Browsing by Author "Pachana N.A."
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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 Staying engaged: experiences and opportunities for diverse populations to age well in Australia.Liddle J.; Pachana N.A.Within an ageing population, the experiences of older Australians are diverse. While disability and health changes affect half of older people, approximately three-quarters consider themselves to be in good, very good or excellent health. However, the outcomes and needed supports differ for different groups. Understanding the diversity of the population is key to understanding the needs, experiences and preferences for ageing well in Australia. Three key groups that have different ageing-related experiences and needs are: Aboriginal and Torres Strait Islander people, people from culturally and linguistically diverse backgrounds, and people living in rural and remote areas. Within Australia, Aboriginal and Torres Strait Islander people may experience starkly different ageing experiences in terms of unmet need, life histories, health outcomes and disability. However, Elderhood for Indigenous Australians is a highly-valued role, central to communities and an embodiment of ageing well and authentically. Understanding the diversity of the ageing experience within Australia also requires an acknowledgement of geographic pressures, with substantially fewer health and ageing care services being available in regional and remote areas. People's cultural heritage, languages, and life histories shape their ageing experiences, as does the geographic region in which they live. Across the diverse populations, physical and mental health, community engagement and social connectedness are regarded as key aspects of ageing well. Trends towards supporting continued community engagement are focussing on control returning to individuals and communities, places that support engagement and ways of enabling meaningful doing and connecting with others. (PsycInfo Database Record (c) 2022 APA, all rights reserved)