Sigvardsdotter Erika, Nilsson Henrik, Malm Andreas, Tinghög Petter, Gottvall Maria, Vaez Marjan, Saboonchi Fredrik
Department of Health Sciences, The Swedish Red Cross University College, 14121 Huddinge, Sweden.
Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, 17177 Stockholm, Sweden.
Int J Environ Res Public Health. 2017 Oct 4;14(10):1175. doi: 10.3390/ijerph14101175.
A high proportion of refugees have been subjected to potentially traumatic experiences (PTEs), including torture. PTEs, and torture in particular, are powerful predictors of mental ill health. This paper reports the development and preliminary validation of a brief refugee trauma checklist applicable for survey studies.
A pool of 232 items was generated based on pre-existing instruments. Conceptualization, item selection and item refinement was conducted based on existing literature and in collaboration with experts. Ten cognitive interviews using a Think Aloud Protocol (TAP) were performed in a clinical setting, and field testing of the proposed checklist was performed in a total sample of n = 137 asylum seekers from Syria.
The proposed refugee trauma history checklist (RTHC) consists of 2 × 8 items, concerning PTEs that occurred before and during the respondents' flight, respectively. Results show low item non-response and adequate psychometric properties Conclusion: RTHC is a usable tool for providing self-report data on refugee trauma history surveys of community samples. The core set of included events can be augmented and slight modifications can be applied to RTHC for use also in other refugee populations and settings.
很大比例的难民经历过潜在创伤性事件（PTEs），包括酷刑。PTEs，尤其是酷刑，是心理健康问题的有力预测因素。本文报告了一份适用于调查研究的简短难民创伤清单的编制及初步验证情况。
基于现有工具生成了232个条目。根据现有文献并与专家合作进行概念化、条目选择和细化。在临床环境中进行了10次采用出声思考协议（TAP）的认知访谈，并在来自叙利亚的n = 137名寻求庇护者的总样本中对拟议清单进行了现场测试。
拟议的难民创伤史清单（RTHC）由2×8个条目组成，分别涉及受访者逃亡之前和期间发生的PTEs。结果显示条目无回答率低且心理测量特性良好。结论：RTHC是一种可用工具，可用于在社区样本的难民创伤史调查中提供自我报告数据。所纳入事件的核心集可以扩充，并且对RTHC稍作修改也可用于其他难民群体和环境。
