ArticleJournal of consulting and clinical psychology2013
Multilevel context of depression in two American Indian tribes.
Article in Journal of consulting and clinical psychology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
5 citing papers in PubMed, 8 citations in OpenAlex.
- Prevalence of Mental Disorders from Adolescence through Early Adulthood in American Indian and First Nations Communities.International journal of mental health and addiction · 2020Article
- Disseminating the Results of a Depression Management Study in an Urban Alaska Native Health Care System.American Indian and Alaska native mental health research (Online) · 2018Article
- Bi-cultural dynamics for risk and protective factors for cardiometabolic health in an Alaska Native (Yup'ik) population.PloS one · 2017Article
- Rates and consequences of posttraumatic distress among American Indian adults with type 2 diabetes.Journal of behavioral medicine · 2016Article
- Research with American Indian and Alaska Native populations: Measurement matters.Journal of ethnicity in substance abuseArticle
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
objectiveDepression is a major debilitating disease. For American Indians living in tribal reservations, who endure disproportionately high levels of stress and poverty often associated with depression, determining the patterns and correlates is key to appropriate clinical assessment and intervention development. Yet little attention has been given to the cultural context of correlates for depression, including the influence of family, cultural traditions or practices, or community conditions.
methodWe used data from a large representative psychiatric epidemiological study among American Indians in 2 reservation communities to estimate nested individual and multilevel models of past-year major depressive episode (MDE) accounting for family, cultural, and community conditions.
resultsWe found that models including culturally informed individual-level measures significantly improved the model fit over demographics alone. We found significant community-level variation in the probability of past-year MDE diagnosis in 1 tribe even after accounting for individual-level characteristics.
conclusionsAccounting for culture, family, and community context will facilitate research, clinician assessment, and treatment of depression in diverse settings.
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Registered trials
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