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1.
Psychosom Med ; 85(1): 2-7, 2023 01 01.
Artículo en Inglés | MEDLINE | ID: mdl-36516315

RESUMEN

OBJECTIVE: Poor emotion regulation is associated with risk for cardiovascular disease. However, much of this research is conducted in primarily White samples, thus limiting our understanding of this relationship in other racial/ethnic groups. American Indians (AIs) are uniquely and disproportionately at risk for cardiovascular disease. As such, the present study aimed to examine the relationships between emotion regulation strategies and ambulatory cardiovascular activity in an entirely AI sample. METHODS: The sample consisted of 100 AI adults living on a tribal reservation. Emotion regulation strategies (expressive suppression, cognitive reappraisal) were assessed via the Emotion Regulation Questionnaire. Using ecological momentary assessment, daily measurements of psychological stress and ambulatory cardiovascular activity were taken during a 7-day monitoring period. Statistical analyses included bivariate correlations, hierarchical linear regression models, and mediation models. RESULTS: Expressive suppression was associated with higher systolic and diastolic blood pressure, as well as higher pulse rate. In contrast, cognitive reappraisal was associated with lower systolic and diastolic blood pressure, lower pulse rate, and lower average daily psychological stress. These results remained statistically significant after adjusting for age, sex, body mass index, anxiety, depression, and early life trauma. In addition, psychological stress mediated the associations between blood pressure and cognitive reappraisal, but not expressive suppression. CONCLUSIONS: These results provide preliminary evidence for divergent associations of two emotion regulation strategies with cardiovascular activity and psychological stress in an AI community. Modifying health interventions to include training in effective emotion regulation may be beneficial.


Asunto(s)
Enfermedades Cardiovasculares , Regulación Emocional , Adulto , Humanos , Indio Americano o Nativo de Alaska , Estrés Psicológico/psicología , Ansiedad , Emociones/fisiología
2.
Dev Psychopathol ; 35(5): 2241-2252, 2023 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-37345444

RESUMEN

American Indians and Alaska Natives suffer from disproportionately high rates of chronic mental and physical health conditions. These health inequities are linked to colonization and its downstream consequences. Most of the American Indian and Alaska Native health inequities research uses a deficit framework, failing to acknowledge the resilience of American Indian and Alaska Native people despite challenging historical and current contexts. This scoping review is based on a conceptual model which acknowledges the context of colonization and its consequences (psychological and health risk factors). However, rather than focusing on health risk, we focus on protective factors across three identified domains (social, psychological, and cultural/spiritual), and summarize documented relationships between these resilience factors and health outcomes. Based on the scoping review of the literature, we note gaps in extant knowledge and recommend future directions. The findings summarized here can be used to inform and shape future interventions which aim to optimize health and well-being in American Indian and Alaska Native peoples.


Asunto(s)
Nativos Alasqueños , Indígenas Norteamericanos , Resiliencia Psicológica , Humanos , Indio Americano o Nativo de Alaska , Indígenas Norteamericanos/psicología , Alaska
3.
Ann Behav Med ; 56(2): 193-204, 2022 02 11.
Artículo en Inglés | MEDLINE | ID: mdl-33969868

RESUMEN

BACKGROUND: Historical loss in American Indians (AIs) is believed to contribute to high incidence of mental health disorders, yet less is known about the associations between historical loss and physical health. PURPOSE: To investigate whether frequency of thought about historical loss predicts risk factors for chronic physical health conditions in an AI community. METHODS: Using Community Based Participatory research (CBPR) and Ecological Momentary Assessment (EMA), we measured frequency of thoughts about historical loss in 100 AI adults residing on the Blackfeet reservation. Participants completed a 1-week monitoring period, during which ambulatory blood pressure and daily levels of psychological stress were measured. At the end of the week, we collected a dried blood spot sample for measurement of C-reactive protein (CRP). RESULTS: In hierarchical linear regression models controlling for demographics and relevant covariates, greater frequency of thoughts about historical loss predicted higher average daily psychological stress (B = .55, t = 6.47, p < .001, ΔR2 = .30) and higher levels of CRP (B = .33, t = 3.93, p < .001, ΔR2 = .10). Using linear mixed modeling with relevant covariates, we found that greater thoughts about historical loss were associated with higher systolic ambulatory blood pressure (B = .32, 95% CI = .22-.42, t = 6.48, p < .001, ΔR2 = .25; Fig. 1c) and greater diastolic ambulatory blood pressure (B = .19, 95% CI = .11-.27, t = 4.73, p < .001, ΔR2 = .19). CONCLUSIONS: The data suggest that frequency of thought about historical loss may contribute to increased subclinical risk for cardiovascular disease in the Blackfeet community.


