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Related Experiment Videos

Screening for depression in African-Caribbean elders.

G Rait1, A Burns, R Baldwin

  • 1Department of Primary Care & Population Sciences, University College London and Royal Free Medical Schools, Whittington Hospital.

Family Practice
|January 7, 2000
PubMed
Summary

Screening tools for depression in older African-Caribbeans show high sensitivity, aiding cross-cultural diagnosis. Culturally sensitive approaches and familiar validated instruments are recommended for primary care professionals.

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Area of Science:

  • Geriatric psychiatry
  • Cross-cultural mental health
  • Epidemiology of depression

Background:

  • Growing population of older African-Caribbeans in the UK.
  • Primary care staff report lower confidence in diagnosing depression in this demographic.
  • Screening instruments can support diagnosis in cross-cultural consultations.

Purpose of the Study:

  • To evaluate the sensitivity and specificity of depression screening instruments.
  • Focus on older African-Caribbean individuals in Manchester, UK.

Main Methods:

  • Two-stage study comparing Geriatric Depression Scale, Brief Assessment Schedule Depression Cards, and Caribbean Culture Specific Screen.
  • Diagnostic interview used: Geriatric Mental State.
  • Participants: 160 community-resident African-Caribbeans aged 60+.

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  • Analysis included Spearman correlation and Receiver-Operating Characteristic (ROC) curve analysis.

    • Main Results:

    • Significant correlations found between screening instruments and diagnostic interview for Jamaicans (n=96/130).
    • High sensitivity reported for all instruments: Brief Assessment Schedule (90.9%), Caribbean Culture Specific Screen (90.9%), Geriatric Depression Scale (100%).
    • Specificities varied: Geriatric Depression Scale (69.1%), Caribbean Culture Specific Screen (74.1%), Brief Assessment Schedule (82.1%).

    Conclusions:

    • Validated screening instruments demonstrate high sensitivity for depression in older African-Caribbeans when appropriate cut-offs are used.
    • The culture-specific screen did not outperform traditional instruments.
    • Healthcare professionals should use familiar, validated instruments with cultural sensitivity.