The impact of personality traits on medication adherence and self-care in patients with type 2 diabetes mellitus: The moderating role of gender and age

Hazrati-Meimaneh, Zahra; Amini-Tehrani, Mohammadali; Pourabbasi, Ata; Gharlipour, Zabihollah; Rahimi, Fatemeh; Ranjbar-Shams, Parisa; Nasli‐Esfahani, Ensieh; Zamanian, Hadi

doi:10.1016/j.jpsychores.2020.110178

Cited by 21 publications

(36 citation statements)

References 61 publications

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“…In our conceptual model, neuroticism was an important predictor of medication adherence in patients with T2D, and previous studies supported this hypothesis ( 18 , 54 ). Our final model did not find a significant direct effect of neuroticism on medication adherence, indicating that social support and self-efficacy were full mediators in the association between neuroticism and medication adherence.…”

Section: Discussionsupporting

confidence: 71%

“…The behavior of people who are greatly affected by neuroticism tends to endanger their health ( 16 ), and these patients also report more side effects without corresponding physiological changes ( 17 ). Previous studies showed that neuroticism was negatively correlated with medication adherence in patients with chronic diseases ( 16 ), such as T2D ( 18 ). Therefore, we propose in hypothesis 1 that neuroticism directly affects medication adherence in patients with T2D.…”

Section: Introductionmentioning

confidence: 99%

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Medication Adherence and Associated Factors in Patients With Type 2 Diabetes: A Structural Equation Model

Huang

Ding

Xiong

et al. 2021

Front. Public Health

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Background: The number of patients with type 2 diabetes (T2D) is increasing. Medication treatment is of great importance to stabilize blood glucose. Previous studies have reported that neuroticism, self-efficacy, and social support are factors associated with medication adherence, but few studies have fully investigated the mechanisms between these factors and medication adherence in patients with T2D.Purpose: To explore the prevalence of medication adherence and the factors associated with medication adherence in patients with T2D.Methods: A cross-sectional study consisting of 483 patients with T2D was conducted from July to December 2020. Questionnaires containing sociodemographic and clinical characteristics, the Morisky Medication Adherence Scale-8 (MMAS-8), the neuroticism subscale of the Eysenck Personality Questionnaire-Revised Short Scale (EPQ-RS), the Multidimensional Scale of Perceived Social Support (MSPSS), and the Diabetes Management Self-efficacy Scale (DMSES) were used to collect data. The structural equation model (SEM) was used to test the hypotheses.Results: This study included 305 (63.1%) medication adherence and 178 (36.9%) medication non-adherence patients with T2D. Social support directly influenced medication adherence (β = 0.115, P = 0.029) and indirectly influenced medication adherence through self-efficacy (β = 0.044, P = 0.016). Self-efficacy directly influenced medication adherence (β = 0.139, P = 0.023). Neuroticism indirectly affected medication adherence through social support (β = −0.027, P = 0.023) and self-efficacy (β = −0.019, P = 0.014). Moreover, there was a sequential mediating effect of social support and self-efficacy on the relationship between neuroticism and medication adherence (β = −0.010, P = 0.012). After controlling for age and gender, similar results were obtained. The model fit indices showed a good fit.Conclusions: The medication adherence of patients with T2D needs to be improved. Neuroticism, social support, and self-efficacy had direct or indirect effects on medication adherence in patients with T2D. Healthcare providers should comprehensively develop intervention programs based on neuroticism, social support, and self-efficacy to improve medication adherence in patients with T2D.

