Rates and consequences of posttraumatic distress among American Indian adults with type 2 diabetes

Benjamin D. Aronson; Laura C Palombi; Melissa L Walls

doi:10.1007/s10865-016-9733-y

Rates and consequences of posttraumatic distress among American Indian adults with type 2 diabetes

Benjamin D. Aronson, Laura C Palombi, Melissa L Walls

Research output: Contribution to journal › Article › peer-review

10 Scopus citations

Abstract

This study examined the prevalence of screened posttraumatic stress disorder (PTSD) and associated diabetes-related outcomes. A sample of American Indian adults with type 2 diabetes (n = 218) participated in interviewer-administered surveys. Using a cutoff of 3 on the Primary Care PTSD screener, 21.8 % of participants screened positive for PTSD. PTSD symptoms were negatively associated with self-rated health status and positively associated with past year hospitalization after controlling for several demographic factors, but not after controlling for depressive symptoms. Past month frequency of hyperglycemia symptoms was not related to PTSD symptoms. When grouped by mental health conditions (neither screened PTSD nor depressive symptoms, screened PTSD only, depressive symptoms only, and both), those with both screened PTSD and depressive symptoms reported the highest proportion of any past month hyperglycemia, past year hospitalization, and low self-rated health status. Screened PTSD, especially in those with comorbid depressive symptoms, is an important consideration in diabetes care.

Original language	English (US)
Pages (from-to)	694-703
Number of pages	10
Journal	Journal of Behavioral Medicine
Volume	39
Issue number	4
DOIs	https://doi.org/10.1007/s10865-016-9733-y
State	Published - Aug 1 2016

Bibliographical note

Funding Information:
Research reported in this paper was supported by the National Institute of Mental Health under Award Number MH085852 (M. Walls, Principal Investigator). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Dr. Aronson gratefully acknowledges support from an American Foundation for Pharmaceutical Education Fellowship and a Health Services Dissertation Award (R36) from the Agency for Healthcare Research and Quality (1R36HS024180-01).

Publisher Copyright:
© 2016, Springer Science+Business Media New York.

Keywords

American Indian
Depression
Disease outcomes
Posttraumatic stress disorder
Trauma
Type 2 diabetes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Publisher link

10.1007/s10865-016-9733-y

http://europepmc.org/articles/pmc4945379

Find It

Find It at U of M Libraries

Cite this

@article{0d592d3646264e0092f28f328db38b68,

title = "Rates and consequences of posttraumatic distress among American Indian adults with type 2 diabetes",

abstract = "This study examined the prevalence of screened posttraumatic stress disorder (PTSD) and associated diabetes-related outcomes. A sample of American Indian adults with type 2 diabetes (n = 218) participated in interviewer-administered surveys. Using a cutoff of 3 on the Primary Care PTSD screener, 21.8 % of participants screened positive for PTSD. PTSD symptoms were negatively associated with self-rated health status and positively associated with past year hospitalization after controlling for several demographic factors, but not after controlling for depressive symptoms. Past month frequency of hyperglycemia symptoms was not related to PTSD symptoms. When grouped by mental health conditions (neither screened PTSD nor depressive symptoms, screened PTSD only, depressive symptoms only, and both), those with both screened PTSD and depressive symptoms reported the highest proportion of any past month hyperglycemia, past year hospitalization, and low self-rated health status. Screened PTSD, especially in those with comorbid depressive symptoms, is an important consideration in diabetes care.",

keywords = "American Indian, Depression, Disease outcomes, Posttraumatic stress disorder, Trauma, Type 2 diabetes",

author = "Aronson, {Benjamin D.} and Palombi, {Laura C} and Walls, {Melissa L}",

note = "Funding Information: Research reported in this paper was supported by the National Institute of Mental Health under Award Number MH085852 (M. Walls, Principal Investigator). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Dr. Aronson gratefully acknowledges support from an American Foundation for Pharmaceutical Education Fellowship and a Health Services Dissertation Award (R36) from the Agency for Healthcare Research and Quality (1R36HS024180-01). Publisher Copyright: {\textcopyright} 2016, Springer Science+Business Media New York.",

