Is there an impatience genotype leading to non-adherence to long-term therapies?

被引：20
作者：
Reach, G. [1 ,2 ]
机构：
[1] Hop Avicenne, AP HP, Serv Endocrinol, F-93000 Bobigny, France
[2] Univ Paris 13, CRNH IdF, EA 3412, Bobigny, France
来源：
DIABETOLOGIA | 2010年 / 53卷 / 08期
关键词：
Adherence; Chronic diseases; Impatience genotype; Neuroeconomics; MEDICATION ADHERENCE; FUTURE; BEHAVIOR; DELAY; HOSPITALIZATION; NEUROECONOMICS; ADOLESCENT; IMPACT; RISK;
D O I：
10.1007/s00125-010-1755-3
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
In chronic diseases such as diabetes, adherence to therapy aims to preserve health, which is a long-term objective, whereas non-adherence tends to present an immediate 'reward'. We propose that non-adherence, like addiction, is at least in part due to the fact that, for physiological, and maybe genetic reasons described in a new field, neuroeconomics, a number of people have a taste for the present rather than the future. Thus, for 'impatient patients' it is natural not to adhere to therapeutic prescriptions that share the characteristic of being future-oriented. This hypothesis may apply to any disease requiring long-term therapy.
引用
收藏
页码：1562 / 1567
页数：6
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