Asunto(s)
Indio Americano o Nativo de Alaska , Monitoreo Ambulatorio de la Presión Arterial , Adulto , Presión Sanguínea , Investigación Participativa Basada en la Comunidad , Humanos , Estrés Psicológico/epidemiología
4.
Am J Physiol Heart Circ Physiol ; 321(3): H558-H566, 2021 09 01.
Artículo en Inglés | MEDLINE | ID: mdl-34328345

RESUMEN

Chronic insufficient sleep is a common occurrence around the world and results in numerous physiological detriments and consequences, including cardiovascular complications. The purpose of the present study was to assess the relationship between habitual total sleep time (TST) measured objectively via at-home actigraphy and heart rate (HR) reactivity to nocturnal cortical arousals. We hypothesized that short habitual TST would be associated with exaggerated cardiac reactivity to nocturnal cortical arousals. Participants included 35 healthy individuals [20 men, 15 women, age: 24 ± 1 yr, body mass index (BMI): 27 ± 1 kg/m2], and were split using a median analysis into short-sleeping (SS; n = 17) and normal-sleeping (NS; n = 18) adults based on a minimum of 7 days of at-home actigraphy testing. All participants underwent a full overnight laboratory polysomnography (PSG) testing session, including continuous HR (electrocardiogram, ECG) sampling. HR reactivities to all spontaneous cortical arousals were assessed for 30 cardiac cycles following the onset of the arousal in all participants. Baseline HR was not significantly different between groups (P > 0.05). Spontaneous nocturnal arousal elicited an augmented HR response in the SS group, specifically during the recovery period [F(5.261,163.08) = 3.058, P = 0.01, ηp2 = 0.09]. There were no significant differences in HR reactivity between sexes [F(3.818,118.368) = 1.191, P = 0.318]. These findings offer evidence of nocturnal cardiovascular dysregulation in habitual short sleepers, independent from any diagnosed sleep disorders.NEW & NOTEWORTHY Short habitual sleep is associated with poor cardiovascular outcomes, but mechanisms remain equivocal. The present study used objectively measured habitual sleep via wrist actigraphy, and reports that habitual short sleepers have augmented heart rate recovery responses to spontaneous arousals as determined by gold-standard polysomnography. There were no reported sex differences. The augmented heart rate recovery to spontaneous cortical arousals may be an important mechanism contributing to the associations between insufficient sleep and cardiovascular risk.


Asunto(s)
Frecuencia Cardíaca , Trastornos del Inicio y del Mantenimiento del Sueño/fisiopatología , Vigilia , Adulto , Corteza Cerebral/fisiopatología , Femenino , Humanos , Masculino , Factores Sexuales , Sueño
5.
Int J Behav Med ; 28(6): 808-812, 2021 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-33559008

RESUMEN

BACKGROUND: Poor emotion regulation is associated with post-traumatic stress symptoms (PTSS). However, limited prospective research prevents any directional conclusions. No known studies have assessed emotion regulation with PTSS in American Indians, a high-risk population for poor mental health outcomes. The present prospective study explored whether emotion regulation strategies (cognitive reappraisal, expressive suppression) predicted later PTSS related to the COVID-19 global pandemic in a solely American Indian sample. METHODS: American Indian participants (N = 210; Mean (SD) age = 54.85(13.08) years, 58.7% female) completed the Emotion Regulation Questionnaire (ERQ) during Phase 1 (a few weeks before pandemic declaration) and the Impact of Event Scale-Revised (IES-R) with respect to the COVID-19 pandemic during Phase 2 (7-8 weeks after pandemic declaration). Bivariate correlations and hierarchical linear regression analyses were utilized. RESULTS: ERQ reappraisal was negatively associated with IES-R total scores, such that higher reappraisal predicted lower PTSS. In contrast, ERQ suppression was positively associated with IES-R total scores, such that higher suppression predicted higher PTSS. CONCLUSIONS: Greater suppression and lower reappraisal predicts PTSS in response to the COVID-19 pandemic in an entirely American Indian sample, providing critical information for future interventions in a population at high-risk for mental health disparities.


