Psychosocial factors in medication adherence and diabetes self-management: Implications for research and practice.

Gonzalez, Jeffrey S.; Tanenbaum, Molly L.; Commissariat, Persis V.

doi:10.1037/a0040388

Cited by 354Diabetes Management and EducationMedication Adherence and ComplianceDiabetes Management and Research

Psychosocial factors in medication adherence and diabetes self-management: Implications for research and practice.

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Gonzalez, Jeffrey S., Tanenbaum, Molly L., Commissariat, Persis V.·2016·American Psychologist

DOI 10.1037/a0040388PMC PMC5792162

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Abstract

Diabetes is a chronic illness that places a significant self-management burden on affected individuals and families. Given the importance of health behaviors-such as medication adherence, diet, physical activity, blood glucose self-monitoring-in achieving optimal glycemic control in diabetes, interventions designed and delivered by psychologists hold promise in assisting children, adolescents, and adults with diabetes in improving their health status and lowering their risk of serious complications. This article first provides an overview of diabetes self-management and associated challenges and burdens. Socioeconomic status factors that may influence diabetes management and outcomes are briefly highlighted. We then review the evidence base for select psychosocial factors that may be implicated in diabetes self-management. Modifiable targets of psychological intervention are presented across 3 overarching domains: (a) knowledge, beliefs, and related cognitive constructs; (b) emotional distress and well-being; and (c) behavioral skills and coping. Important methodological issues facing future research are discussed, along with opportunities for psychologists in improving the care and treatment outcomes of individuals and families living with diabetes. In conclusion, we advocate for continued research emphasis on improving psychosocial aspects of living with diabetes, with greater attention to the situational context in which the self-regulatory processes underlying self-management occur. Psychologists have important roles to play in reducing emotional distress, improving patient knowledge, and providing training in behavioral skills to promote successful self-management and to support patient-centered diabetes care. (PsycINFO Database Record

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Psychological illness and psychological health have been shown to be associated with medication nonadherence or adherence, respectively.
“Psychological illness and psychological health have been shown to be associated with medication nonadherence or adherence, respectively. 142,147-150”
From Psychological Health, Well-Being, and the Mind-Heart-Body Connection: A Scientific Statement From the American Heart Association (2021) · cites this paper as [147]
The ‘Emotional States and Distress’ section (page unavailable) reports that depressive symptoms and diabetes-related distress are associated with poorer diabetes self-management, which includes medication adherence. But it finds little evidence linking diagnosed major depressive disorder to self-management, and does not establish that psychological health generally predicts medication adherence; its discussion of positive emotions says evidence for behavioral effects is generally unsupportive. The claim therefore overgeneralizes findings about distress and diabetes self-management. (LLM, conf=0.86)
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Lin, M. H., Connor, C. G., Ruedy, K. J., Beck, R. W., Kollman, C., Buckingham, B., Redondo, M. J., Schatz, D., Haro, H., Lee, J. M., et al. (2013) · Diabetes Technology & Therapeutics · doi:10.1089/dia.2013.0132 · Cited by 81 · cited 1× · see citing works
“For example, socially disadvantaged children with T1D are far less likely to be on insulin pump therapy (Lin et al., 2013), an alternative to multiple daily self-injections associated with improved control and less hypoglycemia (e.g., S. R. Johnson, Cooper, Jones, & Davis, 2013).”
