Treatment Adherence and Cognitive Emotion Regulation Skills in Patients With Diabetes Mellitus
Bibliographic Data
| ID | 16913485 |
|---|---|
| Authors | Gizem Beycan Ekitli (0000-0002-7308-5629), Özkan Uğuz (0000-0002-9410-9511), Emel Öztürk Turgut (0000-0003-0620-2749), Olcay Çam (0000-0002-6115-7306) |
| Year | 2025 |
| Volume | 15 |
| Issue | 3 |
| Publication date | 2025-07-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | SAGE Open (JOURNAL) |
| Journal identifiers | ISSN: 2158-2440 • E-ISSN: 2158-2440 |
| Publisher | SAGE Publications (PUBLISHER • US) |
| DOI | 10.1177/21582440251363675 |
| Language | EN |
| References cited | 49 |
The study determined the level of treatment adherence motivation in outpatients with diabetes mellitus and examine the relationship between cognitive emotion regulation skills and treatment adherence motivation. This descriptive, correlational study included 458 diabetes mellitus outpatients. Data were collected via an online survey comprising a Patient Information Form, the Turkish Modified Morisky Scale, which assesses treatment adherence through motivation and adherence related knowledge subscales, and the Cognitive Emotion Regulation Questionnaire, which measures adaptive and maladaptive emotion regulation strategies. Analyses included correlations and binary logistic regressions. Participants had a mean age of 51.02 years; 50.4% were women, and 58.7% had type 2 diabetes mellitus. Over half exhibited low motivation for treatment adherence. Motivation was negatively associated with maladaptive strategies such as other-blame (rho = −.181, p p B = 0.14), catastrophizing ( B = −0.12), planning ( B = −0.12), and education level ( B = −0.30; p B = −0.025) and education ( B = −0.433), but not by emotion regulation strategies. Over half of the participants of diabetes mellitus exhibited low treatment adherence. Low treatment motivation is common among diabetes mellitus outpatients and is influenced by both emotion regulation and sociodemographic factors. While knowledge alone is insufficient, emotion regulation strategies—especially maladaptive ones—play a critical role. Interventions that combine psychoeducation with emotion-focused approaches may enhance adherence in chronic illness care
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| Highly cited | No |
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