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- Title
Post-traumatic stress disorder, coping strategies and type 2 diabetes: psychometric assessment after L'Aquila earthquake.
- Authors
Ciocca, Giacomo; Carosa, Eleonora; Stornelli, Maria; Limoncin, Erika; Gravina, Giovanni; Iannarelli, Rossella; Sperandio, Alessandra; Sante, Stefania; Lenzi, Andrea; Lauro, Davide; Jannini, Emmanuele
- Abstract
Aim: After natural and collective catastrophes, many behavioral phenomena can occur through psychobiological responses that involve also the diabetic condition.The aim of this study was to investigate post-traumatic stress disorder (PTSD) and coping strategies in type 2 diabetic patients after L'Aquila earthquake, with a particular attention to the newly diagnosed patients and to the gender differences. Methods: Among the local diabetic population, we recruited 100 diabetic patients (46 women and 54 men). Sixty of these had diabetes before the earthquake (pre-quake patients), and other 40 received diabetes diagnosis after the earthquake (post-quake patients). A psychometric protocol composed by Davidson Trauma Scale for PTSD and Brief-COPE for coping strategies was administered. Results: We found significant differences in the levels of PTSD when comparing both post-quake with pre-quake patients (post-quake = 51.72 ± 26.05 vs. pre-quake = 31.65 ± 22.59; p < 0.05) and the female patients with males (women = 53.50 ± 27.01 vs. men = 31.65 ± 23.06; p < 0.05) and also in the prevalence [post-quake = 27/40 (67.5 %) vs. pre-quake = 20/60 (33.3 %); p < 0.05], [women = 27/46 (58.69 %) vs. men = 16/54 (29.62 %); p < 0.05]. Moreover, maladaptive coping was a predictive factor for PTSD in the post-quake group only (OR 1.682; 95 % CI 1.155-2.450; p = 0.006). Conclusions: Our results revealed that PTSD may be considered an important comorbidity factor in newly diagnosed patients and in diabetic women. Hence, a psychological support seems particularly important in these patients after a collective traumatic event to help them react to both PTSD and diabetes and to help them improve their coping skills.
- Subjects
DIAGNOSIS of post-traumatic stress disorder; TYPE 2 diabetes complications; PSYCHOMETRICS; PSYCHOLOGICAL adaptation; L'AQUILA Earthquake, Italy, 2009; MEDICAL protocols
- Publication
Acta Diabetologica, 2015, Vol 52, Issue 3, p513
- ISSN
0940-5429
- Publication type
Article
- DOI
10.1007/s00592-014-0686-8