ReviewSocial psychiatry and psychiatric epidemiology2014
Posttraumatic stress disorder and symptoms among American Indians and Alaska Natives: a review of the literature.
Review in Social psychiatry and psychiatric epidemiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 82 citations in OpenAlex.
- Genome-wide association analyses identify 95 risk loci and provide insights into the neurobiology of post-traumatic stress disorder.Nature genetics · 2024Pooled it
- A Systematic Review of Trauma and Substance Use in American Indian and Alaska Native Individuals: Incorporating Cultural Considerations.Journal of racial and ethnic health disparities · 2023Pooled it
- Systematic review of Indigenous involvement and content in mental health interventions and their effectiveness for Indigenous populations.The Australian and New Zealand journal of psychiatry · 2022Pooled it
- Iwankapiya American Indian pilot clinical trial: Historical trauma and group interpersonal psychotherapy.Psychotherapy (Chicago, Ill.) · 2020Trial
- Randomized Control Trial of Culturally Adapted Cognitive Processing Therapy for PTSD Substance Misuse and HIV Sexual Risk Behavior for Native American Women.AIDS and behavior · 2019Trial
- "…what it all comes down to is being a good relative": urban indigenous perspectives on caregiving, community, and culture to inform trauma transmission prevention and generational healing.Journal of behavioral medicine · 2026Article
- Post-traumatic stress disorder.Nature reviews. Disease primers · 2026Review
- Relationship between social support and substance use among American Indian people with a self-identified substance use problem.Cultural diversity & ethnic minority psychology · 2026Article
- Implications of gene × environment interactions in post-traumatic stress disorder risk and treatment.The Journal of clinical investigation · 2025Review
- Trauma, coloniality and survivance among Indigenous peoples in the US.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2025Article
- Trauma Symptoms, Minority Stress, and Substance Use: Implications for Trauma Treatment in Sexual and Gender Minority Communities.Psychology of sexual orientation and gender diversity · 2025Article
- Connected for life: How social connectedness can help prevent suicide in American Indian and Alaska Native communities.Archives of psychiatric nursing · 2024Article
- Racial/ethnic differences in acute and longer-term posttraumatic symptoms following traumatic injury or illness.Psychological medicine · 2023Article
- Perspectives on the therapeutic potential of MDMA: A nation-wide exploratory survey among substance users.Frontiers in psychiatry · 2023Article
- "You Can Get Away with Anything Here… No Justice at All"- Sexual Violence Against U.S. Indigenous Females and Its Consequences.Gender issues · 2022Article
- Culture as Medicine for the Blackfeet Community: A pilot intervention.Tribal college and university research journal · 2022Article
- "I Have to Watch Them Closely": Native American Parenting Practice and Philosophies.Journal of child and family studies · 2021Article
- Diabetes and health-related quality of life among American Indians: the role of psychosocial factors.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021Article
- Impacts to Diné activities with the San Juan River after the Gold King Mine Spill.Journal of exposure science & environmental epidemiology · 2021Article
- Stress and Cardiometabolic Disease Risk for Indigenous Populations throughout the Lifespan.International journal of environmental research and public health · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
purposeAmerican Indians and Alaska Natives (AI/ANs) experience high rates of trauma and posttraumatic stress disorder (PTSD). We reviewed existing literature to address three interrelated questions: (1) What is the prevalence of PTSD and PTSD symptoms among AI/ANs? (2) What are the inciting events, risk factors, and co-morbidities in AI/ANs, and do they differ from those in the general U.S. population? (3) Are studies available to inform clinicians about the course and treatment of PTSD in this population?
methodsWe searched the PubMed and Web of Science databases and a database on AI/AN health, capturing an initial sample of 77 original English-language articles published 1992–2010. After applying exclusion criteria, we retained 37 articles on prevalence of PTSD and related symptoms among AI/AN adults. We abstracted key information and organized it in tabular format.
resultsAI/ANs experience a substantially greater burden of PTSD and related symptoms than U.S. Whites. Combat experience and interpersonal violence were consistently cited as leading causes of PTSD and related symptoms. PTSD was associated with bodily pain, lung disorders, general health problems, substance abuse, and pathological gambling. In general, inciting events, risk factors, and co-morbidities appear similar to those in the general U.S. population.
conclusionsSubstantial research indicates a strikingly high incidence of PTSD in AI/AN populations. However, inciting events, risk factors, and co-morbidities in AI/ANs, and how they may differ from those in the general population, are poorly understood. Very few studies are available on the clinical course and treatment of PTSD in this vulnerable population.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.