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

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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.

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Acknowledgments

The Mino Giizhigad Team includes Community Research Council members: Doris Isham, Julie Yaekel-Black Elk, Tracy Martin, Sidnee Kellar, Robert Miller, Geraldine Whiteman, Peggy Connor, Michael Connor, Stan Day, Pam Hughes, Jane Villebrun, Muriel Deegan, Beverly Steel, and Ray Villebrun. The authors respectfully acknowledge the commitment and participation of project team members in addition to their thoughtful review of this manuscript. The authors would also like to acknowledge the contributions of Garrett Soper to the conception and development of this manuscript.

Funding

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).

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Correspondence to Benjamin D. Aronson.

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Benjamin D. Aronson, Laura C. Palombi and Melissa L. Walls declare that they have no conflict of interest.

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All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all participants being included in the study.

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Aronson, B.D., Palombi, L.C. & Walls, M.L. Rates and consequences of posttraumatic distress among American Indian adults with type 2 diabetes. J Behav Med 39, 694–703 (2016). https://doi.org/10.1007/s10865-016-9733-y

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