Depression and Indigenous peoples in the United States and Canada: Prevalence, risk/protective factors, interventions.

Référence

Wendt DC, Garneau M, Fraser-Purdy H, Augustine N, Gilpin C, Stewart SH, Mushquash C, Burack JA. (2025). Depression and Indigenous peoples in the United States and Canada: Prevalence, risk/protective factors, interventions (chapter 4). Dans JW Pettit, TM Olino, R Boyd, B Chu, E Hayden, D Pizzagalli (dir.), APA Handbook of Depression (vol. 2). American Psychological Association.

Résumé

This chapter focuses on depression in the context of Indigenous Peoples of North America (Turtle Island). While this population includes less than 5% of the United States (U.S.) and Canada, the implications of this chapter are outsized relative to the population size. Mental health problems, including depression, faced by Indigenous Peoples are inseparable from settler–colonialism. This chapter tries to understand relevant psychological and clinical approaches while simultaneously holding cultural and traditional knowledge of Indigenous Peoples at the forefront. Indigenous coauthors help facilitate this cultural relevance. First, the chapter provides a brief overview of the Indigenous context in the U.S. and Canada to better conceptualize depression in this population. Next, it summarizes the literature on depression phenomenology and prevalence in Indigenous communities, addressing key risk and protective factors. Finally, the chapter summarizes the literature on best intervention practices, including assessment, mental health promotion, prevention, psychotherapy, and cultural interventions.