Remission from Pathological Gambling among Hispanics and Native Americans

Westermeyer, Joseph; Cañive, José M.; Thuras, Paul; Kim, Suk W.; Crosby, Ross D.; Thompson, James Westfall; Garrard, Judith

doi:10.1007/s10597-006-9057-4

Cited by 12 publications

(7 citation statements)

References 34 publications

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“…Population-based studies identified higher cortisol levels in women [51]; cardiovascular disease [52]; nightmares [16]; substance use disorders [41]; and bodily pain [24]. Community-based studies identified depressive symptoms [39]; pathological gambling [34, 53]; lifetime nicotine dependence [34, 44]; and anti-social personality disorders [34]. Clinical studies identified substance abuse [38, 47]; alcohol abuse [47]; and other mental disorders [38].…”

Section: Resultsmentioning

confidence: 99%

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Posttraumatic stress disorder and symptoms among American Indians and Alaska Natives: a review of the literature

Bassett

Buchwald

Manson

2013

Soc Psychiatry Psychiatr Epidemiol

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Purpose: American Indians and Alaska Natives (AI/ANs) experience high rates of trauma and posttraumatic stress disorder (PTSD). We reviewed existing literature to address three interrelated questions: 1) What is the prevalence of PTSD and PTSD symptoms among AI/ANs? 2) What are the inciting events, risk factors, and comorbidities in AI/ANs, and do they differ from those in the general U.S. population? 3) Are studies available to inform clinicians about the course and treatment of PTSD in this population? Methods: We searched the PubMed and Web of Science databases and a database on AI/AN health, capturing an initial sample of 77 original English-language articles published 1992-2010. After applying exclusion criteria, we retained 37 articles on prevalence of PTSD and related symptoms among AI/AN adults. We abstracted key information and organized it in tabular format. Results: AI/ANs experience a substantially greater burden of PTSD and related symptoms than U.S. Whites. Combat experience and interpersonal violence were consistently cited as leading causes of PTSD and related symptoms. PTSD was associated with bodily pain, lung disorders, general health problems, substance abuse, and pathological gambling. In general, inciting events, risk factors, and comorbidities appear similar to those in the general U.S. population. Conclusions: Substantial research indicates a strikingly high incidence of PTSD in AI/AN populations. However, inciting events, risk factors, and comorbidities in AI/ANs, and how they may differ from those in the general population, are poorly understood. Very few studies are available on the clinical course and treatment of PTSD in this vulnerable population.

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Section: Resultsmentioning

confidence: 99%

“…In the studies examined for the present review, remission from pathological gambling [53], nicotine dependence [34], and substance use [43] was associated with improved PTSD outcomes in AI/ANs. Three studies suggested that traditional Native spiritual practices appear to have a protective effect [32, 56, 57].…”

Section: Resultsmentioning

confidence: 99%

Posttraumatic stress disorder and symptoms among American Indians and Alaska Natives: a review of the literature

Bassett

Buchwald

Manson

2013

Soc Psychiatry Psychiatr Epidemiol

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“…Importantly, research results from Westermeyer et al (2006) found that an absence of stress appeared to be related to a reduction in gambling. In a sample of over 1,600 Aboriginal veterans in the US, remission from a lifetime diagnosis of problem gambling (no gambling symptoms in the past year), using the Diagnostic Interview Schedule for DSM-III-R (APA 2000), was associated with a lack of stress and post traumatic stress (Westermeyer et al 2006).…”

Section: The Hostmentioning

confidence: 96%

“…In a sample of over 1,600 Aboriginal veterans in the US, remission from a lifetime diagnosis of problem gambling (no gambling symptoms in the past year), using the Diagnostic Interview Schedule for DSM-III-R (APA 2000), was associated with a lack of stress and post traumatic stress (Westermeyer et al 2006). Stress appears to be closely bound to initiating and maintaining problem gambling for some Aboriginal gamblers and an absence of stress appears to reduce this risk.…”

Section: The Hostmentioning

confidence: 99%

Aboriginal Gambling and Problem Gambling: A Review

Breen

Gainsbury

2012

Int J Ment Health Addiction

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The prevention of gambling-related problems amongst Aboriginal communities has been neglected by most public health strategies which concentrate on mainstream populations. Research indicates that rates of problem gambling are higher for Aboriginal groups than the general population. Specific cultural, familial, and social patterns influence gambling by Aboriginal groups, which are individually different, making it difficult to implement a cohesive strategy to address gambling-related harms. Because of this complexity, a thorough literature review is necessary to identify gaps in policy and research. This paper uses a public health framework to consider multi-dimensional influences (personal, environmental, economic, cultural and social) that affect gambling uptake. Such analysis is also important for identifying risk factors which facilitate the development and maintenance of problem gambling and potentially for underpinning protection, prevention and treatment programs. It is advised that strategies be developed in consultation with Aboriginal peoples to guide public health policy and research to minimise any gambling-related harms.

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“…This interest grew out of the apparent aversion of these two groups to seek mental health services in Veterans Administration (VA) settings (Westermeyer, Canive, Garrard, et al, 2002;. Serendipitously, this VAfunded study circled around to a study of behavior-related disorder, this time Pathological Gambling (Westermeyer, Canive, Garrard, Thuras, & Thompson, 2005;Westermeyer, et al, 2006). I am currently conducting another VA-funded study on the epidemiology of gambling problems among veterans.…”

Section: American Indians and Alcohol Abuse-dependencementioning

confidence: 99%

A personal journey into cultural psychiatry

Westermeyer

2011

Transcult Psychiatry

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The two primary audiences for this article are psychiatrists interested in a cultural psychiatry career and academic as well as healthcare leaders who are in a position to support cultural psychiatry training. In addition to describing my own personal journey through cultural psychiatry, this report includes strategic recommendations for becoming a cultural psychiatrist as well as rationales for supporting a cadre of cultural psychiatrists in the coming decades. A World Health Organization (WHO) sponsored program for training clinicians in addictions is described. Finally, the account summarizes those clinical, research, educational, consultative, and leadership roles that cultural training influenced during my career.

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Remission from Pathological Gambling among Hispanics and Native Americans

Cited by 12 publications

References 34 publications

Posttraumatic stress disorder and symptoms among American Indians and Alaska Natives: a review of the literature

Posttraumatic stress disorder and symptoms among American Indians and Alaska Natives: a review of the literature

Aboriginal Gambling and Problem Gambling: A Review

A personal journey into cultural psychiatry

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