Evidence map›Paper›PMID 28138417›Full record

ArticleClinical psychological science : a journal of the Association for Psychological Science2016

A Cautionary Tale: Examining the Interplay of Culturally Specific Risk and Resilience Factors in Indigenous Communities.

Melissa L Walls, Les Whitbeck, Brian Armenta

Abstract read
In one paragraph

Article in Clinical psychological science : a journal of the Association for Psychological Science, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Measuring Indigenous Cultural Strengths: a Systematic Review of a Decade of Approaches.Prevention science : the official journal of the Society for Prevention Research · 2026
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
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  10. Racism and Indigenous Adolescent Development: A Scoping Review.Journal of research on adolescence : the official journal of the Society for Research on Adolescence · 2022
    Article
  11. Article
  12. Article
  13. Culture, Social Support, and Diabetes Empowerment Among American Indian Adults Living With Type 2 Diabetes.Diabetes spectrum : a publication of the American Diabetes Association · 2020
    Article
  14. Article
  15. Review
  16. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Melissa L WallsUniversity of Minnesota Medical School-Duluth 1035 University Drive 235 SMed Duluth, MN 55812 218-726-8367 (telephone) 218-726-7559 (fax).
Les WhitbeckUniversity of Nebraska-Lincoln 711 Oldfather Hall Lincoln, NE 68588-0324.
Brian ArmentaDepartment of Psychological Sciences, 200 S. 7th Street, University of Missouri, Columbia, MO 65211.

Funding

PATHWAYS TO SUBSTANCE ABUSE AMONG OJIBWE CHILDRENR01DA013580 · NIDA · UNIVERSITY OF NEBRASKA LINCOLN · PI WHITBECK, LESLIE B · 2000 to 2009
$7.0M
Tribal College and Universities Behavioral Wellness Project (TCU BeWell)P60MD006909 · NIMHD · UNIVERSITY OF WASHINGTON · PI WALTERS, KARINA LYNN · 2012 to 2016
$6.3M
Resilience through the High School YearsR01MH067281 · NIMH · UNIVERSITY OF NEBRASKA LINCOLN · PI WHITBECK, LESLIE B · 2002 to 2011
$5.9M
The ITZA Program: Indigenous HIV/AIDS Research Training 3 (IHART3) ProgramR25MH084565 · NIMH · UNIVERSITY OF WASHINGTON · PI Teresa A Evans-Campbell, Michelle D Johnson-Jennings · 2009 to 2026
$3.7M
Alcohol abuse/dependence and its consequences for Indigenous adolescentsR01AA020299 · NIAAA · UNIVERSITY OF NEBRASKA LINCOLN · PI WHITBECK, LESLIE B · 2012 to 2014
$1.4M
NIAAA NIH HHS R01 AA020299NIDA NIH HHS R01 DA013580NIMHD NIH HHS P60 MD006909NIMH NIH HHS R01 MH067281NIMH NIH HHS R25 MH084565
6 · The paper itself

Abstract

Efforts to build empirical evidence for the protective effects of Indigenous cultural factors on psychological health have yielded mixed findings. We examine the interplay of previously hypothesized culturally relevant risk (discrimination, historical loss) and protective (spiritual activities) factors among Indigenous people. The sample includes 569 Indigenous adolescents (M age = 17.23, SD = 0.88; 51.0% girls) and 563 Indigenous adult caregivers (M age = 44.66, SD = 9.18; 77.4% women). Our central finding was that indigenous spirituality was associated with poorer psychological outcomes across several domains (depressive symptoms, anger, anxiety, somatization and interpersonal difficulties), but observed effects were attenuated once perceived discrimination and historical losses were added to statistical models. Thus, consideration of relevant stressors drastically changed our conclusions, underscoring the uncertain dynamics through which specific Indigenous cultural factors impact mental health. Researchers should work in collaboration with Indigenous communities to improve measurement and empirical investigation of these complex constructs.

Indexed as

American IndiansCulture and Mental HealthPsychological StressRisk FactorsSociocultural Factors

Identifiers

PMID28138417
PMCPMC5270757

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Registered trials

None linked

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.