Culturally Appropriate Assessment of Depression and Anxiety in Older Torres Strait Islanders: Limitations and Recommendations
Russell, Sarah G., Quigley, Rachel, Thompson, Fintan, Sagigi, Betty, Miller, Gavin, LoGiudice, Dina, Smith, Kate, Strivens, Edward, and Pachana, Nancy A. (2023) Culturally Appropriate Assessment of Depression and Anxiety in Older Torres Strait Islanders: Limitations and Recommendations. Clinical Gerontologist, 46 (2). pp. 240-252.
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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.
| Item ID: | 75364 |
|---|---|
| Item Type: | Article (Research - C1) |
| ISSN: | 1545-2301 |
| Keywords: | First Nations, mental health, assessment tools, PHQ-9, KICA-dep, Geriatric Anxiety Inventory, Torres Strait |
| Copyright Information: | © 2022 Taylor & Francis Group, LLC . |
| Funders: | National Health and Medical Research Council (NHMRC) |
| Projects and Grants: | NHMRC 1106175 |
| Date Deposited: | 29 Jun 2022 08:27 |
| FoR Codes: | 45 INDIGENOUS STUDIES > 4504 Aboriginal and Torres Strait Islander health and wellbeing > 450416 Aboriginal and Torres Strait Islander psychology @ 50% 32 BIOMEDICAL AND CLINICAL SCIENCES > 3202 Clinical sciences > 320210 Geriatrics and gerontology @ 50% |
| SEO Codes: | 21 INDIGENOUS > 2103 Aboriginal and Torres Strait Islander health > 210302 Aboriginal and Torres Strait Islander health status and outcomes @ 70% 20 HEALTH > 2001 Clinical health > 200101 Diagnosis of human diseases and conditions @ 30% |
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