Background
If it does not significantly change HbA<sub>1c</sub> levels why should we waste time on it? A plea for the prioritization of psychological well‐being in people with diabetes
Jones, A., Vallis, M., & Pouwer, F. (2015) · Diabetic Medicine · doi:10.1111/dme.12620 · Cited by 79 · see citing works
Defining the role of medication adherence in poor glycemic control among a general adult population with diabetes
Feldman, B. S., Cohen-Stavi, C. J., Leibowitz, M., Hoshen, M. B., Singer, S. R., Bitterman, H., Lieberman, N., & Balicer, R. D. (2014) · PLoS ONE · doi:10.1371/journal.pone.0108145 · Cited by 79 · see citing works
Identifying the worries and concerns about hypoglycemia in adults with type 2 diabetes
Polonsky, W. H., Fisher, L., Hessler, D., & Edelman, S. V. (2015) · Journal of Diabetes and its Complications · doi:10.1016/j.jdiacomp.2015.08.002 · Cited by 78 · see citing works
From Caregiver Psychological Distress to Adolescent Glycemic Control: The Mediating Role of Perceived Burden around Diabetes Management
Cunningham, N. R., Vesco, A. T., Dolan, L. M., & Hood, K. K. (2010) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsq071 · Cited by 76 · see citing works
Diabetes and behavior: A paradigm for health psychology.
Surwit, R. S., Feinglos, M. N., & Scovern, A. W. (1983) · American Psychologist · doi:10.1037//0003-066x.38.3.255 · Cited by 74 · see citing works
Racial/Ethnic Differences in Concerns About Current and Future Medications Among Patients With Type 2 Diabetes
Huang, E. S., Brown, S. E. S., Thakur, N., Carlisle, L., Foley, E. C., Ewigman, B., & Meltzer, D. O. (2008) · Diabetes Care · doi:10.2337/dc08-1307 · Cited by 73 · see citing works
Positive Psychological Characteristics in Diabetes: A Review
Celano, C. M., Beale, E. E., Moore, S. V., Wexler, D. J., & Huffman, J. C. (2013) · Current Diabetes Reports · doi:10.1007/s11892-013-0430-8 · Cited by 69 · see citing works
Negative association between depression and diabetes control only when accompanied by diabetes-specific distress
SCHMITT, A. J., Reimer, A., Kulzer, B., Haak, T., Gahr, A., & Hermanns, N. (2014) · Journal of Behavioral Medicine · doi:10.1007/s10865-014-9604-3 · Cited by 64 · see citing works
Low Socioeconomic Status is Associated with Increased Risk for Hypoglycemia in Diabetes Patients: The Diabetes Study of Northern California (DISTANCE)
Berkowitz, S. A., Karter, A. J., Lyles, C. R., Liu, J. Y., Schillinger, D., Adler, N. E., Moffet, H. H., & Sarkar, U. (2014) · Journal of Health Care for the Poor and Underserved · doi:10.1353/hpu.2014.0106 · Cited by 63 · see citing works
Emotional Processing and Self-Control in Adolescents With Type 1 Diabetes
Hughes, A. E., Berg, C. A., & Wiebe, D. J. (2012) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jss062 · Cited by 63 · see citing works
Clinical effectiveness of a brief educational intervention in Type 1 diabetes: results from the BITES (Brief Intervention in Type 1 diabetes, Education for Self‐efficacy) trial
George, J. T., Valdovinos, A. P., Russell, I. T., Dromgoole, P., Lomax, S., Torgerson, D. J., Wells, T., & Thow, J. C. (2008) · Diabetic Medicine · doi:10.1111/j.1464-5491.2008.02607.x · Cited by 61 · see citing works
Investigating the association between health literacy and non-adherence
Ostini, R., & Kairuz, T. E. (2013) · International Journal of Clinical Pharmacy · doi:10.1007/s11096-013-9895-4 · Cited by 60 · see citing works
Brief Report: Parent's Health Literacy among High-Risk Adolescents with Insulin Dependent Diabetes
Janisse, H. C., Naar‐King, S., & Ellis, D. A. (2009) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsp077 · Cited by 58 · see citing works
Explanatory models of diabetes in the U.S. and Mexico: The patient–provider gap and cultural competence
Weller, S. C., Baer, R. D., Garcia, J. G. D. A., & Rocha, A. L. S. (2012) · Social Science & Medicine · doi:10.1016/j.socscimed.2012.05.003 · Cited by 58 · see citing works
Psychosocial factors and diabetes‐related outcomes following diagnosis of Type 1 diabetes in adults: The Edinburgh Prospective Diabetes Study
Taylor, M. D., Frier, B. M., Gold, A. E., & Deary, I. J. (2003) · Diabetic Medicine · doi:10.1046/j.1464-5491.2003.00887.x · Cited by 57 · see citing works
The impact of positive affect on health cognitions and behaviours: a meta-analysis of the experimental evidence
Cameron, D. S., Bertenshaw, E. J., & Sheeran, P. (2014) · Health Psychology Review · doi:10.1080/17437199.2014.923164 · Cited by 56 · see citing works
Methodological Issues in the Assessment of Diabetes Treatment Adherence
Gonzalez, J. S., & Schneider, H. E. (2011) · Current Diabetes Reports · doi:10.1007/s11892-011-0229-4 · Cited by 53 · see citing works
Self-citation
Diabetes Knowledge and Its Relationship With Achieving Treatment Recommendations in a National Sample of People With Type 2 Diabetes
Casagrande, S. S., Burrows, N. R., Geiss, L. S., Bainbridge, K. E., FRADKIN, J. E., & Cowie, C. C. (2012) · Diabetes Care · doi:10.2337/dc11-1943 · Cited by 52 · see citing works
Understanding diabetes and the role of psychology in its prevention and treatment.
