The predictive association between social support, communal mastery, and response to culturally adapted cognitive processing therapy among Native American women

IF 2.4 3区医学 Q2 PSYCHIATRY

Journal of traumatic stress Pub Date : 2024-09-17 DOI:10.1002/jts.23101

Katherine van Stolk‐Cooke, Zoe M. F. Brier, Cynthia Pearson, Matthew Price, Debra Kaysen

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引用次数: 0

Abstract

Though social support (SS) and communal mastery (CM) are resilience factors among American Indian and Alaska Natives (AIAN), they have not been examined as trauma treatment predictors in this at‐risk group. This study evaluated whether SS and CM were associated with improved treatment response in a sample of 73 AIAN women with posttraumatic stress disorder (PTSD) symptoms. Participants received culturally adapted CPT and were assessed for PTSD, CM, and SS. Data were analyzed using linear mixed‐effects models. SS predicted improved PTSD, β = −.16, SE = .05, p = .003, and mental health, β = .16, SE = .05, p = .005, but not physical health. CM predicted improved PTSD, β = −.93, SE = .34, p = .008; mental health, β = .90, SE = .36, p = .013; and physical health, β = .95, SE = .31, p = .003. In a combined model, SS predicted improvements in PTSD, β = −.15, SE = .04, p < .001, and mental health, β = .12, SE = .06, p = .037, whereas CM did not. CM predicted improved physical health, β = 1.04, SE = .33, p = .003, whereas SS did not. Results highlight the benefits of SS and CM in trauma treatment outcomes for AIAN women, consistent with prior work, and further underscore the differential role of SS versus CM on mental versus physical health. Future work should explore how orientation to close and communal‐level relationships may inform the protective benefits of social resources among AIAN.

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美国原住民妇女中社会支持、社区掌握和对文化适应性认知处理疗法的反应之间的预测关联

虽然社会支持（SS）和社区掌握（CM）是美国印第安人和阿拉斯加原住民（AIAN）的抗逆因素，但还没有将它们作为这一高风险群体的创伤治疗预测因素进行过研究。本研究对 73 名具有创伤后应激障碍（PTSD）症状的美国印第安和阿拉斯加原住民妇女样本进行了评估，以确定 SS 和 CM 是否与治疗反应的改善有关。参与者接受了文化适应性 CPT，并对创伤后应激障碍、CM 和 SS 进行了评估。数据采用线性混合效应模型进行分析。SS 预测创伤后应激障碍的改善（β = -.16，SE = .05，p = .003）和心理健康的改善（β = .16，SE = .05，p = .005），但不预测身体健康的改善。CM可预测创伤后应激障碍的改善，β = -.93，SE = .34，p = .008；可预测心理健康的改善，β = .90，SE = .36，p = .013；可预测身体健康的改善，β = .95，SE = .31，p = .003。在综合模型中，SS 预测了创伤后应激障碍的改善，β = -.15，SE = .04，p = .001；预测了心理健康的改善，β = .12，SE = .06，p = .037，而 CM 则没有。CM 预测身体健康会得到改善，β = 1.04，SE = .33，p = .003，而 SS 预测身体健康不会得到改善。研究结果凸显了 SS 和 CM 对亚裔美国妇女创伤治疗结果的益处，这与之前的研究结果一致，并进一步强调了 SS 和 CM 对心理健康和身体健康的不同作用。未来的工作应探索亲密关系和社区关系的取向如何为亚裔美国人提供社会资源的保护性益处。

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来源期刊

Journal of traumatic stress Multiple-

CiteScore

5.80

自引率

6.10%

发文量

125

期刊介绍： Journal of Traumatic Stress (JTS) is published for the International Society for Traumatic Stress Studies. Journal of Traumatic Stress , the official publication for the International Society for Traumatic Stress Studies, is an interdisciplinary forum for the publication of peer-reviewed original papers on biopsychosocial aspects of trauma. Papers focus on theoretical formulations, research, treatment, prevention education/training, and legal and policy concerns. Journal of Traumatic Stress serves as a primary reference for professionals who study and treat people exposed to highly stressful and traumatic events (directly or through their occupational roles), such as war, disaster, accident, violence or abuse (criminal or familial), hostage-taking, or life-threatening illness. The journal publishes original articles, brief reports, review papers, commentaries, and, from time to time, special issues devoted to a single topic.