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Reliability, concurrent validity, and cultural adaptation of the Geriatric Depression Scale and the Geriatric Anxiety Inventory for detecting depression and anxiety symptoms among older Chinese immigrants: an Australian study

Published online by Cambridge University Press:  08 November 2017

Briony Dow ,
Xiaoping Lin ,
Nancy A. Pachana ,
Christina Bryant ,
Dina LoGiudice ,
Anita M.Y. Goh  and
Betty Haralambous
Briony Dow*
Affiliation:
National Ageing Research Institute Ltd, Parkville, Victoria, Australia School of Population and Global Health, The University of Melbourne, Parkville, Victoria, Australia
Xiaoping Lin
Affiliation:
National Ageing Research Institute Ltd, Parkville, Victoria, Australia
Nancy A. Pachana
Affiliation:
School of Psychology, The University of Queensland, Brisbane, Queensland, Australia
Christina Bryant
Affiliation:
Centre for Women's Mental Health, The Royal Women's Hospital, Parkville, Victoria, Australia Melbourne School of Psychological Sciences, The University of Melbourne, Parkville, Victoria, Australia
Dina LoGiudice
Affiliation:
National Ageing Research Institute Ltd, Parkville, Victoria, Australia Royal Melbourne Hospital, Royal Park Campus, Parkville, Victoria, Australia
Anita M.Y. Goh
Affiliation:
National Ageing Research Institute Ltd, Parkville, Victoria, Australia Department of Psychiatry, Academic Unit for Psychiatry of Old Age, The University of Melbourne, Parkville, Victoria, Australia
Betty Haralambous
Affiliation:
National Ageing Research Institute Ltd, Parkville, Victoria, Australia
*
Correspondence should be addressed to: Briony Dow, Associate Professor, National Ageing Research Institute, 34-54 Poplar Road, Parkville 3052, Victoria, Australia. Phone: +61 3 8387 2639; Fax: +61 3 9387 4030. Email: b.dow@nari.unimelb.edu.au.
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Abstract

Background:

Older Chinese people are one of the largest and fastest growing immigrant groups in Western countries. The Geriatric Depression Scale (GDS) and the Geriatric Anxiety Inventory (GAI) are screening tools that have been specifically designed for older people. This study explored their validity, concurrent reliability, and cultural appropriateness for detecting depression and anxiety symptoms among older Chinese immigrants living in Melbourne, Australia.

Methods:

A total of 87 Chinese people were recruited from Chinese senior groups. Five screening tools were used, including the GDS, the GAI, the Hospital Anxiety and Depression Scale (HADS), the Kessler 10 (K10), and the Patient Health Questionnaire (PHQ-9). Data were collected through standardized interviews.

Results:

The GDS and the GAI were found to be reliable and valid tools for detecting depression and anxiety in this sample. Based on the results of the five screening tools, approximately 20% of participants exhibited clinically significant symptoms of depression and 8% of anxiety. Unexpectedly, there was a higher rate of depression and anxiety symptoms among Mandarin speaking people compared with Cantonese speaking people.

Conclusion:

This study adds to the evidence that older Chinese immigrants are at greater risk of depression than the general older population. It suggests that primary care and mental health services should be aware of and responsive to the increased risk of depression among this group and that further studies are needed to investigate what is contributing to this increased risk.

Keywords

ageingdepressionanxietycross-cultural
Type
Research Article
Information
International Psychogeriatrics , Volume 30 , Issue 5: Issue Theme: Brain Imaging , May 2018 , pp. 735 - 748
Copyright
Copyright © International Psychogeriatric Association 2017 

