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Open Access 18-01-2023 | Post-Traumatic Stress Disorder

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

Authors: Amira Aker, Lena Serghides, Jasmine Cotnam, Randy Jackson, Margaret Robinson, Holly Gauvin, Christopher Mushquash, Dionne Gesink, Marni Amirault, Anita C. Benoit

Published in: Journal of Behavioral Medicine | Issue 4/2023

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.

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Title: The impact of a stress management intervention including cultural components on stress biomarker levels and mental health indicators among indigenous women
Authors: Amira Aker
Lena Serghides
Jasmine Cotnam
Randy Jackson
Margaret Robinson
Holly Gauvin
Christopher Mushquash
Dionne Gesink
Marni Amirault
Anita C. Benoit
Publication date: 18-01-2023
Publisher: Springer US
Keywords: Post-Traumatic Stress Disorder
Human Immunodeficiency Virus
Biomarkers
Published in: Journal of Behavioral Medicine / Issue 4/2023
Print ISSN: 0160-7715
Electronic ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-023-00391-0

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

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