Emotional Dynamics of Persons with Type 2 Diabetes and Their Potential Role in Treatment Adherence: Insights from a Clinical Psychodynamic Perspective

Marchini, Francesco; Caputo, Andrea; Balonan, Jerilyn Tan; Fedele, Fabiola; Langher, Viviana; Napoli, Angela

doi:10.13133/2724-2943/17160

Cited by 6 publications

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“…New approaches rooted in well-established psychological theories are imperative, especially since the presence of CVRFs often correlates with mental disorders, potentially having multiplicative effects [54]. These findings are further supported by T2D research demonstrating the negative correlation of conditions like depression with treatment adherence [55]. Therefore, addressing overlapping risk factors through a multidisciplinary and integrative approach could expedite progress in managing these conditions and reducing associated disabilities [56].…”

Section: Discussionmentioning

confidence: 94%

Cognitive Profile and Cardiovascular Risk Factors in Older Adults with Mild Cognitive Impairment

Vázquez-de Sebastián,

Ortiz-Zuñiga,

Ciudin

et al. 2024

IJERPH

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The prevalence of cardiovascular risk factors (CVRFs) in the older adults population and their specific impact on their cognitive profiles still requires further research. For this purpose, a cross-sectional study was carried out to describe the presence of CVRFs and their association with cognitive performance in a sample of older adults (65–85 years old) with Mild Cognitive Impairment (MCI). Participants (n = 185) were divided into three groups concerning their cardiovascular risk level determined by the presence of different CVRFs, including Type 2 Diabetes (T2D), dyslipidemia, hypertension, and obesity. The primary outcome measures were the participant’s scores in the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS). Sociodemographic, clinical, and psychosocial data were collected. Non-parametrical statistical analyses and effect sizes were calculated. Findings revealed that a greater presence of CVRFs was not associated with a worse overall cognitive performance. High-risk patients were more likely to have significantly worse performance in the attentional domain compared to medium-risk (p = 0.029, r = 0.42) and compared to low-risk (p = 0.041, r = 0.35), specifically in the digits repetition subtest (p = 0.042). T2D alone was the CVRF associated with cognitive differences (p = 0.037, r = 0.32), possibly mediated by the duration of the condition. Consequently, a higher presence of CVRFs did not lead to a worse overall cognitive performance. However, high-risk individuals were more likely to experience cognitive impairment, particularly in the attentional domain. T2D played a significant role in these cognitive profile differences, possibly influenced by its duration.

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Section: Discussionmentioning

confidence: 94%

Cognitive Profile and Cardiovascular Risk Factors in Older Adults with Mild Cognitive Impairment

Vázquez-de Sebastián,

Ortiz-Zuñiga,

Ciudin

et al. 2024

IJERPH

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show abstract

“…Moreover, psychological aspects may also drive individual behavior, including adherence to medical advice, deeply conditioning the management of chronic diseases (Marchini et al, 2020 , 2021a , b ). Anxiety and depression, emotional distress (e.g., alexithymia, abnormal disgust processing), body integrity identity disorders, cognitive deficits, lead to a variety of functional somatic disorders and affect a patient's attitude to treatment, which can impact their perceived quality of life (Vicario, 2013 ; Craparo et al, 2016 ; Di Giuseppe et al, 2019 ; Conversano et al, 2020 ; Martino et al, 2020 ; Barchetta et al, 2021 ; Gangemi et al, 2021 ; La Rosa et al, 2021 ; Liotta et al, 2021 ; Vicario et al, 2021 ; Martino et al ).…”

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confidence: 99%

Editorial: Psychological Factors as Determinants of Medical Conditions, Volume II

et al. 2022

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Psychodynamics in Diabetes: The Relevance of Deepening the Symbolic in Treatment Adherence

et al. 2021

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Emotional Dynamics of Persons with Type 2 Diabetes and Their Potential Role in Treatment Adherence: Insights from a Clinical Psychodynamic Perspective

Cited by 6 publications

References 0 publications

Cognitive Profile and Cardiovascular Risk Factors in Older Adults with Mild Cognitive Impairment

Cognitive Profile and Cardiovascular Risk Factors in Older Adults with Mild Cognitive Impairment

Editorial: Psychological Factors as Determinants of Medical Conditions, Volume II

Psychodynamics in Diabetes: The Relevance of Deepening the Symbolic in Treatment Adherence

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