medigraphic.com
Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán

2011, Number 2

<< Back Next >>

Rev Invest Clin 2011; 63 (2)

Coping strategies and adherence to treatment in patients with type 2 diabetes mellitus

Garay-Sevilla ME, Porras JS, Malacara JM

Language: English
References: 39
Page: 155-161
PDF size: 93.34 Kb.


ABSTRACT

Introduction. Diverse psychosocial and cultural factors are related to adherence to treatment of type 2 Diabetes mellitus (DM2) such as social support, coping styles and the cost of medical attention. Objective. To study the influence of diverse psychosocial factors on adherence to treatment in patients with DM2. Material and methods. In a cross sectional design we studied adherence to diet and medication, and its relationship with CS for diabetes, belief in conventional medicine, social support, and the perception of the burden of treatment cost on family finances. Results. We included 210 patients a mean age of 56.3 years, 9.4 years since diagnosis. Male DM patients had better adherence to medication (p ‹ 0.016) and social support (p ‹ 0.004), and higher rates for supportant CS (31.8 vs. 29.0; p ‹ 0.009). Adherence to diet was associated with belief in conventional medicine (p ‹ 0.035) and marginally related to fatalistic CS (p ‹ 0.05). After testing social security coverage as dummy variable, a marginal association was found (p ‹ 0.15). Adherence to medication was associated with supportant CS (p ‹ 0.02) and marginally with avoidant CS (p ‹ 0.05). Conclusions. Supportant CS was more frequent in men. Belief in conventional medicine, and supportant CS were associated with adherence to treatment. These factors should be considered for a more rational approach for the management of disease.


REFERENCES

  1. Wing RR, Goldstein MG, Acton KJ, et al. Behavioral Science Research in Diabetes. Diab Care 2001; 24: 117-23.

  2. Di Matteo MR. Variations in patients’ adherence to medical recommendations: a quantitative review of 50 years of research. Med Care 2004; 42: 197-9.

  3. Rhee MK, Slocum W, Ziemer DC, et al. Patients adherence improves glycemic control. Diab Educ 2005; 31: 240-50.

  4. Kilbourne AM, Reynolds CF 3rd, Good CB, Sereika SM, Justice AC, Fine MJ. How does depression influence diabetes medications adherence in older patients? Am J Geriatr Psychiatry 2005; 13: 202-10.

  5. Lin EH, Katon W, Von Knorff M, et al. Relationship of depression and diabetes self-care, medication adherence, and preventive care. Diab Care 2004; 27: 2154-60.

  6. Carranza SN, LeBaron S. Adherence Among Mexicans With Type 2 Diabetes: Behavioral Attribution, Social Support and Poverty. Fam Med 2004; 36: 539-40.

  7. Garay-Sevilla ME, Nava Laura E, Malacara JM, et al. Adherence to treatment and social support in patients with non-insulin dependent diabetes mellitus. J Diab Complicat 1995; 9: 81-86.

  8. Schoenber NE, Stoller EP, Kart CS, Perzynki A, Chapleski EE. Complementary and alternative medicine use among a multiethnic sample of older adults with diabetes. J Alterm Complement Med 2004; 10: 1061-6.

  9. Garay-Sevilla ME, Malacara JM, González-Parada F, Jordán- Ginés L. The belief in conventional medicine and adherence to treatment in non-insulin dependent diabetes mellitus patients. J Diabetes and it´s Complications 1998; 12: 239-45.

  10. Fisher EB, Thorpe CT, Devellis BM, Devellis RF. Healthy coping, negative emotions, and diabetes management: a systematic review and appraisal. Diab Edu 2007; 33: 1080-103.

  11. Grimaldi A. The acceptance of the diabetic disease. Ann Endocrinol 2003; 64: S22-S26.

  12. Turan B, Osar Z, Molzan TJ, Damci T, Ilkova H. The role of coping with disease in adherence to treatment regimen and disease control in type 1 and insulin treated type 2 diabetes mellitus. Diab Metab 2002; 28: 186-93.

  13. Beutler LE, Moos RH, Lane G. Coping, Treatment Planning, and Treatment Outcome: Discussion. J Clin Psychol 2003; 59: 1151-67.

  14. Grey M, Berry D. Coping skills training and problems solving in diabetes. Curr Diab Resp 2004; 4: 126-31.

  15. Willoughby DF, Kee CC, Demi A, Parker V. Coping and psychosocial adjustment of women with diabetes. Diab Educ 2000; 26: 105-12.

