Honors Theses
Date of Award
Spring 4-22-2024
Document Type
Undergraduate Thesis
Department
Psychology
First Advisor
Aaron Lee
Second Advisor
Todd Smitherman
Third Advisor
Emmy Parkes
Relational Format
Dissertation/Thesis
Abstract
Medication nonadherence in patients with type 2 diabetes contributes to poor glycemic control which often results in the development of serious and irreversible diabetes-related complications. This study examines the role of the maladaptive cognitive processes of rumination and thought suppression on medication nonadherence in patients with type 2 diabetes. The sample for this study (N = 343) consisted of adults (mean: 55, range: 19 – 85) with type 2 diabetes enlisted through a web-based platform. Participants completed a series of validated questionnaires including the Perseverative Thinking Questionnaire, White Bear Suppression Inventory, and Difficulties in Emotion Regulation Scale. Binary logistic regression models were used to examine the association between cognitive risk factors and diabetes medication non-adherence, controlling for age, insulin use, income, and number of diabetes support persons. Our results showed that greater perseverative thinking (AOR: 1.04; p < .001) and greater thought suppression (AOR: 1.03; p = .002) were associated with greater odds of medication nonadherence. The unproductive aspect of perseverative thinking was found to have the strongest association with medication nonadherence (AOR: 1.71; p < .001). Our study has the potential to improve approaches in changing unproductive patterns of thinking associated with patients’ abilities to take medications.
Recommended Citation
Arunachalam, Aswin and Lee, Aaron, "Perseverative Thinking and Thought Suppression: Links to Medication Non-Adherence Among Adults with Type 2 Diabetes" (2024). Honors Theses. 3052.
https://egrove.olemiss.edu/hon_thesis/3052
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