Tracy Lam-Hine, Corinne A Riddell, Patrick T Bradshaw, Michael Omi, Amani M Nuru-Jeter
{"title":"Adverse Childhood Experiences and Indigenous Identity: Testing for Aggregation Fallacy in the Multiracial Category.","authors":"Tracy Lam-Hine, Corinne A Riddell, Patrick T Bradshaw, Michael Omi, Amani M Nuru-Jeter","doi":"10.5820/aian.3204.2026.1","DOIUrl":"https://doi.org/10.5820/aian.3204.2026.1","url":null,"abstract":"<p><p>Adverse childhood experiences (ACEs) predict poor adulthood health. ACEs are most common among American Indian/Alaska Native (AI/AN) and Multiracial groups, two groups that overlap substantially in population. We aimed to determine if the Multiracial population's high mean ACE score differs by those who do and do not identify as AI/AN. We analyzed Waves 1, 3, and 4 (1994-2009) of the National Longitudinal Study of Adolescent to Adult Health (N = 12,372), estimating race-specific mean ACE scores and component prevalence, and disaggregating the Multiracial group by AI/AN identity. We compared means and prevalence ratios using Bonferroni-corrected Tukey's honestly significant tests of differences. Mean scores on a 10-point scale were higher among AI/AN (mean = 3.21, 95% CI: 2.54, 3.97), Multiracial AI/AN (2.95, 95% CI: 2.71, 3.18), Multiracial non-AI/AN (2.88, 95% CI: 2.57, 3.19), and Black (2.84, 95% CI: 2.65, 3.02) groups than White (2.35, 95% CI: 2.26, 2.44) and Asian/Pacific Islander (2.32, 95% CI: 2.09, 2.54) groups. Tests of mean and prevalence differences between the AI/AN and two Multiracial groups were all insignificant. The Multiracial population's high mean ACE score does not differ by those that do and do not identify as AI/AN. ACEs prevention strategies should be tailored to meet the specific needs of groups at higher risk of exposure to improve health equity.</p>","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"32 4","pages":"1-30"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146158738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Examining Correlations of Historical Trauma and Ethnic Identity with Symptoms of Depression in American Indian/Alaska Native College Students","authors":"Nerissa Ann Dolney, Justin Douglas McDonald","doi":"10.5820/aian.3204.2026.83","DOIUrl":"10.5820/aian.3204.2026.83","url":null,"abstract":"<p><p>The purpose of this study was to gain an understanding of how historical trauma and one's degree of ethnic identity relate to symptoms of depression, due to controversy in the literature about such variables. Participants in this study self-identified as American Indian/Alaska Native (AI/AN), were over the age of 18, and were currently enrolled or had been previously enrolled at a university. Participants completed a survey online via Qualtrics to gather information about their ethnic identity, frequency of historical loss thinking, and symptoms of depression. Survey data was analyzed using multiple regressions, correlation analyses, mediation analyses, and follow-up t-tests. Historical loss thinking was found to be very prevalent among this sample, and this was found to contribute significantly to depressive symptoms in AI/AN college students. Various aspects of ethnic identity may contribute to an increase or decrease in historical loss thinking and subsequent depressive symptoms, and this has significant implications for clinicians working with AI/AN college students.</p>","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"32 4","pages":"83-107"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146158730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Collette Adamsen, Miquela Ibrao, Yeonjung Jane Lee, Britteny M Howell, Vanessa Y Hiratsuka, Jordan P Lewis, Yan Yan Wu, Kathryn L Braun
{"title":"Risk and Protective Factors for Mental Health among American Indian, Alaska Native, and Native Hawaiian Older Adults in the United States.","authors":"Collette Adamsen, Miquela Ibrao, Yeonjung Jane Lee, Britteny M Howell, Vanessa Y Hiratsuka, Jordan P Lewis, Yan Yan Wu, Kathryn L Braun","doi":"10.5820/aian.3204.2026.31","DOIUrl":"10.5820/aian.3204.2026.31","url":null,"abstract":"<p><p>Despite histories of loss and discrimination, more American Indian, Alaska Native, and Native Hawaiian (AI/AN/NH) people are living into old age. Risk and protective factors for AI/AN/NH Elder mental health are poorly described. Data from the 2017-2020 Identifying Our Needs (ION): A Survey of Elders needs assessment of 19,143 AI/AN/NH Elders receiving nutrition, socialization, and caregiver-assistance services through Title VI of the Older Americans Act were analyzed. We hypothesized that (1) family, cultural, and social engagement are protective factors, (2) limitations in activities of daily living (ADL) and instrumental activities of daily living (IADL) are risk factors for mental health status, and (3) status of grandparent caregiver is associated with lower mental health scores. As hypothesized, frequent engagement in traditional cultural activities was protective for mental health status. ADL/IADL limitations were the largest risk factor for poor mental health among AI/AN/NH Elders, while engagement in social activity was the strongest protective factor. Additionally, the status of a grandparent as a primary caregiver for their grandchildren was associated with poorer mental health. Indigenous-serving programs need expanded funding to support both cultural and personal/family services to the growing population of AI/AN/NH Elders in the United States.</p>","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"32 4","pages":"31-56"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13155387/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146158797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Damian M Chase-Begay, Julie Cahoon, Jeffrey C Peterson, Annie Belcourt, Curtis Noonan, Blakely Brown
