Department of Psychiatry, Boston Children's Hospital.
Department of Psychology McLean Hospital.
Am J Orthopsychiatry. 2020;90(6):787-798. doi: 10.1037/ort0000509. Epub 2020 Sep 28.
The process of resettlement in a new country and culture is commonly one of intense stress. Somali immigrants and refugees living in North America represent a large ethnocultural group navigating the complexities of forced displacement and resettlement. Despite the immense resilience exhibited by Somali communities in resettlement, the behavioral health needs of these communities require effective and culturally appropriate psychological assessment tools that can be used across service and research sectors. Given this need, we sought to examine the psychometric properties and concurrent validity of the Cognitive Fusion Questionnaire (CFQ), a transdiagnostic measure of cognitive fusion, in a sample of 233 ( age = 25.35; female = 45%) Somali young adults living in North America. Results using confirmatory factor analysis demonstrated that the one-factor structure of the CFQ previously found in other diverse populations held in the present sample. The structure and related item loadings were invariant across three key variables: gender, age, and location of resettlement in North America. Importantly, cognitive fusion was meaningfully associated with aspects of clinical and psychosocial functioning thought to be highly relevant to this population, including posttraumatic stress, anxiety, and depression symptoms, thwarted belongingness and perceived burdensomeness, and experiences of discrimination. Building upon the growing body of evidence supporting the CFQ's strong psychometric properties across cultural groups, researchers, and clinicians should have an added degree of confidence and enthusiasm in utilizing this measure to support immigrant and refugee communities. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
在一个新的国家和文化中重新安置的过程通常是高度紧张的。生活在北美的索马里移民和难民是一个庞大的族群，他们正在应对被迫流离失所和重新安置的复杂性。尽管索马里社区在重新安置中表现出了巨大的适应力，但这些社区的行为健康需求需要有效的、文化上适当的心理评估工具，这些工具可以在服务和研究领域中使用。鉴于这一需求，我们试图在一个由 233 名（年龄=25.35；女性=45%）生活在北美的索马里青年成年人组成的样本中，检验认知融合问卷（CFQ）的心理测量特性和同时效度，该问卷是一种跨诊断的认知融合测量工具。使用验证性因素分析的结果表明，CFQ 的单因素结构在以前在其他不同人群中发现的结构在本样本中成立。该结构和相关项目的负荷在三个关键变量上具有不变性：性别、年龄和在北美的重新安置地点。重要的是，认知融合与被认为与该人群高度相关的临床和心理社会功能的各个方面具有有意义的关联，包括创伤后应激、焦虑和抑郁症状、受挫的归属感和感知负担，以及经历歧视。在越来越多的证据支持 CFQ 在跨文化群体中的强有力的心理测量特性的基础上，研究人员和临床医生应该对使用该测量工具来支持移民和难民社区更有信心和热情。（PsycInfo 数据库记录（c）2020 APA，保留所有权利）。
