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The impact of personality traits on medication adherence and self-care in patients with type 2 diabetes mellitus: The moderating role of gender and age
This study aimed to investigate the role of the five-factor model of personality (FFM) and the moderating role of gender and age in predicting medication adherence (MA) and self-care behaviors (SCB) among Iranian patients with type 2 diabetes mellitus (T2DM). This study was conducted on 495 patients...
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| Published in: | Journal of psychosomatic research 2020-09, Vol.136, p.110178-110178, Article 110178 |
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| container_title | Journal of psychosomatic research |
| container_volume | 136 |
| creator | Hazrati-Meimaneh, Zahra Amini-Tehrani, Mohammadali Pourabbasi, Ata Gharlipour, Zabihollah Rahimi, Fatemeh Ranjbar-Shams, Parisa Nasli-Esfahani, Ensieh Zamanian, Hadi |
| description | This study aimed to investigate the role of the five-factor model of personality (FFM) and the moderating role of gender and age in predicting medication adherence (MA) and self-care behaviors (SCB) among Iranian patients with type 2 diabetes mellitus (T2DM).
This study was conducted on 495 patients with T2DM (73.5% female; n = 364) from two major cities of Iran (Tehran and Qom) in 2019. Pearson's correlation coefficient, multiple regression analysis, and conditional process analysis were performed. P |
| doi_str_mv | 10.1016/j.jpsychores.2020.110178 |
| format | article |
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This study was conducted on 495 patients with T2DM (73.5% female; n = 364) from two major cities of Iran (Tehran and Qom) in 2019. Pearson's correlation coefficient, multiple regression analysis, and conditional process analysis were performed. P < .05 and P < .10 were considered significant for the relationships and moderation analysis, respectively.
Neuroticism indicated a negative association with MA and SCB. Positive associations were found between MA and personality traits, including extraversion, agreeableness, and conscientiousness, whereas extraversion showed a weak correlation with SCB. According to the covariate-adjusted regression model, neuroticism had a negative effect on MA and SCB. Agreeableness had a positive effect on MA and a negative effect on SCB. However, extraversion exerted a negative effect on MA and a positive effect on SCB. Also, the negative effect of neuroticism on MA was highlighted in women, indicating marginally significant moderation effect. The positive effects of extraversion and conscientiousness on MA were moderated by age. The effect of conscientiousness on SCB was positive in young patients and negative in old patients. No interaction effect was observed between age and gender.
This study indicated that neuroticism, extraversion, and agreeableness significantly contributed to MA, but not to SCB. However, the effects were conditioned by age for extraversion and conscientiousness to some extent.
•Personality traits affect the patients' engagement in healthcare practices•Neuroticism consistently hammers women; yet not moderated via gender•Extraversion and conscientiousness in older patients indicates higher MA•Agreeableness promotes MA, shadowing the effect of conscientiousness•Conscientiousness might act conversely on SCB for very young and very old patients</description><identifier>ISSN: 0022-3999</identifier><identifier>EISSN: 1879-1360</identifier><identifier>DOI: 10.1016/j.jpsychores.2020.110178</identifier><identifier>PMID: 32623192</identifier><language>eng</language><publisher>England: Elsevier Inc</publisher><subject>Activities of daily living ; Adult ; Age ; Age differences ; Age Factors ; Aged ; Aged, 80 and over ; Agreeableness ; Conscientiousness ; Cross-Sectional Studies ; Diabetes ; Diabetes mellitus ; Diabetes mellitus (non-insulin dependent) ; Diabetes Mellitus, Type 2 - psychology ; Drugs ; Extraversion ; Female ; Five factor model ; Gender ; Gender difference ; Gender Identity ; Humans ; Iran ; Male ; Medication adherence ; Medication Adherence - psychology ; Middle Aged ; Moderation ; Multiple regression analysis ; Neurosis ; Neuroticism ; Patient compliance ; Personality ; Personality Inventory - standards ; Personality traits ; Process analysis ; Regression analysis ; Self care ; Self Care - standards ; Type 2 diabetes mellitus ; Women ; Young Adult</subject><ispartof>Journal of psychosomatic research, 2020-09, Vol.136, p.110178-110178, Article 110178</ispartof><rights>2020 Elsevier Inc.