Prediction of Diabetic Adherence Using the BASIS-A Inventory

Abstract

Medical and mental health professionals continue to strive for more effective ways of encouraging patients to adhere to suggested treatment plans. The purpose of this research was to explore the relationship between personality and adherence dynamics within a diabetic population. Specifically. we examined the relationship between Adlerian life style personality factors with 14 adherence behaviors in 38 patients with type I diabetes. Several statistically significant correlations showed that specific personality variables are associated with particular elements of the adherence regimen. The results indicate that strategies to increase adherence among patients should be individualized, and recommendations for how to increase adherence in patients with diabetes are given.

Get full access to this article

View all access options for this article.

References

Harris MI Classification, diagnostic criteria, and screening for diabetes. In: Diabetes in America. 2nd ed. Washington. DC: US Department of Health and Human Scrvices , 1995; NIH publication no. 95-1468.

De-Nour AK Forward. In: Gerber KE. Nchemkis AM. eds. Compliance: the dilemma of the chronically ill. New York: Springer, 1986:xi-xiii.

Milton J. Brief psychotherapy with poorly controlled diabetics. Br J Psychother 1989;54(4):532-43.

Rosen H. , Lidz T. Emotional factors in the precipitation of recurrent diabetic ketoacidosis . Psychosom Med 1949;11:210-15.

Bohrow ES , AvRuskin TW , Siller J. Mother-daughter interaction and adherence to diabetes regimens. Diabetes Care 1985;8(2):146-51.

Minuchin S. Baker L. Rosman B. Liebman R. Milman L. Todd T. A conceptual model of psychosomatic illness in children: family organization and family therapy. Arch Gen Psychiatry 1975 :32:1031-38.

Fairburn C. Steel J. Anorexia nervosa in diabetes mellitus. Br Med J 1980; 1:1167-8.

Szmukler GI Russell Gfm. Diabetes mellitus. anorexia nervosa and bulimia. Br J Psychiatry 1983;142:305-8.

Steel JM Young RJ Lloyd GG Clarke BF Clinically apparent eating disorders in young diabetic women: associations with painful neuropathy and other comptications. Br Med J 1987;294:859-62.

10.

Pelser HE Groen JJ , Stuyling de Lange MJ Dix PC Experiences in group discussions with diabetic patients. Psychother Psychosom 1979;32:257-69.

11.

Tattersall R. McCulloch DK , Aveline M. Group therapy in the treatment of diabetes . Diabetes Care 1985:8(2):180-88.

12.

Boehnert CE Popkin MK Psychological issues in treatment of severely noncompliant diabetics. Psychosomatics 1986 :27(1):11-20.

13.

Moran GS Psychoanalytic treatment of diabetic children. Psychoanal Study Child 1984;39:407-47.

14.

Nathan SW Psycholugical aspects of recurrent diabetic ketoacidosis in preadolescent boys. Am J Psychother 1985:39(2):193-205.

15.

Ferguson ED Adlerian theory: an introduction. Vancouver. British Columbia : Adlerian Psychology Association of British Columbia , 1984.

16.

Wheeler M. , Kern RM Curlette WL Basis inventory technical manual [Unpublished manual]. Coral Springs, Fla: CMTI Press, 1993.

17.

Wheeler MS Kern RM Curlette WL Wheeler-Kern-Curlette life style personality inventory [Unpuhlished inventory] . Atlanta. Ga: Georgia State University , 1982.

18.

Curlette W. , Wheeler M. Kern R. Mullis F. Life style personality inventory test manual [Unpublished manual]. Atlanta. Ga: Georgia State University. 1989.

19.

Brownlee-Duffeck M. Peterson L. Simonds J. Goldstein D. Kilo C. , Hoette S. The role of health beliefs in the regimen adherence and metabolic control of adolescents and adults with diabetes mellitus . J Consult Clin Psychol 1987;55:1-6.

20.

Turk DC , Salovey P. Litt MD Adherence: a cognitive-behavioral perspective. In: Gerher KE. Nehemkis AM , eds. Compliance: the dilemma of the chronically ill. New York : Springer. 1986:44-72.

21.

Dinkmeyer DC Dinkmeyer DC Sperry L. Adlerian counseling and psychotherapy. 2nd ed. New York: Merrill, 1987:64.

22.

Kern RM Gfroerer K. Summers Y. Curlette WL Matheny KB Life style personality and stress coping. Minneapolis, Minn: Meeting of the North American Society for Adlerian Psychology. 1995.