Pearce M E, Jongbloed K A, Pooyak S D, Blair A H, Christian W M, Sharma R, Mazzuca A, Zamar D S, Schechter M T, Spittal P M
Canadian HIV Trials Network, Vancouver, BC, Canada.
BC Children's Hospital Research Institute, Vancouver, BC, Canada.
Glob Ment Health (Camb). 2018 Oct 30;5:e35. doi: 10.1017/gmh.2018.26. eCollection 2018.
Mental health and wellbeing, including addressing impacts of historical trauma and substance use among young people, has been identified as a key priority by Indigenous communities and leaders across Canada and globally. Yet, research to understand mental health among young Indigenous people who have used drugs is limited.
To examine longitudinal risk and strengths-based factors associated with psychological distress among young Indigenous people who use drugs.
The Cedar Project is an ongoing cohort study involving young Indigenous people who use drugs in Vancouver, Prince George, and Chase, British Columbia, Canada. This study included participants who completed the Symptom Checklist-90-Revised, returned for follow-up between 2010 and 2012, and completed the Childhood Trauma Questionnaire. Adjusted linear mixed-effects models estimated effects of study variables on changes in area T-scores of psychological distress.
Of 202 eligible participants, 53% were women and the mean age was 28 years. Among men, childhood maltreatment (emotional abuse, physical abuse, sexual abuse, physical neglect), any drug use, blackouts from drinking, and sex work were associated with increased distress. Among women, childhood maltreatment (emotional abuse, physical abuse, physical neglect), blackouts from drinking, and sexual assault were associated with increased distress, while having attempted to quit using drugs was associated with reduced distress. Marginal associations were observed between speaking their traditional language and living by traditional culture with lower distress among men.
Culturally safe mental wellness interventions are urgently needed to address childhood trauma and harmful coping strategies that exacerbate distress among young Indigenous people who use drugs.
心理健康和幸福，包括应对历史创伤的影响以及年轻人中的药物使用问题，已被加拿大和全球各地的原住民社区及领导人确定为关键优先事项。然而，关于了解吸毒的原住民青年心理健康状况的研究有限。
研究与吸毒的原住民青年心理困扰相关的纵向风险因素和基于优势的因素。
雪松项目是一项正在进行的队列研究，涉及加拿大不列颠哥伦比亚省温哥华、乔治王子城和蔡斯地区吸毒的原住民青年。本研究纳入了完成症状自评量表90修订版、在2010年至2012年期间返回进行随访并完成儿童创伤问卷的参与者。调整后的线性混合效应模型估计了研究变量对心理困扰区域T分数变化的影响。
在202名符合条件的参与者中，53%为女性，平均年龄为28岁。在男性中，童年期虐待（情感虐待、身体虐待、性虐待、身体忽视）、任何药物使用、饮酒后失忆和性工作与困扰增加有关。在女性中，童年期虐待（情感虐待、身体虐待、身体忽视）、饮酒后失忆和性侵犯与困扰增加有关，而尝试戒毒与困扰减少有关。在男性中，说本族传统语言和遵循传统文化与较低的困扰之间存在边缘关联。
迫切需要开展具有文化安全性的心理健康干预措施，以解决童年创伤和有害的应对策略，这些策略会加剧吸毒的原住民青年的困扰。
