P: ISSN No. 2394-0344 RNI No.  UPBIL/2016/67980 VOL.- VII , ISSUE- I April  - 2022
E: ISSN No. 2455-0817 Remarking An Analisation
A Study of Personality Pattern of The Patients of Diabetes Mellitus
Paper Id :  15962   Submission Date :  2022-04-13   Acceptance Date :  2022-04-17   Publication Date :  2022-04-25
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Sabiha Parveen
Associate Professor
Psychology
Govt Girls P G College,
Rampur,Uttar Pradesh, India
Abstract
The present study is carried out on 100 diabetic patients, with the help of personality pattern as obtained on 16 P. F. tests. The findings are compared with 100 no psychosomatic and normal person. Results obtained are discussed suggesting the important role of personality pattern obtained in diabetes mellitus.
Keywords Diabetes Mellitus, Personality, Type-1Dibetes, Type-2 Diabetes, Personality Factor Diabetic, No Diabetic and Normal Personality.
Introduction
According to the study of Tattersall R. B. (1981) who discusses diabetes as a whole heterogeneous group of disorder whose only common factor is hyperglycemia. The diabetic personality from childhood through adolescence and adulthood is examined, and it is conclude that diabetic can be almost any know personality type. Crowell, D. H. swift (1953) reported the exact role of emotion & personality in the onset and course of diabetes has long be controversial. Knowles H. C. (1964) Danowski; T. S. korsnick A (1964) reported that emotion Amy produced physical changes that could influence the course of diabetes. Dunbar (1943) described the diabetic personality which, she claimed could antedate the illness & predispose to it; the characteristic features were said to be weakness, irritability, hypochondriasis, frequent mood swing and a tendency to changes in behaviour ranging from over dependency to rebelliousness.
Objective of study
A study of personality pattern of the Patients of Diabetes mellitus
Review of Literature
There are certain association between different types of personality and type-2Diabetes for instance, Conti et al. in their systematic review that type D personality was more prevalent in diabetes patients than controls (Conti, Carrozino, Patients, Vitacolonna & fulcheri, 2016) Additional personality type has been found to be affecting treatment and management of social support and poor glycemic control (Shao, Yin & Wan, 2017). Moreover, poor compaiance has also been found to be related to type-2 Diabetes and type B and Type D Personality (Millcevic, Jaksic, Margetic&Jakovljevic, 2015). Morever, neuroticism and depression has also been found to be related to treatment adherence among type2 diabetes (Lee et al. 2021: Nager et. al, 2021) However, Li et al, have concluded that type D personality may not be associated with medication adherence but screening for type D personality may help identity high-risk patients (Li etal., 2016) Thus. Personality type especially type b and D, not only is a risk factor for type 2 Diabetes also affects treatment adherence as well. Personality factors and adverse life events have been implicated in the development of diabetes. Kemmerer, Wolfgang & rein dell (1977) suggest that personality changes due to diabetes mellitus vary according to the severity of the illness & the patients emotional & physiological condition at the time of onset. Since personality traits cannot be separated from reaction to the illness the need for a differentiated psychotherapy adopted to individual idiosyncrasies is emphasized. Maninger (1939, 1936,1935) reported that the role of emotional factors in the etiology of diabetes has been a source of conjecture. Tebbi (1990) reported more depressive symptoms in their sample of adult with independent diabetes mellitus. Padgett, debarah K. (1990) 147 adults with non-insulin dependent diabetes mellitus completed a cross cultural measure of diabetes self-efficacy, the diabetes self-efficacy scale (DSES) the self-rating depression scale, and a demographic questionnaire Disease related factors associated by chart review, included disease duration, The presence of complications & level of glycosylated hemoglobin (Hb ALC) As hypothesized behavioral & psychological factors were more strongly associated with self-efficacy beliefs than were diasease-related factors. Higher DSES scores were associated with male gender, younger age higher education, higher self-related adherence & lower depressive symptoms. Correlations between level of Hb alc & DSES Scores & between Hb Alc & adherence ratings were very weak. Koski, Maija-Liisa (1991) Reviews recent psychosomatic research on insulin dependent diabetes mellitus (IDDM) Areas covered include (1) the influence of psychological factors on the onet of of IDDM (2) Areas covered include (1) the influence of psychological factors on the onet of IDDM (3) the fluence of IDDM on the personality development of juvenile diabetes, and (4) psychotherapeutic intervention in IDDM. Goals for psychotherapy with IDDM patients, particularly Juveniles. include helping the patient develop a sense of ownership & responsibility for his body & helping him develop alternative channals for the release of previously repressed or denied feelings. Therapeutic intervention may provide at least short term benefits in term of metabolic control better adherence weight loss, & fewer episodes of diabetic Ketoacidosis. von drar , Dean D (1990) examined the relationship among age diabetes glucose control (GC) and depression in 116 type I and type II diabetes (aged18-71 yrs) Depression was assessed by the self-rating depression scale psychological & somatic symptoms of depression were positively correlated with diabetes GC, but age was not correlated with diabetes GC or depression. Result suggests a relationship between diabetes GC and depression. Findings of the study & supporting studies clearly suggest significant difference in the personality pattern of the diabetic patient.
Sampling

