Associations between posttraumatic stress disorder and hemoglobin A1C in low-income minority patients with diabetes - 10/08/11
, Carol A. Mancuso, M.D. b, Carla Boutin-Foster, M.D., M.S. b, Walid Michelen, M.D. c, Carol McLean-Long, M.D. c, Brad Foote, M.D. d, Mary E. Charlson, M.D. bAbstract |
Objective |
Posttraumatic Stress Disorder (PTSD) is prevalent among low-income minorities and is associated with poorer health. However, the association between PTSD and hemoglobin A1C (A1C) among patients with diabetes has not been fully described. The objective of this cross-sectional study was to evaluate associations between PTSD and A1C among low-income minorities with diabetes.
Method |
Adults with diabetes were recruited from a network of primary care clinics. Data were obtained from surveys and electronic medical records. Lifetime PTSD symptoms were assessed using the Structured Clinical Interview—DSM-IV and depressive symptoms with the Patient Health Questionnaire-9. A1C was obtained from chart review.
Results |
Of 103 adults analyzed, 12% had lifetime full PTSD and 12% had subthreshold PTSD. On backward stepwise logistic regression, patients with any PTSD symptoms were significantly more likely to have an A1C >7% compared to patients without symptoms (ORadj 2.98, 95% CI 1.04–8.52, P=.04). An A1C >7% also was associated with an interaction between PTSD symptoms and longer diabetes duration (P<.05).
Conclusion |
In this cohort of low-income minorities with diabetes, lifetime PTSD symptoms were significantly associated with an A1C >7%.
Le texte complet de cet article est disponible en PDF.Keywords : Posttraumatic stress disorder, Diabetes, Primary care, Minority
Plan
Vol 33 - N° 2
P. 116-122 - mars 2011 Retour au numéro
Article précédent
- Racial and ethnic differences in diabetes mellitus among people with and without psychiatric disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions
- Leopoldo J. Cabassa, Carlos Blanco, Jorge Lopez-Castroman, Keng-Han Lin, Shang-Min Lui, Roberto Lewis-Fernández
- Enhancing the population impact of collaborative care interventions: mixed method development and implementation of stepped care targeting posttraumatic stress disorder and related comorbidities after acute trauma
- Douglas Zatzick, Frederick Rivara, Gregory Jurkovich, Joan Russo, Sarah Geiss Trusz, Jin Wang, Amy Wagner, Kari Stephens, Chris Dunn, Edwina Uehara, Megan Petrie, Charles Engel, Dimitri Davydow, Wayne Katon
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?