Personal and collective experiences of stress and trauma and their links with well-being across the lifespan and generations
Indigenous peoples in Canada and other similar colonial countries experience more stress and trauma compared to non-Indigenous people. Stress and trauma include but are not limited to food insecurity, abuse and violence, and interpersonal and systemic racism. Some of our research has focused on various types of trauma and stress faced by Indigenous peoples and assesses how these experiences are associated with health and social outcomes. The high rates of adversity in today’s Indigenous population are associated with the various collectively experienced traumatic experiences faced by Indigenous communities over generations since before Canada became a nation. Our research explores how the stress and trauma faced by today’s Indigenous population are linked with past government policies such as the residential school system and the child welfare system during and after the Sixties Scoop. For example, our analyses of national and regional data collected from Indigenous peoples have revealed that those with a parent or grandparent who attended residential school are at an increased risk for experiencing stress and trauma in their own lives, which in turn contributes to susceptibility to various negative health and social outcomes.
Despite the stress and trauma experienced, Indigenous peoples continue to demonstrate their strength and resilience in various ways. To find out how various aspects of cultural identity and engagement can buffer against the negative effects of adversity and promote wellness, please click here.
To find out how our research is beginning to assess how biological factors might be involved in the transmission of effects of residential schools or the child welfare system across generations, please click here.
To find out how the consequences of numerous harmful past and ongoing aspects of settler colonialism in Canada are contributing to health and social inequities relative to the non-Indigenous population in Canada, please click here.
To find out how we are examining the current landscape of Indigenous education curriculums in Canada and exploring best practices for educators and academics conducting Indigenous health research please click here.
Journal Articles
https://doi.org/10.1177/21568693221108766
Limited studies have assessed how parent and/or grandparent attendance at residential schools is associated with mental health and substance use among First Nations peoples living off reserve, while also considering how cultural dimensions relate to these outcomes. Analyses of the 2017 Aboriginal Peoples Survey revealed that the odds of self-reported diagnosed mood and anxiety disorders, past-year heavy drinking, and frequent marijuana use were significantly higher among First Nations adults living off reserve who had either a parent and/or grandparent who attended residential schools, even when controlling for covariates. In predicting diagnosed mood disorder, positive cultural identity affect and cultural engagement moderated the effect of parent residential school attendance while cultural exploration moderated the effect of two generations of attendance. Cultural exploration was a protective factor for grandparent residential school attendance in relation to past-year frequent marijuana use. Interventions that are trauma-informed and culturally-based should be considered for this population.
https://doi.org/10.3390/ijerph19116877
First Nations children are over 17 times more likely to be removed from their families and placed in the child welfare system (CWS) than non-Indigenous children in Canada. The high rates of parent-child separation have been linked to discriminatory public services and the Indian Residential School (IRS) system, which instigated a multi-generational cycle of family disruption. However, limited empirical evidence exists linking the IRS to subsequent parent-child separations, the CWS, and mental health outcomes among First Nations, Inuit, and Métis populations in Canada. The current studies examine these relationships using a nationally representative sample of First Nations youth (ages 12–17 years) living in communities across Canada (Study 1), and among First Nations and Métis adults (ages 18+ years) in Canada (Study 2). Study 1 revealed that First Nations youth with a parent who attended IRS had increased odds of not living with either of their biological parents, and both IRS and not living with biological parents independently predicted greater psychological distress. Similarly, Study 2 revealed that First Nations and Métis adults with familial IRS history displayed greater odds of spending time in the CWS, and both IRS and CWS predicted elevated depressive symptoms. The increased distress and depressive symptoms associated with parent-child separations calls for First Nations-led interventions to address the inequities in the practices of removing Indigenous children and youth from their families.
