The risk of common mental disorders in Indigenous Australians experiencing traumatic life events
Background Experiencing traumatic life events is associated with an increased risk of common mental disorders (CMDs), but studies investigating this association within Indigenous populations are limited. Aims The aim of this study was to investigate associations between trauma and CMDs after contro...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Cambridge University Press
2022-01-01
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| Series: | BJPsych Open |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2056472421010632/type/journal_article |
| _version_ | 1811156920256430080 |
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| author | Bushra Farah Nasir Elizabeth G. Ryan Emma B. Black Stephen Kisely Neeraj S. Gill Gavin Beccaria Srinivas Kondalsamy-Chennakesavan Geoffrey C. Nicholson Maree Toombs |
| author_facet | Bushra Farah Nasir Elizabeth G. Ryan Emma B. Black Stephen Kisely Neeraj S. Gill Gavin Beccaria Srinivas Kondalsamy-Chennakesavan Geoffrey C. Nicholson Maree Toombs |
| author_sort | Bushra Farah Nasir |
| collection | DOAJ |
| description | Background
Experiencing traumatic life events is associated with an increased risk of common mental disorders (CMDs), but studies investigating this association within Indigenous populations are limited.
Aims
The aim of this study was to investigate associations between trauma and CMDs after controlling for other exposures.
Method
Trauma exposures and CMD diagnoses were determined in a broadly representative sample of 544 Indigenous Australians, using a diagnostic clinical interview. Associations were determined by multivariate logistic regression.
Results
Trauma exposure independently predicted CMDs. After adjustment for potential confounders, trauma exposure was associated with a 4.01-fold increased risk of a diagnosis of a CMD in the past 12 months. The increased risks were 4.38-, 2.65- and 2.78-fold of having an anxiety disorder, mood disorder or a substance use disorder, respectively. Trauma exposure and comorbid post-traumatic stress disorder was associated with a 4.53-fold increased risk of a diagnosis of a mood disorder, 2.47-fold increased risk of a diagnosis of a substance use disorder, and 3.58-fold increased risk of any diagnosis of a CMD, in the past 12 months. Experiencing both sexual and physical violence was associated with a 4.98-fold increased risk of a diagnosis of an anxiety disorder in the past 12 months.
Conclusions
Indigenous Australians experience significantly increased exposure to potentially harmful trauma compared with non-Indigenous Australians. Preventing and healing trauma exposure is paramount to reduce the high burden of CMDs in this population.
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| first_indexed | 2024-04-10T04:59:12Z |
| format | Article |
| id | doaj.art-7018b2448dbe4269b0d203b98aa76d3c |
| institution | Directory Open Access Journal |
| issn | 2056-4724 |
| language | English |
| last_indexed | 2024-04-10T04:59:12Z |
| publishDate | 2022-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | BJPsych Open |
| spelling | doaj.art-7018b2448dbe4269b0d203b98aa76d3c2023-03-09T12:29:18ZengCambridge University PressBJPsych Open2056-47242022-01-01810.1192/bjo.2021.1063The risk of common mental disorders in Indigenous Australians experiencing traumatic life eventsBushra Farah Nasir0https://orcid.org/0000-0002-8372-4877Elizabeth G. Ryan1Emma B. Black2Stephen Kisely3https://orcid.org/0000-0003-4021-2924Neeraj S. Gill4Gavin Beccaria5Srinivas Kondalsamy-Chennakesavan6Geoffrey C. Nicholson7Maree Toombs8Rural Clinical School, Faculty of Medicine, The University of Queensland, AustraliaCentre for Health Services Research, Faculty of Medicine, The University of Queensland, Australia; and QCIF Facility for Advanced Bioinformatics, Institute for Molecular Bioscience, The University of Queensland, AustraliaRural Clinical School, Faculty of Medicine, The University of Queensland, AustraliaPrincess Alexandra Hospital Southside Clinical Unit, Faculty of Medicine, The University of Queensland, AustraliaRural Clinical School, Faculty of Medicine, The University of Queensland, Australia; and School of Medicine, Griffith University, AustraliaSchool of Psychology and Counselling, The University of Southern Queensland, AustraliaRural Clinical School, Faculty of Medicine, The University of Queensland, AustraliaRural Clinical School, Faculty of Medicine, The University of Queensland, AustraliaRural Clinical School, Faculty of Medicine, The University of Queensland, AustraliaBackground Experiencing traumatic life events is associated with an increased risk of common mental disorders (CMDs), but studies investigating this association within Indigenous populations are limited. Aims The aim of this study was to investigate associations between trauma and CMDs after controlling for other exposures. Method Trauma exposures and CMD diagnoses were determined in a broadly representative sample of 544 Indigenous Australians, using a diagnostic clinical interview. Associations were determined by multivariate logistic regression. Results Trauma exposure independently predicted CMDs. After adjustment for potential confounders, trauma exposure was associated with a 4.01-fold increased risk of a diagnosis of a CMD in the past 12 months. The increased risks were 4.38-, 2.65- and 2.78-fold of having an anxiety disorder, mood disorder or a substance use disorder, respectively. Trauma exposure and comorbid post-traumatic stress disorder was associated with a 4.53-fold increased risk of a diagnosis of a mood disorder, 2.47-fold increased risk of a diagnosis of a substance use disorder, and 3.58-fold increased risk of any diagnosis of a CMD, in the past 12 months. Experiencing both sexual and physical violence was associated with a 4.98-fold increased risk of a diagnosis of an anxiety disorder in the past 12 months. Conclusions Indigenous Australians experience significantly increased exposure to potentially harmful trauma compared with non-Indigenous Australians. Preventing and healing trauma exposure is paramount to reduce the high burden of CMDs in this population. https://www.cambridge.org/core/product/identifier/S2056472421010632/type/journal_articleAboriginal and Torres Strait IslanderIndigenous Australianstraumacommon mental disordersStructured Clinical Interview for DSM-IV Axis I Disorders |
| spellingShingle | Bushra Farah Nasir Elizabeth G. Ryan Emma B. Black Stephen Kisely Neeraj S. Gill Gavin Beccaria Srinivas Kondalsamy-Chennakesavan Geoffrey C. Nicholson Maree Toombs The risk of common mental disorders in Indigenous Australians experiencing traumatic life events BJPsych Open Aboriginal and Torres Strait Islander Indigenous Australians trauma common mental disorders Structured Clinical Interview for DSM-IV Axis I Disorders |
| title | The risk of common mental disorders in Indigenous Australians experiencing traumatic life events |
| title_full | The risk of common mental disorders in Indigenous Australians experiencing traumatic life events |
| title_fullStr | The risk of common mental disorders in Indigenous Australians experiencing traumatic life events |
| title_full_unstemmed | The risk of common mental disorders in Indigenous Australians experiencing traumatic life events |
| title_short | The risk of common mental disorders in Indigenous Australians experiencing traumatic life events |
| title_sort | risk of common mental disorders in indigenous australians experiencing traumatic life events |
| topic | Aboriginal and Torres Strait Islander Indigenous Australians trauma common mental disorders Structured Clinical Interview for DSM-IV Axis I Disorders |
| url | https://www.cambridge.org/core/product/identifier/S2056472421010632/type/journal_article |
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