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Gaceta Médica Espirituana

versión On-line ISSN 1608-8921


LEAL RUIZ, Elizabeth; RODRIGUEZ MENDEZ, Leonardo  y  OTERO RAMOS, Idania Maria. Affective-motivational functioning in prediabetic and diabetic patients. Gac Méd Espirit [online]. 2023, vol.25, n.2, 2353.  Epub 09-Jul-2023. ISSN 1608-8921.


Affective-motivational functioning affects the control over chronic diseases and the attitudes that patients assume towards the disease.


To characterize the affective-motivational specificities that distinguish behavioral adaptations in prediabetic and chronic diabetic patients.


A mixed research paradigm was applied, with a sequential exploratory design. The sample was composed by a total number of 20 patients, distributed in two groups: one composed by prediabetic patients and the other by diabetic ones. The RAMDI (S), the Dembo-Rubinstein Scale, and the Sentence Completion Test were applied, the Composition Technique.


Affective-motivational differences between the two groups were detected, manifested in the consciousness or not of the disease and consequent behavior regulation. A tendency to overestimate the health variable prediabetic patients and underestimate diabetic patients prevailed.


Prediabetic patients do not recognize themselves as sick, do not value the risks they take with their status and do not engage in a lifestyle change. The diabetic patient group was characterized by expressing disease self-consciousness, affective compromise and personal development, as the processes that facilitate the adjustment of their behavior.

Palabras clave : Prediabetic state and psychology; diabetes mellitus and psychology; motivation; health records, personal and psychology.

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