Background
Study aim
Methods
Stage 1: Identifying the research question
Stage 2: Identifying the relevant studies
Inclusion and exclusion criteria
-
the refugee sample size was ≥ 150; or
-
the tool(s) were described in 5 or more research articles.
Stage 3: Selecting studies
Stage 4. Charting the data
Stage 5: Collating, summarizing and reporting the results
Definitons
Study population
Self-rated health measurement
Reliability
Validity
Results
The studies
Characteristic | # studies |
---|---|
(N = 183) | |
Country: | |
Western | |
United States | 59 |
Australia | 20 |
Sweden | 14 |
Norway | 8 |
Canada | 7 |
UK, Denmark, The Netherlands | 6 |
New Zealand | 4 |
Finland, Sth Korea | 3 |
Ireland, Switzerland, Germany | 2 |
Other | 6 |
Non Western | |
India, Uganda | 4 |
Nepal, Rwanda | 3 |
The Gambia, Jordan | 2 |
Other | 15 |
Setting: | |
Non-clinical | 135 |
Clinical | 48 |
Health assessment | |
Mental Health | 153 |
General Health | 30 |
Gender: | |
Mixed sex sample | 171 |
Female only sample | 10 |
Male only sample | 2 |
Sample size: | |
< 500 | 163 |
500–1000 | 12 |
> 1000 | 8 |
Population/region | |
Middle East | 72 |
Sth East Asia | 58 |
Sub-Saharan Africa | 52 |
Eastern Europe | 35 |
Study Design: | |
Cross sectional | 173 |
Longitudinal | 9 |
Case control | 1 |
Data type: | |
Primary data collection | 179 |
Secondary data analysis | 4 |
The measurement tools
Measurement focus | Measurement name, Author & Year | Design/use | No. of studies tool cited in | Composition | Completion time (CT); Language Availability (LA) | Publically available | Reliability testing in refugee population group | Validity testing in refugee population group |
---|---|---|---|---|---|---|---|---|
General Health | Medical Outcomes Study Short Form - Ware & Sherbourne (1992) | Designed for use in clinical practice and research, and general population surveys. | 18 | Several versions: 36, 20, 12 or 6 items measuring perceived mental & physical health status across 8 health concepts in past month. | 5–10 min to complete depending on version. Available in 50 languages. | Yes | SF-6: Afghani(1)
SF-12: Russian(2)
SF-20: Bosnian(3)
SF-36: Bosnian(4)
| SF-12: Russian(2)
|
General Health | WHO Quality of Life-BREF - WHO (1998) | Designed to assess self-rated quality of life across different cultures. Appropriate for large research studies, clinical trials, medical care. | 6 | 26 items measuring 4 quality of life domains (physical health, psychological health, social relationships & environment) in past 2 weeks. Responses scored on 5-point Likert scale. | 10–15 min to complete. Available in multiple languages | No | Somalian(5). Liberian, Togolese, Sierra-Leonean(6). | Somalian(8)
|
General Health | New Mexico Refugee Symptom Checklist-121 - Hollifield et al. (2009) | Designed for use within non-clinical refugee research. | 2 | 121 items; 12 subscales assessing distressing physical and emotional symptoms in past year. Responses scored on 5-point Likert severity scale. | 60–90 min to complete. Available in multiple languages | No | Kurdish & Vietnamese(7)
| Kurdish & Vietnamese(7)
|
General Health | Personal Wellbeing Index - Cummins (2003) | Designed to be a cross-cultural instrument of quality of life. | 2 | 8 items assessing life satisfaction (eg.health, community belonging, future security, religion & spirituality). Responses scored on 11 point Likert satisfaction scale. | 5–10 min to complete. Available in multiple languages | Yes | Afghani & Kurdish(8)
| No |
General Health | World Health Organisation Disability Assessment Schedule 2.0 - WHO (2004) | Designed to be used within clinical, community and general populations. | 1 | 36 items measuring quality of life (eg. mobility, self-care, interpersonal). Responses scored on 5-point Likert scale. | 5–20 min to complete. Available in multiple languages. | No | Sudanese(9)
| No |
