The DOI matches its Crossref record; 4 of the 4 references it cites were found in a registry or an index.
The Patient-Provider Relationship: Attachment Theory and Adherence to Treatment in Diabetes
Abstract
OBJECTIVE: Lack of adherence to diabetic self-management regimens is associated with a high risk of diabetes complications. Previous research has shown that the quality of the patient-provider relationship is associated with adherence to diabetes treatment. This study attempts to improve understanding of both patient and provider factors involved in lack of adherence to treatment in diabetic patients by using the conceptual model of attachment theory. METHOD: Instruments that assessed attachment, treatment adherence, depression, diabetes severity, patient-provider communication, and demographic data were administered to 367 patients with type 1 and 2 diabetes in a health maintenance organization primary care setting. Glucose control, medical comorbidity, and adherence to medications and clinic appointments were determined from automated data. Analyses of covariance were used to determine if attachment style and quality of patient-provider communication were associated with adherence to treatment. RESULTS: Patients who exhibited dismissing attachment had significantly worse glucose control than patients with preoccupied or secure attachment. An interaction between attachment and communication quality was significantly associated with glycosylated hemoglobin (Hb A(1c)) levels. Among the patients with a dismissing attachment style, there was a significant difference in glycosylated hemoglobin levels between those who rated their patient-provider communication as poor (mean=8.50%, SD=1.55%) and those who rated this communication as good (mean=7.49%, SD=1. 33%). Among all patients who were taking oral hypoglycemics, adherence to medications and glucose monitoring was significantly worse in patients who exhibited dismissing attachment and rated their patient-provider communication as poor. CONCLUSIONS: Dismissing attachment in the setting of poor patient-provider communication is associated with poorer treatment adherence in patients with diabetes.
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Cites
Attachment styles among young adults: A test of a four-category model.
Bartholomew, K., & Horowitz, L. M. (1991) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.61.2.226 · Cited by 8,384
Bowlby (1977) · doi:10.1192/bjp.130.3.201 · Cited by 2,844
Collaborative Management of Chronic Illness
Von Korff, M., Gruman, J., Schaefer, J., Curry, S. J., & Wagner, E. H. (1997) · Annals of Internal Medicine · doi:10.7326/0003-4819-127-12-199712150-00008 · Cited by 1,269 · cited 1×
“We posited that the compulsive self-reliance that characterizes individuals who exhibit dismissing attachment is largely incompatible with the collaborative working relationship between patient and provider that has been shown to be increasingly important in patients with chronic illness (9).”
Background
Cited by
Depression and Diabetes: Impact of Depressive Symptoms on Adherence, Function, and Costs
Ciechanowski, P. S., Katon, W. J., & Russo, J. E. (2000) · Archives of Internal Medicine · doi:10.1001/archinte.160.21.3278 · Cited by 1,465
Self-citationBarriers to diabetes management: patient and provider factors
Nam, S., Chesla, C., Stotts, N. A., Kroon, L., & Janson, S. L. (2011) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2011.02.002 · Cited by 680
Delamater, A. M. (2006) · Clinical Diabetes · doi:10.2337/diaclin.24.2.71 · Cited by 508
King, D. K., Glasgow, R. E., Toobert, D. J., Strycker, L. A., Estabrooks, P. A., Osuna, D., & Faber, A. J. (2010) · Diabetes Care · doi:10.2337/dc09-1746 · Cited by 369
Medication adherence and persistence: A comprehensive review
Krueger, K. P., Berger, B. A., & Felkey, B. (2005) · Advances in Therapy · doi:10.1007/bf02850081 · Cited by 317
Metadata
- Authors
- Ciechanowski, P. S., Katon, W. J., Russo, J. E., & Walker, E. A.
- Venue
- American Journal of Psychiatry
- Published
- 2001-01-01
- Volume
- 158
- Issue
- 1
- Pages
- 29-35
- ISSN
- 0002-953X (ISSN-L)
- 1535-7228
- OpenAlex
- W2108942104
- Cited by
- 597
- References
- 4
- FWCI
- 9.75
- Type
- journal article
- Language
- en
- Open access
- closed
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