Sample consist of 300 subjects 100 diabetic, 100 no psychosomatic, and 100 normal. All the groups are matched according to age, sex, education and duration of disease.

Tools Used All the subjects were administered 16 P. F test, From C, for personality pattern.
Statistics Used in the Study

The data obtained is statistically analyses with the help of appropriate statistical. Tools, like correlation, and regression analysis of variance chi-square test, t test.

Analysis

In order to see tha effects of presence of the diseases (Diabetes, nonpsychoso-matic patients) on the personality factors of the patients it is compaired with the personality  factors of normal person, the relivent data is collected & the analysis of variance of the data is worked out on the basis of one way classification. The results and their interprelation for different personality factors have been presented below one by one.

Result and Discussion

Personality Factor ‘A’
Personality factor ‘A’ is not significant at 0.05 level of significance.
Personality Factor ‘B’              
Factor B has not been found valid as a measure of intelligence in Indian setup as reported by Joshi & Joshi (1965) this factor is not considered in this research work.






Personality Factor ‘C’
Table (a)
Table of Analysis of Variance

Source

D. F

S. S

M. S. S

F

Bet. Group

2

778.60645

389.30322

109.8254

With-in-group

297

1052.79004

3.54475

 

Total

299

1831.39648

 

 

***  Significant at 0.001 level
Table (b)
Table of Means & Significant of the differences of the means

Groups

Means

Comparison

Differences

of thee mean

Diabetes

5.65

Diabetes-Nospsy.Som

-0.15(N.S.)

Nonpsychosomatic

5.80

               Diabetes-Normal

-3.49*

Normal

9.14

Nonpsy.som-Normal

-3.34*

                    S. E. of difference                =           .26626        (Bet.Group)
                    C. D at 0.05 level                 =           .52403        (Bet.Group)
                    G. M.                                    =           6.8633
                    S. D.                                      =          1.8828
Personality factor ‘C’ is highly significant at 0.001 level of significant. Thus it suggests that the diabetic and nonpsychomatic patients are affected by feeling, easily upset, and emotionally less stable. It means the person who scored low on factor C tends to be low in frustration to lerence for unsatisfactory condition, and annoyed, active in dissatisfaction, having  neurotic symptom(Phobias, sleep disturbances, psychosomatic complaints tec) low factor is common to almost all forms of neurotic disorders. This also suggests that any person suffering from any disease in likely to have less emotional stability.








Personality factor ‘E’
Table (a)
Table of Analysis of Variance

Source

D. F

S. S

M. S. S

F

Bet. Group

2

65.52734

32.76367

13.9782

With-in-group

297

696.13965

2.34390

 

Total

299

761.66699

2.54738

 

***   Significant at 0.001 level
 
Table (b)
Table of Means & Significant of The Differences of The Means

Groups

Means

Comparison

Differences

of thee mean

Diabetes

5.65

Diabetes-Nospsy.Som

-0.13(N.S.)

