The Relationship Between Personality Profile and Self-care Among Patients with Type 2 Diabetes

Overview

Journal Front Psychol

Date 2022 Dec 2

PMID 36457923

Authors

Zahra Dadras

Behnam Molaei

Masoumeh Aghamohammadi

Affiliations

Soon will be listed here.

Abstract

Background: As a chronic disease, diabetes needs special self-care behaviors until the end of life. Personality traits are considered to be effective psychological factors in controlling diabetes and self-care in patients with diabetes. The present study was conducted to determine the relationship between personality profile and self-care among people with type 2 diabetes.

Methods: In this descriptive-correlational study conducted in 2021, 160 patients with type 2 diabetes referred to the diabetes clinic of Imam Khomeini Educational and Medical Center in Ardabil were selected by convenience sampling method. The data collection tools included the Diabetes Self-Care Activities questionnaire (SDSCA) and the short form of the Millon Multi-Axis Clinical Test (MCMI-3), which were completed through interviews with patients. Data were analyzed by SPSS software using descriptive statistics (mean, SD, and frequency) and inferential statistics (Pearson correlation coefficient and linear regression).

Results: Based on the results, apart from the obsessive personality disorder, which had a positive relationship with self-care behaviors, a significant negative correlation was observed between schizoid, avoidant, depressed, dependent, antisocial, self-harming, borderline, and paranoid personality disorders with self-care behaviors ( < 0.01).

Conclusion: The results showed that there is a significant negative relationship between personality profile and self-care status of patients with type 2 diabetes. In other words, a person's personality profile can predict self-care behaviors. Accordingly, personality traits can be considered as one of the influencing factors on self-care in the educational programs of diabetic patients. Holding educational classes to empower patients using psychological interventions and teaching effective solutions can be an effective step toward increasing the level of mental-physical health and self-care of patients with type 2 diabetes.

Citing Articles

Characteristic Changes of Prefrontal and Motor Areas in Patients with Type 2 Diabetes and Major Depressive Disorder During a Motor Task of Tai Chi Chuan: A Functional Near-Infrared Spectroscopy Study.

Zhang J, Li Y, Liu X, Zhong D, Xue C, Fan J Brain Behav. 2024; 14(10):e70071.

PMID: 39378277 PMC: 11460607. DOI: 10.1002/brb3.70071.

Association of Personality Traits and Self-Care Behaviors in People With Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis.

Dimou K, Dragioti E, Tsitsas G, Mantzoukas S, Gouva M Cureus. 2024; 15(12):e50714.

PMID: 38234931 PMC: 10792707. DOI: 10.7759/cureus.50714.

Intertemporal decision-making as a mediator between personality traits and self-management in type 2 diabetes: a cross-sectional study.

Deng L, Luo S, Fang Q, Xu J Front Psychol. 2023; 14:1210691.

PMID: 37575446 PMC: 10422026. DOI: 10.3389/fpsyg.2023.1210691.

References

Henderson L . Divergent models of diabetes among American Indian elders. J Cross Cult Gerontol. 2010; 25(4):303-16. DOI: 10.1007/s10823-010-9128-4. View

Alharthi M, Taura M, Al-Shahrani A, Alamri M, AlShahrani A, Nandi P . Awareness of diabetes risk factors among Bisha Residents Southwestern Saudi Arabia. J Family Med Prim Care. 2022; 10(12):4471-4477. PMC: 8884284. DOI: 10.4103/jfmpc.jfmpc_919_21. View

Habib S, Aslam M . Lipids and lipoprotein(a) concentrations in Pakistani patients with type 2 diabetes mellitus. Diabetes Obes Metab. 2004; 6(5):338-43. DOI: 10.1111/j.1462-8902.2004.00352.x. View

Lin K, Yang X, Yin G, Lin S . Diabetes Self-Care Activities and Health-Related Quality-of-Life of individuals with Type 1 Diabetes Mellitus in Shantou, China. J Int Med Res. 2015; 44(1):147-56. PMC: 5536571. DOI: 10.1177/0300060515597933. View

Schmitt A, Reimer A, Kulzer B, Icks A, Paust R, Roelver K . Measurement of psychological adjustment to diabetes with the diabetes acceptance scale. J Diabetes Complications. 2018; 32(4):384-392. DOI: 10.1016/j.jdiacomp.2018.01.005. View

