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dc.contributor.authorKisely, Steve
dc.contributor.authorAlichniewicz, Karolina Katarzyna
dc.contributor.authorBlack, Emma B
dc.contributor.authorSiskind, Dan
dc.contributor.authorSpurling, Geoffrey
dc.contributor.authorToombs, Maree
dc.date.accessioned2021-08-15T23:36:39Z
dc.date.available2021-08-15T23:36:39Z
dc.date.issued2017
dc.identifier.issn0022-3956
dc.identifier.doi10.1016/j.jpsychires.2016.09.032
dc.identifier.urihttp://hdl.handle.net/10072/406859
dc.description.abstractIndigenous populations are considered at higher risk of psychiatric disorder but many studies do not include direct comparisons with similar non-Indigenous controls. We undertook a meta-analysis of studies that compared the prevalence of depression and anxiety disorders in Indigenous populations in the Americas with those of non-Indigenous groups with similar socio-demographic features (Registration number: CRD42015025854). A systematic search of PubMed, Medline, PsycInfo, PsycArticles, ScienceDirect, EMBASE, and article bibliographies was performed. We included comparisons of lifetime rates and prevalence of up to 12 months. We found 19 studies (n = 250, 959) from Latin America, Canada and the US. There were no differences between Indigenous and similar non-Indigenous groups in the 12-month prevalence of depressive, generalised anxiety and panic disorders. However, Indigenous people were at greater risk of PTSD. For lifetime prevalence, rates of generalised anxiety, panic and all the depressive disorders were significantly lower in Indigenous participants, whilst PTSD (on adjusted analyses) and social phobia were significantly higher. Results were similar for sub-analyses of Latin America, Canada and the US, and sensitivity analyses by study quality or setting (e.g. health, community etc.). Risk factors for psychiatric illness may therefore be a complex interaction of biological, educational, economic and socio-cultural factors that may vary between disorders. Accordingly, interventions should reflect that the association between disadvantage and psychiatric illness is rarely due to one factor. However, it is also possible that assessment tools don't accurately measure psychiatric symptoms in Indigenous populations and that further cross-cultural validation of diagnostic instruments may be needed too.
dc.description.peerreviewedYes
dc.languageEnglish
dc.publisherPERGAMON-ELSEVIER SCIENCE LTD
dc.relation.ispartofpagefrom137
dc.relation.ispartofpageto152
dc.relation.ispartofjournalJournal of Psychiatric Research
dc.relation.ispartofvolume84
dc.subject.fieldofresearchBiomedical and clinical sciences
dc.subject.fieldofresearchPsychology
dc.subject.fieldofresearchcode32
dc.subject.fieldofresearchcode52
dc.subject.keywordsScience & Technology
dc.subject.keywordsLife Sciences & Biomedicine
dc.subject.keywordsPsychiatry
dc.subject.keywordsIndigenous people
dc.subject.keywordsMental health disorders
dc.titleThe prevalence of depression and anxiety disorders in indigenous people of the Americas: A systematic review and meta-analysis
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationKisely, S; Alichniewicz, KK; Black, EB; Siskind, D; Spurling, G; Toombs, M, The prevalence of depression and anxiety disorders in indigenous people of the Americas: A systematic review and meta-analysis, Journal of Psychiatric Research, 2017, 84, pp. 137-152
dcterms.dateAccepted2016-09-30
dcterms.licensehttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.date.updated2021-08-15T23:32:31Z
dc.description.versionAccepted Manuscript (AM)
gro.rights.copyright© 2017 Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence (http://creativecommons.org/licenses/by-nc-nd/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.
gro.hasfulltextFull Text
gro.griffith.authorKisely, Steve R.


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