Common Mental Disorders | Hopkins Symptom Checklist-25 - Mollica et al. (1987) | Originally designed for use in Western clinical settings. Indochinese version developed to screen anxiety & depression in clinical refugee samples. | 62 | 25 items; 15 anxiety and 10 depression symptoms. Responses scored on a 4-point scale. An average-item score > 1.75 indicates clinically significant distress. | 5–10 min to complete. Available in multiple languages (eg. English, Amharic, Bosnian, Cambodian, Dari, Khmer, Laotian, Pashto, Vietnamese, Tibetan) | No | African (10) (11, 12) (13) (14) (15) (16) Nth & Sth East Asian (17)(18)(19)(20)(21)(22)(25) Middle Eastern (12)(13)(14)(18)(19)(20) Southern & Eastern Europe (24)(12)(13)(14)(22)(18)(3) Central American (13)(19) | Tibetan(17). Cambodian, Laotian, Vietnamese(18). Syrian(20). |
Common Mental Disorders | General Health Questionnaire - Goldberg & Blackwell (1970) | Designed for identifying psychiatric illness in Western general practice patients. | 11 | Several versions: 60, 30, 28 or 12 items measure depression, anxiety, social impairment, & hypochondriasis. Responses scored on 4 point Likert scale indicating presence or absence of symptoms. Cutoff scores vary according to version. | 2–10 min to complete depending on version. Available in 38 languages. | No | Somalian(21)
Bosnian(22)
Kosovan(23)
Bhutanese(24)
| No |
Common Mental Disorders | Centre for Epidemiologic Studies-Depression Scale - Radloff et al. (1977) | Designed to measure current depressive symptoms in general populations. | 10 | 20-item measure assessing symptoms of depression in past week. Responses scored on 4-point Likert scale. Suggested cut-off >16. | 10–20 min to complete. Available in multiple languages. | Yes | Iraqi(25)
Syrian(28)
Iraqi, Lebanese, Yemenese(26)
Arabic(27)
Bosnian(28)
| No |
Common Mental Disorders | Beck Depression Inventory - Beck (1961) | Designed to detect/assess/monitor changes in depressive symptoms in clinical setting by trained professionals. | 9 | 21 items of depression rated from 0 to 3 in terms of intensity. Suggested cut offs: minimal depression <10; mild-moderate depression 10–18; mod to severe depression 19–29; severe depression 30–63. | 10–15 min to complete. Available in multiple languages. | Yes | Hmong(29)
Syrian(30)
Somalian(29)
| Hmong(37)
|
Common Mental Disorders | Kessler Psychological Scale - Kessler & Mroczek (1994) | Developed to screen for distress/mental illness in Western populations. Has been adopted in Western and non-Western countries as a screening & outcome measure in primary care and mental health settings. | 8 | 10 or 6 items measuring psychological distress over previous 4 weeks. Responses scored on 5 point Likert scale. Recommended cut-off scores: low to mild distress (10–20); moderate (22–29); severe (> = 30). | 10 mins to complete. Available in multiple languages. | Yes | Iraqi(31, 32)
Kurdish(39)
Afghani(33)
Malian(34)
| No |
Common Mental Disorders | Symptom Checklist-90 - Derogatis & Cleary (1977) | Designed as mental health screening tool for Western clinical samples. | 8 | 90 items; 10 subscales asking about anxiety, depression, somatization, hostility, interpersonal sensitivity, phobic anxiety, paranoid ideation, obsessive-compulsive ideation, psychoticism in past week. Responses scored on 5 point scale of distress. | 15–30 min to complete. Available in multiple languages. | No | No | Hmong(35)
|
Common Mental Disorders | Self-Reporting Questionnaire - WHO (1995) | Designed as psychiatric screening instrument for use in primary health care and/or community settings in low/middle income countries. | 5 | Depending on version, Items range from 5 to 20 asking about psychological and somatic symptoms in the past 30 days. Optimal cut-off considered to be 7/8. | 5–10 min to complete. Available in multiple languages. | Yes | No | No |
Common Mental Disorders | Internalized Stigma of Mental Illness Scale - Ristcher et al. (2003) | Designed to measure internalized stigma within Western clinical samples. | 3 | 29 items; 5 subscales measuring subjective experience of stigma. Responses scored on 4 point Likert scale. Higher total scores indicate greater internalized stigma. | Completion time: n/a. Available in multiple languages. | Yes | Iraqi, Lebanese, Yemeni(39)
