Posttraumatic Stress Disorder and Its Comorbidities Among American Indian Veterans
- 260 Downloads
Goal consists of describing the demographic and comorbid characteristics associated with Posttraumatic Stress Disorder (PTSD) among American Indian veterans with any lifetime Axis 1 disorder. Sample included 252 American Indian veterans, obtained from a community sample of 557, using targeted sampling designed to provide a representative sample, structured to include equal numbers of rural and urban veterans and a twofold over sample of women. Data collection involved lifetime diagnoses based on the Diagnostic Interview Schedule/Quick Version/DSM-III-R, demographic characteristics, and combat exposure. Findings Bivariate comparisons showed positive relationships of PTSD with combat exposure, mood disorder and anxiety disorders (excluding PTSD), but a negative relationship with substance use disorder. Binary logistic regression analyses showed an independent association of PTSD with mood and anxiety disorders as well as combat exposure.
KeywordsAmerican Indian Veterans Posttraumatic stress disorder Comorbidity
The Health Services Research and Development Research Office of Veterans Administration Central Office supported this study. James Thompson, M.D., M.P.H., Member of Delaware Tribe, Ross Crosby, Ph.D., Associate Professor of Neuroscience at the University of North Dakota, Eligio Padilla, Ph.D., Professor of Psychiatry at the University of New Mexico, Judith Garrard, Ph.D., Professor of Public Health at the University of Minnesota, and Ms. Dana Chesness, research coordinator at the Minneapolis VAMC collaborated in the project design.
- Friedman, M. J., Ashcraft, M. L., Beals, J. L., Keane, T., Manson, S. M., & Marsella, A. J. (1997). Matsunaga vietnam veterans project. National center for post-traumatic stress disorder and national center for American Indian and Alaska native mental health research, 1997. Report no. Vols. 1 and 2.Google Scholar
- Lippman, S., Manshadi, M., Christie, S., & Gultekin, A. (1987). Depression in alcoholics by the NIMH-diagnostic interview schedule and Zung self-rating depression scale. International Journal Addiction, 22, 273–281.Google Scholar
- Maes, M., Delmeire, L., Mylle, J., & Altamura, C. (2001). Risk and preventive factors of posttraumatic stress disorder (PTSD): Alcohol consumption and intoxication prior to a traumatic event diminishes the relative risk to develop PTSD in response to that trauma. Journal Affective Disorders, 63, 113–121.CrossRefGoogle Scholar
- Manson, S. M., Shore, J. H., Bloom, J. D., Keepers, G., & Neligh, G. (1985). Alcohol abuse and major affective disorders: Advances in epidemiological research among American Indians. In D. L. Spiegler, D. A. Tate, S. S. Aitken, & C. M. Christian (Eds.), Alcohol use among us ethnic minorities (pp. 291–311). Washington, D.C.: U.S. Dept. Health Human Services.Google Scholar
- Niederland, W. G. (1967). A contribution to the psychology of gambling. Psychoanalytic Forum, 2, 175–185.Google Scholar
- Niederland, W. G. (1968). Clinical observations on the survivor syndrome. International Journal Psychoanalysis, 49, 313–315.Google Scholar
- Niederland, W. G. (1984). Compulsive gambling and the ‘survivor syndrome’. American Journal Psychiatry, 141(8), 1013.Google Scholar
- Regier, D. A., Farmer, M. E., Rae, D. S., Locke, B. Z., Keith, S. J., Judd, L. L., et al. (1990). Comorbidity of mental disorders with alcohol and other drug abuse: Results from the epidemiological catchment area (ECA) study. Journal American Medical Association, 264(19), 2511–2518.CrossRefGoogle Scholar
- Robin, R. W., Chester, B., Rasmussen, J. K., Jaranson, J. M., & Goldman, D. (1997). Prevalence and characteristics of trauma and posttraumatic stress disorder in a southwestern American Indian community. American Journal Psychiatry, 154(11), 1582–1588.Google Scholar
- Westermeyer, J., Canive, J., Garrard, J., Padilla, E., Crosby, R., & Thuras, P. (2002). Perceived barriers to mental health care for American Indian and Hispanic veterans: Reports by 100 VA staff. Transcultural Psychiatry, 39(4), 516–530.Google Scholar