Department of Sociology, Oklahoma State University, Stillwater, OK, USA.
Johns Hopkins Bloomberg School of Public Health, Department of International Health, Center for American Indian Health, Duluth, MN, USA.
Anxiety Stress Coping. 2023 May;36(3):339-352. doi: 10.1080/10615806.2022.2076082. Epub 2022 May 19.
Indigenous Peoples and scholars call for strengths-based approaches to research inclusive of Indigenous resiliency and positive outcomes. The purpose of this study was to examine positive mental health for Indigenous adults with type 2 diabetes and to determine if positive mental health is linked to community connectedness (a coping resource) and active coping (a coping response).
Participants (N = 194 at baseline) were randomly selected from clinical records, at least 18 years old with a type 2 diabetes diagnosis, and self-identified as American Indian.
Latent growth curve models revealed that average positive mental health was predicted to decrease over the four waves of the study, although not for participants with above-average active coping at baseline. Community connectedness at baseline was associated with higher initial levels of positive mental health. Within-person change in active coping and community connectedness were both associated with increases in positive mental health.
This study aligns with previous research demonstrating that coping can influence health outcomes, and furthers the stress process literature by showing that active coping and community connectedness can impact positive mental health for Indigenous adults with Type 2 Diabetes.
原住民和学者呼吁采用基于优势的研究方法，将原住民的韧性和积极成果纳入其中。本研究旨在探讨 2 型糖尿病原住民成年人的心理健康状况，并确定积极的心理健康是否与社区联系（应对资源）和积极应对（应对反应）有关。
参与者（基线时 n=194）是从临床记录中随机选择的，年龄至少 18 岁，有 2 型糖尿病诊断，自认为是美国印第安人。
潜在增长曲线模型显示，尽管基线时积极应对能力高于平均水平的参与者没有出现这种情况，但积极心理健康的平均水平预计会在研究的四个波次中逐渐下降。基线时的社区联系与较高的初始积极心理健康水平有关。个体内积极应对和社区联系的变化都与积极心理健康的增加有关。
本研究与先前的研究一致，证明应对可以影响健康结果，并通过表明积极应对和社区联系可以影响 2 型糖尿病原住民成年人的积极心理健康，进一步推进了压力过程文献。
