Unique relations between post-traumatic stress disorder symptoms and patient functioning in type 2 diabetes

Juth, Vanessa; Trief, Paula M.; Wallston, Kenneth A.; Ulbrecht, Jan S.; Smyth, Joshua M.

doi:10.1177/1359105317727839

Cited by 14 publications

(12 citation statements)

References 48 publications

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“…Research into the relationship of PTSD and HCU is mixed, with some studies finding a decrease in clinic visits (likely because of avoidance behaviors) and others showing increased HCU. 10 , 25 Either scenario is going to increase direct costs, because deferring care, especially in the context of IBD, can lead to more severe disease and emergent treatments. Patients with CD did not differ from patients with UC for PCP visits, but patients with CD reported more GI clinic visits in the past year and more lifetime hospitalizations.…”

Section: Discussionmentioning

confidence: 99%

Posttraumatic Stress in Patients With Inflammatory Bowel Disease: Prevalence and Relationships to Patient-Reported Outcomes

Taft

Quinton

Jedel

et al. 2021

Inflammatory Bowel Diseases

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Background Patients with chronic illness are at increased risk for traumatic stress because of medical trauma. Initial studies of posttraumatic stress (PTS) in patients with inflammatory bowel disease (IBD) have found that approximately one-third of patients may experience significant PTS symptoms including flashbacks, nightmares, hypervigilance, disrupted sleep, and low mood. We aim to better characterize PTS in IBD and its relationship with patient outcomes in a large cohort of patients with IBD. Methods Adult patients registered with the Crohn’s & Colitis Foundation/University of North Carolina IBD Partners database were invited to complete a supplementary survey between February and July 2020. The Post Traumatic Stress Disorder Checklist-5th edition was administered as a supplemental survey. Additional data from IBD Partners included disease severity, surgery and hospital history, demographics, and health care utilization. Results A total of 797 patients participated (452 with Crohn disease, 345 with ulcerative colitis). No impacts on response patterns because of the COVID-19 pandemic were found. Although 5.6% of the sample reported an existing PTS diagnosis because of IBD experiences, 9.6% of participants met the full IBD-related PTS diagnostic criteria per the Post Traumatic Stress Disorder Checklist-5th edition. Female patients, younger patients, those with less educational attainment, non-White patients, and Hispanic patients reported higher levels of PTS symptoms. Patients with higher PTS symptoms were more likely to have been hospitalized, have had surgery, have more severe symptoms, and not be in remission. Increased PTS was also associated with increased anxiety, depression, pain interference, fatigue, and health care utilization. Conclusions The present findings support prior research that approximately one-quarter to one-third of patients with IBD report significant symptoms of PTS directly from their disease experiences, and certain demographic groups are at higher risk. In addition, PTS is associated with several IBD outcomes. Patients with higher PTS symptoms are less likely to be in remission and may utilize more outpatient gastrointestinal services. Intervention trials to mitigate PTS symptoms in patients with IBD are warranted.

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Section: Discussionmentioning

confidence: 99%

Posttraumatic Stress in Patients With Inflammatory Bowel Disease: Prevalence and Relationships to Patient-Reported Outcomes

Taft

Quinton

Jedel

et al. 2021

Inflammatory Bowel Diseases

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“…It was found that Patients with diabetic (64.7%) and hypertension (63.2%) have higher PTSS than patients with HIV-AIDS (27.5%). It was previously reported that patients with diabetic represent a group with considerable posttraumatic stress symptoms, which warrants increased attention in clinical care and research [34]. In the context of covid-19, diabetic and hypertension represent the two conditions reported to be mostly impacted by the reduction in healthcare system due to the pandemic, and the pandemic seems to have an indirect risk to these diseases through change in life style factors [23,25].…”

Section: Discussionmentioning

confidence: 99%

Posttraumatic Stress Symptoms Among Patients with Chronic Medical Disease Amid Covid-19 Pandemic in Southwest Ethiopia

