Features of voluntary self-regulation and locus of control in patients with diabetes mellitus type 2 with different options of its current

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Abstract

Purpose. To study the severity of volitional self-regulation and the level of subjective control in patients with type II diabetes mellitus (DM) with various variants of its course.

Methods. Methodology “The study of volitional self-regulation” (A.V. Zverkov and E.V. Eidman) and the diagnosis “Level of subjective control” (E.F. Bazhin, E.A. Golynkina, L.M. Etkind). The data obtained were processed using the statistical program SPPS 20.

Results. The study showed that in most patients with type II diabetes, a decrease in the level of subjective control of the person over significant events was revealed, especially with type II diabetes insulin. The low level of development of volitional self-regulation with instability of intentions, emotional lability and impulsiveness can be associated with problems in organizing the life of patients with type II diabetes, the inability to build relationships with other people and adequately respond to certain situations, which reflects the appearance of maladaptive forms of behavior. The main characteristics of a low level of volitional self-regulation were significantly positively correlated with the decompensated course of type II diabetes and the external locus of control in relation to health and illness. This category of patients perceives their health to a great extent to be dependent on external influences, accidents and practically do not make their own efforts to restore it, which can lead to eating disorders, taking sugar-lowering drugs and worse diabetes compensation. This suggests that patients with type II diabetes with external localization of control preferred to deny personal responsibility and had a low level of self-regulation and insufficient cognitive assessment.

Conclusion. External localization of control with a low level of volitional self-regulation, perseverance and self-control have an effect on the course of type II diabetes, especially in patients with insulin-treated diabetes , leading them to a decompensated course of the disease and an increase in diabetic complications.

About the authors

Angelica G. Koshanskaya

Medical Institute FGBOU VO “Maykop State Technological University”;

Author for correspondence.
Email: koangen@list.ru
SPIN-code: 8433-1803

medical psychologist, candidate of psychological sciences, associate professor of hospital therapy and postdegree education

Russian Federation, 385000, Republic of Adygea, Maykop, Komsomolskaya St., 222

References

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2. Fig. 1. Significant differences in the level of subjective control in various spheres of life in patients with type 2 diabetes mellitus with different variants of its course according to the method “Level of subjective control”, average values; NIDDM - non-insulin-dependent diabetes mellitus; IPSD - insulin-consuming diabetes mellitus; Io - general internality; Eid - internality in the field of achievements; Ying - failure internality; Is - internality in the sphere of family relations; Im - interpersonal; From - health internality

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3. Fig. 2. Indices of volitional self-regulation in patients with type 2 diabetes mellitus with various variants of its course according to the method of “Investigation of volitional self-regulation” A.V. Zverkova and E.V. Eidman (averages); NIDDM - non-insulin-dependent diabetes mellitus; IPSD - insulin-consuming diabetes mellitus

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Copyright (c) 2020 Koshanskaya A.G.

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