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Depression, Cardiovascular Disease and Indigenous Australians

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Culture, Diversity and Mental Health - Enhancing Clinical Practice

Part of the book series: Advances in Mental Health and Addiction ((AMHA))

Abstract

Cardiovascular disease (CVD) is the major cause of premature death and disability experienced by Indigenous Australians and a key contributor to the life expectancy “gap” between Indigenous and non-Indigenous Australians. Because CVD strikes Indigenous Australians between 10 and 20 years earlier than other Australians, the emotional, societal and economic consequences for this population are far greater. Indigenous Australians are also at a particularly high risk of developing psychological illness, given their experience of colonisation, socioeconomic disadvantage, discrimination and racism. It is well-established that depression is an independent risk factor for developing CVD and for poorer outcomes after a CVD event. There is also increasing evidence of causal relationships between psychological distress, depression and CVD in Indigenous communities. These relationships may best be understood within the broader more holistic framework of social and emotional well-being, rather than a biomedical-centred framework that focuses on negative concepts of poor mental health. This chapter explores the complex bidirectional relationship between CVD and depression which is likely to be cyclical in nature and exacerbate the life expectancy gap. Positive approaches to ending this vicious cycle may involve appropriate holistic approaches to measuring and monitoring social and emotional well-being, and acknowledgement of the contribution of intergenerational trauma and discrimination as important determinants of well-being.

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Authors and Affiliations

  1. Australian Centre for Heart Health, Melbourne, Australia

    M. Le Grande, A. C. Jackson, C. F. Ski & D. R. Thompson

  2. Faculty of Health, Deakin University, Melbourne, Australia

    M. Le Grande & A. C. Jackson

  3. School of Nursing and Midwifery, Queen’s University Belfast, Belfast, UK

    C. F. Ski & D. R. Thompson

  4. Wardliparingga Aboriginal Research Unit, South Australian Health and Medical Research Institute (SAHMRI), Adelaide, Australia

    A. Brown

  5. Division of Health Sciences, Sansom Institute, University of South Australia, Adelaide, Australia

    A. Brown

Authors
  1. M. Le Grande
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  2. A. C. Jackson
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  3. C. F. Ski
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  4. D. R. Thompson
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  5. A. Brown
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Corresponding author

Correspondence to M. Le Grande .

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Editors and Affiliations

  1. Liberal Arts & Science & Innovative Learning, Humber College, Toronto, ON, Canada

    Masood Zangeneh

  2. Spitzer Department of Social Work, Ben-Gurion University of the Negev, Be’er Sheva, Israel

    Alean Al-Krenawi

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Le Grande, M., Jackson, A.C., Ski, C.F., Thompson, D.R., Brown, A. (2019). Depression, Cardiovascular Disease and Indigenous Australians. In: Zangeneh, M., Al-Krenawi, A. (eds) Culture, Diversity and Mental Health - Enhancing Clinical Practice. Advances in Mental Health and Addiction. Springer, Cham. https://doi.org/10.1007/978-3-030-26437-6_10

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