Hunter, C. M. (2016) · American Psychologist · doi:10.1037/a0040344 · Cited by 52 · see citing works
Impulse Control, Diabetes-Specific Self-Efficacy, and Diabetes Management Among Emerging Adults With Type 1 Diabetes
Stupiansky, N. W., Hanna, K. M., Slaven, J. E., Weaver, M. T., & Fortenberry, J. D. (2012) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jss110 · Cited by 51 · see citing works
Metabolic control and psychological sense of control in women with diabetes mellitus
Surgenor, L. J., Horn, J., Hudson, S. M., Lunt, H., & Tennent, J. (2000) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(00)00181-1 · Cited by 50 · see citing works
An overview of management issues in adult patients with type 2 diabetes mellitus
Vigersky, R. A. (2011) · Journal of Diabetes Science and Technology · doi:10.1177/193229681100500207 · Cited by 50 · see citing works
Self-monitoring of blood glucose changed non-insulin-treated type 2 diabetes patients' beliefs about diabetes and self-monitoring in a randomized trial
French, D. P., Wade, A. N., Yudkin, P., Neil, H. A. W., Kinmonth, A. L., & Farmer, A. J. (2008) · Diabetic Medicine · doi:10.1111/j.1464-5491.2008.02569.x · Cited by 49 · see citing works
Perceived Diabetes Task Competence Mediates the Relationship of both Negative and Positive Affect with Blood Glucose in Adolescents with Type 1 Diabetes
Fortenberry, K., Butler, J. M., Butner, J., Berg, C., Upchurch, R., & Wiebe, D. (2009) · Annals of Behavioral Medicine · doi:10.1007/s12160-009-9086-7 · Cited by 43 · see citing works
Successful self‐management among non‐insulin‐treated adults with Type 2 diabetes: a self‐regulation perspective
Tanenbaum, M. L., Leventhal, H., Breland, J. Y., Yu, J., Walker, E. A., & Gonzalez, J. S. (2015) · Diabetic Medicine · doi:10.1111/dme.12745 · Cited by 42 · see citing works
Self-citation
Concepts of diabetes self-management in Mexican American and African American low-income patients with diabetes
Lynch, E. B., Fernández, A., Lighthouse, N., Mendenhall, E., & Jacobs, E. A. (2012) · Health Education Research · doi:10.1093/her/cys058 · Cited by 40 · see citing works
Recognition and management of psychosocial issues in diabetic neuropathy
Vileikytė, L., & Gonzalez, J. S. (2014) · Handbook of clinical neurology · doi:10.1016/b978-0-444-53480-4.00013-8 · Cited by 36 · see citing works
Self-citation
Differences in Diabetes Self-care Activities by Race/Ethnicity and Insulin Use
Johnson, P. J., Ghildayal, N. S., Rockwood, T. H., & Everson‐Rose, S. A. (2014) · The Science of Diabetes Self-Management and Care · doi:10.1177/0145721714552501 · Cited by 35 · see citing works
Health and Psychosocial Outcomes in U.S. Adult Patients with Diabetes from Diverse Ethnicities
Naranjo, D. M., Hessler, D., Deol, R., & Chesla, C. A. (2012) · Current Diabetes Reports · doi:10.1007/s11892-012-0319-y · Cited by 34 · see citing works
Investing time in health: do socioeconomically disadvantaged patients spend more or less extra time on diabetes self‐care?