Asunto(s)
COVID-19 , Regulación Emocional , Trastornos por Estrés Postraumático , Femenino , Humanos , Masculino , Persona de Mediana Edad , Pandemias , Estudios Prospectivos , SARS-CoV-2 , Trastornos por Estrés Postraumático/diagnóstico , Trastornos por Estrés Postraumático/epidemiología , Indio Americano o Nativo de Alaska
6.
Int J Behav Med ; 28(6): 727-736, 2021 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-33721232

RESUMEN

BACKGROUND: Health mindsets can be viewed on a continuum of malleability from fixed (health cannot be altered) to growth (health can be affected by behavior). We propose that mindsets may influence the health perceptions of healthy adolescents as well as the health behaviors of adolescents with a chronic illness. METHODS: In Study 1, we surveyed healthy adolescents about their health mindsets and their judgments of illness in response to vignettes of fictional others. In Study 2, we measured the health mindsets and health behaviors of adolescents with type 1 diabetes RESULTS: In Study 1, healthy adolescents with a fixed health mindset were more likely to rate fictional others as being less healthy, less likely to recover, and more vulnerable to additional diseases. In Study 2, a growth mindset was associated with a greater frequency of glucose monitoring among younger, but not older, adolescents with type 1 diabetes. Further, growth mindset was associated with lower HbA1c levels for younger adolescents. CONCLUSIONS: Health mindsets may shape views of the implications of illness or injury for overall health and, in adolescents with a chronic condition, may interact with age to influence health behaviors and outcomes.


Asunto(s)
Automonitorización de la Glucosa Sanguínea , Glucemia , Adolescente , Conductas Relacionadas con la Salud , Humanos , Percepción
7.
Ann Behav Med ; 54(2): 87-93, 2020 01 24.
Artículo en Inglés | MEDLINE | ID: mdl-31282543

RESUMEN

BACKGROUND: Previous research documents an association between adverse childhood experiences (ACEs) and immune system inflammation. High chronic inflammation is believed to be one biological pathway through which childhood adversity may affect health into adulthood. The Blackfeet tribal community has high rates of childhood trauma and community members are disproportionately affected by inflammatory diseases. PURPOSE: To investigate whether belonging to the tribal community may moderate the relationship between childhood trauma and immune system inflammation in the Blackfeet tribal community. METHODS: In a sample of 90 adults residing on the Blackfeet reservation, we measured ACEs belonging to the tribal community and two markers of immune system inflammation, interleukin-6 (IL-6) and C-reactive protein (CRP). RESULTS: We found that independent of age, gender, annual income, body mass index, and depressive symptoms, belonging to the tribal community and ACEs interacted to predict levels of both IL-6 and CRP (B= -.37, t[81] = -3.82, p < .001, R2 change = .07 and B = -.29, t[81] = -2.75, p = .01, R2 change = .08, respectively). The association between ACEs and markers of immune system inflammation was statistically significant for community members who reported low levels of belonging to the community. CONCLUSIONS: The findings of this study have important implications for intervention research seeking to reduce risk for inflammatory diseases for at-risk populations. Fostering stronger connections to the larger tribal community may positively affect risk for inflammatory diseases. Future work should examine the behavioral and psychosocial pathways through which stronger connections to community may confer health benefits.


Asunto(s)
Experiencias Adversas de la Infancia/etnología , Indígenas Norteamericanos/etnología , Inflamación/etnología , Trauma Psicológico/etnología , Medio Social , Adulto , Proteína C-Reactiva/metabolismo , Enfermedad Crónica/etnología , Femenino , Humanos , Inflamación/sangre , Inflamación/inmunología , Interleucina-6/sangre , Masculino , Montana/etnología , Factores Protectores , Factores de Riesgo
8.
Am J Community Psychol ; 64(1-2): 118-125, 2019 09.
Artículo en Inglés | MEDLINE | ID: mdl-31290568

RESUMEN

American Indian (AI) communities have high levels of stress and trauma and are disproportionately affected by numerous preventable diseases. Here, we describe an academic-community partnership based on a collaboration between Blackfeet Community College students and faculty in Psychology and Immunology at Montana State University (MSU). The collaboration, which has spanned over 5 years, was sparked by community interest in the relationship between stress and disease on the Blackfeet reservation. Specifically, community members wanted to understand how the experience of psychological stress and trauma may affect disease risk in their community and identify factors that promote resilience. In doing so, they hoped to identify pathways through which health could be improved for individual community members. Here, we discuss all stages of the collaborative process, including development of measures and methods and themes of research projects, challenges for community members and non-indigenous collaborators, future directions for research, and the lessons learned. Finally, we note the ways in which this partnership and experience has advanced the science of community engagement in tribal communities, with the hope that our experiences will positively affect future collaborations between indigenous community members and non-indigenous scientists.


