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

Benjamin D. Aronson, Laura C. Palombi, Melissa L. Walls

Research output: Contribution to journalArticlepeer-review

8 Scopus citations


This study examined the prevalence of screened posttraumatic stress disorder (PTSD) and associated diabetes-related outcomes. A sample of American Indian adults with type 2 diabetes (n = 218) participated in interviewer-administered surveys. Using a cutoff of 3 on the Primary Care PTSD screener, 21.8 % of participants screened positive for PTSD. PTSD symptoms were negatively associated with self-rated health status and positively associated with past year hospitalization after controlling for several demographic factors, but not after controlling for depressive symptoms. Past month frequency of hyperglycemia symptoms was not related to PTSD symptoms. When grouped by mental health conditions (neither screened PTSD nor depressive symptoms, screened PTSD only, depressive symptoms only, and both), those with both screened PTSD and depressive symptoms reported the highest proportion of any past month hyperglycemia, past year hospitalization, and low self-rated health status. Screened PTSD, especially in those with comorbid depressive symptoms, is an important consideration in diabetes care.

Original languageEnglish (US)
Pages (from-to)694-703
Number of pages10
JournalJournal of Behavioral Medicine
Issue number4
StatePublished - Aug 1 2016
Externally publishedYes


  • American Indian
  • Depression
  • Disease outcomes
  • Posttraumatic stress disorder
  • Trauma
  • Type 2 diabetes

ASJC Scopus subject areas

  • General Psychology
  • Psychiatry and Mental health


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