PMID: 11311842Apr 20, 2001Paper

Lipids and psychosocial status in aboriginal persons with and at risk for Type 2 diabetes: implications for tertiary prevention

Patient Education and Counseling
M DanielL W Green

Abstract

This study assessed psychosocial correlates of dyslipidemia, towards enabling improved tertiary prevention of macrovascular complications of diabetes mellitus (DM). We tested the hypothesis that psychosocial measures are related to high-density lipoprotein cholesterol (HDL-C) and triglyceride concentrations in a rural aboriginal population in British Columbia, Canada. Persons sampled were on-reserve registered Indians (n=198) with and at risk for Type 2 DM. Relationships between HDL-C and psychosocial variables were associated with glycemic status. For persons with diabetes and impaired glucose tolerance (n=44), quality of life and mastery were positively related (P<0.001), and depression inversely related (P<0.001), to HDL-C. An apparent lack of effect of behavior suggests the influence of emotional pathways involving autonomic-neuroendocrine axes. We recommend assessing mental health, and promoting mastery and diabetes quality of life through empowerment oriented diabetes management strategies, in negotiating culturally acceptable treatment of diabetic dyslipidemia for aboriginal people.

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Citations

Aug 23, 2005·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Sheri L MaddiganJeffrey A Johnson
May 4, 2011·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·Susan K Roepke, Igor Grant
Dec 15, 2010·International Journal of Obesity : Journal of the International Association for the Study of Obesity·F HamanM A Robidoux
Jan 12, 2011·Annual Review of Public Health·Mark DanielAlex Brown
Apr 2, 2010·Heart, Lung & Circulation·Mark DanielMargaret Cargo
Sep 1, 2015·ANS. Advances in Nursing Science·Jennifer A Fearon-Lynch, Caitlin M Stover
Dec 14, 2004·Social Science & Medicine·Yoshi IwasakiJohn O'Neil
Jan 27, 2010·Psychosomatic Medicine·Catherine PaquetMark Daniel
Mar 2, 2021·Psychology, Health & Medicine·Karen McGuiganDeirdre McCay

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