| Iraqi, Lebanese, Yemeni(39)
|
Common Mental Disorders | Afghan Symptom Checklist - Miller et al. (2006) | Designed to measure psychological distress within non-clinical samples of Afghanis. | 2 | 23 items measuring well-being and distress in the previous 2 weeks. Responses scored on 5 point Likert scale. | 10 mins to complete. Available in English & Dari. | No | Afghani(1)
| No |
Common Mental Disorders | Hospital Anxiety & Depression Scale - Zigmond & Snaith (1983) | Designed for use in Western clinical & research settings. | 2 | 14 items measuring cognitive & emotional aspects of depression and anxiety. Responses on 4-point Likert scale. | 5 mins to complete. Available in multiple languages. | No | No | No |
Common Mental Disorders | Augmented Anxiety Sensitivity Index -Hinton et al. (2006) | Designed to measure culturally specific fears within Cambodian refugee outpatients in USA. | 1 | ASI: 16 items assessing fear of different anxiety symptoms. Responses scored on 5-point Likert scale. Augmented ASI: ASI with 9-item addendum assessing anxiety-related concerns. | Completion time: n/a. Available in English & Cambodian. | No | Cambodian(36)
| No |
Common Mental Disorders | Beck Anxiety Inventory - Beck (1988) | Designed to measure anxiety in adults and adolescents in clinical & research settings. | 1 | 21 items of anxiety rated from 0 to 3 with total possible score of 63. Suggested cut-offs: 0–7: minimal anxiety; 8–15: mild anxiety; 16–25: moderate anxiety; >26: severe anxiety. | 5–10 min to complete. Available in multiple languages. | Yes | No | No |
Common Mental Disorders | Depression, Anxiety Stress Scale - Lovibond & Lovibond (1995) | Designed to measure symptoms of depression, anxiety & stress in community settings. | 1 | 20-item measure assessing symptoms of depression in past week. Responses scored on a 4-point Likert scale. Suggested cut-off >16. | 10–20 min to complete. Available in multiple languages. | Yes | Arabic(34)
| No |
Common Mental Disorders | General Perceived Self-Efficacy Scale - Schwarzer & Jerusalem (1995) | Designed to assess self-efficacy within Western non-clinical/clinical populations. | 1 | 10 items assessing ability to cope with daily hassles and flexibility to adapt after experiencing stressful life event(s). Responses scored on 4 point Likert scale. Higher scores indicate stronger patient’s belief in self-efficacy. | 2–10 min to complete depending on version. Available in multiple languages. | No | Afghani, Kurdish(8)
| No |
Common Mental Disorders | Mental Health Inventory - Veit & Ware (1983) | Designed for use in general Western populations to detect mental health disorders. | 1 | 18 items, consisting of two subscales: psychological distress (22 items) and psychological wellbeing (16 items). Responses scored on 6-point Likert scale. Higher scores reflect better mental health. | 5–10 min to complete. Available in multiple languages. | Yes | Bosnian(37)
| No |
Common Mental Disorders | Patient Health Questionnaire - Spitzer & Williams (1994) | Designed to measure depression & severity in Western clinical samples. | 1 | 9 items measuring depressive disorder according to the DSM-IV. Responses scored on 4-point Likert scale indicating degree of severity. | 5 mins to complete. Available in multiple languages. | No | No | No |
Common Mental Disorders | Refugee Health Screener-15 -- Hollifield et al. (2013) | Designed to screen common mental disorders in clinical samples of refugees. | 1 | 15 items assessing distress, anxiety and depression. Items include 1 coping item, 13 symptom items and 1 distress thermometer. Responses scored on 5 point scale. Suggested cut-offs >12 or >5 on distress thermometer (postive cases). | 5–10 min to complete. Available in 11 languages. | Yes | Burmese, Bhutanese, Iraqi(38)