  16. Peyrot M, McMurry JF, KrugerDF. A biopsychosocial model of glycemic control in diabetes: stress, coping and regimen adherence. J Health Soc Behav 1999; 40: 41-58.

  17. Lo R, MacLean D. The dynamics of coping and adaptating to the impact when diagnosed with diabetes. Aust J Adv Nurs 2001; 19: 26-32.

  18. Coelho R, Amorim I, Prata J. Coping styles and quality of life in patients with non-insulin-dependent diabetes mellitus. Psychosomatics 2003; 44: 312-8.

  19. Aljasem LI, Peyrot M, Wissow L, Rubin RR. The impact of barriers and self-efficacy on self-care behaviors in type 2 diabetes. Diab Educ 2001; 27: 393-404.

  20. Skinner TC, John M. Hampson SE. Social support and personal models of diabetes as predictors of self-care and well-being: a longitudinal study of adolescents with diabetes. J Pediatr Psychol 2000; 25: 257-67.

  21. Becker MH. Patients adherence to prescribed therapies. Medical Care 1985; 23: 539-55.

  22. Larme AC, Pugh JA. Attitudes of primary care providers toward diabetes. Diab Care 1998; 21: 9.

  23. Cox DJ, Gonder-Frederick L. Major developments in behavioral diabetes research. J Consult Clin Psychol 1992; 60: 628-38.

  24. Weller SC, Baer RD, Pachter LM, et al. Latino belief about diabetes. Diab Care 1999; 22: 722-8.

  25. Garay-Sevilla ME, Malacara JM, Gutiérrez-Roa A, González E. Denial of disease in type 2 diabetes mellitus: its influence on metabolic control and associated factors. Diab Med 1999; 16: 1-7.

  26. Standards of Medical Care in Diabetes. Diab Care 2005; 28(Suppl. 1): S4-S14.

  27. Garay-Sevilla ME, Malacara JM, González E, Wróbel-Z K, Wróbel- K K, Gutiérrez-Roa A. Perceived psychological stress in noninsulin dependent diabetes mellitus. Rev Invest Clin 2000; 52: 241-5.

  28. Lin J, Skalar GE, OH VMS, USC. Factors affecting therapeutic compliance: A review from the patient’s perspective. Therapeutics Clin Risk Management 2008; 4(1): 269-86.

  29. Jalowiec A, Murphy S P, Powers MJ. Psychometric assessment of the Jalowiec coping scale. Nursing Research 1984; 33: 157-61.

  30. Bland JM, Douglas GA. Multiple significance tests: the Bonferroni method. Brit Med J 1995; 310: 170.

  31. Kvam SH, Lyons JS. Assessment of coping strategies, social support, and general health status in individuals with diabetes mellitus. Psychol Resp 1991; 68: 623-32.

  32. Kristofferzon ML, Lofmark R, Carlsson M. Myocardial infarction: gender differences in coping and social support. J Adv Nurs 2003; 44: 360-74.

  33. Raskin P. Risk factors for the development of diabetic complications. J Diabetes Complic 1994; 8: 195-200.

  34. Duangdao KM, Roesch SC. Coping with diabetes in adulthood: a meta-analysis. J Behav Med 2008; 4: 291-300.

  35. Boehm S, Schlenk EA, Funnell MM, Powers H, Ronis DL. Predictors of adherence to nutrition recommendations in people with non-insulin-dependent diabetes mellitus. Diab Educ 1997; 23: 157-65.

  36. Christensen AJ, Benotsch EG, Wiebe JS, Lawton WJ. Coping with treatment-related stress: effects on patients adherence in hemodialysis. J Consult Clin Psychol 1995; 63: 454-9.

  37. Gallegos-Carrillo K, García-Peña C, Durán-Muñoz CA, Flores YN, Salmerón J. Relationship between social support and the physical and mental wellbeing older Mexican adults with diabetes. Rev Invest Clin 2009; 61: 383-91.

  38. Gentili P, Maldonato A, Grieco R, Santini A. Influence of patients’ representations and beliefs about diabetes and its treatment on their adherence to therapy. Diab Nutr Metab 2001; 14: 140-52.

  39. Peyrot MF, McMurry JF Jr. Stress buffering and glycemic control. The role of coping styles. Diab Care 1992; 15: 842-6.




2020     |     www.medigraphic.com