              Nonpsychosomatic

5.17

               Diabetes-Normal

-1.05*

Normal

6.09

Nonpsy.som-Normal

-0.92*

                     S. E. of difference              =   .21651        (Bet.Group)
                     C. D at 0.05 level               =   .42612        (Bet.Group)
                     G. M.                                 =   5.4333
                     S. D.                                  =   1.5310
Personality factor ‘E’ is highly Significant at 0.001 level of Significance. It means that the diabetic & nonpsychomatic patients are humble, mild accommodating confirming (Submissiveness) The Person who scores low on factor ‘E’ tends to be give way to others, to be docile, and confirm. He is often depended, confessing, anxious for obsessional correlation. This Passivity is part of many neurotic syndromes.
Personality Factor ‘F’
Personal fector F is not significant.





Personality Factor ‘G’
 Table (a)
Table of Analysis of Variance

Source

D. F

S. S

M. S. S

F

Bet. Group

2

118.64063

59.32031

14.9296

With-in-group

297

1180.08008

4.3443355

 

Total

299

1298.72070

 

 

*** Significant at 0.001 level
Table (b)
Table of Means & Significant of the Differences of The Means

Groups

Means

Comparison

Differences

of thee mean

Diabetes

8.22

Diabetes-Nospsy.Som

-0.74*

Nonpsychosomatic

7.48

Diabetes-Normal

-0.80*

Normal

9.02

Nonpsy.som-Normal

-1.54*

                S. E. of difference                 =              .28190   (Bet.Group)
                C. D at 0.05 level                  =              .55480   (Bet.Group)
                G. M.                                     =              8.2400
                S. D.                                      =              1.9933
Personality factor ‘G’ is highly significant. It Means diabetic and nonpsycho-somatic are expedient evades rules feels few obligation (weaker super ego strength) The person who score low on factor ‘G’ tends to be unsteady in purpose. He is often casual & Lacking in effort for group undertaking. His Freedom from group influences lead to anti-social acts, but at times makes him more effective while his refusal to be bound by rules causes him to have less somatic upset from stress.







Personality Factor ‘H’
Table (a)
Table of Analysis of Variance

Source

D. F

S. S

M. S. S

F

Bet. Group

2

144.20508

72.10254

17.7645

With-in-group

297

1205.46094

4.05879

 

Total

299

1349.66602

4.51393

 

***         Significant at 0.001 level
Table (B)
Table of Means & Significant of The Differences of The Means

Groups

Means

Comparison

Differences

of the mean

Diabetes

7.02

Diabetes-Nospsy.Som

+0.15(N.S)

Nonpsychosomatic

6.87

Diabetes-Normal

-1.39*

Normal

8.41

Nonpsy.som-Normal

-1.54*

                S. E. of difference  =              .28491   (Bet.Group)
                C. D at 0.05 level   =              .56074   (Bet.Group)
                G. M.                      =              7.4333
                S. D.                      =              2.0146
It suggests that diabetic & nonpsychosomatic patients are shy-restrained, diff-edent timid (Thractia) The person who scores low on this trait tends to be shy with-drawing, caution, retring A ‘’Will flower’’ he usually has inferiotry he tends to be show and in expressing himself dislikes occupations with personal contact, prefers one or two close friends to large groups.
Personality Factor ‘I'
Personal fector I is not significant.






Personality Factor ‘L'
Table of Analysis of Variance

Source

D. F

S. S

M. S. S

F

Bet. Group

2

75.02051

37.51025

16.1584

With-in-group

297

689.45996

2.32141

 

Total

299

764.48047

2.55679

 

 
 
 
 




***     Significant at 0.001 level
Table (B)
Table of Means & Significant of The Differences of The Means

Groups

Means

Comparison

Differences

of thee mean

Diabetes

5.83

Diabetes-Nospsy.Som

+0.44*

Nonpsychosomatic

5.39

Diabetes-Normal

+1.21*

Normal

4.62

Nonpsy.som-Normal

+0.77*

                S. E. of difference  =              .21547   (Bet.Group)
                C. D at 0.05 level   =              .42407   (Bet.Group)
                G. M.                      =              5.2800
                S. D.                       =              1.5236
Thus it suggests that the diabetic patients are suspicious self-opinionated, hard to fool (pretension) The person who scores higher an factor ‘L’ tends to be minsunder-standing & doubtful. He is often involved in his own ego, self opionated and mental life. He is usually deliberate in his actions unconcerned about other people, a poor tem member.
Personality Factor ‘M’
Table (a)
Table of Analysis of Variance

