The impact of a stress management intervention including cultural components on stress biomarker levels and mental health indicators among indigenous women.

Autor: Aker A; Department of Health & Society, University of Toronto Scarborough, Toronto, ON, Canada., Serghides L; Toronto General Hospital Research Institute, University Health Network, Toronto, Canada.; Department of Immunology, Institute of Medical Sciences, University of Toronto, Toronto, ON, Canada.; Women's College Hospital, Women's College Research Institute, University of Toronto, Toronto, ON, Canada., Cotnam J; Women's College Hospital, Women's College Research Institute, University of Toronto, Toronto, ON, Canada., Jackson R; McMaster Indigenous Research Institute, McMaster University, Hamilton, ON, Canada., Robinson M; Department of Sociology and Social Anthropology, Dalhousie University, Nova Scotia, Canada., Gauvin H; Elevate NWO, Thunder Bay, ON, Canada., Mushquash C; Centre for Rural and Northern Health Research, Lakehead University, Thunder Bay, ON, Canada.; Department of Psychology, Northern Ontario School of Medicine, Lakehead University, Thunder Bay, ON, Canada.; Dilico Anishinabek Family Care, Fort William First Nation, Thunder Bay, ON, Canada., Gesink D; Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada., Amirault M; Canadian Aboriginal AIDS Network, Dartmouth, NS, Canada., Benoit AC; Department of Health & Society, University of Toronto Scarborough, Toronto, ON, Canada. anita.benoit@utoronto.ca.; Women's College Hospital, Women's College Research Institute, University of Toronto, Toronto, ON, Canada. anita.benoit@utoronto.ca.; Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada. anita.benoit@utoronto.ca.
Jazyk: angličtina
Zdroj: Journal of behavioral medicine [J Behav Med] 2023 Aug; Vol. 46 (4), pp. 594-608. Date of Electronic Publication: 2023 Jan 18.
DOI: 10.1007/s10865-023-00391-0
Abstrakt: We examined the effectiveness of a 26-week culture-inclusive intervention on reducing salivary stress biomarker levels, and perceived stress, depressive, and post-traumatic stress disorder (PTSD) symptoms measured using scales in 53 Indigenous women in Ontario, Canada. Statistical analyses compared the average biomarker levels, and the area under the curve (AUC) of biomarkers. Differences in biomarkers and mental health scale scores pre- and post-intervention were compared using mixed models with a random intercept. Interaction terms were included between the intervention and age, education, disability, and HIV status, individually, to test for sub-group differences. Cortisol AUC post-intervention was decreased compared to pre-intervention (β -1.29 µg/dL; 95%CI -2.35, -0.23). There was a slight decrease in perceived stress levels (aOR: -2.80; 95%CI -5.09, -0.50). The associations were stronger among women of younger age, higher education, and no disabilities. These interventions can be effective, but future interventions should target Indigenous population sub-groups to address individual needs.
(© 2023. The Author(s).)
Databáze: MEDLINE
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