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The refugee post-migration stress scale (RPMS) - development and validation among refugees from Syria recently resettled in Sweden
The Swedish Red Cross University College, Department of Health Sciences. Karolinska Institutet / The Swedish Red Cross Treatment Center for Persons Affected by War and Torture.ORCID iD: 0000-0002-9836-5336
The Swedish Red Cross University College, Department of Health Sciences. Karolinska Institutet.ORCID iD: 0000-0001-6138-6427
Karolinska Institutet.
The Swedish Red Cross University College, Department of Health Sciences. Karolinska Institutet.ORCID iD: 0000-0001-5376-5048
2020 (English)In: Conflict and Health, ISSN 1752-1505, E-ISSN 1752-1505, Vol. 14, article id 2Article in journal (Refereed) Published
Abstract [en]

Background: 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.

Results: 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: perceived discrimination, lack of host country specific competences, material and economic strain, loss of home country, family and home country concerns, social strain, and family conflicts.In the context of a population-based survey of mental health among refugees from Syria recently resettled in Sweden (n = 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.

Conclusions: 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.

Place, publisher, year, edition, pages
BioMed Central, 2020. Vol. 14, article id 2
Keywords [en]
Assessment, Confirmatory factor analysis, Construct validity, Exploratory factor analysis, Mental health, Post-migration stress, Refugee, Scale development, Syria
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:rkh:diva-3130DOI: 10.1186/s13031-019-0246-5PubMedID: 31921332OAI: oai:DiVA.org:rkh-3130DiVA, id: diva2:1388276
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2016–07194Available from: 2020-01-24 Created: 2020-01-24 Last updated: 2020-01-24Bibliographically approved

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Malm, AndreasTinghög, PetterSaboonchi, Fredrik

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