scholarly journals Emotion Dysregulation and Inflammation in African-American Women with Type 2 Diabetes

2016 ◽  
Vol 2016 ◽  
pp. 1-10 ◽  
Author(s):  
Abigail Powers ◽  
Vasiliki Michopoulos ◽  
Karen Conneely ◽  
Rachel Gluck ◽  
Hayley Dixon ◽  
...  

C-reactive protein (CRP), a marker of systemic inflammation, has been associated with major depressive disorder (MDD) and posttraumatic stress disorder (PTSD). Emotion dysregulation is a transdiagnostic risk factor for many psychological disorders associated with chronic inflammatory state. The objective of this study was to determine whether inflammation is associated with emotion dysregulation in women with type 2 diabetes mellitus (T2DM). We examined associations between trauma exposure, MDD, PTSD, emotion dysregulation, and CRP among 40 African-American women with T2DM recruited from an urban hospital. Emotion dysregulation was measured using the Difficulties in Emotion Regulation Scale. PTSD and MDD were measured with structured clinical interviews. Child abuse and lifetime trauma load were also assessed. Analyses showed that both emotion dysregulation and current MDD were significantly associated with higher levels of CRP (p<0.01). Current PTSD was not significantly related to CRP. In a regression model, emotion dysregulation was significantly associated with higher CRP (p<0.001) independent of body mass index, trauma exposure, and MDD diagnosis. These findings suggest that emotion dysregulation may be an important risk factor for chronic inflammation beyond already known risk factors among women with T2DM, though a causal relationship cannot be determined from this study.

2018 ◽  
Vol 63 (11) ◽  
pp. 1109-1117 ◽  
Author(s):  
José M. Uribe-Salazar ◽  
Julie R. Palmer ◽  
Stephen A. Haddad ◽  
Lynn Rosenberg ◽  
Edward A. Ruiz-Narváez

2000 ◽  
Vol 26 (5) ◽  
pp. 796-805 ◽  
Author(s):  
Thomas C. Keyserllng ◽  
Alice S. Ammerman ◽  
Carmen D. Samuel-Hodge ◽  
Allyson F. Ingram ◽  
Anne H. Skelly ◽  
...  

PURPOSE this paper describes a clinic and community-based diabetes intervention program designed to improve dietary, physical activity, and self-care behaviors of older African American women with type 2 diabetes. It also describes the study to evaluate this program and baseline characteristics of participants. METHODS The New Leaf... Choices for Healthy Living With Diabetes program consists of 4 clinic-based health counselor visits, a community intervention with 12 monthly phone calls from peer counselors, and 3 group sessions. A randomized, controlled trial to evaluate the effectiveness of this intervention is described. RESULTS Seventeen focus groups of African American women were used to assessed the cultural relevance/acceptability of the intervention and measurement instruments. For the randomized trial, 200 African American women with type 2 diabetes were recruited from 7 practices in central North Carolina. Mean age was 59, mean diabetes duration was 10 years, and participants were markedly overweight and physically inactive. CONCLUSIONS Participants found this program to be culturally relevant and acceptable. Its effects on diet, physical activity, and self-care behaviors will be assessed in a randomized trial.


2000 ◽  
Vol 26 (5) ◽  
pp. 769-777 ◽  
Author(s):  
Anne H. Skelly ◽  
Carmen Samuel-Hodge ◽  
Tom Elasy ◽  
Alice S. Ammerman ◽  
Sandra W. Headen ◽  
...  

2019 ◽  
Vol 5 (4) ◽  
pp. 261-266
Author(s):  
Patricia F. Coogan ◽  
Traci N. Bethea ◽  
Yvette C. Cozier ◽  
Kimberly A. Bertrand ◽  
Julie R. Palmer ◽  
...  

2010 ◽  
Vol 92 (4) ◽  
pp. 960-966 ◽  
Author(s):  
Deborah A Boggs ◽  
Lynn Rosenberg ◽  
Edward A Ruiz-Narvaez ◽  
Julie R Palmer

2017 ◽  
Vol 43 (6) ◽  
pp. 565-575 ◽  
Author(s):  
Lisa L. Sumlin ◽  
Sharon A. Brown

Purpose The goals of this descriptive ethnographic study were to (1) describe the day-to-day selection, preparation, and consumption of food among African American women (AAW) with type 2 diabetes mellitus (T2DM); (2) identify their typical food selections and consumption practices when dining out at restaurants and at social gatherings (ie, church functions, holidays); (3) highlight the valued behaviors and beliefs that influence these women’s food practices; and (4) determine how social interactions influence those food practices. Methods Symbolic interactionism, a sensitizing framework, guided this study. Purposeful sampling was used to recruit 20 AAW from 35 to 70 years of age diagnosed with T2DM who shopped and prepared meals for their families and attended church functions where food was served. Data collection consisted of one-on-one interviews and observations of participants during church fellowship dinners, grocery shopping, and food preparation. A social anthropological approach to content analysis was used to describe behavioral regularities in food practices. Results Informants exhibited a constant struggle in food practices, particularly within the home setting. Difficulties in making dietary modifications resulted from conflicts between the need to change dietary practices to control diabetes and personal food preferences, food preferences of family members, and AAW’s emotional dedication to the symbolism of food derived from traditional cultural food practices passed down from generation to generation. Conclusions African American women are the gatekeepers for family food practices, holding the keys to healthy dietary practices. This study helps to fill the research gap regarding cultural dietary food practices within this population.


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