Citation

Dinges NG, Duong-Tran Q. Cult. Med. Psychiatry 1993; 16(4): 487-502.

Affiliation

Department of Behavioral Sciences, University of Alaska, Fairbanks.

Copyright

(Copyright © 1993, Holtzbrinck Springer Nature Publishing Group)

DOI

unavailable

PMID

1305528

Abstract

Depression, suicidality and substance abuse disorders are examined with special emphasis on the role of stressful life events in predicting severity and patterns of comorbidity among American Indian and Alaska Native adolescents in boarding school environments. Both amount and severity of comorbidity increase with age and specific patterns of comorbidity are associated with gender. Different types and amounts of stressful life events predict specific combinations of comorbidity. These outcomes are interpretable with respect to associated cultural dynamics and the ecology of mental health services delivery for Indian and Native adolescents. Theoretical and methodological issues are discussed in relation to the use of stressful life events in examining cultural factors related to comorbidity among culturally different populations.

Language: en