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References

Alwahhabi, F. (2003). Anxiety symptoms and generalized anxiety disorder in the elderly: a review. Harvard Review of Psychiatry, 11, 180–193.Google Scholar
American Psychiatric Association (1994). DSM-IV: Diagnostic and Statistical Manual of Mental Disorders. Washington DC: American Psychiatric Association.Google Scholar
Anderson, T. M., Sunderland, M., Andrews, G., Titov, N., Dear, B. F. and Sachdev, P. S. (2013). The 10-item kessler psychological distress scale (K10) as a screening instrument in older individuals. American Journal of Geriatric Psychiatry, 21, 596.Google Scholar
Asian American Federation of New York (2003). Asian American elders in New York city: a study of health, social needs, quality of life and quality of care. Asian American Federation of New York.Google Scholar
Australian Bureau of Statistics (2012). 2071.0 Reflecting a Nation: Stories from the 2011 Census, 2012–2013. Canberra: Australian Bureau of Statistics.Google Scholar
Baldwin, R. (2008). Mood disorders: depressive disorders. In Jacoby, R., Oppenheimer, C., Dening, T. and Thomas, A. (eds.), Oxford Textbook of Old Age Psychiatry. Oxford: Oxford University Press.Google Scholar
Bian, C., Li, C., Duan, Q. and Wu, H. (2011). Reliability and validity of patient health questionnaire: depressive syndrome module for outpatients. Scientific Research and Essays, 6, 278–282.Google Scholar
Bryant, C., Jackson, H. and Ames, D. (2008). The prevalence of anxiety in older adults: methodological issues and a review of the literature. Journal of Affective Disorders, 109, 233–250.Google Scholar
Feng, D. and Xu, L. (2015). The relationship between perceived discrimination and psychological distress among Chinese pulmonary tuberculosis patients: the moderating role of self-esteem. Psychology, Health & Medicine, 20, 177–185.Google Scholar
Gibson, D., Braun, P., Benham, C. and Mason, F. (2001). Projections Of Older Immigrants: People from Culturally and Linguistically Diverse Backgrounds, 1996–2026. Aged Care Series. Canberra: Australia Institute of Health and Welfare.Google Scholar
Hamamura, T., Heine, S. J. and Paulhus, D. L. (2008). Cultural differences in response styles: the role of dialectical thinking. Personality and Individual Differences, 44, 932–942.CrossRefGoogle Scholar
Haralambous, B. et al. (2016). “Depression is not an illness. It's up to you to make yourself happy”. Perceptions of Chinese health professionals and community workers about older Chinese immigrants' experiences of depression and anxiety. Australasian Journal On Ageing. doi:10.1111/ajag.12306Google Scholar
Kalafat, J., Gould, M. S., Munfakh, J. L. H. and Kleinman, M. (2007). An evaluation of crisis hotline outcomes: part 1: nonsuicidal crisis callers. Marjorie Suicide & Life - Threatening Behavior, 37, 322–337.Google Scholar
Kessler, R. C. et al. (2003). Screening for serious mental illness in the general population. Archives of General Psychiatry, 60, 184–189.Google Scholar
Kim, S. and Feldt, L. S. (2008). A comparison of tests for equality of two or more independent alpha coefficients. Journal of Educational Measurement, 45, 179–193.Google Scholar
Kogan, J. N., Edelstein, B. A. and Mckee, D. R. (2000). Assessment of anxiety in older adults: current status. Journal of Anxiety Disorders, 14, 109–132.Google Scholar
Kuo, B. C. H., Chong, V. and Joseph, J. (2008). Depression and its psychosocial correlates among older Asian Immigrants in North America: a critical review of two decades’ research. Journal of Aging and Health, 20, 615–652.CrossRefGoogle ScholarPubMed
Lin, X., Haralambous, B., Pachana, N. A., Bryant, C., Logiudice, D., Goh, A. and Dow, B. (2016). Screening for depression and anxiety among older Chinese immigrants living in western countries: the use of the geriatric depression scale (GDS) and the geriatric anxiety inventory (GAI). Asia-Pacific Psychiatry, 8, 32–43.CrossRefGoogle ScholarPubMed
Mccurren, C. (2002). Assessment for depression among nursing home elders: evaluation of the MDS mood assessment. Geriatric Nursing, 23, 103–108.Google Scholar
Mui, A. C. (1996). Geriatric depression scale as a community screening instrument for elderly Chinese immigrants. International Psychogeriatrics, 8, 445–458.Google Scholar
Pachana, N. A., Byrne, G. J., Siddle, H., Koloski, N., Harley, E. and Arnold, E. (2007). Development and validation of the geriatric anxiety inventory. International Psychogeriatrics, 19, 103–114.CrossRefGoogle ScholarPubMed
Pachana, N. A., Mitchell, L. K., Pinsker, D. M., Morriss, E., Lo, A. and Cherrier, M. (2016). In brief , look sharp: short form assessment in the geriatric setting. Australian Psychologist, 51, 342–351.Google Scholar
Pettersson, A., Bengtsson Bostr ö m, K., Gustavsson, P. and Ekselius, L. (2015). Which instruments to support diagnosis of depression have sufficient accuracy? A systematic review. Nordic Journal of Psychiatry, 69, 497–508.Google Scholar
Spitzer, R. L., Kroenke, K., Williams, J. W. and Group, H. P. H. Q. P. C. S. (1999). Validation and utility of a self-report version of prime-md: the PHQ primary care study. JAMA, 282, 1737–1744.CrossRefGoogle ScholarPubMed
Thomas, T. (2003). Older migrants and their families in Australia. Family Matters, 40–45.Google Scholar
Turcotte, M. and Schellenberg, G. (2006). A Portrait of Seniors in Canada. Ottawa: Statistics Canada.Google Scholar
Watson, L. C. and Pignone, M. P. (2003). Screening accuracy for late-life depression in primary care: a systematic review. Journal of Family Practice, 52, 956–964.Google Scholar
Yan, Y., Xin, T., Wang, D. and Tang, D. (2014). Application of the geriatric anxiety Inventory-Chinese version (GAI-CV) to older people in Beijing communities. International Psychogeriatrics, 26, 517–523.CrossRefGoogle ScholarPubMed
Yang, Y., Ding, R., Hu, D., Zhang, F. and Sheng, L. (2014). Reliability and validity of a Chinese version of the HADS for screening depression and anxiety in psycho-cardiological outpatients. Compr Psychiatry, 55, 215–220.Google Scholar
Yesavage, J. A. (2015). Geriatric Depression Scale. Available at: https://web.stanford.edu/~yesavage/GDS.html; last accessed 15 March 2016.Google Scholar
Yeung, A. et al. (2008). Validation of the Patient Health Questionnaire-9 for depression screening among Chinese Americans. Comprehensive Psychiatry, 49 (2), 211–217.CrossRefGoogle ScholarPubMed
Yesavage, J. A. and Sheikh, J. I. (1986). Geriatric depression scale (GDS): recent evidence and development of a shorter version. Clinical Gerontologist, 5, 165–173.CrossRefGoogle Scholar
Zigmond, A. S. and Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67, 361–370.CrossRefGoogle ScholarPubMed