Effective Screening for Emotional Distress in Refugees
| Autor: | Sasha Verbillis-Kolp, Annette Holland, Tsegaba Woldehaimanot, Junko Yamazaki, Beth Farmer, Eric C. Toolson, Michael Hollifield |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Psychometrics Refugee education Cohort Studies Stress Disorders Post-Traumatic Young Adult 03 medical and health sciences United States Public Health Service 0302 clinical medicine Cronbach's alpha Surveys and Questionnaires medicine Humans Mass Screening Affective Symptoms 030212 general & internal medicine Psychiatry Mass screening Depressive Disorder Refugees business.industry Public health fungi Reproducibility of Results food and beverages Middle Aged Anxiety Disorders United States 030227 psychiatry Psychiatry and Mental health Scale (social sciences) Anxiety Female medicine.symptom business Clinical psychology Cohort study |
| Zdroj: | Journal of Nervous & Mental Disease. 204:247-253 |
| ISSN: | 0022-3018 |
| DOI: | 10.1097/nmd.0000000000000469 |
| Popis: | Screening for emotional distress is important, but not widely available. This study assesses the utility of the Refugee Health Screener 15 (RHS-15) in a public health setting. Refugee Health Screener 15 and diagnostic proxy (DP) instruments assessing anxiety, depression, and posttraumatic stress disorder were administered to refugees from 3 countries at their public health examination. Properties of the RHS-15 and its components were evaluated utilizing appropriate methods. Scale Cronbach α was 0.95, and a factor analysis identified 1 factor accounting for 66% of scale variance. Refugee Health Screener 15 scores and cases discriminated between refugee groups similar to DPs. Refugee Health Screener 15 case sensitivity and specificity to DPs were acceptable (≥0.87/0.77). A shorter, 13-item component had acceptable metric properties. The RHS-15 appears to be a valid screener for emotional distress of refugees. The 13-item scale may be more efficient and as efficacious for case identification. The critical public health need and recommendations for implementation are discussed. |
| Databáze: | OpenAIRE |
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