Asunto(s)
Investigación Biomédica/organización & administración , Investigación Participativa Basada en la Comunidad/métodos , Indígenas Norteamericanos , Investigación Participativa Basada en la Comunidad/organización & administración , Relaciones Comunidad-Institución , Estado de Salud , Humanos , Montana , Desarrollo de Programa , Estrés Psicológico/complicaciones , Estrés Psicológico/etnología , Universidades
9.
Brain Behav Immun ; 64: 208-219, 2017 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-28089638

RESUMEN

Inflammatory reactivity to acute laboratory stress is thought to reflect individual differences in responsivity to environmental stressors and may confer future health risk. To characterize this response, we conducted a meta-analysis of 34 studies that measured circulating inflammatory markers and 15 studies that measured stimulated production of inflammatory markers before and after exposure to laboratory challenge. Results showed significant stress-related increases in circulating interleukin (IL)-1ß (d=0.66, p<0.001), IL-6 (d=0.35, p<0.001), IL-10 (d=0.69, p<0.001), and tumor necrosis factor(TNF)-α (d=0.28, p<0.001), but not IL-1ra, IL-2, interferon-γ, or C-reactive protein. There were sufficient data to assess the time course of IL-6, IL-1ß, and TNF-α reactivity. IL-6 increased from baseline to measures taken 40-50, 60-75, 90, and 120min following stress, with the largest effect at 90min post-stress (d=0.70, p<0.001). IL-1ß increased from baseline to 20-30, 40-50, and 60-70min following stress, with the largest effect between 40 and 50min post-stress (d=0.73, p=0.02). For TNF-α, there was a significant increase from baseline to 31-50min post stress (d=0.44, p=0.01), but not at later times. There was no difference in magnitude of IL-6 reactivity as a function of type of stress (social-evaluative versus other). For stimulated inflammatory markers, results showed stress-related increases in IL-1ß when measured 20-120min post-stress (d=1.09, p<0.001), and in IL-4 and interferon-γ when measured 0-10min post stressor (d=-0.42, p<0.001 and d=0.47, p<0.001). These results extend findings from a prior meta-analysis (Steptoe et al., 2007) to show reliable increases in circulating IL-6, IL-1ß, IL-10 and TNF-α and stimulated IL-1ß, IL-4 and interferon-γ in response to acute stress. It is possible that these responses contribute to associations between exposure to life challenges and vulnerability to inflammatory disease.


Asunto(s)
Mediadores de Inflamación/sangre , Inflamación/complicaciones , Estrés Psicológico/sangre , Estrés Psicológico/complicaciones , Biomarcadores/sangre , Humanos , Inflamación/sangre
10.
Psychosom Med ; 78(3): 319-26, 2016 04.
Artículo en Inglés | MEDLINE | ID: mdl-26809109

RESUMEN

OBJECTIVE: Conflict in early life family environments is known to affect psychosocial functioning and coping styles into adulthood and is reported to negatively affect access to psychosocial resources that are critical to the management of stress. However, it remains unknown whether early life family conflict similarly affects subclinical cardiovascular disease (CVD) in adulthood. We predicted that family conflict in early life would be associated with greater mean intima-media thickness (IMT), a subclinical marker of CVD risk, in adulthood. METHODS: Data were collected in a community sample of 503 adults (47.4 % male, mean [standard deviation] age = 42.8 [7.3] years). Associations between family conflict in early life with IMT (assessed using B-mode ultrasound) in adulthood were examined using regression analysis. We also tested for indirect effects of early life family conflict on mean IMT through ecological momentary assessment reports of social interactions, diversity of social roles, and perceived social support. RESULTS: Linear regression analyses adjusted for demographics and physiological risk factors showed conflict in early life associated with greater mean IMT (ß = 0.08, t(447) = 2.13, p = .034, R = 0.46). Early life conflict was significantly related to diversity of social roles, perceived social support, and ecological momentary assessment reports of pleasant and social conflict interactions. Significant indirect effects of early life conflict on mean IMT were observed through fewer pleasant social interactions and more frequent social conflict interactions in adulthood (ß = 0.001 [95% confidence interval = 0.0001-0.0014] and ß = 0.001 [95% confidence interval = 0.0002-0.0015], respectively). CONCLUSIONS: These findings provide initial evidence that family conflict in early life heightens CVD risk in adulthood, in part by shaping the quality of adulthood social interactions.


