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Psychological distress and health behaviours among Cambodian Americans at risk for developing diabetes.
Wagner, Julie; Bermúdez-Millán, Angela; Berthold, S Megan; Buckley, Thomas; Buxton, Orfeu M; Feinn, Richard; Kong, Sengly; Kuoch, Theanvy; Master, Lindsay; Scully, Mary; Seng, Kagnica.
Afiliación
  • Wagner J; UConn Schools of Medicine and Dental Medicine, Farmington, Connecticut, USA.
  • Bermúdez-Millán A; UConn School of Medicine, Farmington, Connecticut, USA.
  • Berthold SM; UConn School of Social Work, West Hartford, Connecticut, USA.
  • Buckley T; UConn School of Pharmacy, Storrs, Connecticut, USA.
  • Buxton OM; Pennsylvania State University, University Park, Pennsylvania, USA.
  • Feinn R; Quinnipiac University, Hamden, Connecticut, USA.
  • Kong S; Khmer Health Advocates, West Hartford, Connecticut, USA.
  • Kuoch T; Khmer Health Advocates, West Hartford, Connecticut, USA.
  • Master L; Pennsylvania State University, University Park, Pennsylvania, USA.
  • Scully M; Khmer Health Advocates, West Hartford, Connecticut, USA.
  • Seng K; Central Connecticut State University, New Britain, Connecticut, USA.
Stress Health ; 39(2): 372-383, 2023 Apr.
Article en En | MEDLINE | ID: mdl-35986929
This paper reports secondary data analysis of associations between psychological distress and health behaviours among Cambodian Americans. Data are from baseline assessments from a diabetes prevention trial. All participants met stucriteria for depression and were free of diabetes. Participants (n = 191) completed surveys, a food frequency assessment, and wore sleep and physical activity actigraphy devices for 7 days. A factor analysis of symptoms of post-traumatic stress, baksbat (a Cambodian culture-bound syndrome), depression, and anxiety yielded a single factor named 'psychological distress'. Multivariate models controlling for psychotropic medications were run for the following outcomes: sleep actigraphy, self-reported sleep, physical activity actigraphy, self-reported physical activity, nutrition, and substance use. For actigraphy, higher distress was associated with lower moderate/vigorous physical activity and higher mean variability of 24 h total sleep time. Higher distress was also associated with worse self-reported sleep quality as indicated by standard, and culturally-specific, sleep indicators. Higher distress was also associated with lower use of food labels, lower carbohydrate consumption, and higher alcohol consumption as a coping mechanism. Interventions to mitigate diabetes risk in high-distress populations may benefit from strategies to decrease psychological distress. The sequelae of complex trauma may transcend discrete psychiatric diagnoses.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Conductas Relacionadas con la Salud / Diabetes Mellitus / Distrés Psicológico Tipo de estudio: Etiology_studies / Prognostic_studies / Risk_factors_studies Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Stress Health Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Conductas Relacionadas con la Salud / Diabetes Mellitus / Distrés Psicológico Tipo de estudio: Etiology_studies / Prognostic_studies / Risk_factors_studies Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Stress Health Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido