PMID- 34178827
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220424
IS  - 2251-6581 (Print)
IS  - 2251-6581 (Electronic)
IS  - 2251-6581 (Linking)
VI  - 20
IP  - 1
DP  - 2021 Jun
TI  - The relationship between personality disorder, depression and eating disorder 
      with treatment adherence in patients with type 2 diabetes; a cross-sectional 
      study in diabetic patients in Iran.
PG  - 153-159
LID - 10.1007/s40200-020-00722-x [doi]
AB  - PURPOSE: Adherence to treatment is of great importance in patients with diabetes 
      mellitus due to its necessity and benefits. The purpose of this study was to 
      evaluate the relationship between personality disorder, depression and eating 
      disorder with appropriate treatment acceptance and follow-up in patients with 
      type 2 diabetes. METHODS: This cross-sectional study was performed in Imam Ali 
      Medical Education Center in Karaj city of Alborz province of Iran. A total of 
      1320 patients were evaluated and were screened according to the inclusion 
      criteria, including type 2 diabetes and those over 18 years of age. Finally, 
      considering the exclusion criteria, 600 patients with type 2 diabetes were 
      included in the study. Patients were divided into 4 groups. 150 patients with 
      type 2 diabetes in the control group, 150 patients with type 2 diabetes with 
      major depressive disorder, 150 patients with type 2 diabetes with personality 
      disorder and 150 patients with type 2 diabetes and eating disorder were studied. 
      Questionnaires used in the study included Hamilton Depression Rating Scale(HAM-D) 
      for depression, Minnesota Multiphasic Personality Inventory II (MMPI II) 
      questionnaire for personality disorders and Eating Disorder Diagnostic 
      Scale(EDDS) for eating disorder. The Murisky questionnaire also assessed 
      adherence to treatment in patients, which included 8 questions. Scores measure 
      the degree of adherence to treatment. RESULTS: 600 patients with type 2 diabetes 
      were studied. Patients were divided into 4 groups (each group consisting of 150 
      patients) of control, depression, personality disorder and eating disorder. Mean 
      age, sex, marital status and duration of diabetes were not significantly 
      different in the study groups (P > 0.05). The mean Murisky score in patients with 
      depression and personality disorder was significantly lower than the control 
      group (P < 0.05) but the mean Murisky score in patients with eating disorder was 
      not significantly different (P > 0.05). Patients with depression, paranoid, 
      schizotypal, antisocial, borderline, avoidant and dependent personality disorder 
      had less adherent to treatment than the control group. CONCLUSIONS: Early 
      psychiatric evaluation of patients with diabetes and identification of possible 
      disorders can help improve diabetes control.
CI  - (c) Springer Nature Switzerland AG 2021.
FAU - Jalali, Negar
AU  - Jalali N
AD  - Imam Ali Hospital, Alborz University of Medical Sciences, Karaj, Alborz Iran. 
      GRID: grid.411705.6. ISNI: 0000 0001 0166 0922
FAU - Taghavi Kojidi, Habibeh
AU  - Taghavi Kojidi H
AD  - Department of Internal Medicine, School of Medicine, Alborz University of Medical 
      Sciences, Karaj, Iran. GRID: grid.411705.6. ISNI: 0000 0001 0166 0922
FAU - Badrfam, Rahim
AU  - Badrfam R
AD  - Department of Psychiatry, Roozbeh Hospital, Tehran University of Medical 
      Sciences, Tehran, Iran. GRID: grid.411705.6. ISNI: 0000 0001 0166 0922
FAU - Zandifar, Atefeh
AU  - Zandifar A
AUID- ORCID: 0000-0002-4725-1734
AD  - Imam Ali Hospital, Alborz University of Medical Sciences, Karaj, Alborz Iran. 
      GRID: grid.411705.6. ISNI: 0000 0001 0166 0922
LA  - eng
PT  - Journal Article
DEP - 20210115
PL  - Switzerland
TA  - J Diabetes Metab Disord
JT  - Journal of diabetes and metabolic disorders
JID - 101590741
PMC - PMC8212261
OTO - NOTNLM
OT  - Depression
OT  - Diabetes mellitus
OT  - Eating disorder
OT  - Personality disorder
COIS- Conflicts of interest/competing interestsThere is no conflict of interest.
EDAT- 2021/06/29 06:00
MHDA- 2021/06/29 06:01
PMCR- 2022/01/15
CRDT- 2021/06/28 06:04
PHST- 2020/10/05 00:00 [received]
PHST- 2020/12/28 00:00 [accepted]
PHST- 2021/06/28 06:04 [entrez]
PHST- 2021/06/29 06:00 [pubmed]
PHST- 2021/06/29 06:01 [medline]
PHST- 2022/01/15 00:00 [pmc-release]
AID - 722 [pii]
AID - 10.1007/s40200-020-00722-x [doi]
PST - epublish
SO  - J Diabetes Metab Disord. 2021 Jan 15;20(1):153-159. doi: 
      10.1007/s40200-020-00722-x. eCollection 2021 Jun.