Ettner, S. L., Cadwell, B. L., Russell, L. B., Brown, A. F., Karter, A. J., Safford, M. M., Mangione, C. M., Beckles, G. L., Herman, W. H., Thompson, T. J., et al. (2008) · Health Economics · doi:10.1002/hec.1394 · Cited by 33 · see citing works
AADE7™ Self-Care Behaviors American Association of Diabetes Educators (AADE) Position Statement
December, I. (2014) · Cited by 29 · see citing works
Use of Technology When Assessing Adherence to Diabetes Self-Management Behaviors
Driscoll, K. A., & Young-Hyman, D. L. (2014) · Current Diabetes Reports · doi:10.1007/s11892-014-0521-1 · Cited by 27 · see citing works
A preliminary investigation of the role of self-control in behavioral weight loss treatment
Leahey, T. M., Xu, X., Unick, J. L., & Wing, R. R. (2013) · Obesity Research & Clinical Practice · doi:10.1016/j.orcp.2012.12.005 · Cited by 15 · see citing works
Development and validation of the diabetes adolescent problem solving questionnaire
Mulvaney, S. A., Jaser, S. S., Rothman, R. L., Russell, W. E., Pittel, E. J., Lybarger, C. K., & Wallston, K. A. (2014) · Patient Education and Counseling · doi:10.1016/j.pec.2014.07.005 · Cited by 14 · see citing works
Myths and Misconceptions about Insulin Therapy among Latinos/ Hispanics with Diabetes: A Fresh Look at an Old Problem
Millan, R. R. A. (2015) · Journal of Diabetes & Metabolism · doi:10.4172/2155-6156.1000482 · Cited by 11 · see citing works
Self-Control as a Mediator of the Link Between Intelligence and HbA1c During Adolescence
Berg, C. A., Hughes, A. E., King, P. S., Korbel, C., Fortenberry, K. T., DONALDSON, D. L., Foster, C. M., Swinyard, M. T., & Wiebe, D. J. (2014) · Children s Health Care · doi:10.1080/02739615.2013.837819 · Cited by 9 · see citing works

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2019 ACC/AHA guideline on the primary prevention of cardiovascular disease: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines.
Arnett, D. K., Blumenthal, R. S., Albert, M. A., Buroker, A. B., Goldberger, Z. D., Hahn, E. J., Himmelfarb, C. D., Khera, A., Lloyd-Jones, D., McEvoy, J. W., et al. (2019) · Circulation · doi:10.1161/cir.0000000000000678 · Cited by 4,536 · see citing works
2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease
Arnett, D. K., Blumenthal, R. S., Albert, M. A., Buroker, A. B., Goldberger, Z. D., Hahn, E. J., Himmelfarb, C. D., Khera, A., Lloyd-Jones, D., McEvoy, J. W., et al. (2019) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2019.03.010 · Cited by 1,896 · see citing works
2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Executive Summary
Arnett, D. K., Blumenthal, R. S., Albert, M. A., Buroker, A. B., Goldberger, Z. D., Hahn, E. J., Himmelfarb, C. D., Khera, A., Lloyd-Jones, D., McEvoy, J. W., et al. (2019) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2019.03.009 · Cited by 1,193 · see citing works
Psychological Health, Well-Being, and the Mind-Heart-Body Connection: A Scientific Statement From the American Heart Association
Levine, G. N., Cohen, B. E., Commodore-Mensah, Y., Fleury, J., Huffman, J. C., Khalid, U., Labarthe, D. R., Lavretsky, H., Michos, E. D., Spatz, E. S., et al. (2021) · Circulation · doi:10.1161/cir.0000000000000947 · Cited by 865 · see citing works
Untitled work
(2019) · doi:10.1161/cir.0000000000000677 · Cited by 4,501 · see citing works
Erectile dysfunction and diabetes: A melting pot of circumstances and treatments
Defeudis, G., Mazzilli, R., Tenuta, M., Rossini, G., Zamponi, V., Olana, S., Faggiano, A., Pozzilli, P., Isidori, A. M., & Gianfrilli, D. (2021) · Diabetes/Metabolism Research and Reviews · doi:10.1002/dmrr.3494 · Cited by 295 · see citing works
Psychological conditions in adults with diabetes.
