ArticlePatient preference and adherence2018
Disruption in time projection and non-adherence to long-term therapies.
Article in Patient preference and adherence, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Intertemporal Decision-Making Ability in Patients with Chronic Diseases: A Concept Analysis.Patient preference and adherence · 2026Review
- How time and risk preferences affect glucose control in type 2 diabetes patients.Scientific reports · 2025Article
- Time and risk preferences and the perceived effectiveness of incentives to comply with diabetic retinopathy screening among older adults with type 2 diabetes.Frontiers in psychology · 2023Article
- How is Patient Adherence Possible? A Novel Mechanistic Model of Adherence Based on Humanities.Patient preference and adherence · 2023Review
- Patient Medication Preferences for Managing Dry Eye Disease: The Importance of Medication Side Effects.The patient · 2022Article
- Time Preference for Immediate Gratification: Associations With Low Medication Adherence and Uncontrolled Blood Pressure.American journal of hypertension · 2022Article
- Medication Adherence: Expanding the Conceptual Framework.American journal of hypertension · 2021Article
- Article
- Implication Of Character Traits In Adherence To Treatment In People With Gout: A Reason For Considering Nonadherence As A Syndrome.Patient preference and adherence · 2019Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivePatients' non-adherence to medical prescriptions is a crucial issue in contemporary medicine because it can jeopardize care efficacy. Non-adherence is especially frequent in patients with chronic diseases. In this article, we propose that a particular condition, which we call disruption in time projection, is a cause of non-adherence to medication therapies in chronic diseases.
methodsA questionnaire was administered to 120 hospitalized people with type 2 diabetes addressing three psychological constructs defining time projection: patience/impatience in a fictive monetary scenario (preferring to receive €1,500 in 1 year or €500 today), magnitude of temporal horizon (greater or lesser ability to imagine future events) and perception of the degree of physical similarity of current self to self at 1 year, 5 years and 10 years from the present. In addition, the questionnaire evaluated adherence to medication, social deprivation and depression.
resultsIn the multivariate analyses, two factors were associated with adherence to medication: patience (
conclusionWhat we termed a disruption in time projection may be a unique determinant for non-adherence to long-term therapy and, therefore, may influence the outcome of chronic diseases. We hypothesize that this is involved in both intentional and unintentional non-adherence and that it represents the loss of a protective mechanism. If this novel concept is to be confirmed in other settings and generalized to other chronic diseases, the recognition of its role in disease prognosis may help orient the teaching and practice of medicine.
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