Browsing by Author "LoGiudice D."
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Item Culturally appropriate assessment of depression and anxiety in older Torres Strait Islanders: limitations and recommendations.(2023-02-17) Russell S.G.; Quigley R.; Thompson F.; Sagigi B.; Miller G.; LoGiudice D.; Smith K.; Strivens E.; Pachana N.A.Objectives: The aim of the study was to assess the prevalence of anxiety and depression in older Aboriginal and Torres Strait Islander adults. Methods: A modified version of the PHQ-9 (KICA-dep) and the Geriatric Anxiety Inventory (GAI) were administered as part of a wider dementia prevalence study conducted in the Torres Strait. Results were compared to diagnoses obtained on Geriatric review to evaluate their applicability in the region. Results: A total of 236 participants completed the KICA-dep and 184 completed the GAI short form. Of these, 10.6% were identified with depression and 15.8% with anxiety. Some participants found questions about suicide ideation and self-harm offensive and others had difficulty understanding concepts on the GAI. The KICA-dep performed poorly in comparison to diagnosis on geriatric clinical review, so results are unlikely to reflect the true prevalence of depression in the region. Conclusions: Further research is required to explore the underlying dimensions of depression and anxiety and terminology used to express mood symptoms in the Torres Strait. CLINICAL IMPLICATIONS: * Current mental health screening tools are not applicable for the Torres Strait* More work is required to determine how symptoms of depression and anxiety are expressed within Torres Strait communities.Item Culturally safe, trauma-informed approach to cognitive impairment and dementia in older Aboriginal and Torres Strait Islander people.(2023-08-08) LoGiudice D.; Hughson J.; Douglas H.; Wenitong M.; Belfrage M.Background: The population of older (age >=50 years) Aboriginal and Torres Strait Islander people is increasing, and the rate of dementia in this group is three to fivefold higher than in the general population. A high prevalence of risk factors across the life course likely contributes to these rates. Objectives: This paper highlights practical ways to apply best practice principles when addressing the detection of cognitive impairment and dementia in older Aboriginal and Torres Strait Islander people and its management in the context of a person's family, carers and community. Discussion: Recognising culture, the collective nature of family and community decision making for a person, the ways to uphold respect for Elders and a trauma-informed approach are fundamental to the care of older Aboriginal and Torres Strait Islander people with cognitive impairment and dementia.Item The well-being of carers of older Aboriginal people living in the Kimberley region of remote Western Australia: empowerment, depression, and carer burden.(2020-01-16) LoGiudice D.; Josif C.M.; Malay R.; Hyde Z.; Haswell M.; Lindeman M.A.; Etherton-Beer C.; Atkinson D.; Bessarab D.; Flicker L.; Smith K.Objective: To describe demographic features and well-being of carers of Aboriginal Australians aged >=45 years in remote Western Australia. Method(s): Carer burden, empowerment, and depression were assessed in 124 Aboriginal carers in four remote Aboriginal communities. Result(s): Carers were aged 38.8 +/- 15.0 years, 73.4% were female, and 75.8% were children or grandchildren of the person cared for. The mean Zarit-6 score was 3.7 +/- 3.6. Attending high school (odds ratio [OR] = 0.3; 95% confidence interval [CI] = [0.1, 0.7]) and feeling empowered (OR = 0.2; 95% CI = [0.1, 0.8]) were inversely associated with carer burden; female carers were less likely to feel empowered (OR = 0.4; 95% CI = [0.2, 0.9]); and empowerment was inversely associated with depression (OR = 0.3; 95% CI = [0.1, 0.7]). Discussion(s): Aboriginal carers in remote communities are relatively young and most are children or grandchildren. Carer burden was lower than anticipated. However, existing tools may not adequately measure Aboriginal perspectives. Education and empowerment are key factors which support programs must consider.Copyright © The Author(s) 2020.