Mohammedhussein¹,

Hajure²,

Ebrahim³

et al. 2021

IJBECS

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Background: During infectious disease pandemic, patients with chronic medical diseases were at increased risk of mental health problems. Therefore, the study assessed posttraumatic stress symptoms amid the COVID-19 pandemic among patients with chronic medical diseases. Methods: A facility-based cross-sectional study was conducted from August 1-20, 2020. Systematic random sampling was used to select 422 patients with chronic medical diseases (diabetes, hypertension, and HIV). Impact of the event scale revised was used to assess posttraumatic stress symptoms. Data were analyzed by using SPSS version 23. Multivariable logistic regression analysis with 95% CI and odds ratio were fitted to declare the significantly associated variables at P value < 0.05. Results: 230 (54.5%) of the participants were reported to have posttraumatic stress symptoms. Being female, AOR=3.65 (95% CI 2.08, 6.40), Duration of illness greater than fiveyear AOR=3.12 (95% CI 1.73, 5.65), presence of anxiety AOR=6.52 (95% CI 3.71, 11.47), Age ≥55 year AOR=3.45 (95% CI 1.49, 7.98), diagnosis of diabetes AOR=7.49 (95% CI 3.65, 15.35), hypertension AOR=4.45 (95% CI 2.29, 8.64) and poor social support AOR=2.16 (95% CI 1.26, 3.68) were observed to have significant association with posttraumatic stress symptoms. Conclusion: Significant posttraumatic stress symptoms were reported by more than half of the patients with chronic medical diseases. This was of considerable concern indicating a significant impact of COVID-19 pandemic on this group, which seeks attention for early psychological intervention.

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“…Each of the 9 included studies was a primary study that included data collection and analysis. The most common designs employed in the study were the cross-sectional [18,19], retrospective [20][21][22][23][24].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…One of the risk factors not discussed in the previous subchapter is trauma. Eight articles [19,[21][22][23][24] included in this review examine the impact of traumatic experiences on the development of diabetes. Rau et al (2017) defined stress-induced hyperglycemia (SIH) as glucose levels above 250 mg/dL and found it to be associated with a 3.5-fold increase in the risk of mortality compared to patients showing diabetic normoglycemia [21].…”

Section: Stress Trauma and Diabetesmentioning

confidence: 99%

“…These discrepancies point to the need for further investigation to establish a standard universally agreedupon definition for the condition. The other 3 studies [19,22,24] examined various dimensions of the association between diabetes and PTSD. In their study, Arigo et al (2017) concluded that the presence of clinically significant PTSD accounted for the 10-40% variance in T2DM outcomes they observed within their sample since experiencing more severe depressive symptoms was associated with higher HbA1c and diabetes distress levels and lower levels of physical exercise and poor adherence to dietary recommendations [19].…”

Section: Stress Trauma and Diabetesmentioning

confidence: 99%

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The Association between Trauma and the Occurrence of Diabetes Mellitus at the Age of Less than 40 Years

Sharifi¹,

Alqahtani²,

Almousaedi³

et al. 2022

Pharmacophore

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Although there is extensive research on diabetes and associated factors, there is still a deficiency in the literature investigating the link between trauma and diabetes prevalence. Gaining insight into this association will enhance clinicians' understanding of the condition and inform the strategies adopted to ensure effective management. Therefore, the study will provide information on the prevalence and presentation of the condition within the population of interest, while providing an in-depth analysis of its association with trauma. To assess the relationship between diabetes mellitus and trauma in adolescents and young adults below the age of 40. A review of primary studies on trauma and diabetes in younger populations was conducted. To identify the studies to be included in the review, the researcher utilized PubMed and EBSCOhost databases due to their extensive research article records. The search was limited to studies published within the past five years (2017)(2018)(2019)(2020)(2021)(2022) to obtain the most recent data available. The selected studies were assessed for quality and scanned for relevance to the topic before being included in the review. 9 articles were eventually selected for inclusion in the review. These primary studies addressed various aspects of and its association with trauma. The analysis revealed a rise in the condition's prevalence facilitated by multiple risk factors, including trauma. The findings' implications for clinical practice were also discussed.

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Unique relations between post-traumatic stress disorder symptoms and patient functioning in type 2 diabetes

Cited by 14 publications

References 48 publications

Posttraumatic Stress in Patients With Inflammatory Bowel Disease: Prevalence and Relationships to Patient-Reported Outcomes

Posttraumatic Stress in Patients With Inflammatory Bowel Disease: Prevalence and Relationships to Patient-Reported Outcomes

Posttraumatic Stress Symptoms Among Patients with Chronic Medical Disease Amid Covid-19 Pandemic in Southwest Ethiopia

The Association between Trauma and the Occurrence of Diabetes Mellitus at the Age of Less than 40 Years

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