year = "2016",

month = aug,

day = "1",

doi = "10.1007/s10865-016-9733-y",

language = "English (US)",

volume = "39",

pages = "694--703",

journal = "Journal of Behavioral Medicine",

issn = "0160-7715",

publisher = "Springer New York",

number = "4",

}

TY - JOUR

T1 - Rates and consequences of posttraumatic distress among American Indian adults with type 2 diabetes

AU - Aronson, Benjamin D.

AU - Palombi, Laura C

AU - Walls, Melissa L

N1 - Funding Information: Research reported in this paper was supported by the National Institute of Mental Health under Award Number MH085852 (M. Walls, Principal Investigator). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Dr. Aronson gratefully acknowledges support from an American Foundation for Pharmaceutical Education Fellowship and a Health Services Dissertation Award (R36) from the Agency for Healthcare Research and Quality (1R36HS024180-01). Publisher Copyright: © 2016, Springer Science+Business Media New York.

PY - 2016/8/1

Y1 - 2016/8/1

N2 - This study examined the prevalence of screened posttraumatic stress disorder (PTSD) and associated diabetes-related outcomes. A sample of American Indian adults with type 2 diabetes (n = 218) participated in interviewer-administered surveys. Using a cutoff of 3 on the Primary Care PTSD screener, 21.8 % of participants screened positive for PTSD. PTSD symptoms were negatively associated with self-rated health status and positively associated with past year hospitalization after controlling for several demographic factors, but not after controlling for depressive symptoms. Past month frequency of hyperglycemia symptoms was not related to PTSD symptoms. When grouped by mental health conditions (neither screened PTSD nor depressive symptoms, screened PTSD only, depressive symptoms only, and both), those with both screened PTSD and depressive symptoms reported the highest proportion of any past month hyperglycemia, past year hospitalization, and low self-rated health status. Screened PTSD, especially in those with comorbid depressive symptoms, is an important consideration in diabetes care.

AB - This study examined the prevalence of screened posttraumatic stress disorder (PTSD) and associated diabetes-related outcomes. A sample of American Indian adults with type 2 diabetes (n = 218) participated in interviewer-administered surveys. Using a cutoff of 3 on the Primary Care PTSD screener, 21.8 % of participants screened positive for PTSD. PTSD symptoms were negatively associated with self-rated health status and positively associated with past year hospitalization after controlling for several demographic factors, but not after controlling for depressive symptoms. Past month frequency of hyperglycemia symptoms was not related to PTSD symptoms. When grouped by mental health conditions (neither screened PTSD nor depressive symptoms, screened PTSD only, depressive symptoms only, and both), those with both screened PTSD and depressive symptoms reported the highest proportion of any past month hyperglycemia, past year hospitalization, and low self-rated health status. Screened PTSD, especially in those with comorbid depressive symptoms, is an important consideration in diabetes care.

KW - American Indian

KW - Depression

KW - Disease outcomes

KW - Posttraumatic stress disorder

KW - Trauma

KW - Type 2 diabetes

UR - http://www.scopus.com/inward/record.url?scp=84961813348&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84961813348&partnerID=8YFLogxK

U2 - 10.1007/s10865-016-9733-y

DO - 10.1007/s10865-016-9733-y

M3 - Article

C2 - 27001254

AN - SCOPUS:84961813348

VL - 39

SP - 694

EP - 703

JO - Journal of Behavioral Medicine

JF - Journal of Behavioral Medicine

SN - 0160-7715

IS - 4

ER -

Rates and consequences of posttraumatic distress among American Indian adults with type 2 diabetes

Abstract

Bibliographical note

Keywords

UN SDGs

Publisher link

Find It

Other files and links

Fingerprint

Cite this