</rights><rights>Copyright © 2020 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Science Ltd. Sep 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c402t-bf6f9213ee1278d30b4e6b391960112e2156eaeb6c893f185526dec8bf738ae23</citedby><cites>FETCH-LOGICAL-c402t-bf6f9213ee1278d30b4e6b391960112e2156eaeb6c893f185526dec8bf738ae23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925,30999</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32623192$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hazrati-Meimaneh, Zahra</creatorcontrib><creatorcontrib>Amini-Tehrani, Mohammadali</creatorcontrib><creatorcontrib>Pourabbasi, Ata</creatorcontrib><creatorcontrib>Gharlipour, Zabihollah</creatorcontrib><creatorcontrib>Rahimi, Fatemeh</creatorcontrib><creatorcontrib>Ranjbar-Shams, Parisa</creatorcontrib><creatorcontrib>Nasli-Esfahani, Ensieh</creatorcontrib><creatorcontrib>Zamanian, Hadi</creatorcontrib><title>The impact of personality traits on medication adherence and self-care in patients with type 2 diabetes mellitus: The moderating role of gender and age</title><title>Journal of psychosomatic research</title><addtitle>J Psychosom Res</addtitle><description>This study aimed to investigate the role of the five-factor model of personality (FFM) and the moderating role of gender and age in predicting medication adherence (MA) and self-care behaviors (SCB) among Iranian patients with type 2 diabetes mellitus (T2DM).
This study was conducted on 495 patients with T2DM (73.5% female; n = 364) from two major cities of Iran (Tehran and Qom) in 2019. Pearson's correlation coefficient, multiple regression analysis, and conditional process analysis were performed. P < .05 and P < .10 were considered significant for the relationships and moderation analysis, respectively.
Neuroticism indicated a negative association with MA and SCB. Positive associations were found between MA and personality traits, including extraversion, agreeableness, and conscientiousness, whereas extraversion showed a weak correlation with SCB. According to the covariate-adjusted regression model, neuroticism had a negative effect on MA and SCB. Agreeableness had a positive effect on MA and a negative effect on SCB. However, extraversion exerted a negative effect on MA and a positive effect on SCB. Also, the negative effect of neuroticism on MA was highlighted in women, indicating marginally significant moderation effect. The positive effects of extraversion and conscientiousness on MA were moderated by age. The effect of conscientiousness on SCB was positive in young patients and negative in old patients. No interaction effect was observed between age and gender.
This study indicated that neuroticism, extraversion, and agreeableness significantly contributed to MA, but not to SCB. However, the effects were conditioned by age for extraversion and conscientiousness to some extent.
•Personality traits affect the patients' engagement in healthcare practices•Neuroticism consistently hammers women; yet not moderated via gender•Extraversion and conscientiousness in older patients indicates higher MA•Agreeableness promotes MA, shadowing the effect of conscientiousness•Conscientiousness might act conversely on SCB for very young and very old patients</description><subject>Activities of daily living</subject><subject>Adult</subject><subject>Age</subject><subject>Age differences</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Agreeableness</subject><subject>Conscientiousness</subject><subject>Cross-Sectional Studies</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Diabetes mellitus (non-insulin dependent)</subject><subject>Diabetes Mellitus, Type 2 - psychology</subject><subject>Drugs</subject><subject>Extraversion</subject><subject>Female</subject><subject>Five factor model</subject><subject>Gender</subject><subject>Gender difference</subject><subject>Gender Identity</subject><subject>Humans</subject><subject>Iran</subject><subject>Male</subject><subject>Medication adherence</subject><subject>Medication Adherence - psychology</subject><subject>Middle Aged</subject><subject>Moderation</subject><subject>Multiple regression analysis</subject><subject>Neurosis</subject><subject>Neuroticism</subject><subject>Patient compliance</subject><subject>Personality</subject><subject>Personality Inventory - standards</subject><subject>Personality traits</subject><subject>Process analysis</subject><subject>Regression analysis</subject><subject>Self care</subject><subject>Self Care - standards</subject><subject>Type 2 diabetes mellitus</subject><subject>Women</subject><subject>Young Adult</subject><issn>0022-3999</issn><issn>1879-1360</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNqFkUFv1DAQhS1ERZfCX0CWuHDJYo8TJ-YGVQtIlbi0Z8txJruOkjjYDmh_CX8Xhy0gceFka_TNe6P3CKGc7Tnj8u2wH5Z4skcfMO6BQR7ned08ITve1KrgQrKnZMcYQCGUUpfkeYwDY0wqqJ6RSwESBFewIz_uj0jdtBibqO_pgiH62YwunWgKxqVI_Uwn7Jw1yeWv6Y4YcLZIzdzRiGNfWBOyxEyXTOCcN767dKTptCAF2jnTYsKYNcasusZ3dHOcfIch8_OBBj_iZn3AOc9-yZoDviAXvRkjvnx8r8jD7c399afi7svHz9fv7wpbMkhF28teAReIHOqmE6wtUbZCcSUZ54DAK4kGW2kbJXreVBXIDm3T9rVoDIK4Im_OukvwX1eMSU8u2nyrmdGvUUMJTJY11CKjr_9BB7-GHNZGlUrWVcN5ppozZYOPMWCvl-AmE06aM72Vpwf9tzy9lafP5eXVV48Ga5sj_7P4u60MfDgDmBP55jDoaN1WRucC2qQ77_7v8hPXpbF7</recordid><startdate>202009</startdate><enddate>202009</enddate><creator>Hazrati-Meimaneh, Zahra</creator><creator>Amini-Tehrani, Mohammadali</creator><creator>Pourabbasi, Ata</creator><creator>Gharlipour, Zabihollah</creator><creator>Rahimi, Fatemeh</creator><creator>Ranjbar-Shams, Parisa</creator><creator>Nasli-Esfahani, Ensieh</creator><creator>Zamanian, Hadi</creator><general>Elsevier Inc</general><general>Elsevier Science Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7TK</scope><scope>7X8</scope></search><sort><creationdate>202009</creationdate><title>The impact of personality traits on medication adherence and self-care in patients with type 2 diabetes mellitus: The moderating role of gender and age</title><author>Hazrati-Meimaneh, Zahra ; Amini-Tehrani, Mohammadali ; Pourabbasi, Ata ; Gharlipour, Zabihollah ; Rahimi, Fatemeh ; Ranjbar-Shams, Parisa ; Nasli-Esfahani, Ensieh ; Zamanian, Hadi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c402t-bf6f9213ee1278d30b4e6b391960112e2156eaeb6c893f185526dec8bf738ae23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Activities of daily living</topic><topic>Adult</topic><topic>Age</topic><topic>Age differences</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Agreeableness</topic><topic>Conscientiousness</topic><topic>Cross-Sectional Studies</topic><topic>Diabetes</topic><topic>Diabetes mellitus</topic><topic>Diabetes mellitus (non-insulin dependent)</topic><topic>Diabetes Mellitus, Type 2 - psychology</topic><topic>Drugs</topic><topic>Extraversion</topic><topic>Female</topic><topic>Five factor model</topic><topic>Gender</topic><topic>Gender difference</topic><topic>Gender Identity</topic><topic>Humans</topic><topic>Iran</topic><topic>Male</topic><topic>Medication adherence</topic><topic>Medication Adherence - psychology</topic><topic>Middle Aged</topic><topic>Moderation</topic><topic>Multiple regression analysis</topic><topic>Neurosis</topic><topic>Neuroticism</topic><topic>Patient compliance</topic><topic>Personality</topic><topic>Personality Inventory - standards</topic><topic>Personality traits</topic><topic>Process analysis</topic><topic>Regression analysis</topic><topic>Self care</topic><topic>Self Care - standards</topic><topic>Type 2 diabetes mellitus</topic><topic>Women</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hazrati-Meimaneh, Zahra</creatorcontrib><creatorcontrib>Amini-Tehrani, Mohammadali</creatorcontrib><creatorcontrib>Pourabbasi, Ata</creatorcontrib><creatorcontrib>Gharlipour, Zabihollah</creatorcontrib><creatorcontrib>Rahimi, Fatemeh</creatorcontrib><creatorcontrib>Ranjbar-Shams, Parisa</creatorcontrib><creatorcontrib>Nasli-Esfahani, Ensieh</creatorcontrib><creatorcontrib>Zamanian, Hadi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of