Trauma exposure and stress-related disorders in African-American women with diabetes mellitus.

MDD PTSD diabetes glycaemic control trauma exposure

Journal

Endocrinology, diabetes & metabolism
ISSN: 2398-9238
Titre abrégé: Endocrinol Diabetes Metab
Pays: England
ID NLM: 101732442

Informations de publication

Date de publication:
Apr 2020
Historique:
received: 28 08 2019
revised: 20 12 2019
accepted: 21 12 2019
entrez: 23 4 2020
pubmed: 23 4 2020
medline: 23 4 2020
Statut: epublish

Résumé

The purpose of the study was to assess demographic features, rates of trauma exposure, prevalence of post-traumatic stress and depressive symptoms in a group of urban, low-income, African-American women with type 1 or type 2 diabetes mellitus. We conducted a survey of (n = 290) low-income, African-American women seeking care in the diabetes clinic of an urban hospital and collected data on the demographic characteristics, childhood and nonchildhood abuse trauma exposure, and the severity of post-traumatic stress and depressive symptoms using the Post-traumatic Stress Disorder (PTSD) Symptom Scale (PSS) and the Beck Depression Inventory (BDI). In a subset of women with type 2 diabetes (n = 96), we assessed haemoglobin A1c to examine the relationship between psychopathology and glycaemic control. Of the overall sample, 61.7% reported exposure to trauma in their lifetime, and 30.4% and 29.3% had current PTSD and MDD, respectively. Exposure to both childhood and nonchildhood abuse trauma was associated with an increased PTSD and depressive symptom severity ( These data document high levels of trauma exposure, PTSD and depressive symptoms in diabetic African-American women treated in a specialty clinic of an urban hospital setting. Furthermore, these data indicate that the presence of PTSD is negatively associated with glycaemic control.

Identifiants

pubmed: 32318631
doi: 10.1002/edm2.111
pii: EDM2111
pmc: PMC7170451
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e00111

Subventions

Organisme : NIMH NIH HHS
ID : R01 MH099211
Pays : United States

Informations de copyright

© 2020 The Authors. Endocrinology, Diabetes & Metabolism published by John Wiley & Sons Ltd.

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Auteurs

H Drew Dixon (HD)

Department of Psychiatry and Behavioral Sciences Emory University School of Medicine Atlanta Georgia.

Vasiliki Michopoulos (V)

Department of Psychiatry and Behavioral Sciences Emory University School of Medicine Atlanta Georgia.
Yerkes National Primate Research Center Atlanta Georgia.

Rachel L Gluck (RL)

Department of Psychiatry and Behavioral Sciences Emory University School of Medicine Atlanta Georgia.

Hadrian Mendoza (H)

Department of Psychiatry and Behavioral Sciences Emory University School of Medicine Atlanta Georgia.

Adam P Munoz (AP)

Department of Psychiatry and Behavioral Sciences Emory University School of Medicine Atlanta Georgia.

Joseph G Wilson (JG)

Department of Psychiatry and Behavioral Sciences Emory University School of Medicine Atlanta Georgia.

Abigail Powers (A)

Department of Psychiatry and Behavioral Sciences Emory University School of Medicine Atlanta Georgia.

Ann C Schwartz (AC)

Department of Psychiatry and Behavioral Sciences Emory University School of Medicine Atlanta Georgia.

Guillermo E Umpierrez (GE)

Division of Endocrinology Department of Medicine Emory University School of Medicine Atlanta Georgia.

Charles F Gillespie (CF)

Department of Psychiatry and Behavioral Sciences Emory University School of Medicine Atlanta Georgia.

Classifications MeSH