Associations between posttraumatic stress disorder and hemoglobin A1C in low-income minority patients with diabetes

Miller, Samantha A.; Mancuso, Carol A.; Boutin‐Foster, Carla; Michelen, Walid; McLean-Long, Carol; Foote, Brad; Charlson, Mary E.

doi:10.1016/j.genhosppsych.2010.12.005

Cited by 25 publications

(22 citation statements)

References 36 publications

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“…In 44,754 military Millennium Cohort Study participants (median age 36 years), after adjustment for age, sex, BMI, education, ethnicity, military service, and mental health, only baseline PTSD symptoms, but not other mental health symptoms or deployment experience, were significantly associated with a future risk of DM (OR = 2.07) [136]. Among low-income minorities with DM, lifetime PTSD symptoms were significantly associated with hemoglobin A 1C >7% [137]. …”

Section: Metabolic Syndromementioning

confidence: 99%

Posttraumatic Stress Disorder and Cardiometabolic Disease

Levine¹,

Levine

Levine³

2013

Cardiology

132

118

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The need for addressing posttraumatic stress disorder (PTSD) among combat veterans returning from Afghanistan and Iraq is a growing public health concern. Current PTSD management addresses psychiatric parameters of this condition. However, PTSD is not simply a psychiatric disorder. Traumatic stress increases the risk for inflammation-related somatic diseases and early mortality. The metabolic syndrome reflects the increased health risk associated with combat stress and PTSD. Obesity, dyslipidemia, hypertension, diabetes mellitus, and cardiovascular disease are prevalent among PTSD patients. However, there has been little appreciation for the need to address these somatic PTSD comorbidities. Medical professionals treating this vulnerable population should screen patients for cardiometabolic risk factors and avail themselves of existing preventive diet, exercise, and pharmacologic modalities that will reduce such risk factors and improve overall long-term health outcomes and quality of life. There is the promise that cardiometabolic preventive therapy complementing psychiatric intervention may, in turn, help improve the posttraumatic stress system dysregulation and favorably impact psychiatric and neurologic function.

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Section: Metabolic Syndromementioning

confidence: 99%

Posttraumatic Stress Disorder and Cardiometabolic Disease

Levine¹,

Levine

Levine³

2013

Cardiology

132

118

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“…The association of PTSD and diabetes outcomes and processes of care has been studied in low-income minorities [39], veterans [40], and female victims of intimate partner violence [41]. Among low-income minorities with diabetes, 12% had lifetime full PTSD and 12% had subthreshold PTSD.…”

Section: Association Between Post-traumatic Stress Disorder and Diabementioning

confidence: 99%

“…Diabetes and PTSD Miller et al [39] (2011) Comorbid PTSD in low-income minorities with diabetes is associated with higher HbA 1c .…”

Section: Diabetes and Anxietymentioning

confidence: 99%

Serious Psychological Distress and Diabetes: A Review of the Literature

Egede

Dismuke

2011

Curr Psychiatry Rep

110

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With the development of a measure of serious psychological distress (SPD) in 2002, more attention is being paid to the association of SPD with diabetes outcomes and processes of care. We review the literature on the relationship between SPD and diabetes processes of care and outcomes, as well as the literature on the relationship between specific mental health diagnoses and diabetes processes of care and outcomes during the 2010 to 2011 period. There is an extensive literature on the association of mental health diagnoses with diabetes outcomes, especially for depression. Because the Kessler scale measures a much broader range of mental health issues than any specific DSM-IV/Structured Clinical Interview for DSM Disorders diagnosis and is designed to assess SPD at the population level, additional research needs to be conducted both in clinical settings and using large administrative datasets to examine the association between SPD and diabetes outcomes and processes of care.

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“…PTSD is characterized by a traumatic event or events causing significant distress or impairment, resulting in re-experiencing of trauma, avoidance of reminders of trauma, negative cognitions and mood, and arousal (American Psychiatric Association, 2013). Individuals with PTSD and diabetes experience worse health outcomes than those with diabetes alone (Miller et al, 2011; Trief et al, 2006). American Indians (AIs) endure higher rates of both PTSD (Beals et al, 2005) and diabetes (Blackwell et al, 2014; CDC, 2011) than the general United States population.…”

Section: Introductionmentioning

confidence: 99%