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Learning Objective 1: understand how worry, anxiety and depression affect psychosocial adaptation, glycemic control and quality of life in patients with type 2 diabetes mellitus
Learning Objective 2: know how we use the Roy´s Adaptation Model in a Mexican Adults with type 2 diabetes mellitus
Methods: The design selected was correlational design for test of a model of causal relationships. The sample (n = 250) was determined with 95% confidence and power test of 80% considering a coefficient of determination of 08.
Results: The final sample was comprised of 152 women and 98 men aged 30 to 50 years. The results showed that worry, anxiety and depression affect glycemic control(F(3249) = 2.18, p <.001); psychosocial adaptation (F (3249) = 55.65, p <.001) and the quality of life ( F (3249) = 48.74, p <.001) of adults with T2DM. However, the statistical model did not provide good criteria for accepting the causal relationships proposals (gl = 29; X2 = 187.84, p <.05, GFI = .89, AGFI = .74); the clinical and socio-demographic characteristics of adults with T2DM had no effect on states of worry, anxiety and depression in the general pattern. A new model introduced criteria of good adjustment in general (df = 2, X2 = 77, p = .679, GFI = .99, AGFI = 98. The adjustment of the model by gender, presented the following eligibility criteria (gl = 2, X2 = 1.43,p = .490, GFI = .99, AGFI = .94) in men and (df = 2, X2 = 25, p = .879, GFI = .99, AGFI = .99 ) in women.
Conclusion: the concerns about the influence of adults with depression and DMT2 adversely affected glycemic control, adaptation to the disease and quality of life of the participants in this study.