{"title":"Assessing American Indian Traditional Ceremonial Practices and Substance Use Behaviors in an Urban, Multi-Tribal Setting: Results from a Community Survey.","authors":"Damian M Chase-Begay, Julie Cahoon, Jeffrey C Peterson, Annie Belcourt, Curtis Noonan, Blakely Brown","doi":"10.5820/aian.3204.2026.57","DOIUrl":"10.5820/aian.3204.2026.57","url":null,"abstract":"<p><p>American Indian and Alaska Native (AI/AN) communities have relied on traditional ceremonial practices (TCPs) for survival and resilience for generations. Research examining the role of TCPs on wellness in urban, multi-tribal communities, however, has only recently emerged over the last several decades. This study explored the association between TCP-related variables and substance use in an urban AI/AN community in Montana. Specifically, participant knowledge, attitudes, and beliefs (KAB) regarding TCPs, their level of intent to participate in TCPs, and past year substance use were measured. This cross-sectional study used survey data from 194 AI/AN adults (66% female, 5% nonbinary; M age = 44). Positive KAB toward TCPs was found in 56.4% of respondents. Greater level of intent to participate in TCPs was found in 36.7% of respondents. Multivariate logistic regression showed individuals with positive KAB were less likely to report past year alcohol [adjusted odds ratio (AOR): 0.49; 95% confidence interval (95% CI): 0.26, 0.93] or other drug use (AOR: 0.30; 95% CI: 0.11, 0.76). Individuals who reported a greater level of intent to participate in TCPs were also less likely to report past year alcohol (AOR: 0.51; 95% CI: 0.26, 0.98) or other drug use (AOR: 0.31; 95% CI: 0.08, 0.91). The findings highlight a need for further examination of the potential effectiveness of substance use interventions for urban AI/AN adults that incorporate TCP-related factors.</p>","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"32 4","pages":"57-82"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13003768/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146158805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Inviting and Honoring the Voice of the Community: Commentary on Ray et al., Making a Community Health Needs Assessment Participatory: A Case Study from an Alaska Native Health Care Organization.","authors":"","doi":"10.5820/aian.3202.2025.27","DOIUrl":"https://doi.org/10.5820/aian.3202.2025.27","url":null,"abstract":"","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"32 2","pages":"27-28"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143664844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mikayla J Bullman, Zachary J Wood, Neha A John-Henderson
{"title":"Investigating the Role of Place of Residence in the Relationship between Discrimination and Mental Health in American Indian Adults.","authors":"Mikayla J Bullman, Zachary J Wood, Neha A John-Henderson","doi":"10.5820/aian.3203.2025.1","DOIUrl":"10.5820/aian.3203.2025.1","url":null,"abstract":"<p><p>Experiences of discrimination are linked to mental health in American Indians. Less is known about how place of residence (i.e., living on or off a reservation) relates to discrimination frequency and whether the strength and nature of the relationship between discrimination and mental health varies as a function of different living environments. In the current study, we examined frequency of discrimination, main reasons for discrimination, and relationships between discrimination for American Indians living both on and off a reservation. Relative to American Indian adults living off a reservation, American Indian adults living on reservation reported more experiences of discrimination (F(1, 846) = [15.94], p<.01, η² = .02) and identified more reasons for discrimination (F(1, 846) = [17.789], p<.001, η² = .02). Across residential contexts, race-related discrimination was most common, followed by gender discrimination. The relationship between discrimination and anxiety was significant in both residential contexts, while the relationship between discrimination frequency and depressive symptoms was only significant for those living outside of a tribal reservation. These findings highlight the importance of understanding how environmental context may affect patterns of discrimination and the relationship between discrimination and mental health in American Indians. Future research should elucidate resilience factors that are specific to living environments to reduce the negative impacts of discrimination on mental health for American Indian adults.</p>","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"32 3","pages":"1-17"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12542675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Development of a Diabetes Prevention Intervention Utilizing Gardening for Urban American Indian/Alaska Native Adults Receiving Mental Health Treatment: A Focus Group Study.","authors":"Daniel Dickerson, Melanie Cain, Belinda Najera","doi":"10.5820/aian.3201.2025.25","DOIUrl":"10.5820/aian.3201.2025.25","url":null,"abstract":"<p><p>Gardening for Health Utilizing Traditions (GHUTS) is a new diabetes prevention intervention for urban American Indian and Alaska Native (AI/AN) adults receiving mental health treatment in Los Angeles County. The two main objectives of this study are to: 1) further our understanding of diabetes prevention and the role of gardening for urban AI/AN adults receiving mental health treatment and 2) finalize the development of GHUTS. To inform the feasibility of the intervention and to gain perspective, three focus groups were conducted among urban AI/AN adults receiving mental health treatment (n = 7), providers who serve urban AI/AN people (n = 7), and the GHUTS Community Advisory Board (n = 5). Three overarching conceptual themes emerged: 1) Diabetes is an important issue among urban AI/AN people receiving mental health treatment, 2) AI/AN traditional practices have an important role in diabetes prevention among urban AI/AN adults receiving mental health treatment, and 3) Gardening is beneficial for AI/AN people. Feedback on the GHUTS curriculum featured diabetes education, cultural elements, concerns specific to AI/AN people in Los Angeles County, cooking, physical exercise and diet, prayer and mindfulness, community sharing, and field trips. This study highlights the process of developing a community-grounded diabetes prevention intervention for urban AI/AN adults receiving mental health treatment.</p>","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"32 1","pages":"25-50"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Amanda M Hunter, Melinda Smith, Andria B Begay, Nicolette Teufel-Shone, Karen Jarratt-Snider, Carol Goldtooth, Manley Begay, Darold H Joseph, Angelina Castagno, Juliette Roddy, Chesleigh Keene, Alisse Ali-Joseph, Julie A Baldwin
