Rasgos de personalidad y adherencia al tratamiento en personas con diabetes mellitus tipo 2: una revisión narrativa
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El objetivo de esta revisión fue sintetizar la evidencia disponible de los estudios realizados sobre los rasgos de la personalidad que están asociados a una mayor o menor adherencia al tratamiento en personas con la diabetes mellitus tipo 2. La revisión se realizó a través de la búsqueda electrónica de diversos artículos científicos relacionados con el tema. La fuente de búsqueda fue PubMed, ScienceDirect y SCOPUS. Se seleccionaron los artículos publicados desde el 1 de enero de 2020 hasta el 31 de agosto de 2025. En la revisión de los artículos, se seleccionaron 10, según el objetivo del estudio y la elección de los autores. Luego se revisaron los artículos completos según los criterios de inclusión y exclusión. Se concluye que los rasgos de personalidad ejercen una influencia en la adherencia al tratamiento y el autocuidado en personas con diabetes mellitus tipo 2, con el neuroticismo actuando como un inhibidor consistente, mientras que la responsabilidad y la apertura emergen como facilitadores clave para mejorar el manejo de la enfermedad.
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The Lancet. Diabetes: a defining disease of the 21st century. The Lancet. 2023; 401(10394):2087. https://www.thelancet.com/action/showFullText?pii=S0140673623012965
Sun H, Saeedi P, Karuranga S, Pinkepank M, Ogurtsova K, Duncan BB, et al. IDF Diabetes Atlas: Global, regional and country-level diabetes prevalence estimates for 2021 and projections for 2045. Diabetes Res Clin Pract. 2022; 183. https://pubmed.ncbi.nlm.nih.gov/34879977/
Datos y cifras sobre la diabetes | Federación Internacional de Diabetes. https://idf.org/about-diabetes/diabetes-facts-figures/?utm_source=chatgpt.com
Vera-Ponce VJ, Zuzunaga-Montoya FE, Vásquez-Romero LEM, Loayza-Castro JA, Vigil-Ventura E, Ramos W. Prevalence of diabetes and prediabetes in Peru: a systematic review and meta-analysis. Diabetology and Metabolic Syndrome. 2025; 17(1):1-13. https://dmsjournal.biomedcentral.com/articles/10.1186/s13098-025-01844-z
Alarcón-Luna NS, Lerma-Valdez A, Rodríguez-Santamaría Y, Márquez-Vargas PM, Juárez-Medina LL, Zúñiga-Vargas ML. Association between eating habits and personality traits in adults with type 2 diabetes. Horiz Enferm. 2024; 35(3):1131-46.
Strickhouser JE, Zell E, Krizan Z. Does personality predict health and well-being? A metasynthesis. Health Psychology. 2017; 36(8):797-810. https://pubmed.ncbi.nlm.nih.gov/28277701/
Geerling R, Kothe EJ, Anglim J, Emerson C, Holmes-Truscott E, Speight J. Personality and weight management in adults with type 2 diabetes: A systematic review. Frontiers in clinical diabetes and healthcare. 2022; 3. https://pubmed.ncbi.nlm.nih.gov/36992758/
Pedersen ZO, Ewers B, Wimmelmann CL, Kofoed-Enevoldsen A, Køster-Rasmussen R, Couppé C, et al. A Cross-Sectional Study Investigating Associations between Personality Traits, Glycemic Control, and BMI in Persons with Diabetes: Lolland-Falster Health Study, Denmark. Int J Environ Res Public Health. 2024; 21(9). https://pubmed.ncbi.nlm.nih.gov/39338114/
Hazrati-Meimaneh Z, Amini-Tehrani M, Pourabbasi A, Gharlipour Z, Rahimi F, Ranjbar-Shams P, et al. 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. J Psychosom Res. 2020; 136:110178. https://www.sciencedirect.com/science/article/abs/pii/S0022399920307406?via%3Dihub.
Briones A, Wong LI, Flores DM, Guzmán M, Castellanos M, Albavera C, et al. Falta de adherencia al tratamiento farmacológico y factores asociados en pacientes mexicanos con diabetes mellitus tipo 2. Rev Med Chil. 2022; 150(8):985-93. http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872022000800985&lng=es&nrm=iso&tlng=es
de Jesús Hernández Robles E, León Vázquez M de la L, Castellanos Lima RI, Piedras Herrera MG. Depresión y cambios en la funcionalidad familiar de cuidadores primarios de pacientes en atención domiciliaria de enfermos crónicos. Medicina General y de Familia. 2023; 12(2):49-53.
