Childhood physical and sexual abuse and subsequent depressive and anxiety disorders for two American Indian tribes

Anne M. Libby, Heather D. Orton, Douglas K. Novins, Janette Beals, Spero M. Manson, Cecilia Big Crow, Buck Chambers, Michelle Christensen, Denise Dillard, Karen DuBray, Paula Espinoza, Candace Fleming, Ann Frederick, Joseph Gone, Diana Gurley, Lori Jervis, Shirlene Jim, Carol Kaufman, Ellen Keane, Suzell KleinDenise Lee, Monica McNulty, Denise Middlebrook, Christina Mitchell, Tilda Nez, Ilena Norton, Theresa O'Nell, Carlette Randall, Angela Sam, James Shore, Sylvia Simpson, Lorette Yazzie

Research output: Contribution to journalArticle

Abstract

Background. This study examined the relationship of childhood abuse, both physical and sexual, with subsequent lifetime depressive and anxiety disorders - depression or dysthymia, post-traumatic stress disorder (PTSD), and panic or generalized anxiety disorder (GAD) - among American Indians (AIs). Method. Three thousand and eighty-four AIs from two tribes - Southwest and Northern Plains - participated in a large-scale, community-based study. Participants were asked about traumatic events and family history, and were administered standard diagnostic measures of depressive/anxiety disorders. Results. Prevalence of childhood physical abuse was approximately 7 % for both tribes. The Southwest tribe had higher prevalence of depressive and anxiety disorders, with rates of PTSD being the highest. Childhood physical abuse was significant in bivariate models of depressive/anxiety disorders, and remained so in the multivariate models. Conclusions. Childhood physical abuse was a significant predictor of all disorder groups for males in both tribes except for panic/GAD for the Northern Plains tribe in multivariate models; females showed a more varied pattern. Childhood sexual abuse did not significantly differ for males and females, and was an independent predictor of PTSD for both tribes, controlling for childhood physical abuse and other factors, and was significant for the other disorder groups only in the Southwest. Additional covariates that increased the odds of depressive/anxiety disorders were adult physical or sexual victimization, chronic illness, lifetime alcohol or drug disorder, and parental problems with depression, alcohol, or violence. Results provided empirical evidence of childhood and later life risk factors and expanded the population at risk to include males.

Original languageEnglish (US)
Pages (from-to)329-340
Number of pages12
JournalPsychological Medicine
Volume35
Issue number3
DOIs
StatePublished - Mar 2005
Externally publishedYes

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North American Indians
Sex Offenses
Depressive Disorder
Anxiety Disorders
Population Groups
Post-Traumatic Stress Disorders
Panic
Alcohols
Depression
Crime Victims
Physical Abuse
Violence
Chronic Disease
Pharmaceutical Preparations

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Psychology(all)
  • Clinical Psychology

Cite this

Libby, A. M., Orton, H. D., Novins, D. K., Beals, J., Manson, S. M., Big Crow, C., ... Yazzie, L. (2005). Childhood physical and sexual abuse and subsequent depressive and anxiety disorders for two American Indian tribes. Psychological Medicine, 35(3), 329-340. https://doi.org/10.1017/S0033291704003599

Childhood physical and sexual abuse and subsequent depressive and anxiety disorders for two American Indian tribes. / Libby, Anne M.; Orton, Heather D.; Novins, Douglas K.; Beals, Janette; Manson, Spero M.; Big Crow, Cecilia; Chambers, Buck; Christensen, Michelle; Dillard, Denise; DuBray, Karen; Espinoza, Paula; Fleming, Candace; Frederick, Ann; Gone, Joseph; Gurley, Diana; Jervis, Lori; Jim, Shirlene; Kaufman, Carol; Keane, Ellen; Klein, Suzell; Lee, Denise; McNulty, Monica; Middlebrook, Denise; Mitchell, Christina; Nez, Tilda; Norton, Ilena; O'Nell, Theresa; Randall, Carlette; Sam, Angela; Shore, James; Simpson, Sylvia; Yazzie, Lorette.

In: Psychological Medicine, Vol. 35, No. 3, 03.2005, p. 329-340.