Asunto(s)
Adultos Sobrevivientes de Eventos Adversos Infantiles/estadística & datos numéricos , Enfermedades Cardiovasculares/epidemiología , Grosor Intima-Media Carotídeo/estadística & datos numéricos , Conflicto Familiar , Relaciones Interpersonales , Apoyo Social , Adulto , Enfermedades Cardiovasculares/diagnóstico por imagen , Evaluación Ecológica Momentánea , Femenino , Humanos , Masculino , Persona de Mediana Edad
11.
Psychosom Med ; 78(1): 91-101, 2016 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-26727383

RESUMEN

OBJECTIVES: Evidence supports an inverse association of childhood socioeconomic status (SES) with systemic inflammation in adulthood. However, it remains to be determined whether this association is dependent on exposure to stressful life experiences. METHODS: We predicted that the combination of a high number of recent negative life events and low childhood SES would be associated with the highest levels of both circulating interleukin (IL)-6 and lipopolysaccharide-stimulated production of IL-6. We tested this prediction among a community sample of 459 adults (47% male, mean [standard deviation] age = 42.8 [7.3] years). RESULTS: Inverse associations were found between childhood and adult SES indices with circulating IL-6 levels (r values between -0.07 and -0.16, p < .05) but not stimulated IL-6 levels (r values between -0.007 and 0.07, p > .05). The number of recent negative life events (mean [standard deviation] = 2.43 [2.34]) was not significantly related to subjective childhood SES and other SES indices (r values < 0.06, p > .10). Multivariate linear regression analyses revealed a significant association between the interaction of subjective childhood SES and recent negative life events and circulating IL-6 (ß = -0.09, t(404) = -1.98, p = .049) and a marginally significant association with stimulated levels of IL-6 (ß = -0.10, t(365) = -1.94, p = .054), whereas these covariate-adjusted models revealed no main effects for subjective SES or recent negative life events. CONCLUSIONS: The relationship between childhood SES and IL-6 seems to be moderated by recent life events, such that individuals with a relatively low childhood SES exhibit an inflammatory phenotype in the context of a high number of recent negative life events.


Asunto(s)
Interleucina-6/sangre , Acontecimientos que Cambian la Vida , Clase Social , Adulto , Trastornos de Ansiedad/sangre , Escolaridad , Composición Familiar , Femenino , Conductas Relacionadas con la Salud , Vivienda , Humanos , Interleucina-6/metabolismo , Lipopolisacáridos/farmacología , Masculino , Persona de Mediana Edad , Neuroticismo , Padres/educación
12.
Brain Behav Immun ; 58: 152-164, 2016 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-27288715

RESUMEN

OBJECTIVE: Systemic inflammation is thought to be a biological mediator between social relationship quality and premature mortality. Empirical work has yielded mixed support for an association of social relationship variables with systemic inflammation, perhaps due to methodological limitations. To date, research in this literature has focused on global perceptions of social relationships, with limited attention to the covariance of characteristics of daily social interactions with inflammation. Here, we examine whether daily interactions, as assessed by ecological momentary assessment (EMA), associate with peripheral markers of inflammation among midlife and older adults. METHODS: Global social support and integration were measured using the Interpersonal Support Evaluation List (ISEL) and the Social Network Index (SNI), respectively, in older adults from the Pittsburgh Healthy Heart Project (PHHP), and in middle-aged adults from the Adult Health and Behavior Project-II (AHAB-II). Using time-sampled EMA, we assessed the proportion of the day spent in positive and negative social interactions. Systemic markers of inflammation were interleukin (IL)-6 and C-reactive protein (CRP). RESULTS: Global measures of support and integration did not associate with inflammation in either sample. In older adults, relative frequency of total positive interactions, those with close others (i.e. spouse, friends, family), and those with coworkers predicted lower concentrations of IL-6 in fully adjusted models, accounting for age, sex, race, education, BMI, smoking and alcohol. In middle-aged adults, relative frequency of positive interactions with close others was also inversely associated with IL-6 level and relative frequency of negative marital interactions was unexpectedly inversely associated with CRP level. CONCLUSIONS: Characteristics of daily social interactions among midlife and older adults associate with markers of systemic inflammation that are known to predict risk for cardiovascular disease. Ambulatory measures may better capture health-relevant social processes in daily life than retrospective, global self-report measures.


