Malm Andreas, Tinghög Petter, Narusyte Jurgita, Saboonchi Fredrik
1Department of Health Sciences, The Swedish Red Cross University College, PO Box 1059, 141 21 Huddinge, Sweden.
2Department of Clinical Neuroscience, Karolinska Institutet, Division of Insurance Medicine, 171 77 Stockholm, Sweden.
Confl Health. 2020 Jan 6;14:2. doi: 10.1186/s13031-019-0246-5. eCollection 2020.
Despite the growing recognition of the impact of post-resettlement factors on the mental health of refugees, a clear definition of the concept of post-migration stress, as well as an updated, valid instrument for assessing the construct, are still lacking. The aim of the current study was to develop and validate the Refugee Post-Migration Stress Scale (RPMS), a concise, multi-dimensional instrument for assessing post-migration stress among refugees.
Based on a review of previous research and observations from a refugee trauma clinic, a preliminary 24-item instrument was developed, covering seven hypothesized domains of post-migration stress: and .In the context of a population-based survey of mental health among refugees from Syria recently resettled in Sweden ( = 1215), the factorial structure of the RPMS was investigated. Confirmatory Factor Analysis revealed slightly insufficient fit for the initial theorized multi-domain model. Exploratory Factor Analysis in four iterations resulted in the omission of three items and an adequate fit of a 7-factor model, corresponding to the seven hypothesized domains of post-migration stress. To assess concurrent validity, correlational analyses with measures of anxiety, depression, post-traumatic stress disorder (PTSD), and mental wellbeing were carried out. All domains of post-migration stress showed significant correlations with anxiety, depression, and PTSD scores, and significant negative correlations with mental wellbeing scores.
The newly developed RPMS appears to be a valid instrument for assessing refugee post-migration stress. Our findings that post-migration stress primarily relating to social and economic factors seems to be associated with mental ill health among refugees is in line with previous research.
尽管人们越来越认识到重新安置后的因素对难民心理健康的影响，但仍缺乏对移民后应激概念的明确定义，以及用于评估该结构的更新、有效的工具。本研究的目的是开发并验证难民移民后应激量表（RPMS），这是一种用于评估难民移民后应激的简洁、多维度工具。
基于对先前研究的回顾以及难民创伤诊所的观察，开发了一个初步的包含24个条目的工具，涵盖了移民后应激的七个假设领域：……在对最近在瑞典重新安置的叙利亚难民进行的基于人群的心理健康调查（n = 1215）的背景下，对RPMS的因子结构进行了研究。验证性因子分析显示初始理论化的多领域模型拟合度略有不足。经过四轮探索性因子分析，剔除了三个条目，得到了一个7因子模型的良好拟合，该模型对应于移民后应激的七个假设领域。为了评估同时效度，进行了与焦虑、抑郁、创伤后应激障碍（PTSD）和心理健康测量指标的相关分析。移民后应激的所有领域均与焦虑、抑郁和PTSD得分呈显著正相关，与心理健康得分呈显著负相关。
新开发的RPMS似乎是评估难民移民后应激的有效工具。我们的研究结果表明，主要与社会和经济因素相关的移民后应激似乎与难民的心理健康不良有关，这与先前的研究一致。
