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Culturally appropriate assessment of depression and anxiety in older Torres Strait Islanders: limitations and recommendations.

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dc.contributor.authorRussell S.G.
dc.contributor.authorQuigley R.
dc.contributor.authorThompson F.
dc.contributor.authorSagigi B.
dc.contributor.authorMiller G.
dc.contributor.authorLoGiudice D.
dc.contributor.authorSmith K.
dc.contributor.authorStrivens E.
dc.contributor.authorPachana N.A.
dc.date.accessioned2024-11-19T05:29:55Z
dc.date.available2024-11-19T05:29:55Z
dc.date.copyright2023
dc.date.issued2023-02-17en
dc.description.abstractObjectives: 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.
dc.identifier.citationClinical Gerontologist. Vol.46(2), 2023, pp. 240-252.
dc.identifier.doihttps://dx.doi.org/10.1080/07317115.2022.2086090
dc.identifier.institution(Russell, Quigley, Strivens) College of Medicine and Dentistry, James Cook University, Cairns, Australia
dc.identifier.institution(Russell, Quigley, Miller, Strivens) Queensland Health, Cairns and Hinterland Hospital and Health Service, Cairns, Australia
dc.identifier.institution(Russell, Quigley, Thompson, Strivens) Australian Institute of Tropical Health and Medicine, James Cook University, Cairns, Australia
dc.identifier.institution(Sagigi) Queensland Health, Torres and Cape Hospital and Health Service, Thursday Island, Australia
dc.identifier.institution(LoGiudice) Faculty of Medicine, Dentistry, Health Services, Royal Melbourne Hospital, University of Melbourne, VIC, Australia
dc.identifier.institution(Smith) Centre for Aboriginal Medical and Dental Health, School of Medicine, University of Western Australia, Perth, Australia
dc.identifier.institution(Pachana) School of Psychology, University of Queensland, Brisbane, Australia
dc.identifier.pubmedid35694996 [https://www.ncbi.nlm.nih.gov/pubmed/?term=35694996]
dc.identifier.urihttps://lowitja.intersearch.com.au/handle/1/550
dc.relation.ispartofClinical Gerontologist.
dc.subject.keywordsMental health
dc.titleCulturally appropriate assessment of depression and anxiety in older Torres Strait Islanders: limitations and recommendations.
dc.typeArticle
dc.type.studyortrialObservational study (cohort, case-control, cross sectional, or survey)

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