Primary Psychiatric Diagnoses, Commercialized Tobacco Use, and Homelessness: Comparisons Between Urban American Indian/ Alaska Native and Non-American Indian/Alaska Native Adult Clinical Samples.

IF 1.9 4区心理学 Q3 PSYCHOLOGY, CLINICAL American Indian and Alaska Native Mental Health Research Pub Date : 2023-01-01 DOI:10.5820/aian.3001.2023.14

Daniel Dickerson, Melanie Cain, Andrea Garcia

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Abstract

Although over 70% of American Indians and Alaska Natives (AI/ANs) reside in urban areas, our knowledge of urban AI/AN adults receiving mental health treatment is limited. This study compares primary psychiatric diagnoses, commercialized tobacco use, and homelessness between AI/AN and non-AI/AN adults receiving services in an urban public mental health agency serving primarily AI/AN people in southern California. Depressive disorders were the most common psychiatric diagnoses for both groups. However, AI/AN adult clients demonstrated significantly less anxiety disorders and significantly more homelessness. Schizophrenia spectrum and other psychotic disorders, bipolar and related disorders, and commercialized tobacco use were higher among AI/AN adults compared to non-AI/AN adults. Results from this study offer data needed to further understand important public health issues that exist among AI/AN adults receiving mental health services in urban areas. We provide suggestions to enhance integrated and culturally appropriate treatment approaches and homelessness initiatives for this under-resourced, yet resilient population.

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初级精神病诊断、商业化烟草使用和无家可归:城市美洲印第安人/阿拉斯加原住民和非美洲印第安人/阿拉斯加原住民成人临床样本的比较

尽管超过70%的美国印第安人和阿拉斯加原住民(AI/ANs)居住在城市地区，但我们对城市AI/AN成年人接受心理健康治疗的了解有限。本研究比较了在南加州一家主要为AI/AN人群服务的城市公共精神卫生机构接受服务的AI/AN和非AI/AN成年人的初级精神病诊断、商业化烟草使用和无家可归情况。抑郁症是两组中最常见的精神疾病诊断。然而，AI/AN成年客户表现出明显较少的焦虑症和明显更多的无家可归。与非AI/AN成年人相比，AI/AN成年人的精神分裂症谱系和其他精神障碍、双相情感障碍和相关障碍以及商业化烟草使用更高。本研究的结果提供了进一步了解城市地区接受精神卫生服务的AI/AN成年人中存在的重要公共卫生问题所需的数据。我们提供建议，以加强综合和文化上适当的治疗方法和无家可归的倡议，为这一资源不足，但适应力强的人口。

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来源期刊

American Indian and Alaska Native Mental Health Research PSYCHOLOGY, CLINICAL-

CiteScore

2.20

自引率

30.80%

发文量

期刊介绍： American Indian and Alaska Native Mental Health Research: The Journal of the National Center is a professionally refereed scientific journal. It contains empirical research, program evaluations, case studies, unpublished dissertations, and other articles in the behavioral, social, and health sciences which clearly relate to the mental health status of American Indians and Alaska Natives. All topical areas relating to this field are addressed, such as psychology, psychiatry, nursing, sociology, anthropology, social work, and specific areas of education, medicine, history, and law. Through a standardized format (American Psychological Association guidelines) new data regarding this special population is easier to retrieve, compare, and evaluate.