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Levels and rates of depression among Chinese people living in Chinese ethno-specific and mainstream residential care in Sydney

Published online by Cambridge University Press:  10 August 2009

Ivanna Goh ,
Lee-Fay Low  and
Henry Brodaty
Ivanna Goh*
Affiliation:
Primary Dementia Collaborative Research Centre and School of Psychiatry, Faculty of Medicine, University of New South Wales, Sydney, Australia
Lee-Fay Low
Affiliation:
Primary Dementia Collaborative Research Centre and School of Psychiatry, Faculty of Medicine, University of New South Wales, Sydney, Australia
Henry Brodaty
Affiliation:
Primary Dementia Collaborative Research Centre and School of Psychiatry, Faculty of Medicine, University of New South Wales, Sydney, Australia
*
Correspondence should be addressed to: Ivanna Goh, Primary Dementia Collaborative Research Centre, University of New South Wales, 45 Beach Street, Coogee NSW 2034, Australia. Phone: +61 2 9385 9083; Fax: +61 2 9385 9075. Email: z3139592@student.unsw.edu.au.
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Abstract

Background: This study aimed to examine the levels and rates of depression in Chinese residents living in ethno-specific nursing homes (NHs), and Chinese residents living in mainstream NHs in Sydney. Australia has a growing aging migrant population and rates of depression in NHs are high, but the prevalence of depression in culturally and linguistically diverse residents has received little attention in the research literature.

Methods: Older persons from a Chinese background residing in either Chinese-specific or mainstream NHs located in Sydney were invited to participate in a cross-sectional survey. Assessments included the Mini-mental State Examination, the Cornell Scale for Depression in Dementia (CSDD), and interviews with family carers and staff.

Results: Fifty-eight Chinese residents were recruited from three Chinese-specific NHs (n = 31) and 13 mainstream NHs (n = 27). There were no significant differences in resident depression levels or rates between the facility types. Mean CSDD scores were 9.4 (SD = 6.0) and 11.2 (SD = 6.1) in Chinese-specific and mainstream NHs, respectively. Chinese-specific NH residents had lower prescription levels of antipsychotics and more of them received effective antidepressant therapy in comparison to those in mainstream NHs.

Conclusions: These findings suggest that in comparison to mainstream care Chinese ethno-specific care does not impact on levels or rates of depression but is associated with less antipsychotic use and higher numbers of residents treated effectively with antidepressant therapy. Longitudinal research with larger samples and a range of outcome measures including quality-of-life and social engagement is required to explore further the effects of ethno-specific care.

Keywords

nursing homeresidential careethno-specific nursing homecultureolder residentsculturally and linguistically diverse (CALD)non-English speaking background (NESB)
Type
Research Article
Information
International Psychogeriatrics , Volume 22 , Issue 2 , March 2010 , pp. 237 - 245
Copyright
Copyright © International Psychogeriatric Association 2009