Asunto(s)
Inflamación , Relaciones Interpersonales , Apoyo Social , Factores de Edad , Anciano , Proteína C-Reactiva/metabolismo , Humanos , Interleucina-6/sangre , Masculino , Persona de Mediana Edad
13.
Psychol Sci ; 26(10): 1620-9, 2015 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-26333276

RESUMEN

Low socioeconomic status (SES) during childhood confers risk for adverse health in adulthood. Accumulating evidence suggests that this may be due, in part, to the association between lower childhood SES and higher levels of pro-inflammatory cytokines. Drawing from literature showing that low childhood SES predicts exaggerated physiological reactivity to stressors and that lower SES is associated with a more communal, socially attuned orientation, we hypothesized that inflammatory reactivity would be more greatly affected by cues of social support among individuals whose childhood SES was low than among those whose childhood SES was high. In two studies, we found that individuals with lower subjective childhood SES exhibited greater reductions in pro-inflammatory cytokine reactivity to a stressor in the presence of a supportive figure (relative to conditions with an unsupportive or neutral figure). These effects were independent of current SES. This work helps illuminate SES-based differences in inflammatory reactivity to stressors, particularly among individuals whose childhood SES was low.


Asunto(s)
Estado de Salud , Inflamación/epidemiología , Clase Social , Apoyo Social , Adolescente , Factores de Edad , Femenino , Humanos , Interleucina-6/metabolismo , Masculino , Autoinforme , Adulto Joven
14.
Child Abuse Negl ; 153: 106860, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38820955

RESUMEN

BACKGROUND: Although previous research has established a relationship between childhood trauma and later-life anxiety and depression symptoms in American Indian samples, less is known about protective factors that may reduce the strength of this relationship. OBJECTIVE: The purpose of the present study was to investigate in a sample of American Indian adults, whether age moderates the relationship between self-compassion and poor mental health associated with childhood trauma. PARTICIPANTS AND SETTING: Seven hundred and twenty-nine self-identifying American Indian adults (age 18-95) residing in the United States completed an online survey. METHOD: All participants were self-identifying American Indian adults recruited via Qualtrics, which utilized targeted recruiting through managed research panels. Participants self-reported age, gender, income, and completed measures of self-compassion, childhood trauma, and symptoms of anxiety and depression. RESULTS: Lower self-compassion predicted higher levels of both anxiety symptoms (ß = -2.69, R2change = 0.24, t(718) = -15.92, p < .001) and depression symptoms (ß = -2.23, R2change = 0.26, t(718) = -16.30, p < .001). In line with our hypothesis, there was a significant three-way interaction between age, childhood trauma exposure and self-compassion in predicting later-life symptoms of anxiety (ß = -0.68, t(712) = -3.57, p < .001, R2change = 0.01) and depression (ß = -0.54, t(712) = -3.32, p = .001, R2change = 0.01). CONCLUSIONS: The findings indicate that for older American Indian adults, self-compassion may be a particularly promising protective factor for symptoms of depression for those who have experienced high levels of childhood trauma, and for symptoms of anxiety regardless of childhood trauma exposure.


Asunto(s)
Ansiedad , Depresión , Autocompasión , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Masculino , Persona de Mediana Edad , Adulto Joven , Adultos Sobrevivientes del Maltrato a los Niños/psicología , Adultos Sobrevivientes del Maltrato a los Niños/estadística & datos numéricos , Experiencias Adversas de la Infancia/estadística & datos numéricos , Experiencias Adversas de la Infancia/psicología , Factores de Edad , Ansiedad/etnología , Ansiedad/epidemiología , Ansiedad/psicología , Depresión/etnología , Depresión/epidemiología , Depresión/psicología , Empatía , Indígenas Norteamericanos/psicología , Indígenas Norteamericanos/estadística & datos numéricos , Autoimagen , Estados Unidos/epidemiología
15.
J Am Coll Health ; : 1-15, 2023 Jan 03.
Artículo en Inglés | MEDLINE | ID: mdl-36595473

