Rates and consequences of posttraumatic distress among American Indian adults with type 2 diabetes
Rates and consequences of posttraumatic distress among American Indian adults with type 2 diabetes
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DOI：
10.1007/s10865-016-9733-y
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发表时间：
2016-08-01
影响因子：
3.1
通讯作者：
Walls, Melissa L.
中科院分区：
文献类型：
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作者：
Aronson, Benjamin D.;Palombi, Laura C.;Walls, Melissa L.
本研究调查了筛选的创伤后应激障碍（PTSD）的患病率和相关的糖尿病相关结果。美国印第安人的2型糖尿病成年人（n = 218）的样本参加了采访者管理的调查。使用初级保健创伤后应激障碍筛查的3分截止值，21. 8%的参与者筛查出创伤后应激障碍阳性。在控制了几个人口统计学因素后，PTSD症状与自测健康状况呈负相关，与过去一年的住院率呈正相关，但在控制了抑郁症状后，PTSD症状与自测健康状况呈负相关。过去一个月高血糖症状的频率与PTSD症状无关。当按精神健康状况分组时（既没有筛选的PTSD也没有抑郁症状，只有筛选的PTSD，只有抑郁症状，两者兼而有之），那些既有筛选的PTSD又有抑郁症状的人报告了过去一个月高血糖，过去一年住院和低自我评价健康状况的比例最高。筛查PTSD，特别是那些有抑郁症状的患者，是糖尿病护理的一个重要考虑因素。
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.