de Groot, M., Golden, S. H., & Wagner, J. (2016) · American Psychologist · doi:10.1037/a0040408 · Cited by 170 · see citing works
Impact of COVID-19 lockdown on glycemic control in patients with type 1 diabetes
Fernández-Rubio, E., Cortázar, A., & Bellido, V. (2020) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2020.108348 · Cited by 149 · see citing works
Occupational Therapy Intervention Improves Glycemic Control and Quality of Life Among Young Adults With Diabetes: the Resilient, Empowered, Active Living with Diabetes (REAL Diabetes) Randomized Controlled Trial
Pyatak, E. A., Carandang, K. M., Vigen, C. L. P., Blanchard, J., Díaz, J., Concha-Chavez, A., Sequeira, P. A., Wood, J., Whittemore, R., Spruijt‐Metz, D., et al. (2018) · Diabetes Care · doi:10.2337/dc17-1634 · Cited by 101 · see citing works
Psychosocial Determinants of Treatment Adherence in Patients with Type 2 Diabetes – A Review
Świątoniowska-Lonc, N., Tański, W., Polański, J., Jankowska‐Polańska, B., & Mazur, G. J. (2021) · Diabetes Metabolic Syndrome and Obesity · doi:10.2147/dmso.s308322 · Cited by 99 · see citing works
Diabetes and Mental Health
Robinson, D. J., Hanson, K., Jain, A. B., Kichler, J. C., Mehta, G., Melamed, O. C., Vallis, M., Bajaj, H. S., Barnes, T., Gilbert, J., et al. (2023) · Canadian Journal of Diabetes · doi:10.1016/j.jcjd.2023.04.009 · Cited by 73 · see citing works
Relationship between self-efficacy and adherence to self-management and medication among patients with chronic diseases in China: A multicentre cross-sectional study
Chen, J., Tian, Y., Yin, M., Lin, W., Tuersun, Y., Li, L., Yang, J., Wu, F., Kan, Y., Li, X., et al. (2022) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2022.111105 · Cited by 78 · see citing works
A new comprehensive diabetes health literacy scale: Development and psychometric evaluation
Lee, E., Lee, Y. W., Lee, K. W., Nam, M., & Kim, S. H. (2018) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2018.08.002 · Cited by 61 · see citing works
Hybrid closed-loop insulin delivery versus sensor-augmented pump therapy in children aged 6–12 years: a randomised, controlled, cross-over, non-inferiority trial
Kariyawasam, D., Morin, C., Casteels, K., Tallec, C. L., Sfez, A., Godot, C., Huneker, E., Garrec, N., Benhamou, P., Polak, M., et al. (2022) · The Lancet Digital Health · doi:10.1016/s2589-7500(21)00271-5 · Cited by 58 · see citing works
Barriers to Self-Management of Type 2 Diabetes During COVID-19 Medical Isolation: A Qualitative Study
Shi, C., Zhu, H., Liu, J., Zhou, J., & Tang, W. (2020) · Diabetes Metabolic Syndrome and Obesity · doi:10.2147/dmso.s268481 · Cited by 60 · see citing works
Diabetes self-management in three different income settings: Cross-learning of barriers and opportunities
Man, J. D., Aweko, J., Daivadanam, M., Alvesson, H. M., Delobelle, P., Mayega, R. W., Östenson, C., Kirunda, B. E., Kasujja, F. X., Guwatudde, D., et al. (2019) · PLoS ONE · doi:10.1371/journal.pone.0213530 · Cited by 55 · see citing works
The Influence of Selected Psychological Factors on Medication Adherence in Patients with Chronic Diseases
Bąk‐Sosnowska, M., Gruszczyńska, M., Wyszomirska, J., & Daniel‐Sielańczyk, A. (2022) · Healthcare · doi:10.3390/healthcare10030426 · Cited by 59 · see citing works
Expert panel guidance and narrative review of treatment simplification of complex insulin regimens to improve outcomes in type 2 diabetes
Jude, E. B., Malecki, M. T., Gomez Huelgas, R., Prazny, M., Snoek, F., Tankova, T., Giugliano, D., & Khunti, K. (2022) · Diabetes Therapy · doi:10.1007/s13300-022-01222-2 · Cited by 52 · see citing works
Understanding diabetes and the role of psychology in its prevention and treatment.