RESUMEN

The experience of childhood trauma is known to predict health-relevant outcomes across the lifespan. Previous reviews summarize existing knowledge of the implications of childhood trauma for health in young adults and adults more generally. The current theoretical review aims to integrate the existing literature on the relationship between childhood trauma and health-relevant outcomes specifically in college students, consolidating findings across specific health domains. Further, the following theoretical review highlights the need for more research in this area and discusses how college campuses may use the knowledge in this area of work to develop targeted interventions aimed at improving the health of college students who experienced trauma in childhood.

16.
SSM Ment Health ; 42023 Dec 15.
Artículo en Inglés | MEDLINE | ID: mdl-38188870

RESUMEN

Cardiometabolic disease and mental health conditions are two major contributors to persistent inequities in health and life expectancy for American Indian adults. The atrocities associated with European colonization are linked to intergenerational psychological and emotional wounding (i.e., historical trauma) and high incidence of childhood trauma. Prior work has examined the independent relationships of childhood trauma and thoughts about historical loss with cardiometabolic and mental health in American Indians. In the current work, we used a data-driven approach to identify profiles of childhood trauma and frequency of thoughts about historical loss, and then examined how these profiles related to cardiometabolic and mental health in a sample of American Indian adults from across the United States (N = 727). We found that a profile characterized by high levels of childhood trauma and high frequency of thoughts about historical losses was associated with the greatest risk for mental health conditions. The profile characterized by the highest levels of childhood trauma and by moderate frequency of thoughts about historical losses was associated with the largest risk of cardiometabolic conditions. The findings represent an important first step towards understanding how childhood trauma and thoughts about historical loss may simultaneously inform enduring inequities in American Indian health.

17.
Emotion ; 23(3): 805-813, 2023 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-35951388

RESUMEN

Life events, such as the Coronavirus disease 2019 (COVID-19) pandemic, elicit increases in psychological stress and symptoms of anxiety and depression. In turn, these outcomes have negative implications for mental health. Emotion regulation strategies and prior adversity may moderate the degree to which life events affect outcomes that are linked to mental health. The purpose of the current study was to evaluate whether childhood adversity and emotion regulation strategy use interactively informed changes in outcomes linked to mental health following the onset of the pandemic in American Indian (AI) adults. AI adults (N = 210) reported levels of childhood adversity, emotion regulation strategy use, symptoms of anxiety and depression, and psychological stress 1 month prior to the onset of the COVID-19 pandemic. One month following the declaration of the pandemic, they reported on their stress, symptoms of anxiety and depression once again. The interaction between expressive suppression and childhood adversity predicted changes in psychological stress and symptoms of depression (B = .26, t(198) = 4.43 p < .001, R² change = .06) and (B = .23 t(199) = 4.14, p < .001, R² change = .05) respectively. The findings indicate that expressive suppression may be a maladaptive emotion regulation strategy for AI adults who experienced high levels of childhood adversity. This work represents a first step in understanding the role of emotion regulation strategy use in predicting mental health-relevant outcomes in the context of a life event, in a community that is disproportionately affected by chronic mental health conditions. (PsycInfo Database Record (c) 2023 APA, all rights reserved).


Asunto(s)
Experiencias Adversas de la Infancia , Indio Americano o Nativo de Alaska , COVID-19 , Regulación Emocional , Estrés Psicológico , Adulto , Humanos , Experiencias Adversas de la Infancia/etnología , Experiencias Adversas de la Infancia/psicología , Indio Americano o Nativo de Alaska/psicología , Ansiedad/psicología , COVID-19/etnología , COVID-19/psicología , Depresión/psicología , Salud Mental , Pandemias , Estrés Psicológico/etnología , Estrés Psicológico/psicología
18.
J Rural Health ; 39(2): 367-373, 2023 03.
Artículo en Inglés | MEDLINE | ID: mdl-35508763

