Third,this study was cross-sectional. Some of the
relationships observed in the study may reflect
reverse causality (such as deteriorated self-care
behaviors leading to the severity of schizophrenia).
Further studies are needed to replicate the present
findings on the associations among symptom
severity, glycemic control, and diabetes self-care
behaviors with a prospective study design and a
more representative sample of people with schizophrenia
and diabetes.