2018, Number 3
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Arch Neurocien 2018; 23 (3)
Executive function and therapeutic adherence in type 2 diabetes mellitus
Cerezo-Huerta K, Yáñez-Téllez G, Aguilar-Salinas CA
Language: Spanish
References: 30
Page: 42-53
PDF size: 456.68 Kb.
ABSTRACT
Introduction: Cognitive impairment is associated with type 2 diabetes mellitus (T2DM), however
there’s no agreement regarding the interaction between the therapeutic adherence’s factors
(TAF) with executive function (EF).
Objective: to estimate the influence of TAF on EF’s performance in diabetic patients.
Method: A case-control study on outpatients with T2DM; matched by sex, age and scholarship with
healthy controls. Data were obtained from physiological, psychological and neuropsychological
evaluation.
Results: A total of 95 diabetic patients and 95 healthy controls with a mean age of 55.51 (diabetics)
and 55.45 (controls) and scholarship of 11.73 (diabetics) and 11.64 (controls) were enrolled. The
FE’s performance in both groups was in the average range; however, in the group of diabetics the
performance was lower in memory tasks (short-term visual memory -P .039- and verbal working
memory -P .001-) and mental planning (P .033). The TAF was associated with demographic and
clinical indicators.
Discussion and conclusions: There’re specific difficulties in some of EF’s domains in patients with
T2DM that are influenced by demographic and clinic factors. It is recommended to make periodic
evaluations in high-level cognitive skills in the diabetic patient to propose psychoeducational
alternatives to increase self-care in these patients.
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