美国印第安人和阿拉斯加原住民的悲伤和历史创伤:一个集群分析
Julie A Gameon1, Monica C Skewes2, Cory J Counts2
1Center for American Indian and Rural Health Equity (CAIRHE), Montana State University, Bozeman, MT, USA.
Transcultural psychiatry
|December 16, 2025
概括
历史创伤和复杂的悲伤显著影响美国印第安人和阿拉斯加土著 (AI/AN) 成人的健康. 解决这些问题的干预措施对于改善AI/AN社区福祉至关重要.
科学领域:
- 公共卫生 公共卫生
- 心理学 心理学 心理学
- 社会学 社会学 社会学
背景情况:
- 美国印第安人和阿拉斯加原住民 (AI/AN) 社区经历了与历史创伤和殖民有关的重大健康差异.
- 过早死亡率有助于持续的悲伤和损失,加剧心理和身体健康问题.
研究的目的:
- 调查悲伤,历史创伤和AI/AN成年人的心理/身体健康之间的关联.
- 根据悲伤和创伤水平,在AI/AN人群中确定不同的子组.
主要方法:
- 对576名AI/AN成年人的横截面调查.
- 测量复杂的悲伤,适应性悲伤,历史创伤,焦虑,抑郁,酒精使用,睡眠和身体健康.
- 集群分析以识别不同的群体.
主要成果:
- 根据复杂的悲伤和历史创伤水平,出现了四个不同的群体.
- 高度复杂的悲伤和历史创伤与较差的心理和身体健康结果相关.
- 在保留区的AI/AN个人报告了更高的损失和历史创伤;适应性悲伤在各组之间是一致的.
结论:
- 针对悲伤和历史创伤的干预措施对于改善AI/AN健康至关重要.
- 了解历史创伤和悲伤的相互作用对社区福祉至关重要.
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