https://fpcfr.com/index.php/FPCFR/article/view/401
The health and wellness of Indigenous peoples continue to be impacted by the harmful colonization practices enforced by the Government of Canada. While the long-term health impacts of the Indian Residential School (IRS) system are documented, empirical evidence elucidating the relationship between the IRSs and the risk of offspring experiencing other collective childhood traumas, such as the Sixties Scoop (1950-1990) and the inequities within the child welfare system (CWS), is needed. Through an online study, we explored the links between familial (parents/grandparents) IRS attendance and subsequent involvement in the CWS in a non-representative sample of Indigenous adults in Canada born during the Sixties Scoop era. The final sample comprised 433 adults who self-identified as Status First Nation (52.2%), non-Status First Nation (23.6%), and Métis (24.2%). The study found that adults with a parent who attended IRS were more likely to have spent time in foster care or in a group home during the Sixties Scoop era. They were also more likely to have grown up in a household in which someone used alcohol or other drugs, had a mental illness or a previous suicide attempt, had spent time in prison, had lower mean levels of general household stability, and tended to have lower household economic stability. Moreover, the relationship between parental IRS attendance and foster care was explained, in part (i.e., mediated) by a higher childhood household adversity score. These findings highlight that the intergenerational cycles of household risk introduced by the IRS system contribute to the cycles of childhood adversity and increased risk of spending time within the CWS in Canada. This is the first study among Indigenous adults from across Canada to demonstrate quantitatively that being affected by the CWS during the Sixties Scoop era is linked to intergenerational cycles of risk associated with the IRS system.
http://doi.org/10.1017/CBO9780511920165.007
Two studies assessed the nature of parental communication about the trauma of Indian Residential Schools (IRSs) in relation to the psychological distress of their adult offspring, and whether the link between parental communication and distress was mediated by offsprings’ greater awareness of collective discrimination or sense of pride in cultural identity. In Study 1, an online survey of Indigenous participants from across Canada (N = 498) demonstrated a curvilinear relation between the extent to which parents talked about their negative IRS experiences and the severity of depressive symptoms among offspring, among whom symptoms were particularly pronounced with more frequent communication. This relation was mediated by greater perceived discrimination. A similar, but inverse, association was found when parental communications conveyed positive construals of their IRS experiences. Study 2 (N = 134) further demonstrated an association between direct communications from IRS survivors and offspring wellbeing in that, either the absence of, or especially frequent communications were related to more severe depressive symptoms among offspring. However, hearing about parental IRS experiences from someone other than the parent was not related to offsprings’ depressive symptoms. Qualitative analyses indicated that direct communications from parents tended to provide excessive detail, whereas parental silence was associated with speculation and feelings of isolation or resentment among offspring of IRS survivors. Taken together, the results suggest that either insufficient or excessive parental communication about trauma might undermine offspring wellbeing, whereas moderate levels of communication that provide positive meaning and promote cultural pride or diminish perceptions of personal discrimination could be beneficial.
https://doi.org/10.1017/S2040174418000405
Two studies assessed the nature of parental communication about the trauma of Indian Residential Schools (IRSs) in relation to the psychological distress of their adult offspring, and whether the link between parental communication and distress was mediated by offsprings’ greater awareness of collective discrimination or sense of pride in cultural identity. In Study 1, an online survey of Indigenous participants from across Canada (N = 498) demonstrated a curvilinear relation between the extent to which parents talked about their negative IRS experiences and the severity of depressive symptoms among offspring, among whom symptoms were particularly pronounced with more frequent communication. This relation was mediated by greater perceived discrimination. A similar, but inverse, association was found when parental communications conveyed positive construals of their IRS experiences. Study 2 (N = 134) further demonstrated an association between direct communications from IRS survivors and offspring wellbeing in that, either the absence of, or especially frequent communications were related to more severe depressive symptoms among offspring. However, hearing about parental IRS experiences from someone other than the parent was not related to offsprings’ depressive symptoms. Qualitative analyses indicated that direct communications from parents tended to provide excessive detail, whereas parental silence was associated with speculation and feelings of isolation or resentment among offspring of IRS survivors. Taken together, the results suggest that either insufficient or excessive parental communication about trauma might undermine offspring wellbeing, whereas moderate levels of communication that provide positive meaning and promote cultural pride or diminish perceptions of personal discrimination could be beneficial.
https://doi.org/10.3389/fpsyg.2019.00416
Perceived discrimination has consistently been shown to be associated with diminished mental health, but the psychological processes underlying this link are less well understood. The present series of four studies assessed the role of a history traumatic events in generating a proliferation of discrimination stressors and threat appraisals, which in turn predict psychological distress (depressive and posttraumatic stress symptoms) (mediation model), or whether prior traumatic events sensitize group members, such that when they encounter discrimination, the link to stress-related symptoms is heightened (moderation model). Each of the studies assessed a different marginalized group in Canada, including Indigenous peoples, Blacks, Jews, and a diverse sample of women. Participants completed measures assessing history of traumatic events, perceived explicit and ambiguous discrimination, discrimination threat appraisals, and symptoms of depression and posttraumatic stress. The four populations varied in their experiences, with Indigenous peoples encountering the highest levels of trauma, discrimination, and psychological distress symptoms. A mediated model was evident among Indigenous peoples and women, possibly reflecting the role of systemic processes that engender discrimination when traumatic events are experienced. There was evidence for a moderating role of a history of traumatic events on the relations between discrimination and depressive symptoms among Jewish and Black participants. Although the hypothesized synergistic effects of traumatic experiences were noted when assessing the relation between perceived discrimination and depressive symptoms among Jews, the presence of trauma blunted these relations among Blacks. The results suggest that trauma-informed approaches to addressing stress-related processes and psychological outcomes need to consider the unique social context of members of various socially marginalized groups.
