Diabetes Management, Stress, and Compliance: A Health Psychology Study in Siwan

The present study titled “Diabetes Management, Stress, and Compliance: A Health Psychology Study in Siwan” aimed to examine the psychological and behavioral dimensions of Type 2 Diabetes Mellitus (T2DM), with a specific focus on stress, coping strategies, stigma perception, social support, and treatment adherence. The objectives were to explore the demographic and psychosocial profiles of diabetic patients, and to investigate group differences in stress and adherence across gender and residence. A total of 87 participants were selected through random sampling from government hospitals, private clinics, and community health centers in Siwan. Data were collected using standardized instruments, including the Perceived Stress Scale, Coping Strategies Inventory, and a structured Treatment Compliance Scale, through both in-person and online interviews. Statistical analysis employed descriptive statistics and Independent Samples t-tests to compare groups. Results revealed moderate levels of psychological distress and adherence, with problem-focused coping being slightly more common than emotion-focused coping. Significant gender differences emerged, with female participants reporting higher stress levels than males, while urban participants showed greater treatment adherence compared to rural participants. These findings highlight the interplay of demographic and psychosocial factors in diabetes care. The study suggests that gender-sensitive counseling, rural outreach interventions, and stigma reduction strategies are vital for improving compliance and psychological well-being in diabetic populations. The implications extend beyond diabetes care, offering valuable insights for chronic illness management, including tuberculosis (TB) programs where stigma and adherence challenges remain pressing concerns.