The role of affective temperaments in metabolic control in patients with type 2 diabetes

Góis, Carlos; Barbosa, António; Ferro, Ana; Santos, Ana Isabel; Sousa, Filomena; Akiskal, Hagop S.; Akiskal, Kareen K.; Figueira, Maria Luísa

doi:10.1016/j.jad.2011.05.021

Cited by 42 publications

(26 citation statements)

References 48 publications

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“…They showed a positive significant relationship between glycated hemoglobin level and anxious temperament [10]; the results of this study were confirmed by those obtained by Gois and colleagues [9]. …”

Section: Discussionsupporting

confidence: 89%

“…The results of their study showed that high scores of depressive and anxious subscales were correlated with medication non-compliance [9]. Their findings are in part in line with our study because depressive, anxious, and irritable temperaments are in the same cluster and in all of them there is a strong involvement of the central serotonergic system [21].…”

Section: Discussionsupporting

confidence: 88%

“…Scores 3 and less than 3 indicated medication non-compliance, and scores higher than 3 indicated medication compliance. In similar studies, this scale was used for measuring medication compliance in patients with diabetes, hypertension, and heart conditions [9,10]. …”

Section: Methodsmentioning

confidence: 99%

“…Character is more linked to nurture, comprising acquired competencies during development, namely interpersonal development. Personality covers a wider scope bridging inborn temperamental and learned characterologic features associated with psychological and behavioral traits [9]. …”

Section: Introductionmentioning

confidence: 99%

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Is there any relationship between medication compliance and affective temperaments in patients with type 2 diabetes?

Shamsi

Khodaifar

Arzaghi

et al. 2014

J Diabetes Metab Disord

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BackgroundType 2 diabetes mellitus (DM) is the most common type of diabetes.The number of patients with this disease is expected torise in future. Given the increasing prevalence of diabetes, there is an urgent need for the treatment of diabetes and the associated complications. Glycemic control largely depends on compliance with medication therapies. In fact, the most common problem in patients with diabetes is lack of medication compliance. This study aimed to determine the relationship between affectivetemperaments and medication compliance in patients with type 2 diabetes.MethodsIn this cross-sectional research, the study population consisted of all patients referring to the endocrinology clinic of Ayatollah Taleghani Hospital of Tehran in 2010 and 2011. Two hundreds and seven patients were selected, using available sampling method. In this study, we used Temperament Evaluation of Memphis, Pisa, Paris, and San Diego Auto questionnaire (TEMPS-A), a single-item scale of medication compliance, Beck Depression Inventory-II (BDI-II), and a researcher-made questionnaire to assess the patients’ demographic information. All participants completed the questionnaires related to affective temperaments, medication compliance, depression and demographic information. The obtained data were recorded on the prepared sheets.ResultsOf 207 patients, 79 (38.2%) and 128 (61.8%) subjects were male and female, respectively. The mean and standard deviation of demographic data were calculated. In total, 13.5%, 19.3%, and 8.2%of the participants had mild, moderate, and severe depression, respectively. In this study, as the single-item rating scale indicated, medication compliance and non-compliance were reported in 75.4% and 24.6% of the patients, respectively. Among the demographic characteristics and clinical variables, frequency of patient referral and glycated hemoglobin level were predictors of medication compliance. Also, among affective temperaments, irritable temperament was a predictor of medication compliance.ConclusionsThe obtained findings emphasize the importance of psychological factors such as personality characteristics in medication compliance of patients with diabetes. In case a patient obtains high scores in irritable temperament (which indicate poor medication compliance), he/she should follow special training programs to improve his/her medication compliance.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 88%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Is there any relationship between medication compliance and affective temperaments in patients with type 2 diabetes?

Shamsi

Khodaifar

Arzaghi

et al. 2014

J Diabetes Metab Disord

View full text Add to dashboard Cite

show abstract

“…Patients with excessive depressive and anxious temperaments had worse psychological adjustment to diabetes, more depressive symptoms and worse metabolic control. Only depressive temperament was independently associated with metabolic control 66 . These findings may indicate that healthcare providers should pay more attention to non-clinical factors such as personality traits, coping styles and social support, when addressing DD.…”

Section: Psychological Factors and Psychiatric Disorders Associated Wmentioning

confidence: 98%

Psychological problems in patients with type 2 diabetes - clinical considerations

2013

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Are psychopathological features relevant predictors of glucose control in patients with type 2 diabetes? A prospective study

et al. 2012

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Type 2 diabetes has been associated with an increased prevalence of psychopathology, in comparison with matched non-diabetic controls. However, the cross-sectional design of most studies does not allow causal inferences. The aim of the present study is the exploration of this possible association in patients with type 2 diabetes, in a longitudinal fashion. This prospective observational study was conducted on a consecutive series of 250 type 2 diabetic outpatients and a 1-year follow-up period was performed. At enrollment, a complete medical history was collected and hemoglobin A1c was measured. General psychopathology was assessed using the Symptom Checklist 90-revised and the Eating Disorder Examination Questionnaire. Among the 187 patients available at follow-up, factors associated with unsatisfactory glycemic control at follow-up were baseline hemoglobin A1c, insulin therapy, a longer duration of diabetes, higher scores on the Eating behavior, and Somatization scales. At multivariate analysis, the attainment of hemoglobin A1c ≤ 7 % was associated with baseline hemoglobin A1c (p = 0.01), insulin therapy (p = 0.016), and Eating behavior (p = 0.02), whereas duration of diabetes and Somatization were no longer significant after adjusting for confounders. The results of the present study suggest that clinical features have a much greater impact on attainment of therapeutic goals than psychopathology. However, there are several aspects, such as temperament, motivation, self-efficacy, and well-being, not assessed in the present study, which could be crucial. These areas should be adequately explored for obtaining an overall picture of the psychological determinants of appropriate metabolic control in diabetes.

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The role of affective temperaments in metabolic control in patients with type 2 diabetes

Cited by 42 publications

References 48 publications

Is there any relationship between medication compliance and affective temperaments in patients with type 2 diabetes?

Is there any relationship between medication compliance and affective temperaments in patients with type 2 diabetes?

Psychological problems in patients with type 2 diabetes - clinical considerations

Are psychopathological features relevant predictors of glucose control in patients with type 2 diabetes? A prospective study

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