R Turner Goins1, Carolyn Noonan2, Kelly Gonzales3, Blythe Winchester4, Vickie L Bradley5. 1. Western Carolina University, College of Health and Human Sciences, 4121 Little Savannah Road, Cullowhee, NC 28723, USA. Electronic address: rtgoins@wcu.edu. 2. Washington State University, Initiative for Research and Education to Advance Community Health, 1100 Olive Way, Suite 1200, Seattle, WA 98101, USA. Electronic address: Carolyn.noonan@wsu.edu. 3. Portland State University, School of Community Health, College of Urban and Public Affairs, 506 SW Mill Street, Suite 450, Portland, OR 97201, USA. Electronic address: Kelly.gonzales@pdx.edu. 4. Eastern Band of Cherokee Indians, Cherokee Indian Hospital, 1 Hospital Road CB - 268, Cherokee, NC 28719, USA. 5. Eastern Band of Cherokee Indians, Public Health and Human Services, 43 John Crowe Hill Road, PO Box 666, Cherokee, NC 28719, USA. Electronic address: vickbrad@nc-cherokee.com.
Abstract
AIMS: Among older American Indian women with type 2 diabetes (T2DM), we examined the association between mental health and T2DM control and if social support modifies the association. METHODS: Survey data were linked to T2DM medical record information. Mental health measures were the Center for Epidemiologic Studies - Depression Scale and the National Anxiety Disorders Screening Day instrument. T2DM control was all HbA1c values taken post mental health measures. RESULTS: There was not a significant association between depressive symptomatology and higher HbA1c although increased depressive symptomatology was associated with higher HbA1c values among participants with low social support. There was a significant association between psychological trauma and higher HbA1c values 12months [mean 7.5, 95% CI 7.0-8.0 for no trauma vs. mean 7.0, 95% CI 6.3-7.6 for trauma with no symptoms vs. mean 8.4, 95% CI 7.7-9.1 for trauma with ≥1 symptom(s)] and 6months later [mean 7.2, 95% CI 6.7-7.7 for no trauma vs. mean HbA1c 6.8, 95% CI 6.2-7.4 for trauma with no symptoms vs. mean 8.4, 95% CI 7.6-9.2 for trauma with ≥1 symptom(s)]. High social support attenuated the association between psychological trauma and HbA1c values. CONCLUSIONS: T2DM programs may consider activities that would strengthen participants' social support and thereby building on an intrinsic community strength.
AIMS: Among older American Indian women with type 2 diabetes (T2DM), we examined the association between mental health and T2DM control and if social support modifies the association. METHODS: Survey data were linked to T2DM medical record information. Mental health measures were the Center for Epidemiologic Studies - Depression Scale and the National Anxiety Disorders Screening Day instrument. T2DM control was all HbA1c values taken post mental health measures. RESULTS: There was not a significant association between depressive symptomatology and higher HbA1c although increased depressive symptomatology was associated with higher HbA1c values among participants with low social support. There was a significant association between psychological trauma and higher HbA1c values 12months [mean 7.5, 95% CI 7.0-8.0 for no trauma vs. mean 7.0, 95% CI 6.3-7.6 for trauma with no symptoms vs. mean 8.4, 95% CI 7.7-9.1 for trauma with ≥1 symptom(s)] and 6months later [mean 7.2, 95% CI 6.7-7.7 for no trauma vs. mean HbA1c 6.8, 95% CI 6.2-7.4 for trauma with no symptoms vs. mean 8.4, 95% CI 7.6-9.2 for trauma with ≥1 symptom(s)]. High social support attenuated the association between psychological trauma and HbA1c values. CONCLUSIONS: T2DM programs may consider activities that would strengthen participants' social support and thereby building on an intrinsic community strength.
Authors: Cynthia M Khan; Mary Ann Parris Stephens; Melissa M Franks; Karen S Rook; James K Salem Journal: Health Psychol Date: 2012-06-18 Impact factor: 4.267
Authors: Melissa E Lewis; Hannah I Volpert-Esmond; Jason F Deen; Elizabeth Modde; Donald Warne Journal: Int J Environ Res Public Health Date: 2021-02-13 Impact factor: 3.390