Ebadi A, Ausili D, Albatineh A, Salarvand S, Ghanei Ghashlagh R . Psychometric Evaluation of the Farsi Version of the Self-Care of Diabetes Inventory in Iranian Patients with Diabetes. Diabetes Metab Syndr Obes. 2020; 12:2775-2784. PMC: 6941697. DOI: 10.2147/DMSO.S235436. View

Willroth E, Smith A, Shallcross A, Graham E, Mroczek D, Ford B . The Health Behavior Model of Personality in the Context of a Public Health Crisis. Psychosom Med. 2021; 83(4):363-367. PMC: 9011405. DOI: 10.1097/PSY.0000000000000937. View

Palinkas A, Sandor J, Papp M, Korosi L, Falusi Z, Pal L . Associations between untreated depression and secondary health care utilization in patients with hypertension and/or diabetes. Soc Psychiatry Psychiatr Epidemiol. 2018; 54(2):255-276. DOI: 10.1007/s00127-018-1545-7. View

WATSON D, Pennebaker J . Health complaints, stress, and distress: exploring the central role of negative affectivity. Psychol Rev. 1989; 96(2):234-54. DOI: 10.1037/0033-295x.96.2.234. View

10.

Diderichsen F, Andersen I . The syndemics of diabetes and depression in Brazil - An epidemiological analysis. SSM Popul Health. 2018; 7:002-2. PMC: 6293027. DOI: 10.1016/j.ssmph.2018.11.002. View

11.

Ranjbaran S, Shojaeizadeh D, Dehdari T, Yaseri M, Shakibazadeh E . Determinants of medication adherence among Iranian patients with type 2 diabetes: An application of health action process approach. Heliyon. 2020; 6(7):e04442. PMC: 7364035. DOI: 10.1016/j.heliyon.2020.e04442. View

12.

Hackinger S, Prins B, Mamakou V, Zengini E, Marouli E, Brcic L . Evidence for genetic contribution to the increased risk of type 2 diabetes in schizophrenia. Transl Psychiatry. 2018; 8(1):252. PMC: 6251918. DOI: 10.1038/s41398-018-0304-6. View

13.

Zheng Y, Ley S, Hu F . Global aetiology and epidemiology of type 2 diabetes mellitus and its complications. Nat Rev Endocrinol. 2017; 14(2):88-98. DOI: 10.1038/nrendo.2017.151. View

14.

Sisman P, Polat I, Aydemir E, Karsi R, Gul O, Cander S . How the COVID-19 outbreak affected patients with diabetes mellitus?. Int J Diabetes Dev Ctries. 2021; 42(1):53-61. PMC: 8432957. DOI: 10.1007/s13410-021-00992-y. View

15.

Pollock-Barziv S, Davis C . Personality factors and disordered eating in young women with type 1 diabetes mellitus. Psychosomatics. 2005; 46(1):11-8. DOI: 10.1176/appi.psy.46.1.11. View

16.

Toobert D, Hampson S, Glasgow R . The summary of diabetes self-care activities measure: results from 7 studies and a revised scale. Diabetes Care. 2000; 23(7):943-50. DOI: 10.2337/diacare.23.7.943. View

17.

Hope S, Taylor P, Shields B, Hattersley A, Hamilton W . Are we missing hypoglycaemia? Elderly patients with insulin-treated diabetes present to primary care frequently with non-specific symptoms associated with hypoglycaemia. Prim Care Diabetes. 2017; 12(2):139-146. PMC: 5857285. DOI: 10.1016/j.pcd.2017.08.004. View

18.

Malekmahmoodi M, Shamsi M, Roozbahani N, Moradzadeh R . A randomized controlled trial of an educational intervention to promote oral and dental health of patients with type 2 diabetes mellitus. BMC Public Health. 2020; 20(1):287. PMC: 7057556. DOI: 10.1186/s12889-020-8395-4. View

19.

Bener A, Ghuloum S, Al-Hamaq A, Dafeeah E . Association between psychological distress and gastrointestinal symptoms in diabetes mellitus. World J Diabetes. 2012; 3(6):123-9. PMC: 3382709. DOI: 10.4239/wjd.v3.i6.123. View

20.

Millon T . The MCMI provides a good assessment of DSM-III disorders: the MCMI-II will prove even better. J Pers Assess. 1985; 49(4):379-91. DOI: 10.1207/s15327752jpa4904_5. View