Predictors of compliance in adolescents with type 1 diabetes mellitus
Introduction Non-compliance is a common problem in diabetes despite of the potentially drastic consequences. The study of the factors of compliance in adolescents with diabetes is not only important due to the possible practical implementations in health care, but also may be threated as a model f...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2021-04-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933821006738/type/journal_article |
| _version_ | 1797616597101182976 |
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| author | L. Pechnikova Y. Manuylova A. Ryzhov E. Zhuykova E. Sokolova A. Tkhostov |
| author_facet | L. Pechnikova Y. Manuylova A. Ryzhov E. Zhuykova E. Sokolova A. Tkhostov |
| author_sort | L. Pechnikova |
| collection | DOAJ |
| description |
Introduction
Non-compliance is a common problem in diabetes despite of the potentially drastic consequences. The study of the factors of compliance in adolescents with diabetes is not only important due to the possible practical implementations in health care, but also may be threated as a model for understanding the age-specific aspects of compliance behaviours.
Objectives
The study was aimed to evaluate various, primary family-related, factors contributing to compliance behaviour.
Methods
Participants: 71 adolescents (f=44, m=27, age: 13-17) with diabetes mellitus type 1, without insulin pump usage, and their mothers. Instruments: compliance was accessed with MMAS and “Degree of compliance” (for 15-17-olders only) scales. Paternal attitudes were assessed by (1) ADOR questionnaire, yielding scores for: Positive interest, directiveness, hostility, autonomy, inconsistency; (2) Family anxiety analysis questionnaire, with scales: guilt, anxiety, tension. Illness attitudes were assessed with the Concerns of the illness progression model questionnaire. Interview data were used to assess such variables as duration of illness, frequency of therapist consultations y etc.
Results
Stepwise regression analysis suggested the best model for compliance being predicted (R2=.203) by family anxiety (beta=-.406, p<.001), duration of illness (beta=-.218, p<.05) and frequency of consultations (beta=.0212, p<.05). For 15-17-olders only compliance was better predicted (R2=.499) by concerns about illness (beta=.876, p<.001), distraction copings (beta=.501, p=0.001), negative thinking (beta=-.421, p<0.02) and frequency of consultations (beta=.274, p<.05).
Conclusions
Low family anxiety, shorter duration, and more frequent contacts with therapist, as well as productive copings, absence of frequent negative thoughts and fantasies about illness contribute to compliance. Negative emotions hamper compliance instead of fostering it.
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| first_indexed | 2024-03-11T07:43:24Z |
| format | Article |
| id | doaj.art-a9b7674c6a3d4d87a363b4c48a159068 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:43:24Z |
| publishDate | 2021-04-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-a9b7674c6a3d4d87a363b4c48a1590682023-11-17T05:08:06ZengCambridge University PressEuropean Psychiatry0924-93381778-35852021-04-0164S251S25110.1192/j.eurpsy.2021.673Predictors of compliance in adolescents with type 1 diabetes mellitusL. Pechnikova0Y. Manuylova1A. Ryzhov2E. Zhuykova3E. Sokolova4A. Tkhostov5Faculty Of Psychology, Lomonosov MSU, Moscow, Russian FederationFaculty Of Psychology, Lomonosov MSU, Moscow, Russian FederationFaculty Of Psychology, Lomonosov MSU, Moscow, Russian FederationL.s. Vygotsky Institute Of Psychology, Russian State University for the Humanities, Moscow, Russian FederationFaculty Of Psychology, Lomonosov MSU, Moscow, Russian FederationFaculty Of Psychology, Lomonosov MSU, Moscow, Russian Federation Introduction Non-compliance is a common problem in diabetes despite of the potentially drastic consequences. The study of the factors of compliance in adolescents with diabetes is not only important due to the possible practical implementations in health care, but also may be threated as a model for understanding the age-specific aspects of compliance behaviours. Objectives The study was aimed to evaluate various, primary family-related, factors contributing to compliance behaviour. Methods Participants: 71 adolescents (f=44, m=27, age: 13-17) with diabetes mellitus type 1, without insulin pump usage, and their mothers. Instruments: compliance was accessed with MMAS and “Degree of compliance” (for 15-17-olders only) scales. Paternal attitudes were assessed by (1) ADOR questionnaire, yielding scores for: Positive interest, directiveness, hostility, autonomy, inconsistency; (2) Family anxiety analysis questionnaire, with scales: guilt, anxiety, tension. Illness attitudes were assessed with the Concerns of the illness progression model questionnaire. Interview data were used to assess such variables as duration of illness, frequency of therapist consultations y etc. Results Stepwise regression analysis suggested the best model for compliance being predicted (R2=.203) by family anxiety (beta=-.406, p<.001), duration of illness (beta=-.218, p<.05) and frequency of consultations (beta=.0212, p<.05). For 15-17-olders only compliance was better predicted (R2=.499) by concerns about illness (beta=.876, p<.001), distraction copings (beta=.501, p=0.001), negative thinking (beta=-.421, p<0.02) and frequency of consultations (beta=.274, p<.05). Conclusions Low family anxiety, shorter duration, and more frequent contacts with therapist, as well as productive copings, absence of frequent negative thoughts and fantasies about illness contribute to compliance. Negative emotions hamper compliance instead of fostering it. https://www.cambridge.org/core/product/identifier/S0924933821006738/type/journal_articlecompliancediabetesadolescents |
| spellingShingle | L. Pechnikova Y. Manuylova A. Ryzhov E. Zhuykova E. Sokolova A. Tkhostov Predictors of compliance in adolescents with type 1 diabetes mellitus European Psychiatry compliance diabetes adolescents |
| title | Predictors of compliance in adolescents with type 1 diabetes mellitus |
| title_full | Predictors of compliance in adolescents with type 1 diabetes mellitus |
| title_fullStr | Predictors of compliance in adolescents with type 1 diabetes mellitus |
| title_full_unstemmed | Predictors of compliance in adolescents with type 1 diabetes mellitus |
| title_short | Predictors of compliance in adolescents with type 1 diabetes mellitus |
| title_sort | predictors of compliance in adolescents with type 1 diabetes mellitus |
| topic | compliance diabetes adolescents |
| url | https://www.cambridge.org/core/product/identifier/S0924933821006738/type/journal_article |
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