Psychological distress in carers of aboriginal children in urban New South Wales: Findings from search (phase one)

dc.contributor.authorWilliamson, Anna B
dc.contributor.authorD'Este, Catherine
dc.contributor.authorClapham, Kathleen
dc.contributor.authorEades, Sandra
dc.contributor.authorRedman, Sally
dc.contributor.authorRaphael, Beverley
dc.date.accessioned2018-11-29T22:52:59Z
dc.date.available2018-11-29T22:52:59Z
dc.date.issued2016
dc.date.updated2018-11-29T07:50:22Z
dc.description.abstractOBJECTIVE: To examine the factors associated with psychological distress in parents and carers of Aboriginal children living in urban communities in New South Wales. DESIGN: Cross-sectional survey (phase one of the Study of Environment on Aboriginal Resilience and Child Health [SEARCH], November 2007 - December 2011). SETTING AND PARTICIPANTS: Primary care; 589 parents and carers of Aboriginal children were recruited when attending one of the four Aboriginal Community Controlled Health Services (ACCHSs) in urban NSW that participated in SEARCH. MAIN OUTCOME MEASURE: Kessler Psychological Distress Scale (K10) scores; a score of 22 or higher was deemed to indicate high levels of psychological distress. RESULTS: High levels of psychological distress were identified in 18% of our sample. The factors most strongly associated with this distress were functional limitations (v those with K10 scores under 22: adjusted odds ratio [aOR], 4.2; 95% CI, 1.3-13.5), previous hospitalisation (aOR, 5.5; 95% CI, 1.5-19.4) or other treatment for social and emotional wellbeing (aOR, 3.3; 95% CI, 1.3-8.4), low satisfaction with feeling part of the community (aOR, 0.83; 95% CI, 0.70-0.98) and low involvement in clubs and groups (aOR, 2.9; 95% CI, 1.2-7.3). CONCLUSIONS: Clinicians should note that those with functional limitations or a history of treatment for mental health problems are at higher risk of psychological distress and may require additional support. Increased funding that allows ACCHSs to provide mental health services, and funding and promoting programs and activities that increase social connectedness should remain focuses for ACCHSs and policy makers.
dc.format.mimetypeapplication/pdfen_AU
dc.identifier.issn0025-729X
dc.identifier.urihttp://hdl.handle.net/1885/152343
dc.publisherAustralasian Medical Association
dc.sourceMedical Journal of Australia
dc.titlePsychological distress in carers of aboriginal children in urban New South Wales: Findings from search (phase one)
dc.typeJournal article
dcterms.accessRightsOpen Accessen_AU
local.bibliographicCitation.issue1
local.bibliographicCitation.lastpage32
local.bibliographicCitation.startpage27
local.contributor.affiliationWilliamson, Anna B, The Sax Institue
local.contributor.affiliationD'Este, Catherine, College of Health and Medicine, ANU
local.contributor.affiliationClapham, Kathleen, University of Wollongong
local.contributor.affiliationEades, Sandra, Baker IDI Heart and Diabetes Institute
local.contributor.affiliationRedman, Sally, SAX Institute
local.contributor.affiliationRaphael, Beverley, College of Health and Medicine, ANU
local.contributor.authoremailu5460340@anu.edu.au
local.contributor.authoruidD'Este, Catherine, u5460340
local.contributor.authoruidRaphael, Beverley, u1816469
local.description.notesImported from ARIES
local.identifier.absfor111701 - Aboriginal and Torres Strait Islander Health
local.identifier.absfor111706 - Epidemiology
local.identifier.absseo920302 - Aboriginal and Torres Strait Islander Health - Health Status and Outcomes
local.identifier.ariespublicationU3488905xPUB23468
local.identifier.citationvolume205
local.identifier.doi10.5694/mja16.00111
local.identifier.scopusID2-s2.0-84977138940
local.identifier.thomsonID000380622400013
local.identifier.uidSubmittedByU3488905
local.type.statusPublished Version

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