https://doi.org/10.1177/0706743717702075
Objective:
Suicide rates among Indigenous peoples in Canada are at least twice that of their non-Indigenous counterparts. Although contemporary stressors contribute to this increased risk, historical experiences such as the Indian Residential School (IRS) system may also have continuing links with the risk for suicidal thoughts and behaviors. The current investigation examined the intergenerational and cumulative links between familial IRS attendance in relation to lifetime suicide ideation and attempts among First Nations adults living on-reserve.
Method:
Data from the 2008-2010 First Nations Regional Health Survey were analyzed, and participants comprised a representative sample of First Nations adults older than 18 years (weighted N = 127,338; IRS attendees were excluded). Of those who knew their familial IRS history, 38.0% had no history of attendance, 19.3% had a grandparent who attended, 16.2% had a parent who attended, and 26.5% had a parent and grandparent who attended.
Results:
Exposure of one previous familial generation to the IRS experience was associated with increased risk for lifetime suicide ideation (odds ratio [OR], 1.46; 95% confidence interval [CI], 1.16 to 1.84; P = 0.001) and attempts (OR, 1.44; 95% CI, 1.07 to 1.94; P < 0.016) compared with those with no IRS history. Having 2 generations of IRS familial history was associated with greater odds of reporting a suicide attempt compared with having one generation (OR, 1.35; 95% CI, 1.05 to 1.75; P = 0.022), which was reduced when current levels of distress and ideation were accounted for.
Conclusion:
Findings support the existence of linkages between intergenerational exposure to IRS and risk for suicidal ideation and attempts and for a potential cumulative risk in relation to suicide attempts across generations.
https://doi.org/10.1177/1363461516664471
Embracing a shared social identity typically serves to protect group members in the face of threats. However, under some conditions, intragroup dynamics are diverted so that instead, they contribute to disturbances in collective well-being. The present analysis applies a social identity framework to understand how intragroup processes elicited in Indian Residential Schools (IRS) altered the capacity of Indigenous peoples to overcome damage to their identity and collective functioning. With the alleged goal of assimilating the Indigenous population, residential schools in Canada entailed the forced removal of Indigenous children from their communities. A Truth and Reconciliation Commission established in 2008 confirmed the extensive abuse perpetrated by IRS staff, but also raised awareness of the pervasiveness of student-to-student abuse. Supported by qualitative analyses of the reports of social service providers working with IRS survivors (N = 43), it is argued that a key part of the dynamics in the IRSs was the subversion of intragroup processes among Indigenous children in attendance. Understanding intragroup dynamics provides a basis for recognizing the persistent effects of IRSs, and for identifying strategies to heal and reclaim a positive collective identity.
https://doi.org/10.1177/1049732315609569
A large body of literature explores historical trauma or intergenerational trauma among Aboriginal communities around the globe. This literature connects contemporary forms of social suffering and health inequity to broader historical processes of colonization and the residential school systems in Canada. There are tendencies within this literature, however, to focus on individual pathology and victimization while minimizing notions of resilience or well-being. Through a social constructionist lens, this research examined how interpersonal responses to historical traumas can be intertwined with moments of and strategies for resilience. Detailed narrative interviews occurred with four Aboriginal Cree elders living in central Saskatchewan, Canada, who all experienced historical trauma to some extent. From this analysis, we argue that health research among Aboriginal populations must be sensitive to the complex individual and social realities that necessarily involve both processes of historical and contemporary traumas as well as resilience, strength, and well-being.