Hunter, C. M. (2016) · American Psychologist · doi:10.1037/a0040344 · Cited by 52 · see citing works
Structural principles of insulin formulation and analog design: A century of innovation
Jarosinski, M., Dhayalan, B., Chen, Y.-S., Chatterjee, D., Varas, N., & Weiss, M. (2021) · Molecular Metabolism · doi:10.1016/j.molmet.2021.101325 · Cited by 46 · see citing works
Dose-dependent effect of supervised aerobic exercise on HbA1c in patients with type 2 diabetes: a meta-analysis of randomized controlled trials.
Jayedi, A., Emadi, A., & Shab-Bidar, S. (2022) · Sports Medicine · doi:10.1007/s40279-022-01673-4 · Cited by 47 · see citing works
Depression and self‐care in older adults with multiple chronic conditions: A multivariate analysis
Iovino, P., Maria, M. D., Matarese, M., Vellone, E., Ausili, D., & Riegel, B. J. (2020) · Journal of Advanced Nursing · doi:10.1111/jan.14385 · Cited by 50 · see citing works
Impact of COVID-19 Lockdown on Glycemic Control in Adults with Type 1 Diabetes Mellitus
Pla, B., Arranz, A., Knott-Torcal, C., Sampedro, M., Jiménez, S., Alday, I. H., & Marazuela, M. (2020) · Journal of the Endocrine Society · doi:10.1210/jendso/bvaa149 · Cited by 46 · see citing works
Understanding the predictors of medication adherence: applying temporal self-regulation theory
Liddelow, C., Mullan, B. A., & Boyes, M. E. (2020) · Psychology and Health · doi:10.1080/08870446.2020.1788715 · Cited by 46 · see citing works
Smartphone Apps for Diabetes Medication Adherence: Systematic Review
Islam, S. M. S., Mishra, V., Siddiqui, M. U., Moses, J. C., Adibi, S., Nguyen, L., & Wickramasinghe, N. S. (2022) · JMIR Diabetes · doi:10.2196/33264 · Cited by 46 · see citing works
Prevalence of diabetes distress among type 2 diabetes mellitus patients in India: a systematic review and meta-analysis
Sinha, R., Priya, A., Sinha, A., & Rahman, M. H. U. (2024) · Health Psychology and Behavioral Medicine · doi:10.1080/21642850.2024.2324091 · Cited by 48 · see citing works
Descriptions of diabetes burnout from individuals with Type 1 diabetes: an analysis of YouTube videos
Abdoli, S., Hessler, D., Vora, A., Smither, B., & Stuckey, H. L. (2019) · Diabetic Medicine · doi:10.1111/dme.14047 · Cited by 36 · see citing works
Development of a Complex Intervention to Improve Adherence to Antidiabetic Medication in Older People Using an Anthropomorphic Virtual Assistant Software
Félix, I. B., Guerreiro, M. P., Cavaco, A. M. D. N., Cláudio, A. P., Mendes, A., Balsa, J., Carmo, M. B., Pimenta, N. M., & Henriques, M. A. (2019) · Frontiers in Pharmacology · doi:10.3389/fphar.2019.00680 · Cited by 35 · see citing works
Mental health burden of patients with diabetes before and after the initial outbreak of COVID-19: predictors of mental health impairment
Moradian, S., Teufel, M., Jahre, L. M., Musche, V., Fink, M., Dinse, H., Schweda, A., Weismüller, B., Dörrie, N., Tan, S., et al. (2021) · BMC Public Health · doi:10.1186/s12889-021-12101-z · Cited by 36 · see citing works
Telehealth delivery of motivational interviewing for diabetes management: A systematic review of randomized controlled trials
McDaniel, C. C., Kavookjian, J., & Whitley, H. P. (2022) · Patient Education and Counseling · doi:10.1016/j.pec.2021.07.036 · Cited by 35 · see citing works
“To improve diabetes self-management, behavioral interventions have demonstrated improvements in diabetes control by targeting eating habits [11], physical activity [11], and medication taking [12], among others.”
