Dataset Information

Common mental disorders among Indigenous people living in regional, remote and metropolitan Australia: a cross-sectional study.

ABSTRACT:

Objective

To determine, using face-to-face diagnostic interviews, the prevalence of common mental disorders (CMD) in a cohort of adult Indigenous Australians, the cultural acceptability of the interviews, the rates of comorbid CMD and concordance with psychiatrists' diagnoses.

Design

Cross-sectional study July 2014-November 2016. Psychologists conducted Structured Clinical Interviews for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision Axis I Disorders (SCID-I) (n=544). Psychiatrists interviewed a subsample (n=78).

Setting

Four Aboriginal Medical Services and the general community located in urban, regional and remote areas of Southern Queensland and two Aboriginal Reserves located in New South Wales.

Participants

Indigenous Australian adults.

Outcome measures

Cultural acceptability of SCID-I interviews, standardised rates of CMD, comorbid CMD and concordance with psychiatrist diagnoses.

Results

Participants reported that the SCID-I interviews were generally culturally acceptable. Standardised rates (95%?CI) of current mood, anxiety, substance use and any mental disorder were 16.2% (12.2% to 20.2%), 29.2% (24.2% to 34.1%), 12.4% (8.8% to 16.1%) and 42.2% (38.8% to 47.7%), respectively-6.7-fold, 3.8-fold, 6.9-fold and 4.2-fold higher, respectively, than those of the Australian population. Differences between this Indigenous cohort and the Australian population were less marked for 12-month (2.4-fold) and lifetime prevalence (1.3-fold). Comorbid mental disorder was threefold to fourfold higher. In subgroups living on traditional lands in Indigenous reserves and in remote areas, the rate was half that of those living in mainstream communities. Moderate-to-good concordance with psychiatrist diagnoses was found.

Conclusions

The prevalence of current CMD in this Indigenous population is substantially higher than previous estimates. The lower relative rates of non-current disorders are consistent with underdiagnosis of previous events. The lower rates among Reserve and remote area residents point to the importance of Indigenous peoples' connection to their traditional lands and culture, and a potentially important protective factor. A larger study with random sampling is required to determine the population prevalence of CMD in Indigenous Australians.

SUBMITTER: Nasir BF

PROVIDER: S-EPMC6042557 | biostudies-literature | 2018 Jun

REPOSITORIES: biostudies-literature

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Publications

Common mental disorders among Indigenous people living in regional, remote and metropolitan Australia: a cross-sectional study.

Nasir Bushra F BF Toombs Maree R MR Kondalsamy-Chennakesavan Srinivas S Kisely Steve S Gill Neeraj S NS Black Emma E Hayman Noel N Ranmuthugala Geetha G Beccaria Gavin G Ostini Remo R Nicholson Geoffrey C GC

BMJ open 20180630 6

<h4>Objective</h4>To determine, using face-to-face diagnostic interviews, the prevalence of common mental disorders (CMD) in a cohort of adult Indigenous Australians, the cultural acceptability of the interviews, the rates of comorbid CMD and concordance with psychiatrists' diagnoses.<h4>Design</h4>Cross-sectional study July 2014-November 2016. Psychologists conducted Structured Clinical Interviews for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision Axis I Di ...[more]

PMID: 29961007

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Dataset Information

Common mental disorders among Indigenous people living in regional, remote and metropolitan Australia: a cross-sectional study.

Objective

Design

Setting

Participants

Outcome measures

Results

Conclusions

Publications

Common mental disorders among Indigenous people living in regional, remote and metropolitan Australia: a cross-sectional study.

Similar Datasets

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