https://doi.org/10.1037/a0037541
Aboriginal peoples are at greater risk of experiencing early life adversity relative to non-Aboriginal peoples in Canada, and as adults frequently experience high levels of discrimination that act as a further stressor. Although these factors appear to contribute to high rates of depressive disorders and suicidality in Aboriginal peoples, the psychosocial factors that contribute to the relationship between childhood adversity and the development of depressive symptoms have hardly been assessed in this group. The present investigation explored potential mediators to help explain the relation between childhood trauma and depressive symptoms among a sample of First Nations adults from across Canada. These mediated relationships were further examined in the context of unsupportive social interactions from ingroup and outgroup members. In Study 1, (N = 225), the relationship between childhood trauma and depression scores was mediated by perceived discrimination, and this was particularly notable in the presence of unsupportive relations with outgroup members. In Study 2, (N = 134) the relationship between childhood trauma and depressive symptoms was mediated by emotion-focused coping that was specific to coping with experiences of ethnic discrimination, and this mediated effect was moderated by both outgroup and ingroup unsupportive social interactions. Thus, it seems that experiences of discrimination and unsupport might contribute to depressive symptoms among First Nations adults who had experienced early life adverse events. (APA PsycInfo Database Record (c) 2019 APA, all rights reserved)
https://doi.org/10.1037/a0033352
As part of a government policy of assimilation beginning in the mid-1800s, a large proportion of Aboriginal children in Canada were forcibly removed from their homes to attend Indian Residential Schools (IRSs), a practice which continued into the 1990s. This traumatic experience had lasting negative effects not only on those who attended but also on their offspring, who were previously found to report higher levels of perceived discrimination and depressive symptoms compared with Aboriginal adults whose families were not directly affected by IRSs. In attempt to elucidate the processes involved in these previous findings, the current study (N = 399) revealed that greater levels of past perceptions of discrimination among IRS offspring, together with their greater likelihood of considering their Aboriginal heritage to be a central component of their self-concept (i.e., high identity centrality), were associated with an increased likelihood of appraising subsequent negative intergroup scenarios to be a result of discrimination and as threatening to their well-being. In turn, these altered appraisals of threat in response to the scenarios were associated with higher levels of depressive symptoms relative to non-IRS adults. The apparent reinforcing relationships between past discrimination, identity centrality, and appraisals of discrimination and threat in intergroup interactions highlight the need for interventions targeting this cycle that appears to contribute to heightened psychological distress among offspring of those who were directly victimized by collective race-based traumas. (APA PsycInfo Database Record (c) 2016 APA, all rights reserved)
https://doi.org/10.1177/1363461513503380
The current paper reviews research that has explored the intergenerational effects of the Indian Residential School (IRS) system in Canada, in which Aboriginal children were forced to live at schools where various forms of neglect and abuse were common. Intergenerational IRS trauma continues to undermine the well-being of today’s Aboriginal population, and having a familial history of IRS attendance has also been linked with more frequent contemporary stressor experiences and relatively greater effects of stressors on well-being. It is also suggested that familial IRS attendance across several generations within a family appears to have cumulative effects. Together, these findings provide empirical support for the concept of historical trauma, which takes the perspective that the consequences of numerous and sustained attacks against a group may accumulate over generations and interact with proximal stressors to undermine collective well-being. As much as historical trauma might be linked to pathology, it is not possible to go back in time to assess how previous traumas endured by Aboriginal peoples might be related to subsequent responses to IRS trauma. Nonetheless, the currently available research demonstrating the intergenerational effects of IRSs provides support for the enduring negative consequences of these experiences and the role of historical trauma in contributing to present day disparities in well-being.
https://doi.org/10.1111/pops.12029
After continued pressure, the Canadian government offered an apology to Aboriginal peoples for its role in the Indian Residential School (IRS) system, where children were removed from their families in an effort to assimilate the Aboriginal population. Although the apology was sought after, it was unclear what Aboriginal peoples expected it to accomplish in relation to their treatment and quality of life within Canada. Quantitative and qualitative analyses revealed that, although Aboriginal adults (N = 164) felt the apology could potentially be a first step towards improved relations with the government and non-Aboriginal Canadians, expectations that such changes would actually come to fruition were generally pessimistic. In exploring predictors of such expectations, path analysis indicated that those who had been intimately impacted by IRSs reported greater perceived discrimination that, in turn, was associated with lowered intergroup trust and forgiveness. Those who perceived high levels of discrimination were less likely to expect changes following the apology, which was mediated by the low levels of intergroup trust and forgiveness towards the government, but not towards non-Aboriginal Canadians. Essentially, an apology was not enough to elicit hope for improved intergroup relations, especially when perceptions of continued discrimination impeded the restoration of intergroup trust and forgiveness.