{"title":"Exploring the Role of Indigenous Determinants of Health in the Resilience of Native Nations during COVID-19.","authors":"Amanda M Hunter, Melinda Smith, Andria B Begay, Nicolette Teufel-Shone, Karen Jarratt-Snider, Carol Goldtooth, Manley Begay, Darold H Joseph, Angelina Castagno, Juliette Roddy, Chesleigh Keene, Alisse Ali-Joseph, Julie A Baldwin","doi":"10.5820/aian.3203.2025.42","DOIUrl":"10.5820/aian.3203.2025.42","url":null,"abstract":"<p><p>American Indians and Alaska Natives (AI/ANs) were disproportionately affected by the COVID-19 pandemic, experiencing excess hospitalization, mortality, and economic losses compared to the non- Hispanic Whites. This study sought to document the Indigenous determinants of health (IDOH) in AI/AN communities that shaped mental wellbeing for four groups: educators, traditional knowledge holders/practitioners, first responders, and substance abuse recovery community, during the pandemic. This work was a collaboration with and had research approval from three Native nations in Arizona. In-depth interviews were conducted from May to November 2021; 92 participants were interviewed. The most prevalent IDOH and associated themes included strategies to cope with emotional and social stressors and the impact on physical and mental health, relationships, kinship, cultural continuity, and self-determination. The groups experienced differences in mental wellbeing aligned with their occupation. For example, first responders experienced disruption and social dissonance in the workplace due to varying political views, and traditional knowledge holders/ practitioners experienced a revitalization of cultural strategies to maintain health. Although the differences between occupational groups are striking, the similarities that did exist were grounded in Indigenous identity and worldview that emphasize relationships and connection to the natural environment.</p>","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"32 3","pages":"42-69"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12533485/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145150951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Disparate Roots and Potential Development of Alaska's Public Behavioral Health System.","authors":"Joseph D Bloom, Aron S Wolf","doi":"10.5820/aian.3202.2025.29","DOIUrl":"10.5820/aian.3202.2025.29","url":null,"abstract":"<p><p>The community mental health center era in the United States was based on delivering services cataloged in three areas of behavioral health needs; (1) primary prevention of mental illness: the prevention of illness before it develops; (2) secondary prevention services: the early treatment of mental illness to reduce the severity of illness, and (3) tertiary prevention: treatment aimed at the reduction of the burdens of chronic mental illness. To attain these goals in a particular state in the United States has been very difficult, and Alaska, which has only been a state since 1959, is not close to attaining these goals. As a matter of fact, this paper will demonstrate that Alaska has had more trouble than most states in providing even rudimentary services in several of these areas. Yet, because of a curious constellation of factors, this paper presents the reader with a hopeful possible alignment of programs which, if more fully developed and linked in Alaska, can become an integrated public behavioral health system open to all the residents in the state.</p>","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"32 2","pages":"29-49"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143664849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Lifting the Lived Experiences of American Indian Counselors on the Reservation: An Interpretive Phenomenological Analysis.","authors":"Brynn Luger, James S Korcuska","doi":"10.5820/aian.3203.2025.18","DOIUrl":"10.5820/aian.3203.2025.18","url":null,"abstract":"<p><p>This study utilized interpretive phenomenological analysis to explore the experiences of three American Indian/Alaska Native counselors working on federal Indian reservations. Data analysis yielded four themes: the worth and weight of counseling on a reservation, the impact of culture and community on counseling, four forms of trauma impacting the counselor, and the effects of personal and professional wellness. This research contributes valuable insights into the nuanced experiences of American Indian/Alaska Native counselors working within reservation contexts and highlights the importance of addressing the unique challenges they face in delivering counseling services to their communities. Future research, support infrastructure, and counselor training initiatives should prioritize specialized training and systemic support for counselors tailored specifically to address the needs of American Indian/Alaska Native counselors and the communities they serve.</p>","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"32 3","pages":"18-41"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}