| Burmese, Bhutanese, Iraqi(46)(39)
|
Common Mental Disorders | Sheehan Disability Inventory - Sheehan (1983) | Designed to assess functional impairment associated with anxiety disorder diagnosis in Western clinical samples. | 1 | 3 items measuring impairment due to the disruption of daily activities in the areas of work, social life, family and home life due to current psychiatric symptoms. Responses scored on analogue scale from 1 to 10 with 10 being the lowest possible level of functioning. | 5–10 min to complete. Available in 48 languages. | Yes | No | No |
Common Mental Disorders | Vietnamese Depression Scale -Kinzie et al. (1982) | Designed to measure depression among clinical samples of Vietnamese refugees. | 1 | 15 items assessing depression and physical & psychological symptoms associated with depression. 6 depression items are culturally specific for Vietnamese population. Uses 3- and 4-point Likert scales. Optimal cut-off ≥13. | 5–10 min to complete. Available in English & Vietnamese. | No | Vietnamese(40, 41)
| Vietnamese(48)(49)
|
Trauma/PTSD | Harvard Trauma Questionnaire -Mollica et al. (1992) | Designed for clinical samples of refugees. Must be modified and adapted to the characteristics of each cultural group. | 62 | 4 parts: Part 1-measures 17 trauma items. Part 2- respondent describe most traumatic experience/event experienced during their refugee experience. Part 3- assesses likelihood of head injury. Part 4-measures 30 trauma symptoms. Scores of 2.5 or above considered “positive” for PTSD in Indochinese populations. | 50–60 min to complete. Available in multiple languages. | No | African (11)(12)(14)(15)(16)(42) (43) Nthn & Sth East Asian (11)(17)(20)(22)(44)(45)(46) Middle Eastern (12)(14)(21)(24)(44)(45)(54) Sthn & Eastern Europe(12)(44)(14)(45)(17)
Central American(27)
| Cambodian, Laotian & Vietnamese(52)(53)
Sub-Saharan Africa(50)
Chechen & Afghan(12)
|
Trauma/PTSD | Posttraumatic Diagnostic Scale (PDS) -- Foa et al. (1996) | Designed to provide brief self-report measure of PTSD in both clinical and research settings. | 15 | 4 parts. Part 1-checklist of traumatic events that respondent may have experienced or witnessed. Part 2-Respondents indicate which event has disturbed them the most in past month. Part 3–17 PTSD symptoms items experienced in past month. Responses scored on 4-point Likert scale (0-not at all or only one time to 3-five or more times a week or almost always). | 20 mins to complete. Language availability: English | Yes | Turkish, Iranian, Sri-Lankan, Bosnian, Afghani(46)
Iraqi(23)(46)
Asian, European, African(46)
| Iraq, Lebanese, & Arab(33)
Ugandan & Somalian(47)
Syrian(28)
Asian, European, & African(60)
Kosovar(48)
Rwandan(49)
|
Trauma/PTSD | Post Migration Living Difficulties Scale - Silove et al. (1998) | Designed to assess current life stressors of asylum-seekers. | 10 | 23 items to assess recent adverse life experiences typical of migration (eg. delays in processing applications, access to health & welfare, & stressor elated to resettlement). Responses scored on 5-point scale. | 10–20 min to complete. Languages: English. | No | No | Tamil(50)
|
Trauma/PTSD | Posttraumatic Symptom Disorder Checklist - Weathers et al. (1993) PCL-90 | Designed to measure PTSD among non-clinical sample in USA. | 7 | 17 items assessing DSM-IV PTSD symptoms. Responses on 5 point Likert scale as to how much these have been bothered by each item in past month. Some training is required to administer test. | 5–10 min to complete. Language availability: English, | Yes | No | Somali & Oromo(51)
Darfuri(52)
|
Trauma/PTSD | Impact of Events Scale-Revised - Horowitz et al. (1979) | Designed to measure current subjective distress related to a specific event among Western clinic samples. | 5 | 15 items related to a particular event. 7 items measure intrusiveness & 8 items measure avoidance. Responses scored on 4-point Likert scale according to how often each item has occurred in past 7 days. | 45–60 min to complete. Available in multiple languages. | Yes | Chechyan, Afghani & West African(12). Middle Eastern(53). Bosnian(54). Middle East, Central Africa, Sth Asia & Sth E Europe(10). Somalian(55)
