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Culturally Appropriate Assessment of Depression and Anxiety in Older Torres Strait Islanders: Limitations and Recommendations
Clinical Gerontologist ( IF 2.8 ) Pub Date : 2022-06-13 , DOI: 10.1080/07317115.2022.2086090
Sarah G Russell 1, 2, 3 , Rachel Quigley 1, 2, 3 , Fintan Thompson 3 , Betty Sagigi 4 , Gavin Miller 2 , Dina LoGiudice 5 , Kate Smith 6 , Edward Strivens 1, 2, 3 , Nancy A Pachana 7
Affiliation  

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



中文翻译:

对老年托雷斯海峡岛民的抑郁和焦虑进行文化上适当的评估:局限性和建议

摘要

目标

该研究的目的是评估老年土著和托雷斯海峡岛民成年人的焦虑和抑郁患病率。

方法

作为在托雷斯海峡进行的更广泛的痴呆症患病率研究的一部分,对 PHQ-9 (KICA-dep) 和老年焦虑量表 (GAI) 进行了修改。将结果与老年审查中获得的诊断进行比较,以评估其在该地区的适用性。

结果

共有 236 名参与者完成了 KICA-dep,184 名参与者完成了 GAI 简短表格。其中,10.6% 患有抑郁症,15.8% 患有焦虑症。一些参与者发现了有关自杀意念和自残冒犯的问题,而其他参与者则难以理解 GAI 上的概念。与老年临床审查的诊断相比,KICA-dep 表现不佳,因此结果不太可能反映该地区抑郁症的真实患病率。

结论

需要进一步的研究来探索抑郁和焦虑的潜在维度以及用于表达托雷斯海峡情绪症状的术语。

临床意义

• 目前的心理健康筛查工具不适用于托雷斯海峡

• 需要做更多的工作来确定抑郁症和焦虑症的症状在托雷斯海峡社区中是如何表达的

更新日期:2022-06-13
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