Multidisciplinary Intention: Revealing The Consequence of Psychosocial Factors on the Adherence to Treatment of the Patients with Type 2 Diabetes Mellitus
Background: Diabetes Mellitus type 2 (T2DM) has been becoming a global
world health problem affecting countries with different income level (Mogre,
Johnson, Tzelepis, Shaw, & Paul, 2017). The low level of compliance and the
increased level of the diabetes distress has been closely associated with destitute
glycemic control. Some diabetes-specific psychological variables may be
important for psychological status of patients and glycemic control to the
achievement of individual glycemic targets (Indelicato et al., 2017). Therefore,
alexithymia – psychological clinical characteristic of the reduced emotional
component that could have been associated with the metabolic syndrome in
patients with type 2 diabetes, for example (Lemche, Chaban, & Lemche, 2014). It
is important to consider the clinical evaluation of mental aspects in patients with
T2DM, however, in order to preventing potentially unfavorable self-care behavior
leading to complications of this disease, including a decrease in the quality of life
level (Conti et al., 2017). Patient's level of the quality of life is the one of main
important components of treatment adherence and clinical decision making for
improving the effectiveness of therapy (Chaban, Khaustova, & Bezsheiko, n.d.).
The low level of medication compliance and quality of life could have been
addicted in consequence to non-adherence and respectively – inefficiency of
therapy of these patients. Therefore, multidisciplinary connection – involving
mental health care specialists can potentially improve treatment effectiveness
(Kogut at al., 2018).
Chaban, O., Khaustova, O., & Bezsheiko, V. (n.d.). Reliability and validity of Chaban Quality of Life Scale. Retrieved from https://www.ecnp.eu/presentationpdfs/70/P.2.h.301.pdf
Conti, C., Di Francesco, G., Fontanella, L., Carrozzino, D., Patierno, C., Vitacolonna, E., & Fulcheri, M. (2017). Negative Affectivity Predicts Lower Quality of Life and Metabolic Control in Type 2 Diabetes Patients: A Structural Equation Modeling Approach. Front Psychol. 24;8:831. doi: 10.3389/fpsyg.2017.00831
Mogre, V., Johnson, N., Tzelepis, F., Shaw, J., & Paul, C. (2017). Adherence to self-care behaviours and associated barriers in type 2 diabetes patients of low-and middle-income countries: a systematic review protocol. Syst Rev. 2017 Feb 27;6(1):39. doi: 10.1186/s13643-017-0436-4.
Indelicato, L., Dauriz, M., Santi, L., Bonora, F., Negri, C., Cacciatori, V., Targher, G., Trento, M., & Bonora, E. (2017). Psychological distress, self-efficacy and glycemic control in type 2 diabetes. Metab Cardiovasc Dis. 2017 Apr;27(4):300-306. doi: 10.1016/j.numecd.2017.01.006. Epub 2017 Jan 31.
Lemche, A., Chaban, O., & Lemche, E. (2014). Alexithymia as a risk factor for type 2 diabetes mellitus in the metabolic syndrome: a cross-sectional study. Psychiatry Res. 215(2):438-43. doi: 10.1016/j.psychres.2013.12.004
Kogut, A., Bobryk, M., Potapov, O., Frankova, I., Komisarenko, J., Khaustova, O., & Chaban, O. (2018). Multidisciplinary Approach to Research of the Adherence to Treatment Phenomenon in Patients with Diabetes Mellitus. Mental Health: Global Challenges Journal, Rome (pp. 40-41). DOI: http://doi.org/10.32437/MHGCJ-2018