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References

Ames, D. (2005). Nursing homes. Psychiatry, 4, 79–82.CrossRefGoogle Scholar
Alexopoulos, G., Abrams, R., Young, R. and Shamoian, C. (1988). Cornell Scale for Depression in Dementia. Biological Psychiatry, 23, 271–284.CrossRefGoogle ScholarPubMed
Australian Bureau of Statistics (2002). Population Composition: Older Overseas-born Australians. Available at http://www.abs.gov.au/AUSSTATS/abs@.nsf/7d12b0f6763-c78caca257061001cc588/e05e2946e08e3ebeca2570ec000-a2500!OpenDocument (last accessed 25 April 2008).Google Scholar
Australian Institute of Health and Welfare (AIHW) (2002). Older Australia at a Glance. Available at: http://www.aihw.gov.au/publications/index.cfm/title/7968 (last accessed 10 May 2008).Google Scholar
Australian Institute of Health and Welfare (AIHW) (2008). Residential Aged Care in Australia 2006–07. Available at: http://www.aihw.gov.au/publications/age/raca06-07/raca06-07.pdf (last accessed 12 October 2008).Google Scholar
Australian-Polish Community Services (2008). People from Ethnic Backgrounds in Commonwealth Funded Residential Care – Victoria. Available at http://www.apcs.org.au/attachments/publications/Reichstein_Report.pdf (last accessed 4 November 2008).Google Scholar
Cohen, C., Hyland, K. and Magai, C. (1997). Depression among African American nursing homes patients with dementia. American Association for Geriatric Psychiatry, 6, 162–175.CrossRefGoogle Scholar
Cohen-Mansfield, J. and Werner, P. (1997). Management of verbally disruptive behaviours in nursing home residents. Journals of Gerontology, 52A, M369–M377.Google Scholar
Folstein, M., Folstein, S., and McHugh, P. (1975). “Mini-mental state”: a practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198.CrossRefGoogle ScholarPubMed
Huang, Z. et al. (2003). Sociodemographic and health characteristics of older Chinese on admission to a nursing home: a cross-racial/ethnic study. Journal of the American Geriatrics Society, 51, 404–409.CrossRefGoogle ScholarPubMed
Lai, D. (2004). Impact of culture on depressive symptoms of elderly Chinese immigrants. Canadian Journal of Psychiatry, 49, 820–827.CrossRefGoogle ScholarPubMed
Leo, R., Sherry, C., DiMartino, S. and Karuza, J. (2002). Psychiatric consultation in the nursing home: referral patterns and recognition of depression. Journal of Psychosomatic Research, 53, 783–787.CrossRefGoogle ScholarPubMed
Lin, P., Wang, H. and Huang, H. (2007). Depressive symptoms among older residents at nursing homes in Taiwan. Journal of Clinical Nursing, 16, 1719–1725.CrossRefGoogle ScholarPubMed
LoGiudice, D., Hassett, A., Cook, R., Flicker, L. and Ames, D. (2001). Equity of access to a memory clinic in Melbourne? Non-English speaking background attenders are more severely demented and have increased rates of psychiatric disorders. International Journal of Geriatric Psychiatry, 16, 327–334.CrossRefGoogle ScholarPubMed
Ostbye, T., Kristjansson, B., Hill, G., Newman, S., Brouwer, R. and McDowell, I. (2005). Prevalence and predictors of depression in elderly Canadians: the Canadian Study of Health and Aging. Chronic Diseases in Canada, 26, 93–99.Google ScholarPubMed
Petrov, L. and Arnold, L. (2000). Special needs, special wants. Australasian Journal of Ageing, 19, 43–44.CrossRefGoogle Scholar
Peng, D., Xu, X., Liu, J., Jiao, Y. and Zhang, H. (2005). Discussion on application of MMSE for senile dementia patients. Chinese Journal of Neuroimmunology and Neurology, 12, 187–211.Google Scholar
Reisberg, B., Ferris, S., deLeon, M. and Crook, T. (1982). The Global Deterioration Scale for assessment of primary degenerative dementia. American Journal of Psychiatry, 139, 1136–1139.Google ScholarPubMed
Runci, S., Doyle, C. and Redman, J. (1999). An empirical test of language relevant interventions for dementia. International Psychogeriatrics, 11, 301–311.CrossRefGoogle ScholarPubMed
Runci, S., Redman, J. and O'Connor, D. (2005). Language use of older Italian-background persons with dementia in mainstream and ethno-specific residential care. International Psychogeriatrics, 17, 699–708.CrossRefGoogle ScholarPubMed
Snowdon, J. and Fleming, R. (2007). Recognising depression in residential facilities: an Australian challenge. International Journal of Geriatric Psychiatry, 23, 295–300.CrossRefGoogle Scholar
Teresi, J., Abrams, R., Holmes, D., Ramirez, M. and Eimicke, J. (2001). Prevalence of depression and depression recognition in nursing homes. Social Psychiatry and Psychiatric Epidemiology, 36, 613–620.CrossRefGoogle ScholarPubMed