Prevalence of Mental Disorders from Adolescence through Early Adulthood in American Indian and First Nations Communities.
Prevalence of Mental Disorders from Adolescence through Early Adulthood in American Indian and First Nations Communities.
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在美洲印第安人和原住民社区，从青春期到成年初的精神障碍患病率。
DOI：
10.1007/s11469-020-00304-1
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发表时间：
2020-12
影响因子：
8
通讯作者：
Hoyt DR
中科院分区：
文献类型：
--
作者：
Walls M;Sittner KJ;Whitbeck LB;Herman K;Gonzalez M;Elm JHL;Hautala D;Dertinger M;Hoyt DR
土著社区在精神病流行病学方面缺乏代表性，尽管与风险因素有不成比例的接触。我们记录了土著年轻人早期生命过程中精神障碍的累积和12个月的患病率，并比较了对终生精神障碍的前瞻性和回溯性报告。这项基于社区的参与性研究包括来自8个保留地/保留地的735名土著居民的数据。2002-2010年至2017-2018年期间进行了9波个人访谈；对DSM-IV-TR酗酒/依赖、大麻使用/依赖、其他物质滥用/依赖、广泛性焦虑症、严重抑郁障碍、恶劣心境障碍和注意力缺陷/多动障碍的诊断性评估分别发生在第1波(平均年龄=11.1岁)、4波(平均年龄=14.3岁)、6波(平均年龄=16.2岁)、8波(平均年龄=18.3岁)和第9波(平均年龄=26.3岁)。第9波患者终生精神障碍累计患病率为77.3%，终生共病发生率为56.4%。第9波患者过去一年的患病率为28.7%，共病发生率为6.7%。物质使用障碍(SODS)最常见，过去一年的流行率在参与者平均16.3岁时观察到的峰值，然后在此后下降。在这项关于土著参与者的研究中，早期生命过程精神障碍的趋势突出了精神病学流行病学中的文化差异，包括面对危险因素时内在性障碍的发生率令人惊讶地低，早发性和终身性精神障碍的比率不成比例地高，以及与先前的研究相比，成年早期过去一年的严重精神障碍的比率更低。
Indigenous communities lack representation in psychiatric epidemiology despite disproportionate exposure to risk factors. We document the cumulative and 12-month prevalence of psychiatric disorders across the early life course among a sample of Indigenous young adults and compare prospective and retrospective reporting of lifetime mental disorders. This community-based participatory research includes data from 735 Indigenous people from 8 reservations/reserves. Personal interviews were conducted between 2002–2010 and 2017–2018 totaling 9 waves; diagnostic assessments of DSM-IV-TR alcohol abuse/dependence, marijuana use/dependence, other substance abuse/dependence, generalized anxiety disorder, major depressive disorder, dysthymic disorder, and attention deficit/hyperactivity disorder occurred at waves 1 (mean age = 11.1 years), 4 (mean age = 14.3 years), 6 (mean age = 16.2 years), 8 (mean age = 18.3 years), and 9 (mean age = 26.3 years). Cumulative lifetime psychiatric disorders reached 77.3% and lifetime comorbidity 56.4% by wave 9. Past-year prevalence and comorbidity at wave 9 were 28.7% and 6.7%, respectively. Substance use disorders (SUDs) were most common with peak past-year prevalence observed when participants were on average 16.3 years old then declining thereafter. Trends in early life course psychiatric disorders in this study with Indigenous participants highlight cultural variations in psychiatric epidemiology including surprisingly low rates of internalizing disorders in the face of risk factors, disproportionately high rates of early-onset and lifetime SUD, and lower rates of past-year SUD in early adulthood compared with prior research.
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影响因子：
5.5
作者：
Koss, MP;Yuan, NP;Goldman, D
通讯作者：
Goldman, D
影响因子：
4.2
作者：
Federman, EB;Costello, EJ;Erkanli, A
通讯作者：
Erkanli, A
在城市印第安人青少年中，首次酒精中毒和随后的酒精使用年龄。
DOI：
10.1037/a0021710
发表时间：
2011-03
期刊：
Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors
影响因子：
--
作者：
Henry KL;McDonald JN;Oetting ER;Walker PS;Walker RD;Beauvais F
通讯作者：
Beauvais F
影响因子：
4.4
作者：
Brave Heart MY;Lewis-Fernández R;Beals J;Hasin DS;Sugaya L;Wang S;Grant BF;Blanco C
通讯作者：
Blanco C
影响因子：
--
作者：
Kessler, RC;Berglund, P;Walters, EE
通讯作者：
Walters, EE