Development of Psychological Well - Being Structural Model Based on Personality Dimensions by Mediation of Emotional Intelligence and Adherence to Treatment in Diabetic Patients

Introduction: Diabetes is chronic with a major impact on the lives and well-being of individuals and societies worldwide and it is among the top 10 causes of death in adults. This study aimed to develop a model of psychological well-being based on personality dimensions mediated by emotional intelligence and adherence to treatment in diabetic patients. Methods: This research is correlational research. The statistical population of this study included 30 to 60 years-old diabetic patients of Endocrine and Metabolism Research Institute of Tehran University of Medical Sciences in the autumn of 2019 is considered as the statistical population. 267 people were selected as a sample by the convenience sampling method and answered the Ryff psychological well-being questionnaire, NEO personality dimensions, Schutte emotional intelligence, and following treatment. Evaluate the proposed model using the path analysis method and SPSS and AMOS software were used to analyze the statistical data. Results:  Based on the findings of this study, the proposed model had a desirable fit (RMSEA = 0.056, GFI = 0.91, IFI = 0.93, X2 = 1.98 and P-value=0/159). The results showed that the correlation coefficient between all personality traits of neuroticism, extraversion, openness to experience, pleasantness, conscientiousness on psychological well-being (β= -0/72, 0/42, 0/21, 0/30, 0/46), and on emotional intelligence (β=-0/23, 0/33, 0/28, 0/34, 0/72) have a significant and direct effect. Among personality traits, only conscientiousness' correlation coefficient (β=0/43) on adherence to treatment had a significant and direct effect. Also, both the correlation coefficient emotional intelligence(β=0/93) and adherence to treatment(β=0/12) on well-being had a significant and direct effect. All the indirect effects obtained in the final research model are significant. Conclusion: The model has a good fitness and would be an important step in recognition of the factors, which effect on psychological health of the diabetic patients. Therefore, it can be used as a suitable model for designing programs for the prevention of psychological well-being problems in diabetic patients.