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阿尼希纳贝人的历史损失、适应力和应对与损失相关的情绪症状之间的关联。

Associations of Historical Loss, Resilience, and Coping with Loss-related Emotional Symptoms in the Anishinaabe.

机构信息

Indigenous Health Educator, The Sault Ste. Marie Tribe of Chippewa Indians, Sault Ste. Marie, MI.

Department of Kinesiology & Health Education, The University of Texas, Austin, TX.

出版信息

Am J Health Behav. 2020 Mar 1;44(2):244-251. doi: 10.5993/AJHB.44.2.11.

Abstract

Native Americans have higher rates of mental health symptoms and chronic disease compared to the general population, partly due to historical loss (eg, land, language, culture). Few studies have examined strength-based characteristics that enable Native populations to cope with loss and reduce loss-related emotional symptoms (eg, anxiety, anger). We recruited 81 participants (mean age 47.9 years; 61% female) in a midwestern Anishinaabe community using convenience sampling. Participants completed questionnaires assessing historical loss, loss-related emotional symptoms, psychological resilience, and maladaptive and adaptive coping strategies. Hierarchical regression analyses examined associations of historical loss, psychological resilience, and coping strategies with loss-related emotional symptoms after controlling for demographics. Historical loss ( β = .56, p < .001) and maladaptive coping strategies ( β = .23, p < .05) were positively associated with loss-related symptoms among Anishinaabe community members; psychological resilience was inversely associated with loss-related symptoms ( β = -.21, p < .05). Adaptive coping strategies ( β = .02, p > .05) were not associated with loss-related symptoms. : Findings suggest that historical loss is associated with loss-related emotional symptoms in the Anishinaabe population. Public health programs that foster psychological resilience and reduce maladaptive coping strategies are needed to address these loss-related symptoms.

摘要

与一般人群相比,美洲原住民的心理健康症状和慢性疾病发病率更高,部分原因是历史上的损失(例如,土地、语言、文化)。很少有研究探讨使原住民能够应对损失和减轻与损失相关的情绪症状(例如,焦虑、愤怒)的基于优势的特征。我们使用便利抽样法在中西部的 Anishinaabe 社区招募了 81 名参与者(平均年龄 47.9 岁,61%为女性)。参与者完成了评估历史损失、与损失相关的情绪症状、心理弹性以及适应不良和适应性应对策略的问卷。在控制人口统计学因素后,分层回归分析考察了历史损失、心理弹性和应对策略与 Anishinaabe 社区成员的与损失相关的情绪症状之间的关联。历史损失(β=.56,p<.001)和适应不良的应对策略(β=.23,p<.05)与 Anishinaabe 社区成员的与损失相关的症状呈正相关;心理弹性与与损失相关的症状呈负相关(β= -.21,p<.05)。适应性应对策略(β=.02,p>.05)与与损失相关的症状无关。结果表明,历史损失与 Anishinaabe 人群的与损失相关的情绪症状有关。需要制定促进心理弹性和减少适应不良应对策略的公共卫生计划,以解决这些与损失相关的症状。

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