Article

Journal of Clinical Psychology in Medical Settings

, Volume 20, Issue 1, pp 46-55

The Impact of Race on Metabolic Disease Risk Factors in Women With and Without Posttraumatic Stress Disorder

  • Eric A. DedertAffiliated withDurham Veterans Affairs Medical CenterDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center Email author 
  • , Leia A. HarperAffiliated withDepartment of Psychology, Virginia Commonwealth University
  • , Patrick S. CalhounAffiliated withDurham Veterans Affairs Medical CenterDepartment of Psychiatry and Behavioral Sciences, Duke University Medical CenterVeterans Affairs Mid-Atlantic Region Mental Illness Research, Education, and Clinical CenterVeterans Affairs Center for Health Services Research in Primary Care
  • , Michelle F. DennisAffiliated withDurham Veterans Affairs Medical CenterDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center
  • , Jean C. BeckhamAffiliated withDurham Veterans Affairs Medical CenterDepartment of Psychiatry and Behavioral Sciences, Duke University Medical CenterVeterans Affairs Mid-Atlantic Region Mental Illness Research, Education, and Clinical Center

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Abstract

The literature on PTSD and metabolic disease risk factors has been limited by lacking investigation of the potential influence of commonly comorbid disorders and the role of race. In this study data were provided by a sample of 134 women (63 PTSD and 71 without PTSD). Separate sets of models examining associations of psychiatric disorder classifications with metabolic disease risk factors were used. Each model included race (African American or Caucasian), psychiatric disorder, and their interaction. There was an interaction of race and PTSD on body mass index, abdominal obesity, and triglycerides. While PTSD was not generally associated with deleterious health effects in African American participants, PTSD was related to worse metabolic disease risk factors in Caucasians. MDD was associated with metabolic disease risk factors, but there were no interactions with race. Results support the importance of race in the relationship between PTSD and metabolic disease risk factors. Future research would benefit from analysis of cultural factors to explain how race might influence metabolic disease risk factors in PTSD.

Keywords

Posttraumatic stress disorder Metabolic disease Race/ethnicity Obesity Major depressive disorder