Sigvardsdotter Erika, Malm Andreas, Tinghög Petter, Vaez Marjan, Saboonchi Fredrik
1The Swedish Red Cross University College, Box 1059, 141 21 Huddinge, Stockholm Sweden.
2Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Public Health Rev. 2016 Sep 9;37:10. doi: 10.1186/s40985-016-0024-5. eCollection 2016.
Studies have shown that a high proportion of refugees have been subjected to potentially traumatic experiences (PTEs). PTEs, including torture, are powerful predictors of mental ill health. This paper reports a review of refugee trauma history self-report measures used in population studies.
A review of existing instruments and checklists, up to September 2015, was performed.
The types of measures for refugee trauma history vary from semi-structured interviews and medical records to extensive multi-item trauma-checklists. The Harvard Trauma Questionnaire (HTQ) was the most commonly used instrument for measuring trauma history among refugee populations. Few checklists included PTEs during the flight.
Trauma history checklists are often used as a tool to control for background variables when studying refugees' mental health and have mostly been developed in clinical or semi-clinical settings. There is a need for acceptable, reliable and valid brief checklists for measuring trauma in refugees, for the purpose of performing larger scale population studies.
研究表明,很大一部分难民经历过潜在的创伤性事件(PTEs)。包括酷刑在内的PTEs是心理健康问题的有力预测因素。本文报告了一项对人口研究中使用的难民创伤史自我报告测量方法的综述。
对截至2015年9月的现有工具和清单进行了综述。
难民创伤史的测量方法多种多样,从半结构化访谈和医疗记录到广泛的多项目创伤清单。哈佛创伤问卷(HTQ)是难民群体中最常用的测量创伤史的工具。很少有清单包括逃亡期间的PTEs。
创伤史清单在研究难民心理健康时经常被用作控制背景变量的工具,并且大多是在临床或半临床环境中开发的。为了进行更大规模的人口研究,需要有可接受、可靠且有效的简短清单来测量难民的创伤。