https://doi.org/10.1177/1363461511410240
From 1863 to 1996, many Aboriginal children in Canada were forced to attend Indian Residential Schools (IRSs), where many experienced neglect, abuse, and the trauma of separation from their families and culture. The present study examined the intergenerational impact of IRS exposure on depressive symptomatology in a convenience sample of 143 First Nations adults. IRS experiences had adverse intergenerational effects in that First Nations adults who had a parent attend IRS (n = 67) reported greater depressive symptoms compared to individuals whose parents did not attend (n = 76). Parental IRS attendance moderated the relations between stressor experiences (adverse childhood experiences, adult traumas, and perceived discrimination) and depressive symptoms, such that second generation Survivors exhibited greater symptomatology. Adverse childhood experiences partially mediated the relation between parental IRS attendance and both adult trauma and perceived discrimination. Moreover, both of these adulthood stressors partially mediated the relation between adverse childhood experiences and depressive symptoms. Finally, all three stressors demonstrated a unique mediating role in the relation between parental IRS attendance and depressive symptoms. Although alternative directional paths could not be ruled out, offspring of IRS Survivors appeared at increased risk for depression, likely owing to greater sensitivity to and experiences of childhood adversity, adult traumas, and perceived discrimination.
https://doi.org/10.1037/a0021373
The present investigation examined the relationship between perceived discrimination and depressive symptoms among First Nations adults in Canada (N = 220). It was considered that specific aspects of ethnic identity (in-group affect, centrality, in-group ties) could serve as resilience and/or vulnerability factors. Whereas in-group affect (positive feelings regarding one’s group) was directly associated with decreased depressive symptoms and buffered against perceived discrimination, high levels of centrality (salience of group membership) was associated with increased symptomatology and intensified the relation between perceived discrimination and depressive symptoms. In-group ties (connection to other group members) buffered against perceived discrimination, although this protective effect only applied for males. The data underscore the importance of examining different aspects of identity and gender differences in determining the role of ethnic identity in the well-being of minority populations.
https://jps.library.utoronto.ca/index.php/ijih/article/view/28987
Stressful events may have immediate effects on well-being, and by influencing appraisal processes, coping methods, life styles, parental behaviours, as well as behavioural and neuronal reactivity, may also have long lasting repercussions on physical and psychological health. In addition, through these and similar processes, traumatic experiences may have adverse intergenerational consequences. Given the lengthy and traumatic history of stressors experienced by Aboriginal peoples, it might be expected that such intergenerational effects may be particularly notable. In the present review we outline some of the behavioural disturbances associated with stressful/traumatic experiences (e.g., depression, anxiety, posttraumatic stress disorder, and substance abuse disorder), and describe the influence of several variables (age, sex, early life or other experiences, appraisals, coping strategies, as well as stressor chronicity, controllability, predictability and ambiguity) on vulnerability to pathology. Moreover, we suggest that trauma may dispose individuals to further stressors, and increase the response to these stressors. It is further argued that the shared collective experiences of trauma experienced by First Nations peoples, coupled with related collective memories, and persistent sociocultural disadvantages, have acted to increase vulnerability to the transmission and expression of intergenerational trauma effects.
https://doi.org/10.22215/etd/2008-12357
Stressful events have been implicated as a fundamental factor that promotes and exacerbates depressive symptoms. Given that discrimination has been suggested to be a powerful stressor, the present investigation examined the relationship between perceived discrimination and depressive symptoms among First Nations adults in Canada (A = 158). As marked individual differences exist regarding experiences of discrimination and depressive symptoms, it was considered that ethnic identity and social support could serve as potential resilience/vulnerability factors. Regression analyses confirmed that perceived discrimination was associated with higher levels of depressive symptoms, but levels of perceived discrimination, depressive symptoms, and the consequences of this relationship varied as a function of ethnic identity (in-group affect, in-group ties, centrality). High levels of centrality (i.e., importance of heritage to one’s self-concept) were associated with higher levels of perceived discrimination and intensified the relationship between perceived discrimination and depressive symptoms. In contrast, high levels of in-group affect (i.e., positive feelings regarding one’s heritage) were associated with lower levels of perceived discrimination. In addition, high levels of in-group affect and in-group ties were associated with reduced depressive symptoms and buffered against the negative impact of discrimination on depressive symptoms, though many of these relations were more pronounced among males than females. Social support did not buffer against perceived discrimination when considered alone. However, tangible support interacted with in-group affect in reducing depressive symptoms associated with perceived discrimination. These data underline the importance of examining different aspects of identity and different types of social support in determining the relation between discrimination and depressive symptoms.