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Aims . To examine the association between Type D personality and HbA1c level and to explore the mediating role of medication adherence between them in patients with type 2 diabetes mellitus (T2DM).  Methods . 330 patients went on to complete a self-report measure of medication adherence and the HbA1c tests. Chi-square test,  T  test, Ordinary Least Square Regression (OLS), and Recentered Influence Function Regression (RIF) were employed.  Results . Patients with Type D personality had significantly higher HbA1c value ( P  < 0.01). When Type D personality was operationalized as a categorical variable, SI was associated with HbA1c ( P  < 0.01). When NA, SI, and their interaction term were entered into regression, all of them were no longer associated with HbA1c level ( P  > 0.1). On the other hand, when Type D personality was operationalized as a continuous variable, only SI trait was associated with HbA1c level ( P  < 0.01). When NA, SI, and NA × SI term together were entered into regression, only SI was not related to HbA1c level. Furthermore, medication adherence had a significant mediation effect between Type D personality and HbA1c, accounting for 54.43% of the total effect.  Conclusion . Type D personality was associated with HbA1c in direct and indirect ways, and medication adherence acted as a mediator role.

journal of diabetes research

Medication Adherence Mediates the Association between Type D Personality and High HbA1c Level in Chinese Patients with Type 2 Diabetes Mellitus: A Six-Month Follow-Up Study