| Chechyan, Afghani & West African(12)
|
Trauma/PTSD | Comprehensive Trauma Inventory-104 - Hollifield et al. (2005) | Designed for use within community samples of refugee. | 4 | 104 items; 12 scales assessing range of traumatic events (eg psychological & physical injury, detention, intentional abuse, deprivation, discrimination). Responses scored on 5-point Likert scale whether or not the event was experienced and, if so, how much impact the event had. | 60 mins to complete. Available in English, Kurdish, Vietnamese. | Yes | Kurdish & Cambodian(56)
| Kurdish & Cambodian(70)
|
Trauma/PTSD | Cumulative Trauma Disorder Scale - Kira et al. (2012) | Designed for use within clinical & non-clinical samples of refugees. | 4 | 15 items measuring trauma symptoms (eg depression, anxiety, somatization) in previous month. Responses on 5 point scale. | 10 mins to complete. Languages: English, | No | Iraqi, Lebanese & Yemeni(57)
Arabic(34)
| Iraqi(71)
|
Trauma/PTSD | HADStress - Westermeyer et al. (2010) | Designed to measure somatic symptoms within community sample of Somali refugees living in USA. | 4 | 4 items measuring somatic symptoms: headaches, appetite change, dizziness and sleep problems. Responses on 0–4 scale with higher scores indicating more somatic symptoms. Cut off score of >3 recommended. | 10 mins to complete. Languages: English, | No | No | Somalian(58)
Ethiopian(59)
|
Trauma/PTSD | Post Traumatic Growth Inventory - Tedeschi & Calhoun (1996) | Designed to assess positive outcomes among traumatized non- clinic Western samples. | 3 | 21 item assessing positive outcomes among those who have experienced traumatic events. Responses scored on 6 point scale. | 5–10 min to complete. Available in multiple languages. | Yes | Arabic(67)
Yugoslavian(60) | Arabic(67)
Bosnian(61)
|
Trauma/PTSD | Posttraumatic Symptom Scale - Holen et al. (1983) | Designed in sample of German Armed Forces following a UN peace keeping mission to Cambodia to determine causes and scale of stress reactions. | 3 | 10 or 16 items measuring PTSD symptoms in past 7 days according to DSM-III criteria. Presence or absence of symptoms is rated in Yes/No format. Sum of positive items used as total score. | 10 mins to complete. Languages: English | Yes | Bosnian(62)
| No |
Trauma/PTSD | Annihilation Anxiety Scale - Kira et al. (2012) | Designed for use in clinical settings as well as in research with severely traumatized populations, such as refugees. | 2 | 3 items that assess annihilation anxiety. Responses are scored on 5 point Likert scale. | 5 mins to complete. Languages: English, | No | Iraqi, Lebanese & Yemeni(34)
| Iraqi, Lebanese & Yemeni(34)
|
Trauma/PTSD | Health Leaflet -Sondergaard et al. (2003) | Designed to measure PTSD within community samples of refugees | 2 | 15 items to screen for PTSD. Yes/No responses to items consisting of psychological symptoms, network and attitude towards the future in the new country and persecution. Suggested cut off = 10. | 10 mins to complete. Languages: n/a. | No | No | Iraqi(63)
|
Trauma/PTSD | Minnesota Multiphasic Personality Inventory-2 and Minnesota Multiphasic Personality Inventory-2-RF - Tellegen & Ben-Porath (2008) | Designed to assess personality traits and psychopathology among Western clinic samples. | 2 | MMPI-2: 567 items measuring personality and psychopathology, consisting of 8 validity scales, 10 clinical scales & 15 content scales. Responses are recorded as True/False. MMPI-2-RF: 338 items from MMPI-2, including 9 validity scales. | 25–90 min to complete depending on version. Available in multiple languages. | Yes | No | Korean(64)
Vietnamese(65)
|
