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Web End = Soc Psychiatry Psychiatr Epidemiol (2016) 51:211223 DOI 10.1007/s00127-015-1100-8
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Web End = Men, hearts and minds: developing and piloting culturally specic psychometric tools assessing psychosocial stress and depression in central Australian Aboriginal men
Alex Brown1,2 Ricky Mentha3 Michael Howard1 Kevin Rowley4
Rachel Reilly1,2,4 Catherine Paquet5,6 Kerin ODea2
Received: 23 July 2014 / Accepted: 16 July 2015 / Published online: 2 August 2015 Springer-Verlag Berlin Heidelberg 2015
AbstractPurpose The health inequalities experienced by Aboriginal and Torres Strait Islander Australians are well documented but there are few empirical data outlining the burden, consequences, experience and expression of depressive illness. This paper seeks to address the lack of accessible, culturally specic measures of psychosocial stress, depression or quality of life developed for, and validated within, this population.
Methods Building on an extensive qualitative phase of research, a psychosocial questionnaire comprising novel and adapted scales was developed and piloted with 189 Aboriginal men across urban and remote settings in central Australia. With a view to rening this tool for future use, its underlying structure was assessed using exploratory factor analysis, and the predictive ability of the emergent
psychosocial constructs assessed with respect to depressive symptomatology.
Results The latent structure of the psychosocial questionnaire was conceptually aligned with the components of the a priori model on which the questionnaire was based. Regression modelling indicated that depressive symptoms were driven by a sense of injury and chronic stress and had a non-linear association with socioeconomic position. Conclusions This represents the rst community-based survey of psychosocial stress and depression in Aboriginal men. It provides both knowledge of, and an appropriate process for, the further development of psychometric tools, including quality of life, in this population. Further research with larger and more diverse samples of Aboriginal people is required to rene the measurement of key constructs such as chronic stress, socioeconomic position,
& Alex Brown [email protected]
& Rachel Reilly [email protected]
Ricky Mentha [email protected]
Michael Howard [email protected]
Kevin Rowley [email protected]
Catherine Paquet [email protected]
Kerin ODea [email protected]
1 Wardliparingga Aboriginal Research Unit, South Australian Health and Medical...