Comparison of the effectiveness of mindfulness and homeopathy on sleep and chronic pain in patients with diabetes mellitus




Mindfulness, Homeopathy, Sleep, Chronic Pain, Diabetes


BACKGROUND: Diabetes mellitus (DM) can affect many aspects of life. Numerous psychological interventions have been applied to control this disease. The aim of this study is to examine the effectiveness of mindfulness and homeopathy on sleep and chronic pain in patients with DM in Tehran, Iran.

METHODS: The method of study was quasi-experimental with a control group with pretest and posttest stages. The statistical population of the study consisted of all patients with DM referred to the Iranian Diabetes Society (IDS) in Tehran in 2016. Patients with DM with sleep and chronic pain disorders were selected for this study. Among the individuals, 45 people were randomly selected and placed in 3 groups (homeopathy n = 15), mindfulness (n = 15), and control group (n = 15). The two experimental groups (homeopathy and mindfulness) underwent the interventions of homeopathy and mindfulness, respectively, while the control group was in the wait list. All three groups filled out the Pittsburgh Sleep Quality Index (PSQI) and McGill Pain Questionnaire (MPQ) at the baseline and follow-up steps. The data were analyzed using analysis of covariance (ANCOVA) in SPSS software (version 22, IBM Corporation, Armonk, NY, USA).

RESULTS: The results showed that mindfulness-based stress reduction (MBRS) and homeopathy could improve chronic pain and sleep disorders in the experimental groups (P < 0.05), however the mindfulness-based treatment was better than homeopathy for reduction of chronic pain and improvement of sleep disorders (P < 0.05).

CONCLUSION: Mindfulness and homeopathy are effective in the reduction of chronic pain and sleep disorders in patients with DM, with mindfulness being more effective than homeopathy. This alternative medicine could improve pain and sleep effectively in patients with DM.


Amirkhani Z, Rezaei SA. The effectiveness of mindfulness based on stress reduction on sleep quality, disturbing thoughts and anxiety sensitivity in patients with diagnosis of post-traumatic stress disorder in war. Journal of Military Psychology 2017; 8(29): 23-33. [In Persian].

Bakhshani NM, Amirani A, Amirifard H, Shahrakipoor M. The effectiveness of mindfulness-based stress reduction on perceived pain intensity and quality of life in patients with chronic headache. Glob J Health Sci 2015; 8(4): 142-51.

Dr. Prasanta Banerji Homoeopathic Research Foundation. Home of the Banerji Protocols ™ [Online]. [cited 2020]; Available from: URL:

Bell IR, Howerter A, Jackson N, Aickin M, Baldwin CM, Bootzin RR. Effects of homeopathic medicines on polysomnographic sleep of young adults with histories of coffee-related insomnia. Sleep Med 2011; 12(5): 505-11.

Carlson LE, Garland SN. Impact of mindfulness-based stress reduction (MBSR) on sleep, mood, stress and fatigue symptoms in cancer outpatients. Int

J Behav Med 2005; 12(4): 278-85.

Cherkin DC, Sherman KJ, Balderson BH, Cook AJ, Anderson ML, Hawkes RJ, et al. Effect of Mindfulness-Based Stress Reduction vs Cognitive Behavioral Therapy or Usual Care on Back Pain and Functional Limitations in Adults With Chronic Low Back Pain: A Randomized Clinical Trial. JAMA 2016; 315(12): 1240-9.

Ebrahimi A, Ghahari S. The effectiveness of mindfulness-based stress reduction (MBSR) on anxiety and depression in patients with multiple sclerosis (MS). Chron Dis J 2020; 8(1): 21-5.

Farrahi J, Nakhaee N, Sheibani V, Garrusi B, Amirkafi A. Psychometric properties of the Persian version of the Pittsburgh Sleep Quality Index addendum for PTSD (PSQI-A). Sleep Breath 2009; 13(3): 259-62.

Gadde P, Narasimhulu D, Rompicherla KG. Integrative management of diabetic foot ulcer with Homoeopathy and standard care. Indian J Res Homoeopathy 2018; 12(3): 180-6.

Gorbani Moghadam P, Timurid S, Yazdanpanah F. The Effectiveness of Cognitive-Based Mindfulness Therapy on Irrational Thoughts, Quality of Sleep and Temptation in People with Substance Abuse. Social Health and Addiction 2018; 20: 119-32.

Guariguata L. By the numbers: New estimates from the IDF Diabetes Atlas Update for 2012. Diabetes Res Clin Pract 2012; 98(3): 524-5.

Kabat-Zinn J. Mindfulness-based interventions in context: Past, present, and future. Clin Psychol 2003;

(2): 144-56.

Kim PJ, Steinberg JS. Complications of the diabetic foot. Endocrinol Metab Clin North Am 2013; 42(4): 833-47.

Koshki F, Haroon Rashidi H. Effectiveness of mindfulness-based stress reduction training on the quality of sleep and psychological distress in patients with type II diabetes. J Diabetes Nurs 2019; 7(3): 844-56.

Olfatifar M, Karami M, Hosseini SM, Shokri P. Prevalence of chronic complications and related risk factors of diabetes in patients referred to the diabetes center of Hamedan Province. Avicenna J Nurs Midwifery Care 2017; 25(2): 69-74.

Ebrahimi A, Ghahari S. Effectiveness of mindfulness-based stress reduction (MBSR) in stress and fatigue in patients with multiple sclerosis (MS). Int J Med Res Health Sci 2016, 5(7S): 486-49.

Pouwer F, Kupper N, Adriaanse MC. Does emotional stress cause type 2 diabetes mellitus? A review from the European Depression in Diabetes (EDID) Research Consortium. Discov Med 2010; 9(45): 112-8.

Rosenzweig S, Greeson JM, Reibel DK, Green JS, Jasser SA, Beasley D. Mindfulness-based stress reduction for chronic pain conditions: Variation in treatment outcomes and role of home meditation practice. J Psychosom Res 2010; 68(1): 29-36.

Sarris J, Byrne GJ. A systematic review of insomnia and complementary medicine. Sleep Med Rev 2011; 15(2): 99-106.

Swayne J. The basic principles of homeopathy. In: Swayne J, Editor. Homeopathic method. Kandern, Germany: Narayana Verlag; 2013.

Bell IR, Brooks AJ, Howerter A, Jackson N, Schwartz GE. Acute electroencephalographic effects from repeated olfactory administration of homeopathic remedies in individuals with self-reported chemical sensitivity. Altern Ther Health Med 2013; 19(1): 46-57.




How to Cite

Rabbani K, Ghahari S, Behnam L, Ahmadi-Alashti H, Fazli Z. Comparison of the effectiveness of mindfulness and homeopathy on sleep and chronic pain in patients with diabetes mellitus. Chron Dis J. 2022;9(4):199–203.



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