Association of depressive symptomology and psychological trauma with diabetes control among older American Indian women: Does social support matter?

作者：Goins R Turner; Noonan Carolyn; Gonzales Kelly; Winchester Blythe; Bradley Vickie L

来源：Journal of Diabetes and Its Complications, 2017, 31(4): 669-674.

DOI：10.1016/j.jdiacomp.2017.01.004

• American Indians
• Older adults
• Depression
• Psychological trauma
• Mental health
• Social support

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 HbAlc values taken post mental health measures.
Results: There was not a significant association between depressive symptomatology and higher HbAlc although increased depressive symptomatology was associated with higher HbAlc values among participants with low social support. There was a significant association between psychological trauma and higher HbAlc values 12 months [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 6 months later [mean 7.2, 95% CI 6.7-7.7 for no trauma vs. mean HbAlc 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 HbAlc values.
Conclusions: T2DM programs may consider activities that would strengthen participants' social support and thereby building on an intrinsic community strength.

• 出版日期2017-4