Key demographic and mental disorder diagnostic differences between Australian First Nations and non-First Nations clinic-referred children and adolescents assessed in a culturally appropriate and safe way
Objective: Increased point prevalence rates of oppositional defiant disorder and conduct disorder have been reported in American Indian and Canadian First Nations children and adolescents. To date, in Australia, there has been no published examination of standardized Diagnostic and Statistical Manua...
Published in: | Australian & New Zealand Journal of Psychiatry |
---|---|
Main Authors: | , , , |
Other Authors: | |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
SAGE Publications
2021
|
Subjects: | |
Online Access: | http://dx.doi.org/10.1177/00048674211063819 http://journals.sagepub.com/doi/pdf/10.1177/00048674211063819 http://journals.sagepub.com/doi/full-xml/10.1177/00048674211063819 |
id |
crsagepubl:10.1177/00048674211063819 |
---|---|
record_format |
openpolar |
spelling |
crsagepubl:10.1177/00048674211063819 2024-06-16T07:39:56+00:00 Key demographic and mental disorder diagnostic differences between Australian First Nations and non-First Nations clinic-referred children and adolescents assessed in a culturally appropriate and safe way Vance, Alasdair Winther, Jo McGaw, Janet White, Selena Medical Research Future Fund Million Minds Program Grant 2021 http://dx.doi.org/10.1177/00048674211063819 http://journals.sagepub.com/doi/pdf/10.1177/00048674211063819 http://journals.sagepub.com/doi/full-xml/10.1177/00048674211063819 en eng SAGE Publications http://journals.sagepub.com/page/policies/text-and-data-mining-license Australian & New Zealand Journal of Psychiatry volume 56, issue 11, page 1455-1462 ISSN 0004-8674 1440-1614 journal-article 2021 crsagepubl https://doi.org/10.1177/00048674211063819 2024-05-19T13:01:31Z Objective: Increased point prevalence rates of oppositional defiant disorder and conduct disorder have been reported in American Indian and Canadian First Nations children and adolescents. To date, in Australia, there has been no published examination of standardized Diagnostic and Statistical Manual mental disorder diagnoses in First Nations children and adolescents, determined after addressing key cultural methodological issues. Methods: In all, 113 First Nations children and adolescents and 217 non-First Nations young people, aged 6–16 years, age, gender, mental disorder symptom severity, symptom-linked distress and impairment matched were recruited in a case control study. Also, 112 typically developing non-First Nations participants, age and gender matched to the other two clinical groups as a second comparison group were recruited. Diagnostic and Statistical Manual mental disorder diagnoses via semi-structured clinical interview, social adversity status and full scale IQ were determined in all participants with cultural validity and reliability of the impairing patterns of symptoms in First Nations young people determined by First Nations mental health staff and Aboriginal Health Liaison Officers. Full scale IQ and social adversity status were appropriately controlled in the Logistic Regression analyses of Diagnostic and Statistical Manual mental disorder diagnoses between the two clinical groups. Results: Oppositional defiant disorder was the only diagnostic and statistical manual mental disorder diagnosis that differed between the First Nations and non-First Nations clinical groups, adjusting for confounding by social adversity status and full scale IQ in the multivariable model. The point prevalence of oppositional defiant disorder was 2.94 times higher (95% confidence interval: 1.14–7.69) among the First Nations compared to the non-First Nations clinical group. Conclusion: Key known risk factors for oppositional defiant disorder can be identified early and holistically managed in First Nations young ... Article in Journal/Newspaper First Nations SAGE Publications Indian Australian & New Zealand Journal of Psychiatry 000486742110638 |
institution |
Open Polar |
collection |
SAGE Publications |
op_collection_id |
crsagepubl |
language |
English |
description |
Objective: Increased point prevalence rates of oppositional defiant disorder and conduct disorder have been reported in American Indian and Canadian First Nations children and adolescents. To date, in Australia, there has been no published examination of standardized Diagnostic and Statistical Manual mental disorder diagnoses in First Nations children and adolescents, determined after addressing key cultural methodological issues. Methods: In all, 113 First Nations children and adolescents and 217 non-First Nations young people, aged 6–16 years, age, gender, mental disorder symptom severity, symptom-linked distress and impairment matched were recruited in a case control study. Also, 112 typically developing non-First Nations participants, age and gender matched to the other two clinical groups as a second comparison group were recruited. Diagnostic and Statistical Manual mental disorder diagnoses via semi-structured clinical interview, social adversity status and full scale IQ were determined in all participants with cultural validity and reliability of the impairing patterns of symptoms in First Nations young people determined by First Nations mental health staff and Aboriginal Health Liaison Officers. Full scale IQ and social adversity status were appropriately controlled in the Logistic Regression analyses of Diagnostic and Statistical Manual mental disorder diagnoses between the two clinical groups. Results: Oppositional defiant disorder was the only diagnostic and statistical manual mental disorder diagnosis that differed between the First Nations and non-First Nations clinical groups, adjusting for confounding by social adversity status and full scale IQ in the multivariable model. The point prevalence of oppositional defiant disorder was 2.94 times higher (95% confidence interval: 1.14–7.69) among the First Nations compared to the non-First Nations clinical group. Conclusion: Key known risk factors for oppositional defiant disorder can be identified early and holistically managed in First Nations young ... |
author2 |
Medical Research Future Fund Million Minds Program Grant |
format |
Article in Journal/Newspaper |
author |
Vance, Alasdair Winther, Jo McGaw, Janet White, Selena |
spellingShingle |
Vance, Alasdair Winther, Jo McGaw, Janet White, Selena Key demographic and mental disorder diagnostic differences between Australian First Nations and non-First Nations clinic-referred children and adolescents assessed in a culturally appropriate and safe way |
author_facet |
Vance, Alasdair Winther, Jo McGaw, Janet White, Selena |
author_sort |
Vance, Alasdair |
title |
Key demographic and mental disorder diagnostic differences between Australian First Nations and non-First Nations clinic-referred children and adolescents assessed in a culturally appropriate and safe way |
title_short |
Key demographic and mental disorder diagnostic differences between Australian First Nations and non-First Nations clinic-referred children and adolescents assessed in a culturally appropriate and safe way |
title_full |
Key demographic and mental disorder diagnostic differences between Australian First Nations and non-First Nations clinic-referred children and adolescents assessed in a culturally appropriate and safe way |
title_fullStr |
Key demographic and mental disorder diagnostic differences between Australian First Nations and non-First Nations clinic-referred children and adolescents assessed in a culturally appropriate and safe way |
title_full_unstemmed |
Key demographic and mental disorder diagnostic differences between Australian First Nations and non-First Nations clinic-referred children and adolescents assessed in a culturally appropriate and safe way |
title_sort |
key demographic and mental disorder diagnostic differences between australian first nations and non-first nations clinic-referred children and adolescents assessed in a culturally appropriate and safe way |
publisher |
SAGE Publications |
publishDate |
2021 |
url |
http://dx.doi.org/10.1177/00048674211063819 http://journals.sagepub.com/doi/pdf/10.1177/00048674211063819 http://journals.sagepub.com/doi/full-xml/10.1177/00048674211063819 |
geographic |
Indian |
geographic_facet |
Indian |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
Australian & New Zealand Journal of Psychiatry volume 56, issue 11, page 1455-1462 ISSN 0004-8674 1440-1614 |
op_rights |
http://journals.sagepub.com/page/policies/text-and-data-mining-license |
op_doi |
https://doi.org/10.1177/00048674211063819 |
container_title |
Australian & New Zealand Journal of Psychiatry |
container_start_page |
000486742110638 |
_version_ |
1802006738410405888 |