Source

D. F

S. S

M. S. S

F

Bet. Group

2

168.71973

84.35986

23.3928

With-in-group

297

1071.04980

3.60623

 

Total

299

1239.76953

4.14639

 

***    Significant at 0.001 level
Table (b)
Table of Analysis of Variance

   S. E. of difference  =              .26856   (Bet.Group)
                C. D at 0.05 level   =              .52855   (Bet.Group)
                G. M.                      =              5.7900
                S. D.                       =              1.8900
Personality factor M is highly significant at 0.001 level of Significance. It means that the diabetic patients are imaginative wrapped up in emmer urgencies, careless of practical matter (Autia) The person who scores high on factor M Tends to be unconventional unconcerned over everyday matters. Self motivated imaginatively creative, concerned essential & obvious Particulars. His inter dedicate interest lead to unrealistic situation accompanied by expressive outburst. His individuality tends to cause him to be rejected group activities.
Personality Factor ‘N’
Table (a)
Table of Analysis of Variance

***    Significant at 0.001 level

Table (b)

Table of Means & Significant of the difference of the means

Groups

Means

Comparison

Different of three means

Diabetes

5.72

 

Diabetes-Nospsy.Som

 

+0.30*

Nonpsychosomatic

5.42

Daibetes-Normal

+1.58*

Normal

4.14

Nonspy.som-Normal

+1.28*

S. E. of Difference      =     .27298  (Bet. Group)

C. D. at 0.05 level       =     .53724    (Bet. Group)

G. M.                             =     5.0933

S. D.                              =     1.9302

Personality factor N is highly significant at 0.001 level of Significance. It means that the diabetic patients are shrewed- calculating warlelly, penetrating (shrewdness) The person scores high on factor N Tends to be polished & experienced. He is often hardheaded & analytical. He has intellectual, unsentimental approach to situations, an approach akin tocynicism.
Personality Factor ‘O’
Table (a)
Table of Analysis of Variance

Source

D. F

S. S

M. S. S

F

Bet. Group

2

92.16699

46.08350

14.7865

With-in-group

297

925.62988

3.11660

 

Total

299

1017.79688

3.40400

 

***         Significant at 0.001 level   

Table (B)

Table of Means & Significant of The Differences of The Means

Groups

Means

Comparison

Differences

of thee mean

Diabetes

7.07

Diabetes-Nospsy.Som

+0.55*

Nonpsychosomatic

6.52

Diabetes-Normal

+1.35*

Normal

5.72

Nonpsy.som-Normal

0.80

                S. E. of difference      =              .24966   (Bet.Group)
                C. D at 0.05 level        =              .49136   (Bet.Group)
                G. M.                =              6.4367
                S. D.                  =              1.76654
Diabetic & Nonpsychosomatic have scored higher than normal group & nonpsychoso-matic has scored lower than diabetic group. Thus it suggests that the diabetic patients are apprehensive- worrying, Depressive, Trebled (Guilt Pronencess) The person who scores high on factor ‘O’ tends to be depressed, Mody, worrier, full of foreboding & brooding. He has a child life tendency to anxiety in difficulties. He does not feel accepted in group or free to participate to anxiety in difficulties. He does not feel accepted in group or free to participate high factor ‘O’ score is very common in clinical group of all types.
Personality factor ‘Q1
                Personality Factor I is not Significant.





