The effect of psychological intervention on the quality of life and wound healing in patients with diabetic foot ulcer.

INTERVENTION: A medical psychologist will perform therapy for 45 minutes 2 times a week for 8 weeks. The therapy is including cognitive behavioral therapy, lifestyle and stress management, coping behavior therapy and treatment for depression. Hereafter, patients will complete the DFS‐SF and SF‐36 survey again. CONDITION: diabetic foot ulcer quality of life cognitive behavior therapy wound healing diabetische voetwond kwaliteit van leven psychologische interventie wondheling PRIMARY OUTCOME: The primary outcome is the result of Short form 36 (SF‐36) measured 8 months after randomization. SECONDARY OUTCOME: Secondary outcomes are: ; 1. SF‐36 results measured 2 months after randomization ; 2. Diabetic Foot Ulcer scale short form (DFS‐SF) results measured 2 months after randomization ; 3. DFS‐SF results measured 8 months after randomization ; 4. occurrence of wound healing ; 5. minor amputation rate ; 6. major amputation rate INCLUSION CRITERIA: Age 18‐65 years ‐ Signed informed consent ‐ Diagnosed with diabetes mellitus ‐ ≥ 1 neuropathic foot ulcer (toe pressure > 70 mmHg) on or below the malleolus ‐ Able to read and write Dutch ‐ Attending outpatient diabetic foot clinic