Background
The psychosocial burdens of living with diabetes
Kelly, R. C., Holt, R. I. G., Desborough, L., Majidi, S., Town, M., Naranjo, D. M., Messer, L. H., Barnard, E., Söderberg, J. A. E., & Barnard-Kelly, K. D. (2023) · Diabetic Medicine · doi:10.1111/dme.15219 · Cited by 34 · see citing works
The role and need for psychological support in the treatment of adolescents and young people suffering from type 1 diabetes
Małachowska, M., Gosławska, Z., Rusak, E., & Jarosz-Chobot, P. A. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.945042 · Cited by 33 · see citing works
Association between processes of diabetes care and health care utilization in patients with diabetes: Evidence from a nationally representative US sample
Delevry, D., Ho, A., & Le, Q. A. (2020) · Journal of Diabetes · doi:10.1111/1753-0407.13109 · Cited by 34 · see citing works
Barriers to Diabetes Self-Management in a Subset of New Zealand Adults with Type 2 Diabetes and Poor Glycaemic Control
Chepulis, L. M., Morison, B. J., Cassim, S., Norman, K., Keenan, R., Paul, R. G., & Lawrenson, R. A. (2021) · Journal of Diabetes Research · doi:10.1155/2021/5531146 · Cited by 33 · see citing works
Prevalence of Diabetes Related Distress and Associated Factors Among Type 2 Diabetes Patients Attending Hospitals, Southwest Ethiopia, 2020: A Cross-Sectional Study
Geleta, B. A., Tamiru, S., Emanu, M. D., Bacha, L., Abera, K. B., & Tsegaye, D. (2021) · Patient Related Outcome Measures · doi:10.2147/prom.s290412 · Cited by 33 · see citing works
Determinants associated with self-management behavior among type 2 diabetes patients in China: A structural equation model based on the theory of planned behavior
Pan, L., Zhang, X., Wang, S., Zhao, N., Zhao, R., Ding, B., Li, Y., Miao, W., & Fan, H. D. (2022) · International Journal of Clinical and Health Psychology · doi:10.1016/j.ijchp.2022.100332 · Cited by 32 · see citing works
Depression in Youth-Onset Type 2 Diabetes
Gulley, L. D., & Shomaker, L. B. (2020) · Current Diabetes Reports · doi:10.1007/s11892-020-01334-8 · Cited by 31 · see citing works
Precision Dosing of Rapid-Acting Insulin Matters
Aanstoot, H., Rodriguez, H., WEINZIMER, S. A., Vint, N., & Koeneman, L. (2020) · Diabetes Technology & Therapeutics · doi:10.1089/dia.2019.0374 · Cited by 30 · see citing works
Is it time to consider depression as a major complication of type 2 diabetes? Evidence from a large population-based cohort study
Messina, R., Iommi, M., Rucci, P., Reno, C., Fantini, M. P., Lunghi, C., Altini, M., Bravi, F., Rosa, S., Nicolucci, A., et al. (2021) · Acta Diabetologica · doi:10.1007/s00592-021-01791-x · Cited by 30 · see citing works
Impact of Patient-Centered and Self-Care Education on Diabetes Control in a Family Practice Setting in Saudi Arabia
AlHaqwi, A. I., Amin, M. M., Tulaihi, B. A., & Abolfotouh, M. A. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20021109 · Cited by 30 · see citing works
‘Learning to shape life’ – a qualitative study on the challenges posed by a diagnosis of diabetes mellitus type 2
Fink, A. M., Fach, E.-M., & Schröder, S. L. (2019) · International Journal for Equity in Health · doi:10.1186/s12939-019-0924-3 · Cited by 29 · see citing works
