Title

Psychological Trauma Symptoms and Type 2 Diabetes Prevalence, Glucose Control, and Treatment Modality Among American Indians in the Strong Heart Family Study

Publication Title

Journal Of Diabetes And Its Complications

Document Type

Citation

Publication Date

9-2013

Abstract

Aims

The aims of this paper are to examine the relationship between psychological trauma symptoms and Type 2 diabetes prevalence, glucose control, and treatment modality among 3776 American Indians in Phase V of the Strong Heart Family Study.

Methods

This cross-sectional analysis measured psychological trauma symptoms using the National Anxiety Disorder Screening Day instrument, diabetes by American Diabetes Association criteria, and treatment modality by four categories: no medication, oral medication only, insulin only, or both oral medication and insulin. We used binary logistic regression to evaluate the association between psychological trauma symptoms and diabetes prevalence. We used ordinary least squares regression to evaluate the association between psychological trauma symptoms and glucose control. We used binary logistic regression to model the association of psychological trauma symptoms with treatment modality.

Results

Neither diabetes prevalence (22%–31%; p = 0.19) nor control (8.0–8.6; p = 0.25) varied significantly by psychological trauma symptoms categories. However, diabetes treatment modality was associated with psychological trauma symptoms categories, as people with greater burden used either no medication, or both oral and insulin medications (odds ratio = 3.1, p < 0.001).

Conclusions

The positive relationship between treatment modality and psychological trauma symptoms suggests future research investigate patient and provider treatment decision making.

Description

Copyright © 2013 Elsevier Inc. All rights reserved.

DOI

10.1016/j.jdiacomp.2013.07.008

Persistent Identifier

https://archives.pdx.edu/ds/psu/29907

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