Mental disorders among parents/caretakers of American Indian early adolescents in the Northern Midwest*
- 15 June 2006
- journal article
- research article
- Published by Springer Science and Business Media LLC in Social psychiatry. Sozialpsychiatrie. Psychiatrie sociale
- Vol. 41 (8), 632-640
- https://doi.org/10.1007/s00127-006-0070-2
Abstract
Background This study reports prevalence and comorbidty of five DSM-III-R diagnoses (alcohol abuse, alcohol dependence, drug abuse, major depressive episode, and generalized anxiety disorder) among American Indian and Canadian First Nations parents/caretakers of children aged 10–12 years from the Northern Midwest United States and Canada. Lifetime prevalence rates were compared to adults in the National Comorbidity Survey (NCS) and Southwest and Northern Plains cultures from the AI-SUPERPFP study. Method Native interviewers used computer-assisted personal interviews to administer the University of Michigan Composite International Diagnostic Interview (UM-CIDI) to 861 tribally enrolled parents and caretakers (625 females; 236 males) of 741 tribally enrolled children aged 10–12 years. Fathers/male caretakers ranged in age from 21 years to 68 years with an average age of 41 years; mothers/female caretakers ranged in age from 17 years to 77 years with an average of 39 years. Results About three-fourths (74.6%) of the adults met lifetime criteria for one of the five disorders; approximately one-third (31.6%) met lifetime criteria for two or more of the five disorders. Prevalence of the substance use disorders was higher than those in the general population (NCS); prevalence of internalizing disorders (major depressive disorder and generalized anxiety disorder) was very similar to those in the general population. Prevalence rates for alcohol abuse among the Northern Midwest adults were higher than those reported for Southwest and Northern Plains Tribes, but rates of alcohol dependency were very similar across cultures. Conclusions The higher prevalence rates for some mental disorders found for the Northern Midwest are discussed in terms of potential method variance. The Northern Midwest results reflect unique patterns of psychiatric disorders in the ubiquity of substance abuse disorders and the co-occurrence of substance abuse disorders with internalizing disorders. Reducing lifetime occurrences of substance abuse disorders would have an enormous positive impact on the mental health of this population.This publication has 42 references indexed in Scilit:
- Recurrence and Survival After Random Assignment to Laparoscopy Versus Laparotomy for Comprehensive Surgical Staging of Uterine Cancer: Gynecologic Oncology Group LAP2 StudyJournal of Clinical Oncology, 2012
- Quality of Life of Patients With Endometrial Cancer Undergoing Laparoscopic International Federation of Gynecology and Obstetrics Staging Compared With Laparotomy: A Gynecologic Oncology Group StudyJournal of Clinical Oncology, 2009
- Laparoscopy Compared With Laparotomy for Comprehensive Surgical Staging of Uterine Cancer: Gynecologic Oncology Group Study LAP2Journal of Clinical Oncology, 2009
- Mental Health and Substance Abuse Services Preferences among American Indian People of the Northern MidwestCommunity Mental Health Journal, 2006
- Prevalence of Mental Disorders and Utilization of Mental Health Services in Two American Indian Reservation Populations: Mental Health Disparities in a National ContextAmerican Journal of Psychiatry, 2005
- Cost effectiveness analysis of laparoscopic hysterectomy compared with standard hysterectomy: results from a randomised trialBMJ, 2004
- The prevalence of posttraumatic stress disorder among American Indian Vietnam veterans: Disparities and contextJournal of Traumatic Stress, 2002
- New Data on the Epidemiology of Adult Drinking and Substance Use Among American Indians of the Northern States: Male and Female Data on Prevalence, Patterns, and ConsequencesAmerican Indian and Alaska Native Mental Health Research, 2001
- Depressive Symptoms Among Adults Visiting an Indian Health Service Primary Care ClinicAmerican Indian and Alaska Native Mental Health Research, 1995
- Special CommentaryAmerican Indian and Alaska Native Mental Health Research, 1987