Patient-reported outcome measures for diabetes self-care: A systematic review of measurement properties
Lee, J., Lee, E., Chae, D., & Kim, C. (2019) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2019.103498 · Cited by 29 · see citing works
Psychosocial treatment on psychological symptoms, adherence, and physiological function on transplanted patients: A systematic review and metanalysis
Sambucini, D., Ciacchella, C., Pellicano, G. R., Zingaretti, G., Pierro, L., Aceto, P., & Lai, C. (2022) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2022.110717 · Cited by 29 · see citing works
Innovations in healthcare delivery and policy: Implications for the role of the psychologist in preventing and treating diabetes.
Johnson, S. B., & Marrero, D. G. (2016) · American Psychologist · doi:10.1037/a0040439 · Cited by 28 · see citing works
Diabetes-Related Distress and Its Associated Factors Among Patients with Diabetes in Vietnam
Nguyễn, V. B., Tran, T. T., Dang, T. L., Nguyen, V. V. H., Tran, B. T., Le, C. V., & Toan, N. D. (2020) · Psychology Research and Behavior Management · doi:10.2147/prbm.s285291 · Cited by 29 · see citing works
Emotional abilities and HbA1c levels in patients with type 1 diabetes
Ruiz-Aranda, D., Zysberg, L., García-Linares, E., Castellano-Guerrero, A. M., Martínez‐Brocca, M. A., & Gutiérrez-Colosía, M. R. (2018) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2018.04.015 · Cited by 29 · see citing works
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Authors: Gonzalez, J. S., Tanenbaum, M. L., & Commissariat, P. V.
Affiliations: Stanford Medicine (US)
Joslin Diabetes Center (US)
ORCID: Gonzalez, Jeffrey S.
Tanenbaum, Molly L.
Commissariat, Persis V.
Venue: American Psychologist
Publisher: American Psychological Association (APA)
Published: 2016-10
Volume: 71
Issue: 7
Pages: 539-551
ISSN: 0003-066X (ISSN-L)
1935-990X
DOI: 10.1037/a0040388
PMC: PMC5792162
OpenAlex: W2529230519
Cited by: 354
References: 120
Citations by year: 2026: 35 · 2025: 53 · 2024: 37 · 2023: 40 · 2022: 65 · 2021: 46 · 2020: 30 · 2019: 26 · 2018: 10 · 2017: 8 · 2016: 3 · 2013: 1
FWCI: 15.75
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: other-oa
www.apa.org/pubs/journals/resources/open-access.aspx (am, 367 d)
Locations: American Psychologist (publishedVersion, other-oa)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute of Diabetes and Digestive and Kidney Diseases (R18 DK098742 and R01 DK104845)
Topics: Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
Keywords: diabetes self-management, medication adherence, psychosocial factors, psychological intervention, glycemic control, emotional distress, coping strategies, patient knowledge and beliefs, behavioral skills training, socioeconomic status, patient-centered care, children and adolescents with diabetes, self-regulation
MeSH terms: Adaptation, Psychological, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Female, Humans, Health Knowledge, Attitudes, Practice, Male, Psychology, Socioeconomic Factors, Self Efficacy, Medication Adherence

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Psychosocial factors in medication adherence and diabetes self-management: Implications for research and practice.

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