Using the SRQ-20 factor structure to examine changes in mental distress following typhoon exposure.

Autor: Stratton KJ; Hunter Holmes McGuire VA Medical Center., Aggen SH; Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University., Richardson LK; School of Psychology, Murdoch University., Berenz EC; Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University., Tran TL; Health Department, Da Nang City., Trung LT; Da Nang Mental Health Hospital, Da Nang City., Tam NT; Vietnam Veterans of America Foundation., Tuan T; Research and Training Center for Community Development., Buoi LT; Research and Training Center for Community Development., Ha TT; Research and Training Center for Community Development., Thach TD; Research and Training Center for Community Development., Amstadter AB; Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University.
Jazyk: angličtina
Zdroj: Psychological assessment [Psychol Assess] 2014 Jun; Vol. 26 (2), pp. 528-38. Date of Electronic Publication: 2014 Feb 10.
DOI: 10.1037/a0035871
Abstrakt: Empirical research is limited regarding postdisaster assessment of distress in developing nations. This study aimed to evaluate the factor structure of the 20-item Self-Reporting Questionnaire (SRQ-20) before and after an acute trauma, Typhoon Xangsane, in order to examine changes in mental health symptoms in an epidemiologic sample of Vietnamese adults. The study examined a model estimating individual item factor loadings, thresholds, and a latent change factor for the SRQ-20's single "general distress" common factor. The covariates of sex, age, and severity of typhoon exposure were used to evaluate the disaster-induced changes in SRQ-20 scores while accounting for possible differences in the relationship between individual measurement scale items and the latent mental health construct. Evidence for measurement noninvariance was found. However, allowing sex and age effects on the pre-typhoon and post-typhoon factors accounted for much of the noninvariance in the SRQ-20 measurement structure. A test of no latent change failed, indicating that the SRQ-20 detected significant individual differences in distress between pre- and post-typhoon assessment. Conditioning on age and sex, several typhoon exposure variables differentially predicted levels of distress change, including evacuation, personal injury, and peri-event fear. On average, females and older individuals reported higher levels of distress than males and younger individuals, respectively. The SRQ-20 is a valid and reasonably stable instrument that may be used in postdisaster contexts to assess emotional distress and individual changes in mental health symptoms.
Databáze: MEDLINE