional study
title_short Unravelling pain in diabetic neuropathy patients: Exploring the relationship between perceived pain severity, lifestyle, and coping strategies mediated by self-focused attention and rumination: A cross-sectional study
title_sort unravelling pain in diabetic neuropathy patients exploring the relationship between perceived pain severity lifestyle and coping strategies mediated by self focused attention and rumination a cross sectional study
topic Severity of pain perception
Lifestyle
Pain coping strategies
Self-focused attention
Rumination
Diabetic neuropathy
url http://www.sciencedirect.com/science/article/pii/S2405844025007777
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