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Coping strategies and adherence to treatment in patients with type 2 diabetes mellitus.
MedLine Citation:
PMID:  21714436     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
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.
Authors:
Ma Eugenia Garay-Sevilla; José Santiago Porras; Juan Manuel Malacara
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Revista de investigación clínica; organo del Hospital de Enfermedades de la Nutrición     Volume:  63     ISSN:  0034-8376     ISO Abbreviation:  Rev. Invest. Clin.     Publication Date:    2011 Mar-Apr
Date Detail:
Created Date:  2011-06-30     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9421552     Medline TA:  Rev Invest Clin     Country:  Mexico    
Other Details:
Languages:  eng     Pagination:  155-61     Citation Subset:  IM    
Affiliation:
Division of Health Science, Universidad de Guanajuato, Campus León. marugaray_2000@yahoo.com
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