MD/PhD Program, McMaster University, Hamilton, L8N 3Z5, Canada.
Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON, L8N 3Z5, Canada.
Child Psychiatry Hum Dev. 2023 Oct;54(5):1242-1249. doi: 10.1007/s10578-022-01333-8. Epub 2022 Feb 24.
Limited data exist on the mental health challenges facing First Nations adolescents and the factors that modify these difficulties. The current study compared levels of common mental health challenges among 112 off-reserve First Nations and 3334 non-First Nations adolescents (12-17 years old) and examined the impact of maternal psychological distress on these mental health challenges. First Nations adolescents self-reported higher symptoms of conduct, oppositional-defiant, attention-deficit hyperactivity, major depressive, social phobia, generalized anxiety, and separation anxiety disorders and all associations remained statistically significant after adjusting for covariates. Moderation analyses found that increasing levels of maternal distress were associated more strongly with symptoms of oppositional defiant, attention-deficit hyperactivity, major depressive, and generalized anxiety disorders in First Nations adolescents. Future work aimed at improving the mental health of First Nations youth that focus on supporting these adolescents, and their mothers in particular, could result in substantial benefits.
关于原住民青少年所面临的心理健康挑战以及影响这些困难的因素，目前的数据有限。本研究比较了 112 名非保留地原住民青少年和 3334 名非原住民青少年（12-17 岁）的常见心理健康挑战水平，并探讨了母亲心理困扰对这些心理健康挑战的影响。原住民青少年自我报告的行为、对立违抗性、注意力缺陷多动、重度抑郁、社交恐惧症、广泛性焦虑和分离焦虑障碍症状较高，并且在调整了协变量后，所有关联仍然具有统计学意义。调节分析发现，母亲困扰程度的增加与原住民青少年的对立违抗性、注意力缺陷多动、重度抑郁和广泛性焦虑障碍症状的关联更强。未来旨在改善原住民青年心理健康的工作，如果重点是支持这些青少年，特别是他们的母亲，可能会带来实质性的好处。