Trauma/PTSD | Traumatic Life Events Questionnaire - Kubany (2000) | Designed in general clinic western population for use in research, primary care or emergency rooms. | 2 | 23-items measuring 22 types of potentially traumatic events. Responses scored on Likert scale range from “never” to “more than 5 times” and whether fear, helplessness or horror was present (“yes/no”). | 10–15 min to complete. Available in English & Spanish. | No | No | No |
Trauma/PTSD | Cambodian Somatic Symptom & Syndrome Inventory - Hinton et al. (2013) | Designed for use in clinical samples of Cambodian refugees. Very specific to Cambodians. | 1 | 23 items; 2 subscales assessing somatic symptoms & cultural syndromes in past week. Somatic subscale (12 items) & syndrome scale (11 items). Responses scored on 5 point Likert scale asking how much he/she was bothered by certain somatic symptoms & syndromes. | 10 mins to complete. Languages: English & Cambodian. | No | Cambodian(66)
| Cambodian(80)
|
Trauma/PTSD | Dissociative Experiences Scale - Carlson & Putnam (1986) | Designed to measure dissociation in normal & clinic Western populations | 1 | 28 items that assesses dissociative symptoms. Each item asks about the frequency (from Never to Always) that a particular dissociative symptom is experienced. Scores of >20 indicate probable posttraumatic or dissociative disorders. | 10 mins to complete. Available in multiple languages. | Yes | Ethiopian(51)
Bosnian(67)
| No |
Trauma/PTSD | Posttraumatic Stress Disorder Interview for Vietnamese Refugees - Doa et al. (2012) | Designed to assess trauma among clinic samples of Vietnamese refugees. | 1 | Part A: 30 items assessing pre-migration, migration, encampment, post-migration traumas. Yes/No response. ‘Yes’ response to Part A item(s), respondent proceeds to Part B which assesses PTSD criteria. | Completion time: n/a. Available in English & Vietnamese. | No | Vietnamese(68)
| Vietnamese(82)
|
Trauma/PTSD | Primary Care Post-Traumatic Stress Disorder Screen - Prins et al. (2003) | Designed for use in primary care and other medical settings. | 1 | 5 items assessing dimensions of PTSD (re-experiencing, numbing, avoidance, hyperarousal) with Yes/No response options. | 5 mins to complete. Language availability: English, | Yes | No | No |
Trauma/PTSD | Resettlement Stressor Scale - Clarke et al. (1993) | Designed to measure stressors faced within a community sample of Cambodian refugee adolescents. | 1 | 32 items assessing trauma events in migration/present settlement. Responses scored on 5-point scale. | 10–20 min to complete. Avail in English & Cambodian. | Yes | No | Cambodian(69)
|
Trauma/PTSD | War Trauma Scale -Clarke et al. (1993) | Designed for use within clinical samples of Cambodian adolescent refugees that had lived through the Pol Pot regime. | 1 | 42 items measuring traumatic experiences inflicted by Pol Pot regime. Items are all worded in relation to Pol Pot era. | 20–30 min to complete. Available in English & Cambodian. | No | Cambodian(83)
| Cambodian(83)
|
Measurement focus | Measurement tool | Design/use & composition | Publically available | Reliability testing in refugee research | Validity testing in refugee research |
---|---|---|---|---|---|
General Health | Medical Outcomes Study Short Form (MOS-SF) | Designed for use in clinical practice/research/general pop’n surveys to measure perceived mental/physical health status in past month. Several versions with 6, 12, 20 or 36 items. | Yes | Yes, versions SF-6, SF-12, SF-20 & SF-36 | Yes, version SF-12 |
General Health | New Mexico Refugee Symptom Checklist-121 (NMRSC-121) | Designed for use within non-clinical refugee research for assessment of distressing physical/emotional symptoms in past year (121 items). | No | Yes | Yes |
General Health | Personal Wellbeing Index (PWI) | Designed to measure quality of life across cultures in general pop’n (8 items). | Yes | Yes | No |
General Health | WHO Quality of Life-BREF (WHOQOL-BREF) | Designed for use in research/clinical settings to assess self-rated quality of life across different cultures in past 2 weeks (26 items). | No | Yes | Yes |
