학술논문
The impact of a stress management intervention including cultural components on stress biomarker levels and mental health indicators among indigenous women.
Document Type
Article
Author
Source
Subject
*CULTURE -- Psychological aspects
*SALIVA analysis
*STRESS management
*BIOMARKERS
*INDIGENOUS women
*CONFIDENCE intervals
*AGE distribution
*MENTAL health
*POST-traumatic stress disorder
*TREATMENT effectiveness
*DESCRIPTIVE statistics
*RESEARCH funding
*HUMAN beings
*PSYCHOLOGICAL stress
*EDUCATIONAL attainment
*PSYCHOSOCIAL factors
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Language
ISSN
0160-7715
Abstract
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. [ABSTRACT FROM AUTHOR]