Personality factor ‘Q2
Table (a)
Table of Analysis of Variance

Source

D. F

S. S

M. S. S

F

Bet. Group

2

29.54688

14.77344

4.3152

With-in-group

297

1016.79980

3.42357

 

Total

299

1046.34668

3.49949

 

 ***   Significant at 0.001 level   

Table (b)

Table of Means & Significant of the differences of the means

Groups

Means

Comparison

Differences

of thee mean

Diabetes

4.80

Diabetes-Nospsy.Som

-0.76*

Nonpsychosomatic

5.56

Diabetes-Normal

-0.58 (N.S)

Normal

5.28

Nonpsy.som-Normal

+ 0.25 (N.S)

                                S. E. of difference   =              .26167   (Bet.Group)
                                C. D at 0.05 level     =              .51499   (Bet.Group)
                                G. M.                        =              5.2133
                                S. D.                          =              1.8503
It means diabetic patients are group dependent-A ‘Joiner’ & sound follower low on factor ‘Q prefers to work and make decisions with other people, likes & dependents on social approval and admiration. He tends to go along with the group and may be lacking in individual resolution. He is not necessarily gregarious by choice rather he needs group support.






Personality factor ‘Q3
Personality Factor I is not Significant.
Table (a)
Table of Analysis of Variance

Source

D. F

S. S

M. S. S

F

Bet. Group

2

87.91992

43.95996

11.6046

With-in-group

297

1125.08008

3.78815

 

Total

299

1213.00000

4.05686

 

*** Significant at 0.001 level


Table (b)

Table of Means & Significant of the differences of the means

Groups

Means

Comparison

Differences

of thee mean

Diabetes

7.00

Diabetes-Nospsy.Som

+1.16*

Nonpsychosomatic

6.84

Diabetes-Normal

-0.06*

Normal

8.06

Nonpsy.som-Normal

-1.22*

                S. E. of difference  =              .27525   (Bet.Group)
                C. D at 0.05 level    =              .54172   (Bet.Group)
                G. M.                      =              7.3000
                S. D.                       =              1.9463
                Thus it suggests that the diabetic and no psychosomatic have scored than normal group and non psychotic has lower than diabetic group. This reveals that this trait does not play important role in the cases of diabetes.





16- Personality factor ‘Q4
Table (a)
Table of Analysis of Variance

Source

D. F

S. S

M. S. S

F

Bet. Group

2

269.44629

134.72314

38.6302

With-in-group

297

1035.79004

3.48751

 

Total

299

1305.23644

4.36534

 

***    Significant at 0.001 level

Table (b)

Table of Means & Significant of the differences of the means

Groups

Means

Comparison

Differences

of thee mean

Diabetes

7.26

Diabetes-Nospsy. Som

+1.23*

Nonpsychosomatic

6.03

Diabetes-Normal

+2.32*

Normal

4.94

Nonpsy.som-Normal

+2.09*

                S. E. of difference    =      .26410   (Bet.Group)
                C. D at 0.05 level      =     .51978   (Bet.Group)
                G. M.                         =      6.0767
                S. D.                          =      1.8675
Diabetic & no psychosomatic have scored higher than normal group and nonpsy-chosomatic has scored lower than diabetic group thus, It suggests that the diabetic patients are tense, frustrated, driven, over wrought (high ergic tension) the person who scores high on factor Q4 tends to be tends, excitable, results, fretful, inpatients. He is often fatigued, but unable to remain inactive. In group he takes a poor view of the degree of unity, orderliness & leadership &. His frustration representation. Excess of stimulate, but undischanged drive has in the case of diabetic.
Above description of personality pattern reveals that diabetic patients have got different personality profile specialty with reference to factors L, N, O and Q4 on which diabetic patients have scored significantly higher than nonpsychotic and normal groups.

Conclusion
The findings of the study regarding the personality are supported by different researcher in the area-Robin Gary (1983) found lowered self-esteem & feeling of depression to be common in diabetics & particularly in who’s with poor control of their illness. In the study of lepez, Ibor, Alina (1985) the association of diabetes with psychiatric disorders, Such as eating disorders. Bucher, Richard et al (1981) reported that the diabetic illness appears to be related to a psychodynamic cluster that utilizer, somatization as the preferred defensive mechanism. Cohen (1960) noted self-destructive behavior associated with conscious & uncurious factors, seen in some young diabetic adults who have repetitive ketoacidosis. In the study of Willis (1984) the high depression score confirmed what many have observed clinically. The important role of personality pattern obtained in diabetes mellitus.
References
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