Research output: Contribution to journalArticle

Libby, AM, Orton, HD, Novins, DK, Beals, J, Manson, SM, Big Crow, C, Chambers, B, Christensen, M, Dillard, D, DuBray, K, Espinoza, P, Fleming, C, Frederick, A, Gone, J, Gurley, D, Jervis, L, Jim, S, Kaufman, C, Keane, E, Klein, S, Lee, D, McNulty, M, Middlebrook, D, Mitchell, C, Nez, T, Norton, I, O'Nell, T, Randall, C, Sam, A, Shore, J, Simpson, S & Yazzie, L 2005, 'Childhood physical and sexual abuse and subsequent depressive and anxiety disorders for two American Indian tribes', Psychological Medicine, vol. 35, no. 3, pp. 329-340. https://doi.org/10.1017/S0033291704003599
Libby, Anne M. ; Orton, Heather D. ; Novins, Douglas K. ; Beals, Janette ; Manson, Spero M. ; Big Crow, Cecilia ; Chambers, Buck ; Christensen, Michelle ; Dillard, Denise ; DuBray, Karen ; Espinoza, Paula ; Fleming, Candace ; Frederick, Ann ; Gone, Joseph ; Gurley, Diana ; Jervis, Lori ; Jim, Shirlene ; Kaufman, Carol ; Keane, Ellen ; Klein, Suzell ; Lee, Denise ; McNulty, Monica ; Middlebrook, Denise ; Mitchell, Christina ; Nez, Tilda ; Norton, Ilena ; O'Nell, Theresa ; Randall, Carlette ; Sam, Angela ; Shore, James ; Simpson, Sylvia ; Yazzie, Lorette. / Childhood physical and sexual abuse and subsequent depressive and anxiety disorders for two American Indian tribes. In: Psychological Medicine. 2005 ; Vol. 35, No. 3. pp. 329-340.
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AU - Libby, Anne M.

AU - Orton, Heather D.

AU - Novins, Douglas K.

AU - Beals, Janette

AU - Manson, Spero M.

AU - Big Crow, Cecilia

AU - Chambers, Buck

AU - Christensen, Michelle

AU - Dillard, Denise

AU - DuBray, Karen

AU - Espinoza, Paula

AU - Fleming, Candace

AU - Frederick, Ann

AU - Gone, Joseph

AU - Gurley, Diana

AU - Jervis, Lori

AU - Jim, Shirlene

AU - Kaufman, Carol

AU - Keane, Ellen

AU - Klein, Suzell

AU - Lee, Denise

AU - McNulty, Monica

AU - Middlebrook, Denise

AU - Mitchell, Christina

AU - Nez, Tilda

AU - Norton, Ilena

AU - O'Nell, Theresa

AU - Randall, Carlette

AU - Sam, Angela

AU - Shore, James

AU - Simpson, Sylvia

AU - Yazzie, Lorette

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N2 - Background. This study examined the relationship of childhood abuse, both physical and sexual, with subsequent lifetime depressive and anxiety disorders - depression or dysthymia, post-traumatic stress disorder (PTSD), and panic or generalized anxiety disorder (GAD) - among American Indians (AIs). Method. Three thousand and eighty-four AIs from two tribes - Southwest and Northern Plains - participated in a large-scale, community-based study. Participants were asked about traumatic events and family history, and were administered standard diagnostic measures of depressive/anxiety disorders. Results. Prevalence of childhood physical abuse was approximately 7 % for both tribes. The Southwest tribe had higher prevalence of depressive and anxiety disorders, with rates of PTSD being the highest. Childhood physical abuse was significant in bivariate models of depressive/anxiety disorders, and remained so in the multivariate models. Conclusions. Childhood physical abuse was a significant predictor of all disorder groups for males in both tribes except for panic/GAD for the Northern Plains tribe in multivariate models; females showed a more varied pattern. Childhood sexual abuse did not significantly differ for males and females, and was an independent predictor of PTSD for both tribes, controlling for childhood physical abuse and other factors, and was significant for the other disorder groups only in the Southwest. Additional covariates that increased the odds of depressive/anxiety disorders were adult physical or sexual victimization, chronic illness, lifetime alcohol or drug disorder, and parental problems with depression, alcohol, or violence. Results provided empirical evidence of childhood and later life risk factors and expanded the population at risk to include males.

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