Trauma exposure and stress‐related disorders in African‐American women with diabetes mellitus
Abstract Objective 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. Research Design and Methods We conduc...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2020-04-01
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| Series: | Endocrinology, Diabetes & Metabolism |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/edm2.111 |
| _version_ | 1818290795340365824 |
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| author | H. Drew Dixon Vasiliki Michopoulos Rachel L. Gluck Hadrian Mendoza Adam P. Munoz Joseph G. Wilson Abigail Powers Ann C. Schwartz Guillermo E. Umpierrez Charles F. Gillespie |
| author_facet | H. Drew Dixon Vasiliki Michopoulos Rachel L. Gluck Hadrian Mendoza Adam P. Munoz Joseph G. Wilson Abigail Powers Ann C. Schwartz Guillermo E. Umpierrez Charles F. Gillespie |
| author_sort | H. Drew Dixon |
| collection | DOAJ |
| description | Abstract Objective 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. Research Design and Methods 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. Results 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 (P's < .05). PTSD diagnosis, but not depression, was associated with increased haemoglobin A1c (P = .002). Conclusions 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. |
| first_indexed | 2024-12-13T02:33:51Z |
| format | Article |
| id | doaj.art-6179f3cff2664ae99f8478671aceec3f |
| institution | Directory Open Access Journal |
| issn | 2398-9238 |
| language | English |
| last_indexed | 2024-12-13T02:33:51Z |
| publishDate | 2020-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | Endocrinology, Diabetes & Metabolism |
| spelling | doaj.art-6179f3cff2664ae99f8478671aceec3f2022-12-22T00:02:26ZengWileyEndocrinology, Diabetes & Metabolism2398-92382020-04-0132n/an/a10.1002/edm2.111Trauma exposure and stress‐related disorders in African‐American women with diabetes mellitusH. Drew Dixon0Vasiliki Michopoulos1Rachel L. Gluck2Hadrian Mendoza3Adam P. Munoz4Joseph G. Wilson5Abigail Powers6Ann C. Schwartz7Guillermo E. Umpierrez8Charles F. Gillespie9Department of Psychiatry and Behavioral Sciences Emory University School of Medicine Atlanta GeorgiaDepartment of Psychiatry and Behavioral Sciences Emory University School of Medicine Atlanta GeorgiaDepartment of Psychiatry and Behavioral Sciences Emory University School of Medicine Atlanta GeorgiaDepartment of Psychiatry and Behavioral Sciences Emory University School of Medicine Atlanta GeorgiaDepartment of Psychiatry and Behavioral Sciences Emory University School of Medicine Atlanta GeorgiaDepartment of Psychiatry and Behavioral Sciences Emory University School of Medicine Atlanta GeorgiaDepartment of Psychiatry and Behavioral Sciences Emory University School of Medicine Atlanta GeorgiaDepartment of Psychiatry and Behavioral Sciences Emory University School of Medicine Atlanta GeorgiaDivision of Endocrinology Department of Medicine Emory University School of Medicine Atlanta GeorgiaDepartment of Psychiatry and Behavioral Sciences Emory University School of Medicine Atlanta GeorgiaAbstract Objective 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. Research Design and Methods 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. Results 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 (P's < .05). PTSD diagnosis, but not depression, was associated with increased haemoglobin A1c (P = .002). Conclusions 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.https://doi.org/10.1002/edm2.111diabetesglycaemic controlMDDPTSDtrauma exposure |
| spellingShingle | H. Drew Dixon Vasiliki Michopoulos Rachel L. Gluck Hadrian Mendoza Adam P. Munoz Joseph G. Wilson Abigail Powers Ann C. Schwartz Guillermo E. Umpierrez Charles F. Gillespie Trauma exposure and stress‐related disorders in African‐American women with diabetes mellitus Endocrinology, Diabetes & Metabolism diabetes glycaemic control MDD PTSD trauma exposure |
| title | Trauma exposure and stress‐related disorders in African‐American women with diabetes mellitus |
| title_full | Trauma exposure and stress‐related disorders in African‐American women with diabetes mellitus |
| title_fullStr | Trauma exposure and stress‐related disorders in African‐American women with diabetes mellitus |
| title_full_unstemmed | Trauma exposure and stress‐related disorders in African‐American women with diabetes mellitus |
| title_short | Trauma exposure and stress‐related disorders in African‐American women with diabetes mellitus |
| title_sort | trauma exposure and stress related disorders in african american women with diabetes mellitus |
| topic | diabetes glycaemic control MDD PTSD trauma exposure |
| url | https://doi.org/10.1002/edm2.111 |
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