ABSTRACT

Objective

Indigenous Peoples and scholars call for strengths-based approaches to research inclusive of Indigenous resiliency and positive outcomes. The purpose of this study was to examine positive mental health for Indigenous adults with type 2 diabetes and to determine if positive mental health is linked to community connectedness (a coping resource) and active coping (a coping response).

Methods

Participants (N = 194 at baseline) were randomly selected from clinical records, at least 18 years old with a type 2 diabetes diagnosis, and self-identified as American Indian.

Results

Latent growth curve models revealed that average positive mental health was predicted to decrease over the four waves of the study, although not for participants with above-average active coping at baseline. Community connectedness at baseline was associated with higher initial levels of positive mental health. Within-person change in active coping and community connectedness were both associated with increases in positive mental health.

Conclusion

This study aligns with previous research demonstrating that coping can influence health outcomes, and furthers the stress process literature by showing that active coping and community connectedness can impact positive mental health for Indigenous adults with Type 2 Diabetes.

中文翻译：

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一项关于患有 2 型糖尿病的土著成年人积极心理健康和应对的纵向研究

摘要

客观的

原住民和学者呼吁采用基于优势的方法来研究，包括原住民的弹性和积极成果。本研究的目的是检查患有 2 型糖尿病的土著成年人的积极心理健康状况，并确定积极的心理健康状况是否与社区联系（应对资源）和积极应对（应对反应）有关。

方法

参与者（基线时 N = 194）是从临床记录中随机选择的，年龄至少 18 岁，诊断为 2 型糖尿病，并且自我认定为美洲印第安人。

结果

潜在增长曲线模型显示，平均积极的心理健康预计会在研究的四波中下降，尽管对于基线时积极应对高于平均水平的参与者而言并非如此。基线时的社区联系与较高的积极心理健康初始水平相关。积极应对和社区联系方面的个人变化都与积极心理健康的增加有关。

结论

这项研究与之前的研究一致，表明应对可以影响健康结果，并通过表明积极的应对和社区联系可以影响患有 2 型糖尿病的土著成年人的积极心理健康来进一步扩展压力过程文献。