| Literature DB >> 21459458 |
Julie Kreyenbuhl1, Jaclyn Leith, Deborah R Medoff, Lijuan Fang, Faith B Dickerson, Clayton H Brown, Richard W Goldberg, Wendy Potts, Lisa B Dixon.
Abstract
Inadequate self-management of chronic medical conditions like Type 2 diabetes may play a role in the poor health status of individuals with serious mental illnesses. We compared adherence to hypoglycemic medications and blood glucose control between 44 diabetes patients with a serious mental illness and 30 patients without a psychiatric illness. The two groups did not differ in their ability to manage a complex medication regimen as assessed by a performance-based measure of medication management capacity. However, significantly fewer patients with a mental illness self-reported nonadherence to their hypoglycemic regimens compared to those without a mental illness. Although individuals with mental illnesses also had better control of blood glucose, this metabolic parameter was not correlated with adherence to hypoglycemic medications in either patient group. The experience of managing a chronic mental illness may confer advantages to individuals with serious mental illnesses in the self-care of co-occurring medical conditions like Type 2 diabetes. Published by Elsevier Ireland Ltd.Entities:
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Year: 2011 PMID： 21459458 PMCID： PMC3673565 DOI： 10.1016/j.psychres.2011.03.013
Source DB: PubMed Journal: Psychiatry Res ISSN： 0165-1781 Impact factor: 3.222