RESUMEN

PURPOSE: To investigate the relationship between daily thoughts about historical loss and daily levels of moderate to vigorous physical activity (MVPA) in American Indian (AI) adults residing on the Blackfeet reservation in Browning, Montana. METHODS: The study was designed and conducted using a community-based participatory research framework and ecological momentary assessment. Over a period of 1 week, 100 AI adults (mean age = 42.18, SD = 14.92) reported how often they thought about historical loss at the end of each day. During this week-long period, all participants wore a wrist-accelerometer to passively and objectively measure levels of physical activity. FINDINGS: We found that Blackfeet AI adults who reported thinking about historical loss more frequently over the course of the week had lower average levels of MVPA over the course of the week compared to Blackfeet AI adults who reported thinking about historical loss less frequently (B = -10.22, 95% CI = -13.83, -6.60). We also found that on days when Blackfeet AI adults thought more about historical loss compared to their weekly average, they had fewer minutes of MVPA compared to their weekly average of minutes of MVPA (B = -0.87, 95% CI = -1.48, -0.27). CONCLUSIONS: Our data indicate that thoughts about historical loss are linked to lower levels of MVPA. Given high incidence of chronic health conditions linked to physical inactivity in AIs, more work is needed to identify the mechanisms through which thoughts about historical loss may inhibit physical activity in this population.


Asunto(s)
Indio Americano o Nativo de Alaska , Actividad Motora , Adulto , Humanos , Ejercicio Físico , Montana , Conducta Sedentaria , Persona de Mediana Edad
19.
Sleep ; 46(6)2023 06 13.
Artículo en Inglés | MEDLINE | ID: mdl-36331805

RESUMEN

Feeling connected with others and experiencing positive interpersonal interactions is associated with physical health and psychological functioning. Despite the importance of social experiences, experimental studies investigating how sleep impacts social connections and positive social experiences are limited. The current study sought to examine how sleep loss impacted social motivation and emotions. Healthy emerging adults (N = 53; 83% female, ages 18-28 years) were randomly assigned to one night of sleep restriction (4h time in bed) or typical sleep (8 h time in bed). Following the experimental night, participants reported on their desire to pursue social connections, and completed a reflection task where they wrote about something generous someone did for them. After the reflection, participants reported on their positive and negative social emotions (gratitude, connectedness, guilt, indebtedness). Coding of the reflections was conducted to extract emotional tone and social words used. Sleep restricted participants reported reduced motivation to pursue social connections, and less gratitude and feelings of connectedness after the reflection compared to the control condition. Sleep restricted participants also used fewer socially-oriented words (i.e. words focused on other people) when reflecting on this interpersonal event. No differences emerged in guilt or indebtedness or emotional tone of the reflection. Findings suggest that sleep loss may decrease desire to engage in social interactions and reduces positive social emotions. These findings expand the limited body of research on sleep and social functioning by examining the impact of partial sleep restriction on social motivation, and on the experience of social emotions within a positive interpersonal context.


Asunto(s)
Emociones , Trastornos del Inicio y del Mantenimiento del Sueño , Adulto , Humanos , Femenino , Masculino , Relaciones Interpersonales , Sueño , Motivación
20.
Anxiety Stress Coping ; 35(2): 190-203, 2022 03.
Artículo en Inglés | MEDLINE | ID: mdl-34014784

RESUMEN

Background: Feeling alive and invigorated, or vitality, is examined within the framework of a stress paradigm. The current study investigated whether endocrine and cardiovascular responses to acute psychological stress predict declines in vitality.Methods: A sample of 90 undergraduate students completed an in-lab stressor. We measured anxiety, state vitality, cortisol levels, heart rate, and blood pressure before the task, and measured changes in state vitality, cortisol, heart rate, and blood pressure in response to the stressor. We investigated whether pre-task anxiety predicted changes in state vitality, and whether such changes were explained by physiological responses.Results: Results indicate that cognitive and somatic anxiety preceding a stressor predict changes in vitality, which is mediated by the magnitude of diastolic (95% CI [0.017, 0.517]; [0.006, 0.454]) and systolic (95% CI [0.038, 0.705]) blood pressure responses to the task. Cortisol reactivity was associated with somatic anxiety (F(6, 83) = 3.34, p < .01, ß = 0.401) but was not related to changes in vitality.Conclusions: Together, these results contribute to the understanding of how physiological reactivity to a stressor can deplete vitality.


Asunto(s)
Hidrocortisona , Saliva , Ansiedad , Presión Sanguínea/fisiología , Frecuencia Cardíaca/fisiología , Humanos , Estrés Psicológico/psicología
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