psychosomatic research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hazrati-Meimaneh, Zahra</au><au>Amini-Tehrani, Mohammadali</au><au>Pourabbasi, Ata</au><au>Gharlipour, Zabihollah</au><au>Rahimi, Fatemeh</au><au>Ranjbar-Shams, Parisa</au><au>Nasli-Esfahani, Ensieh</au><au>Zamanian, Hadi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The impact of personality traits on medication adherence and self-care in patients with type 2 diabetes mellitus: The moderating role of gender and age</atitle><jtitle>Journal of psychosomatic research</jtitle><addtitle>J Psychosom Res</addtitle><date>2020-09</date><risdate>2020</risdate><volume>136</volume><spage>110178</spage><epage>110178</epage><pages>110178-110178</pages><artnum>110178</artnum><issn>0022-3999</issn><eissn>1879-1360</eissn><abstract>This study aimed to investigate the role of the five-factor model of personality (FFM) and the moderating role of gender and age in predicting medication adherence (MA) and self-care behaviors (SCB) among Iranian patients with type 2 diabetes mellitus (T2DM).
This study was conducted on 495 patients with T2DM (73.5% female; n = 364) from two major cities of Iran (Tehran and Qom) in 2019. Pearson's correlation coefficient, multiple regression analysis, and conditional process analysis were performed. P < .05 and P < .10 were considered significant for the relationships and moderation analysis, respectively.
Neuroticism indicated a negative association with MA and SCB. Positive associations were found between MA and personality traits, including extraversion, agreeableness, and conscientiousness, whereas extraversion showed a weak correlation with SCB. According to the covariate-adjusted regression model, neuroticism had a negative effect on MA and SCB. Agreeableness had a positive effect on MA and a negative effect on SCB. However, extraversion exerted a negative effect on MA and a positive effect on SCB. Also, the negative effect of neuroticism on MA was highlighted in women, indicating marginally significant moderation effect. The positive effects of extraversion and conscientiousness on MA were moderated by age. The effect of conscientiousness on SCB was positive in young patients and negative in old patients. No interaction effect was observed between age and gender.
This study indicated that neuroticism, extraversion, and agreeableness significantly contributed to MA, but not to SCB. However, the effects were conditioned by age for extraversion and conscientiousness to some extent.
•Personality traits affect the patients' engagement in healthcare practices•Neuroticism consistently hammers women; yet not moderated via gender•Extraversion and conscientiousness in older patients indicates higher MA•Agreeableness promotes MA, shadowing the effect of conscientiousness•Conscientiousness might act conversely on SCB for very young and very old patients</abstract><cop>England</cop><pub>Elsevier Inc</pub><pmid>32623192</pmid><doi>10.1016/j.jpsychores.2020.110178</doi><tpages>1</tpages></addata></record> |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); ScienceDirect Freedom Collection 2022-2024 |
| subjects | Activities of daily living Adult Age Age differences Age Factors Aged Aged, 80 and over Agreeableness Conscientiousness Cross-Sectional Studies Diabetes Diabetes mellitus Diabetes mellitus (non-insulin dependent) Diabetes Mellitus, Type 2 - psychology Drugs Extraversion Female Five factor model Gender Gender difference Gender Identity Humans Iran Male Medication adherence Medication Adherence - psychology Middle Aged Moderation Multiple regression analysis Neurosis Neuroticism Patient compliance Personality Personality Inventory - standards Personality traits Process analysis Regression analysis Self care Self Care - standards Type 2 diabetes mellitus Women Young Adult |
| title | The impact of personality traits on medication adherence and self-care in patients with type 2 diabetes mellitus: The moderating role of gender and age |
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