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Disease identity is a novel construct that explains how patients incorporate a chronic disease into their personal identity. By relating it to other psychological, demographic, and clinical variables within the health-disease process, it contributes to explaining the differences in behavior of patients with chronic diseases around treatment adherence. Objective: To analyze the relationship between disease identity, coping strategies, sociodemographic and clinical variables and adherence to treatment in patients with diabetes mellitus and high blood pressure treated at a hospital in the province of Azuay, Ecuador. Methodology: Cross-sectional correlation study with 300 patients. Data collection: sociodemographic file, Disease Identity  Questionnaire, Adherence Scale, and Multidimensional Scale for Evaluation of General Coping Strategies (COPE 28). Analysis: descriptive statistics, Spearman's Rho correlation coefficient, Mann Whitney U, Kruskal-Wallis, p? 0.05. Results: Statistically significant positive correlations between treatment adherence and disease identity dimensions "acceptance" p(rho)=0.323**, "rejection" p(rho)=0.290**, and problem-centered coping p(rho)=0.433**. With negative correlations with therapeutic adherence, age, time of diagnosis, and the "involvement" dimension were found, with values p(rho)= -0.399**; p(rho)= -0.128* and p(rho)=-0.41* respectively. Conclusions: Non-compliance with the indications for treatment of hypertensive and diabetic patients is related to age, time of diagnosis of the disease, adaptive and maladaptive dimensions of the disease identity, as well as coping strategies focused on the problem.

IDENTIDAD DE ENFERMEDAD Y AFRONTAMIENTO: SU ROL EN LA ADHERENCIA TERAPÉUTICA DE PACIENTES DIABÉTICOS E HIPERTENSOS; ECUADOR 2019