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Section: Discussionsupporting

confidence: 71%

Section: Introductionmentioning

confidence: 99%

Medication Adherence and Associated Factors in Patients With Type 2 Diabetes: A Structural Equation Model

Huang

Ding

Xiong

et al. 2021

Front. Public Health

View full text Add to dashboard Cite

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“…This result seems consistent with the fact that neuroticism is frequently reported as a robust predictor of several mental and physical disorders 35 and a reduced capacity to adjust to chronic conditions. 36,37 Second, antagonism and disinhibition individually were not moderators but only as superspetrum (i.e., externalizing). We can assume that it is the interaction between these two traits that affect the relationship between risk perception and distress (rather than them individually).…”

Section: Discussionmentioning

confidence: 96%

Risk perception, treatment adherence, and personality during COVID‐19 pandemic: An international study on cancer patients

Cheli

Lam

Estapé³

et al. 2021

Psycho-Oncology

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Objective To explore the role of personality traits in moderating the relation between COVID‐19 risk perception and treatment adherence, and between risk perception and psychosocial distress in patients diagnosed with cancer. Methods An online survey ( n = 1281) was conducted worldwide in seven countries (Austria, Germany, Hong Kong, Italy, Spain, Sweden, and Turkey). Inclusion criteria were to be 18 years of age or older, have received a cancer diagnosis, and be in treatment or follow‐up. A few moderated regression models were performed with both personality traits and Hierarchical Taxonomy of Psychopathology super‐spectra as moderators. Results Detachment, negative affectivity, psychoticism and all the super‐spectra significantly moderated the relation between coronavirus risk perception and psychosocial distress, after the adjusting effect of confidence in safeguards. Only negative affectivity moderated the association between coronavirus risk perception and treatment adherence. Conclusions Personality traits may foster the understanding of how a patient might adjust to cancer treatment and, more generically, to highly stressful events such as the COVID‐19 pandemic. Further research is needed to confirm the results in different cancer stages and types.

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“…This risk also appears to be exacerbated by the influence of personality on patient adherence to treatment. Personality traits are of significant importance for adherence behavior ( Axelsson et al, 2011 ; Hazrati-Meimaneh et al, 2020 ); people defined as “a worrying kind of person” (i.e., neuroticism; Costa and McCrae, 1992 ) tend to adhere low and in an inappropriate way to management suggestions ( Bruce et al, 2010 ; Axelsson et al, 2011 ). On the contrary, conscientious people, because of their tendency to trust their abilities to manage their lives, tend to adhere to the prescribed treatment and abide to doctors’ advice ( Rosengren et al, 2004 ; Pruette and Amaral, 2021 ), while extraverted and agreeable individuals are favored in developing positive relationships with health providers and caregivers, so to make use of social support facilitating health management ( Berkman et al, 2000 ; Hazrati-Meimaneh et al, 2020 ).…”

Section: Personality and Cardiotoxicity Of Anticancer Treatments: Is There A Relationship?mentioning

confidence: 99%

Personality Traits and Cardiotoxicity Arising From Cancer Treatments: An Hypothesized Relationship

et al. 2021

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Thanks to the evolution in medical and pharmaceutical research, to date, the number of cancer treatments is increasingly on the rise. Despite this, several side effects related to cancer treatments can exacerbate patients’ physical and psychological conditions, such as cardiotoxicity. Over the years, researchers have explored the possible relationship between psychological variables and physical diseases. Even though some authors examined the relationship between personality and specific diseases, no scientific attention has been paid to the role of personality in the development of cardiotoxicity arising from cancer treatments. Yet this is an important objective, given that determining whether personality influences cardiac toxicity of anticancer treatments could inform the processes by which stable psychological factors influence health. This contribution summarizes and analyzes the available scientific evidence about the association between personality and main cardiotoxicity-related-diseases of anticancer therapies, including cancer and cardiovascular diseases, in order to sketch a hypothetical model of the relationship between personality traits and cardiotoxicity.

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The impact of personality traits on medication adherence and self-care in patients with type 2 diabetes mellitus: The moderating role of gender and age

Cited by 21 publications

References 61 publications

Medication Adherence and Associated Factors in Patients With Type 2 Diabetes: A Structural Equation Model

Medication Adherence and Associated Factors in Patients With Type 2 Diabetes: A Structural Equation Model

Risk perception, treatment adherence, and personality during COVID‐19 pandemic: An international study on cancer patients

Personality Traits and Cardiotoxicity Arising From Cancer Treatments: An Hypothesized Relationship

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