Culturally appropriate assessment of depression and anxiety in older Torres Strait Islanders: limitations and recommendations.
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Date
2023-02-17
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Affiliation(s)
(Russell, Quigley, Strivens) College of Medicine and Dentistry, James Cook University, Cairns, Australia
(Russell, Quigley, Miller, Strivens) Queensland Health, Cairns and Hinterland Hospital and Health Service, Cairns, Australia
(Russell, Quigley, Thompson, Strivens) Australian Institute of Tropical Health and Medicine, James Cook University, Cairns, Australia
(Sagigi) Queensland Health, Torres and Cape Hospital and Health Service, Thursday Island, Australia
(LoGiudice) Faculty of Medicine, Dentistry, Health Services, Royal Melbourne Hospital, University of Melbourne, VIC, Australia
(Smith) Centre for Aboriginal Medical and Dental Health, School of Medicine, University of Western Australia, Perth, Australia
(Pachana) School of Psychology, University of Queensland, Brisbane, Australia
(Russell, Quigley, Miller, Strivens) Queensland Health, Cairns and Hinterland Hospital and Health Service, Cairns, Australia
(Russell, Quigley, Thompson, Strivens) Australian Institute of Tropical Health and Medicine, James Cook University, Cairns, Australia
(Sagigi) Queensland Health, Torres and Cape Hospital and Health Service, Thursday Island, Australia
(LoGiudice) Faculty of Medicine, Dentistry, Health Services, Royal Melbourne Hospital, University of Melbourne, VIC, Australia
(Smith) Centre for Aboriginal Medical and Dental Health, School of Medicine, University of Western Australia, Perth, Australia
(Pachana) School of Psychology, University of Queensland, Brisbane, Australia
Year
2023
Citation
Clinical Gerontologist. Vol.46(2), 2023, pp. 240-252.
Journal
Clinical Gerontologist.
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Abstract
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.
PubMed ID
35694996 [https://www.ncbi.nlm.nih.gov/pubmed/?term=35694996]
Type
Article
Study type
Observational study (cohort, case-control, cross sectional, or survey)
Subjects
Mental health