The course of illness can be influenced by biological, psychological, and/or social factors covering a broad range of topics that include stress, coping, and behaviors that either promote health and prevent illness, or contribute to the development of clinical problems. Health and wellness are important to our daily lives and this is true even in the context of being diagnosed with a chronic illness such as diabetes mellitus. The interplay between emotions, cognitive, and behavioral/physical factors can affect all aspects of health and illness. Individual differences such as culture, ethnicity, lifestyle, religion, gender, identity development, financial status, and social support should be considered when analyzing the individual’s response to a chronic illness. Numerous research studies have investigated the impact of one or more of these factors in terms of the effect on chronic disease outcomes. These outcomes can include symptom management and/or progression of the severity of the disease.
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