Rates and consequences of posttraumatic distress among American Indian adults with type 2 diabetes

Aronson, Benjamin D.; Palombi, L; Walls, Melissa L.

doi:10.1007/s10865-016-9733-y

Cited by 17 publications

(15 citation statements)

References 82 publications

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“…These data corroborate previous reports indicating that the presence of MDD and PTSD exacerbates the peripheral concentrations of biological factors associated with cardiometabolic disease . Our result that PTSD was associated with increased haemoglobin A1c substantiates previous findings reporting worsened glycaemic control in individuals with PTSD . These differences in biological factors linked to metabolic disease due to MDD and PTSD may be due to alterations in HPA and inflammatory system function as outlined above.…”

Section: Discussionsupporting

confidence: 91%

Trauma exposure and stress‐related disorders in African‐American women with diabetes mellitus

Dixon

Michopoulos

Gluck

et al. 2020

Endocrino Diabet & Metabol

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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. K E Y W O R D S diabetes, glycaemic control, MDD, PTSD, trauma exposure How to cite this article: Dixon HD, Michopoulos V, Gluck RL, et al. Trauma exposure and stress-related disorders in African-American women with diabetes mellitus. Endocrinol

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Section: Discussionsupporting

confidence: 91%

Trauma exposure and stress‐related disorders in African‐American women with diabetes mellitus

Dixon

Michopoulos

Gluck

et al. 2020

Endocrino Diabet & Metabol

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“…Trauma experiences, in turn, are associated with greater PTSD symptoms among AI/AN populations (Deters et al, 2006). The lifetime prevalence of PTSD among AI/AN people is more than twice that of White populations in the United States (16%-24% vs. 4.8%-6.4%; Aronson et al, 2016;Blanco et al, 2013;Brockie et al, 2015). In addition, one study found that AI/AN people with a history of trauma were more likely to be diagnosed with cooccurring PTSD and SUD than non-Hispanic Whites with similar traumatic experiences (Emerson et al, 2017).…”

Section: Current Traumamentioning

confidence: 99%

“…Historical trauma has been shown to affect responses to current stressors (e.g., John-Henderson & Ginty, 2020) and may interact with other variables such as contemporary trauma, discrimination, and ethnic identity (Aronson et al, 2016; Ehlers et al, 2013; Evans-Campbell, 2008; Walls & Whitbeck, 2011; Walters et al, 2002; Whitbeck et al, 2004a). Therefore, the second aim of this study was to examine interactions between HT thoughts, trauma symptoms (i.e., HT symptoms and PTSD symptoms), discrimination, and ethnic identity in models predicting substance use.…”

Section: Current Studymentioning

confidence: 99%

Historical trauma and substance use among American Indian people with current substance use problems.

Gameon¹,

Skewes²

2021

Psychology of Addictive Behaviors

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Objective: In the United States, American Indian and Alaska Native (AI/AN) people suffer health inequities associated with alcohol and other drug use and also experience historical trauma symptoms resulting from colonization. Research suggests that historical trauma may be associated with substance use among AI/ANs. Method: As part of a Community-Based Participatory Research project with tribal partners from a rural AI reservation, our team collected cross-sectional survey data from 198 tribal members who self-identified as having substance use problems. We examined associations between historical trauma thoughts, historical trauma symptoms, and substance use outcomes. We also examined historical trauma symptoms, current trauma symptoms, awareness of systemic discrimination, and ethnic identity as moderators of the associations between historical trauma thoughts and substance use variables. Results: Historical trauma thoughts, controlling for symptoms, were associated with greater abstinent days, fewer heavy alcohol use days, fewer drinks per drinking day, and fewer drug use days; historical trauma symptoms, controlling for thoughts, were associated only with fewer abstinent days. Moderation analyses showed that historical trauma thoughts were associated with better substance use outcomes when historical trauma symptoms were low, current trauma symptoms were low, awareness of systemic discrimination was high, and ethnic identity was high. Conclusion: When distressing trauma symptoms are low, historical trauma thoughts may act as a protective factor or as a marker for other factors associated with better substance use outcomes. Public Health SignificanceThis study reports findings from a community-based participatory research project with a sample of reservation-dwelling American Indian adults with current substance use problems. Findings indicate that thoughts about historically traumatic events are associated with better substance use outcomes when trauma symptoms are low, awareness of systemic discrimination is high, and ethnic identity is high. This study highlights the importance of examining historical trauma thoughts and associated symptoms in health research with American Indians.

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“…These experiences of trauma are important in the subsequent development of PTSD among AI/ANs [ 111 ], with combat experience and interpersonal violence cited most often as leading causes of PTSD and related symptoms [ 160 ]. AI/ANs are additionally twice as likely as the general population to develop PTSD, which has been proposed to be the result of higher likelihood of experiencing trauma, rather than a higher conditional rate of developing PTSD [ 147 , 153 , 161 , 162 ].…”

Section: Adulthood Stress and Trauma And Cmdmentioning

confidence: 99%

Stress and Cardiometabolic Disease Risk for Indigenous Populations throughout the Lifespan

Lewis

Volpert‐Esmond

Deen

et al. 2021

IJERPH

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Background: Indigenous people experience the greatest cardiometabolic disease disparity in the Unites States, yet high cardiometabolic disease risk factors do not fully explain the extent of the cardiometabolic disease disparity for Indigenous people. Stress, trauma, and racism occur at high rates within Indigenous communities and have not been well explored as significant contributors to cardiometabolic disease disparities despite emerging literature, and therefore will be described here. Methods: This descriptive study explores the relationship between cardiometabolic disease risks and Indigenous-specific stressors (e.g., early childhood stress and trauma, adulthood stress and trauma, and historical and intergenerational trauma) using current literature. Indigenous-specific protective factors against cardiometabolic disease are also reviewed. Results. Increasing research indicates that there is a relationship between Indigenous-specific stressful and traumatic life experiences and increased cardiometabolic disease risk. Mental health and psychophysiology play an important role in this relationship. Effective interventions to reduce cardiometabolic disease risk in Indigenous communities focus on ameliorating the negative effects of these stressors through the use of culturally specific health behaviors and activities. Conclusions: There is increasing evidence that cultural connection and enculturation are protective factors for cardiometabolic disease, and may be galvanized through Indigenous-led training, research, and policy change.

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Rates and consequences of posttraumatic distress among American Indian adults with type 2 diabetes

Cited by 17 publications

References 82 publications

Trauma exposure and stress‐related disorders in African‐American women with diabetes mellitus

Trauma exposure and stress‐related disorders in African‐American women with diabetes mellitus

Historical trauma and substance use among American Indian people with current substance use problems.

Stress and Cardiometabolic Disease Risk for Indigenous Populations throughout the Lifespan

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