Stress and Depression Associated with Non-Adherence to Treatment in Patients with Diabetes Mellitus Type 2

Objective: to identify the association between stress and depression regarding adherence to treatment in patients with Diabetes Mellitus type 2 of a Family Medicine Unit in Merida, Yucatan, Mexico. Methods: cross-sectional survey of 101 patients diagnosed with Diabetes Mellitus type 2. The Morinsky-...

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Bibliographic Details
Authors: Sánchez-Cruz, Juan F., Hipólito-Lóenzo, Alicia, Mugártegui-Sánchez, Sharon G., Yáñez-González, Rosa M.
Format: article
Status:Published version
Publication Date:2016
Country:México
Institution:UNIVERSIDAD NACIONAL AUTÓNOMA DE MÉXICO
Repository:Atención Familiar
Language:Spanish
OAI Identifier:oai:ojs.pkp.sfu.ca:article/54783
Online Access:https://www.revistas.unam.mx/index.php/atencion_familiar/article/view/54783
Access Level:Open access
Keyword:Diabetes Mellitus
cumplimiento del paciente
no adherencia del paciente
Patient Compliance
Patient Non-Adherence
Description
Summary:Objective: to identify the association between stress and depression regarding adherence to treatment in patients with Diabetes Mellitus type 2 of a Family Medicine Unit in Merida, Yucatan, Mexico. Methods: cross-sectional survey of 101 patients diagnosed with Diabetes Mellitus type 2. The Morinsky-Green Levine test was used for adhesion; the Holmes-Rae test for stress and the Zung test for depression. The association between adherence to treatment, stress and depression with metabolic control was carried out in accordance to the criteria of the American Diabetes Association using inferential statistics. Results: 65% of patients showed stress, 26% depression and in 82% there was lack of adherence to treatment. Stress was associated to the lack of glycemic control (rm 3.7, ic 95%, 1.4-9.6, 95%, p=0.006) and the lack of adherence to treatment (RM 7.2, IC 95%, 2.3-22.5, p<0.05) and therefore this lack of adherence to treatment was associated to the lack of glycemic control (RM 4.3, IC 95%, 1.4-12.9, p=0.01). Conclusion: stress is associated with poor adherence to treatment in Diabetes Mellitus type 2.

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