“…Particularly, psychological factors may compromise patients' compliance and adherence, and this could increase mortality and mobility independently from many confounders (Wang et al, 2016). It is known that diabetes is one of the most common chronic diseases in the world and it is very difficult to manage, demanding long term self-management through constant blood glucose monitoring, a balanced diet, physical exercises and medical treatment, which improve perceived QoL (Conversano et al, 2009;Veltri et al, 2012;Palagini et al, 2016;Marchini et al, 2018;Catalano et al, 2019b;Conversano, 2019;Guicciardi et al, 2019;Martino et al, 2019d,c;Merlo, 2019;Quattropani et al, 2019;Lenzo et al, 2020). In fact, both adequate compliance and adherence prevent its relative outcomes leading to a lower risk of developing related complications (American Diabetes Association, 2018).…”