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- W2528248599 abstract "Background: A well-documented phenomenon among patients with diabetes is the comorbid occurrence of depression which impacts adherence rates in patients. The symptoms of depression that may cause the most interference include fatigue, loss of motivation, and hopelessness. However, the exact way in which depression impacts nonadherence to diabetes treatment is still unknown. The purpose of the present study was to examine patients diagnosed with diabetes to measure the relationships between depression, hopelessness, and nonadherence.Methods: Adults with a known diagnosis of Type I or Type II Diabetes (N=100; mean age: 56.2, 63.6% male, 47.5% Caucasian, 33.3% African American, and 14.1% Hispanic) were recruited from a southeastern outpatient family medicine clinic. Patients were asked to complete the Beck Depression Inventory, the Beck Hopelessness Scale, the Summary of Diabetes Self-Care Activities Questionnaire, and the Morisky Medication Adherence Scale to assess for levels of depression, hopelessness, self-care, and medication adherence.Results: Results of a regression analysis concluded that both depression and hopelessness were significant predictors of level of nonadherence. Thus, as depression and hopelessness increase, so does the level of patient nonadherence. However, hopelessness was not shown to be a mediator between depression and nonadherence.Conclusions: It was found that depression and hopelessness have significant negative impacts on adherence levels. These results suggest future research should continue to investigate hopelessness as one potential mediator between depression and nonadherence. In the future, intervention studies for patients with diabetes and comorbid depression should consider implementing a brief, evidence-based treatment for depression and measure the treatment’s impact on patient nonadherence rates, patients’ depressive symptomology, and hopelessness scores.Key points: Significant findings of this study include the relationship between depression, hopelessness, and nonadherence in patients with diabetes. More specifically, it was found that depression and hopelessness have significant negative impacts on adherence levels. This study paid special attention to hopelessness as one possible factor for this relationship. The study adds to the literature by identifying significant levels of not only depression but also hopelessness among patients diagnosed with diabetes contribute to greater nonadherence rates." @default.
- W2528248599 created "2016-10-14" @default.
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- W2528248599 date "2016-01-01" @default.
- W2528248599 modified "2023-09-25" @default.
- W2528248599 title "Diabetes, Depression and Nonadherence: Exploring Hopelessness as a Mediating Factor: A Preliminary Study" @default.
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