College of Medicine and Dentistry, James Cook University, Cairns, Australia.
Queensland Health, Cairns and Hinterland Hospital and Health Service, Cairns, Australia.
Clin Gerontol. 2023 Mar-Apr;46(2):240-252. doi: 10.1080/07317115.2022.2086090. Epub 2022 Jun 13.
The aim of the study was to assess the prevalence of anxiety and depression in older Aboriginal and Torres Strait Islander adults.
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.
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.
Further research is required to explore the underlying dimensions of depression and anxiety and terminology used to express mood symptoms in the Torres Strait.
• 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.
本研究旨在评估老年原住民和托雷斯海峡岛民成年人的焦虑和抑郁患病率。
在托雷斯海峡进行的更广泛的痴呆症患病率研究中，作为一部分，使用 PHQ-9（KICA-dep）和老年焦虑量表（GAI）的修订版进行评估。将结果与老年综合评估获得的诊断进行比较，以评估其在该地区的适用性。
共有 236 名参与者完成了 KICA-dep，184 名参与者完成了 GAI 短表。其中，10.6%的人被诊断为抑郁症，15.8%的人被诊断为焦虑症。一些参与者认为有关自杀意念和自残的问题具有冒犯性，而另一些人则难以理解 GAI 中的概念。与老年临床评估的诊断相比，KICA-dep 的表现不佳，因此结果不太可能反映该地区抑郁症的真实患病率。
需要进一步研究以探索托雷斯海峡地区抑郁和焦虑的潜在维度以及表达情绪症状的术语。
• 目前的心理健康筛查工具不适用于托雷斯海峡地区。• 需要做更多的工作来确定抑郁和焦虑症状在托雷斯海峡社区中是如何表达的。
