Browsing by Author "Thompson F."
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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.