Perspectives of American Indian/Alaska Native Mental Health Practitioners on Psychological Distress, Social Support, and Wellness

Mark Standing Eagle Baez
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Abstract

Objective: This quantitative research study employed a correlational design to determine if there is an association between social support, psychological distress, and wellness among American Indian and Alaska Native mental health practitioners (AI/ANMHPs). Methods: A quantitative correlational approach examined to what extent a relationship exists between social support, psychological distress, and wellness among mental health practitioners who are Native American. The variable of psychological distress was measured by the Outcome Questionnaire 45 (OQ-45.2), the variable of social support was measured by the Multidimensional Scale of Social Support (MSPSS), the variable and the variable of wellness was measured using the Five Factor Wellness Inventory (5F-WEL). Results: The sample comprised 95 AI/ANMHPs in the United States. A Spearman’s rank-order correlation was used to explore the relationship between social support and psychological distress (RQ1) and social support and wellness (RQ2) among AI/ANMHPs. The results of the study indicate a statistically significant negative correlation between social support and psychological distress (rs= -0.386, p < .001) and a statistically significant positive correlation between social support and wellness (rs = 0.439, p < .001). Conclusions: The current study found two statistically significant correlations. Social support was statistically significantly negatively correlated with psychological distress, and social support was statistically significantly positively correlated with overall wellness. These findings suggest that as the NAMHPs perceive more social support, their psychological distress decreases; so, NAMHPs need more culturally responsive support if they want to manage distress.
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美国印第安人/阿拉斯加土著心理健康从业者对心理困扰、社会支持和健康的看法
目的:本定量研究采用相关设计来确定美国印第安人和阿拉斯加土著心理健康从业者(AI/ANMHPs)的社会支持、心理困扰和健康之间是否存在关联。方法:一种定量的相关方法检验了社会支持、心理困扰和心理健康之间的关系在多大程度上存在于印第安人心理健康从业人员中。心理困扰变量采用结局问卷45 (OQ-45.2)测量,社会支持变量采用社会支持多维量表(MSPSS)测量,健康变量和健康变量采用五因素健康量表(5F-WEL)测量。结果:样本包括美国的95个AI/ANMHPs。采用Spearman秩序相关分析AI/ANMHPs中社会支持与心理困扰(RQ1)和社会支持与健康(RQ2)的关系。研究结果表明,社会支持与心理困扰呈显著负相关(rs= -0.386, p < 0.001);社会支持与心理健康呈显著正相关(rs= 0.439, p < 0.001)。结论:本研究发现两项具有统计学意义的相关性。社会支持与心理困扰呈显著负相关,与整体健康呈显著正相关。这些发现表明,当NAMHPs感受到更多的社会支持时,他们的心理困扰就会减少;因此,如果NAMHPs想要控制痛苦,他们需要更多的文化响应支持。
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