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Revista Costarricense de Psicología
versión On-line ISSN 1659-2913versión impresa ISSN 0257-1439
Resumen
RONDON BERNARD, José Eduardo y ANGELUCCI BASTIDAS, Luisa. Relationship between depression and adherence to treatment in diabetes, considering social support networks, coping skills and sex. Rev. Costarric. Psic [online]. 2021, vol.40, n.2, pp.215-242. ISSN 1659-2913.
From a biopsychosocial perspective, the aim of the study was to determine which diabetes model presents the best fit to the data: one in which treatment adherence predicts depression, or one in which depression predicts treatment adherence, considering in both cases social support, coping strategies, and sex. This was assessed via a causal cross-sectional design with a sample of 278 patients, with an average age of 59 years. Measures included the Three-dimensional Depression Questionnaire, Diabetics’ Lifestyle Instrument, Coping Strategies Questionnaire, and Social Network and Support Scale. Structural equation modeling showed a similar fit for indexes from both models; therefore, it can be stated that these models present an acceptable fit to the data. Being a woman, less avoi- dance strategy, greater support networks, and less treatment adherence, produces less depression. These results will allow researchers to design psychological interventions to increase treatment adherence, and to prevent depression.
Palabras clave : Diabetes; Depression; Adherence to treatment; Coping strategies; Social support..