The Lived Experience of Type 2 Diabetes Patients in Adhering to Treatment Regimens Under Psychological Stress

Abstract

Adherence to treatment regimens is a critical component in managing type 2 diabetes and preventing its complications. However, psychological factors such as stress, anxiety, and social pressure significantly influence patients’ self-care behaviors. This study aimed to explore the lived experiences of individuals with type 2 diabetes regarding their adherence to treatment plans under psychological stress. Employing a phenomenological approach based on Colaizzi’s method, the study engaged 12 participants (6 men and 6 women) who had been living with diabetes for at least five years. Participants were selected via purposive sampling and interviewed using semi-structured questions. The data were analyzed through a seven-step thematic procedure. Three main themes emerged: “the conflict between reason and emotion,” “the role of interpersonal support,” and “meaning-making through suffering.” Findings indicated that psychological distress often creates inner conflict between the desire to escape emotional burden and the responsibility of self-care. Moreover, emotional and social support, alongside the ability to find meaning in illness, played a crucial role in reinforcing treatment adherence. These insights can inform patient-centered psychological interventions and health education strategies for chronic disease management.