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Revista Costarricense de Psicología

On-line version ISSN 1659-2913Print version ISSN 0257-1439


RONDON BERNARD, José Eduardo  and  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.

Keywords : Diabetes; Depression; Adherence to treatment; Coping strategies; Social support..

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