Evidence map›Paper›PMID 21596204›Full record

ArticleGeneral hospital psychiatry

Associations between posttraumatic stress disorder and hemoglobin A1(C) in low-income minority patients with diabetes.

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

Abstract read
In one paragraph

Article in General hospital psychiatry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Functioning and disability consequences of comorbid posttraumatic stress disorder and diabetes in Vietnam era men and women veterans.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025
    Article
  3. Article
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  6. Diabetes and health-related quality of life among American Indians: the role of psychosocial factors.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021
    Article
  7. Article
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  9. Psychological conditions in adults with diabetes.The American psychologist · 2016
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Samantha A MillerDepartment of Medicine, Montefiore Medical Center, Bronx, NY 10467, USA. samiller@montefiore.org
Carol A Mancuso
Carla Boutin-Foster
Walid Michelen
Carol McLean-Long
Brad Foote
Mary E Charlson
Cornell University · USHealth Net · USMontefiore Medical Center · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025750 · NCRR · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI SHAMOON, HARRY · 2008 to 2011
$20.5M
Weill Cornell Training Program in Health Services ResearchT32HS000066 · AHRQ · WEILL MEDICAL COLL OF CORNELL UNIV · PI CHARLSON, MARY E · 1994 to 2018
$4.7M
AHRQ HHS 5 T32 HS000066AHRQ HHS T32 HS000066NCRR NIH HHS UL1 RR025750NIMHD NIH HHS L60 MD003017
6 · The paper itself

Abstract

objectivePosttraumatic Stress Disorder (PTSD) is prevalent among low-income minorities and is associated with poorer health. However, the association between PTSD and hemoglobin A1(C) (A1(C)) among patients with diabetes has not been fully described. The objective of this cross-sectional study was to evaluate associations between PTSD and A1(C) among low-income minorities with diabetes.

methodAdults with diabetes were recruited from a network of primary care clinics. Data were obtained from surveys and electronic medical records. Lifetime PTSD symptoms were assessed using the Structured Clinical Interview-DSM-IV and depressive symptoms with the Patient Health Questionnaire-9. A1(C) was obtained from chart review.

resultsOf 103 adults analyzed, 12% had lifetime full PTSD and 12% had subthreshold PTSD. On backward stepwise logistic regression, patients with any PTSD symptoms were significantly more likely to have an A1(C) >7% compared to patients without symptoms (OR(adj) 2.98, 95% CI 1.04-8.52, P=.04). An A1(C) >7% also was associated with an interaction between PTSD symptoms and longer diabetes duration (P<.05).

conclusionIn this cohort of low-income minorities with diabetes, lifetime PTSD symptoms were significantly associated with an A1(C) >7%.

Indexed as

AgedCross-Sectional StudiesDiabetes MellitusFemaleGlycated HemoglobinHumansLogistic ModelsMaleMedical AuditMiddle AgedMinority GroupsPovertyStress Disorders, Post-TraumaticGlycated Hemoglobinhemoglobin A1c protein, human

Identifiers

PMID21596204
PMCPMC5899900
OpenAlexW1999609538

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.