Prediction of adherence to treatment in the elderly with type 2 diabetes based on interpersonal conflicts and self-compassion

Document Type : Original article

Authors

1 Department of Psychology, Faculty of Medicine, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran ​

2 PhD, Department of Occupational Therapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran

3 Department of Psychology, Faculty of Medicine, Tehran Medical Science, Islamic Azad University, Tehran, Iran

4 Iran university of medical sciences

5 PhD Student of Exceptional Child Psychology, Occupational Therapy Department, School of Rehabilitation, Shahid Beheshti University of Medical Science, Tehran, Iran

10.22037/sjrm.2024.117258.3248

Abstract

Background and purpose: Adherence to treatment is a key factor in improving patient safety and the quality of care according to the needs of the elderly, and non-adherence prevents the elderly from accessing the best treatment, and this may be especially problematic in chronic medical conditions. Therefore, the aim of the present study was to determine the relationship between interpersonal conflicts and self-compassion with treatment adherence in the elderly with type 2 diabetes.

Materials and methods: The method of this research was descriptive and correlational. The statistical population of the study included all elderly people with type 2 diabetes who referred to the endocrinology clinic of the 5th district of Tehran during the first 6 months of 2012, based on the formula of Tabachnik and Fidel (2007), 138 people were randomly selected as a sample. In this research, Rahim's standard interpersonal conflict resolution style questionnaire (ROCI_II), self-compassion scale (SCS) and treatment adherence questionnaire (TAQ) were used. Finally, in order to check the correlation between the variables, the data was entered into SPSS software version 26, and Pearson's correlation coefficient and multiple regression were used simultaneously to analyze the data.

Findings: The results of this research showed that interpersonal conflicts predict 29.9% and self-compassion 26.5% of changes in treatment compliance, among which the components of interpersonal conflict styles include unity (24 0/), avoidant (-0.33) and bound (-0.17) and the components of self-compassion including self-kindness (0.24), avoiding self-judgment (0.21) and Absence of extreme replication (0.17) can predict treatment compliance in elderly people with type 2 diabetes.

Conclusion: The results of this research have shown that interpersonal conflicts and self-compassion have a positive and significant relationship with treatment compliance in elderly people with type 2 diabetes and can predict treatment compliance in these elderly people. Therefore, it is suggested that by strengthening and teaching interpersonal conflicts and self-compassion, it is possible to improve treatment compliance in the elderly with type 2 diabetes.

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Articles in Press, Accepted Manuscript
Available Online from 20 May 2024
  • Receive Date: 23 January 2024
  • Revise Date: 14 April 2024
  • Accept Date: 20 May 2024
  • First Publish Date: 20 May 2024