General Health | WHO Disability Assessment Schedule 2.0 (WHO-DASS) | Designed for use within clinical/community pop’ns to measure quality of life (36 items). | No | Yes | No |
Common Mental Disorders | Afghan Symptom Checklist (ASCL) | Designed to measure psychological distress within non-clinical samples of Afghanis in past 2 weeks (23 items). | No | Yes | No |
Common Mental Disorders | Augmented Anxiety Sensitivity Index (AASI) | Designed to measure culturally specific fears within Cambodian refugee outpatients (16 items). | No | Yes | No |
Common Mental Disorders | Beck Anxiety Inventory (BAI) | Designed to measure anxiety in adults & adolescents in clinical/research settings (21 items) | Yes | No | No |
Common Mental Disorders | Beck Depression Inventory (BDI) | Designed to detect/assess/monitor changes in depressive symptoms in clinical settings (21 items). | Yes | Yes | Yes |
Common Mental Disorders | Centre for Epidemiologic Studies-Depression Scale (CES-D) | Designed to measure level of depressive symptoms in a general population in past week (20 items) | Yes | Yes | No |
Common Mental Disorders | Depression, Anxiety Stress Scale (DASS) | Designed to measure symptoms of depression/anxiety/stress in community settings in past week (20 items). | Yes | Yes | No |
Common Mental Disorders | General Health Questionnaire (GHQ) | Designed for identifying psychiatric illness in Western patients. Several versions with 12, 28, 30 or 60 items. | No | Yes | No |
Common Mental Disorders | General Perceived Self-Efficiacy Scale (GPSE) | Designed to assess self-efficacy within Western non-clinical & clinical populations (10 items). | No | Yes | No |
Common Mental Disorders | Hopkins Symptom Checklist-25 (HSCL-25) | Originally designed for use in Western clinical settings. Indochinese version developed to screen anxiety & depression in clinical refugee samples (25 items). | No | Yes | Yes |
Common Mental Disorders | Hospital Anxiety & Depression Scale (HADS) | Designed for use in Western clinical & research settings to measure anxiety & depression (14 items). | No | No | No |
Common Mental Disorders | Internalized Stigma of Mental Illness (ISMI) | Designed to measure internalized stigma within Western clinical samples (29 items) | Yes | Yes | Yes |
Common Mental Disorders | Kessler Psychological Scale (KPS) | Developed to screen for distress & mental illness in Western populations in past 4 weeks. Has been adopted in Western & non-Western countries as screening & outcome measure in primary care and mental health settings. Several versions with 6 or 10 items. | Yes | Yes | No |
Common Mental Disorders | Mental Health Inventory (MHI) | Designed for use in general Western pop’ns to detect mental health disorders (38 items). | Yes | Yes | No |
Common Mental Disorders | Patient Health Questionnaire (PHQ) | Designed to measure depression & severity in Western clinical samples (9 items) | No | No | No |
Common Mental Disorders | Refugee Health Screener-15 (RHS-15) | Designed to screen distress, anxiety & depression in clinical samples of refugees (15 items). | Yes | Yes | Yes |
Common Mental Disorders | Self-Reporting Questionnaire (SRQ) | Designed as psychiatric screening instrument for use in primary health care/community settings in low/middle income countries. Several versions with 5 or 20 items. | Yes | No | No |
Common Mental Disorders | Sheenan Disability Inventory (SDI) | Designed to assess functional impairment associated with anxiety disorder diagnosis in Western clinical samples (3 items) | Yes | No | No |
Common Mental Disorders | Symptom Checklist-90 (SCL-90) | Designed as mental health screening tool for Western clinical samples (90 items; 10 subscales asking about mental health symptoms in past week). | No | No | Yes |
Common Mental Disorders | Vietnamese Depression Scale (VDS) | Designed to measure depression among clinical samples of refugees (15 items) | No | Yes | Yes |
