Psychosocial Features of Clinically Relevant Patient Subgroups With Serious Mental Illness and Comorbid Diabetes

• DOI: 10.1176/appi.ps.201500554
• Publication Date: 2016-09-15T11:09:44Z
• Authors: Douglas Gunzler; Martha Sajatovic; Richard McCormick; Adam Perzynski; Charles Thomas; Stephanie Kanuch; Kristin A. Cassidy; Edna Fuentes-Casiano; Neal Dawson
• Keywords: Biopsychosocial model; Psychoeducation

Objective: Care for people with serious mental illness and diabetes is complicated by clinical heterogeneity. This cross-sectional analysis of 200 individuals comorbid explored differentiation between patient subgroups that were characterized on the basis selected dimensions within a biopsychosocial framework. Methods: Relationships self-efficacy, treatment expectation, social support, depression first assessed via bivariate Spearman correlations among participating in randomized controlled trial who had along major depression, bipolar disorder, or schizophrenia. Next, latent profile analyses conducted to determine underlying these variables. The resultant groups compared control, function, symptoms. Results: Two emerged. One more severe psychiatric symptoms, low scores other psychosocial variables, worse control. levels better Conclusions: Symptom presentation internal external resources appeared be related control illness. approaches need go beyond standard education consider