Stress and Depression Associated with Non-Adherence to Treatment in Patients with Diabetes Mellitus Type 2

Abstract

Objective: to identify the association between stress and depression regarding adherence to treatment in patients with Diabetes Mellitus type 2 of a Family Medicine Unit in Merida, Yucatan, Mexico. Methods: cross-sectional survey of 101 patients diagnosed with Diabetes Mellitus type 2. The Morinsky-Green Levine test was used for adhesion; the Holmes-Rae test for stress and the Zung test for depression. The association between adherence to treatment, stress and depression with metabolic control was carried out in accordance to the criteria of the American Diabetes Association using inferential statistics. Results: 65% of patients showed stress, 26% depression and in 82% there was lack of adherence to treatment. Stress was associated to the lack of glycemic control (rm 3.7, ic 95%, 1.4-9.6, 95%, p=0.006) and the lack of adherence to treatment (RM 7.2, IC 95%, 2.3-22.5, p<0.05) and therefore this lack of adherence to treatment was associated to the lack of glycemic control (RM 4.3, IC 95%, 1.4-12.9, p=0.01). Conclusion: stress is associated with poor adherence to treatment in Diabetes Mellitus type 2.