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 | |
| State | Published - Aug 1 2016 |
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Keywords
- American Indian
- Depression
- Disease outcomes
- Posttraumatic stress disorder
- Trauma
- Type 2 diabetes
Cite this
Rates and consequences of posttraumatic distress among American Indian adults with type 2 diabetes. / Aronson, Benjamin D.; Palombi, Laura C; Walls, Melissa L.
In: Journal of Behavioral Medicine, Vol. 39, No. 4, 01.08.2016, p. 694-703.Research output: Contribution to journal › Article
}
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
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 -