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American Indian and Alaska Native Mental Health Research

American Indian drinking behavior is often attributed to stress. The causal relationship of stress to Indian drinking and alcohol's role as a stressor is explored. It is likely that some drinking behavior is a response to psychosocial stressors, and that rapid ingestion or large quantity alcohol consumption may also precipitate the psychogenic stress response, thereby exacerbating stress in the individual. Using alcohol to reduce stress increases opportunities for injury and illness. Research increasingly reveals relationships between psychogenic stress and specific disease states. Because alcoholism is said to be exacerbated by stress, a review was undertaken to determine whether or not a causal relationship could be identified between psychogenic stress and alcohol abuse. Specifically, the focus is on American Indians and Alaska Natives (vs. Indian) because the literature on Indian drinking often cites stress as a precipitating or causal factor in Indian alcoholism.