Beyond Therapeutic Adherence: Alternative Pathways for Understanding Medical Treatment in Type 1 Diabetes Mellitus

Juan José Cleves-Valencia, Mónica Roncancio-Moreno and Raffaele De Luca Picione ()
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Juan José Cleves-Valencia: Faculty of Psychology, Universidad del Valle, Calle 13 # 100-00, Cali 760042, Colombia
Mónica Roncancio-Moreno: Faculty of Psychology, Universidad del Valle, Calle 13 # 100-00, Cali 760042, Colombia
Raffaele De Luca Picione: Faculty of Law, Giustino Fortunato University, Via Delcogliano 12, 82100 Benevento, Italy

IJERPH, 2024, vol. 21, issue 3, 1-19

Abstract: Given the psychosocial and economic costs of behaviors of patients who seem not to benefit from the medications, technologies, and medical therapies available for chronic diseases such as Type 1 Diabetes Mellitus, therapeutic adherence has been identified as one of the main focuses in the intervention. This paper presents contributions from semiotic cultural clinical psychology for understanding problems associated with the implementation of medical treatment in patients with Type 1 Diabetes Mellitus to explore psychological dimensions not yet reported in depth. A narrative review of 24 scientific articles published between 2012 and 2023 is carried out. The information is produced through thematic analysis, and the results are presented in three themes: 1. illness characteristics, 2. adherence and associated concepts, and 3. modes of intervention. It concludes with the development of a two-axis proposal for understanding the experience of patients that privileges psychological aspects involved in the disease and its treatment, considering the approach to the goals of treatment as dynamic and fluctuating rather than as final states.

Keywords: adherence; diabetes mellitus type 1; semiotic cultural clinical psychology; narrative review (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2024
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