Reach G. How is Patient Adherence Possible? A Novel Mechanistic Model of Adherence Based on Humanities. Patient Prefer Adherence. 2023; 17:1705-20. https://pubmed.ncbi.nlm.nih.gov/37484740/
Gomez Aguilar PI del S, Thomas JJ, Yam Sosa A V., Rosado Alcocer LM, Santoyo Fuentes SP. Type 2 Diabetes Self-Care in Oxcutzcab, Yucatan, Mexico: The Role of Mental Health. Journal of Transcultural Nursing. 2025; 36(4):438-46. /doi/pdf/10.1177/10436596251323579?download=true
Kordbagheri M, Bagheri SM, Heris NJ, Matbouraftar P, azarian M, mousavi SM. The mediating role of psychological well-being in the relationship between the light triad of personality and sense of concordance with treatment adherence in patients with type 2 diabetes: A network analysis and structural equation modeling study. Acta Psychol (Amst). 2024; 248:104361. https://www.sciencedirect.com/science/article/pii/S0001691824002385
Uchida T, Ueno H, Konagata A, Nakamura T, Taniguchi N, Nabekura H, et al. Association between personality traits and glycemic control after inpatient diabetes education. Metabol Open. 2023; 18:100244. https://www.sciencedirect.com/science/article/pii/S2589936823000166
Lee SF, Li CP. Personality as a predictor of HbA1c level in patients with type 2 diabetes mellitus. Medicine (United States). 2021; 100(27). https://journals.lww.com/md-journal/fulltext/2021/07090/personality_as_a_predictor_of_hba1c_level_in.46.aspx
Li ZM, Gao M, Chen XY, Sun XY. Relationship between the five-factor model of personality traits and self-management attitude of patients with type 2 diabetes. Beijing da xue xue bao Yi xue ban=Journal of Peking University Health sciences. 2020; 52(3):506-13. https://pubmed.ncbi.nlm.nih.gov/32541985/
Chen P, Li ZM, Guo Y, Sun XY, Edwin B. To explore medication adherence of patients with type 2 diabetes mellitus using the latent profile analysis based on the Big Five personality theory. Beijing da xue xue bao Yi xue ban=Journal of Peking University Health sciences. 2021; 53(3):530-5. https://pubmed.ncbi.nlm.nih.gov/34145856/
Dadras Z, Molaei B, Aghamohammadi M. The relationship between personality profile and self-care among patients with type 2 diabetes. Front Psychol. 2022; 13. https://pubmed.ncbi.nlm.nih.gov/36457923/
Mendoza-Catalán G, Rodríguez-Santamaría Y, Domínguez-Chávez CJ, Juárez-Medina LL, Villa-Rueda AA, González-Ramírez J, et al. Personality Traits and Self-Care Behaviors in Adults with Type 2 Diabetes Mellitus. Diabetes Metab Syndr Obes. 2022; 15:1. https://pmc.ncbi.nlm.nih.gov/articles/PMC8742583/
Huang J, Ding S, Xiong S, Liu Z. Medication Adherence and Associated Factors in Patients with Type 2 Diabetes: A Structural Equation Model. Front Public Health. 2021; 9. https://pubmed.ncbi.nlm.nih.gov/34805063/
Dimou K, Dragioti E, Tsitsas G, Mantzoukas S, Gouva M. Association of Personality Traits and Self-Care Behaviors in People With Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis. 2023
Huprich SK, Roelk BC, Poppe T. Enhancing Diabetes Management through Personality Assessment: A Pilot Study. J Clin Psychol Med Settings. 2025; 32(1):87-95. https://link.springer.com/article/10.1007/s10880-024-10002-y
Huang J, Ding S, Xiong S, Liu Z. Medication Adherence and Associated Factors in Patients with Type 2 Diabetes: A Structural Equation Model. Front Public Health. 2021; 9:730845. www.frontiersin.org
Dinavari MF, Sanaie S, Rasouli K, Faramarzi E, Molani-Gol R. Glycemic control and associated factors among type 2 diabetes mellitus patients: a cross-sectional study of Azar cohort population. BMC Endocr Disord. 2023; 23(1):1-11. https://link.springer.com/articles/10.1186/s12902-023-01515-y
Saito M, Usui I, Sugawara N, Jojima T, Sakurai S, Kishi H, et al. Patients with diabetes and obesity exhibit characteristics in eating and coping behaviors and personality traits. Diabetol Int. 2024; 15(3):528-34. https://link.springer.com/article/10.1007/s13340-024-00721-w