Trauma/PTSD | Annihilation Anxiety Scale (AAS) | Designed for use in clinical settings & in research with severely traumatized populations (eg refugees). (3 items) | No | Yes | Yes |
Trauma/PTSD | Cambodian Somatic Symptom & Syndrome Inventory (CSSI) | Designed for use in clinical samples of Cambodian refugees to assess somatic symptoms & cultural syndromes in past week (23 items). Very specific to Cambodians. | No | Yes | Yes |
Trauma/PTSD | Comprehensive Trauma Inventory-104 (CTI-104) | Designed for use within community samples of refugees to assess traumatic events (104 items). | Yes | Yes | Yes |
Trauma/PTSD | Cumulative Trauma Disorder Scale (CTDS) | Designed for use within clinical & non-clinical samples of refugees to measure trauma symptoms in past month (15 items) | No | Yes | Yes |
Trauma/PTSD | Dissociative Experiences Scale (DES) | Designed to measure dissociation in general & clinic Western populations (28 items). | Yes | Yes | No |
Trauma/PTSD | HADStress | Designed to measure somatic symptoms within community sample of refugees (4 items). | No | No | Yes |
Trauma/PTSD | Harvard Trauma Questionnaire (HTQ) | Designed for clinical samples of refugees to measure trauma. Must be modified and adapted to the characteristics of each cultural group. 4 parts. Part 1 measures trauma. Part 2 asks for description of most traumatic experience/event experienced during the refugee experience. Part 3 assesses likelihood of head injury. Part 4 measures trauma symptoms. | No | Yes | Yes |
Trauma/PTSD | Health Leaflet | Designed to measure PTSD within community samples of refugees (15 items). | No | No | Yes |
Trauma/PTSD | Impact of Events Scale-Revised (IES-R) | Designed to measure current subjective distress related to a specific event among Western clinic samples (15 items). | Yes | Yes | Yes |
Trauma/PTSD | Minnesota Multiphasic Personality Inventory (MMPI) | Designed to assess personality traits & psychopathology among Western clinic samples (567 items). | Yes | No | Yes |
Trauma/PTSD | Post Migration Living Difficulties Scale (PMLD) | Designed to assess current life stressors of asylum-seekers (23 items). | No | No | Yes |
Trauma/PTSD | Post Traumatic Growth Inventory (PTGI) | Designed to assess positive outcomes among traumatized non clinic Western pop’ns (21 items). | Yes | Yes | Yes |
Trauma/PTSD | Posttraumatic Diagnostic Scale (PDS) | Designed to measure self-report measure of PTSD in clinical/research settings. 4 parts. Part 1 is checklist of traumatic events experienced/witnessed by respondent. Part 2: asks respondents to indicate which event has disturbed them the most in past month. Part 3 asks for PTSD symptoms items experienced in past month. | Yes | Yes | Yes |
Trauma/PTSD | Posttraumatic Stress Disorder Interview for Vietnamese Refugees (PTSD-IVR) | Designed to assess trauma among clinic samples of Vietnamese refugees (30 items) | No | Yes | Yes |
Trauma/PTSD | Posttraumatic Symptom Disorder Checklist-90 (PCL-90) | Designed to measure PTSD among non-clinical samples in past month (17 items) | Yes | No | Yes |
Trauma/PTSD | Posttraumatic Symptom Scale (PTSS) | Designed to measure PTSD symptoms in past week within trauma affected samples (10 or 16 items) | Yes | Yes | No |
Trauma/PTSD | Primary Care Post-Traumatic Stress Disorder Screen (PC-PTSD) | Designed for use in primary care/other medical settings to assess dimensions of PTSD (5 items). | Yes | No | No |
Trauma/PTSD | Resettlement Stressor Scale (RSS) | Designed within a community sample of Cambodian refugee adolescents to assess trauma events in migration/present settlement (32 items). | Yes | No | Yes |
Trauma/PTSD | Traumatic Life Events Questionnaire (TLEQ) | Designed in general clinic western population for use in research/primary care/emergency rooms to assess potentially traumatic events (23 items). | No | No | No |
Trauma/PTSD | War Trauma Scale (WTS) | Designed within clinical samples of Cambodian adolescent refugees that had lived through the Pol Pot regime. Items are all worded in relation to Pol Pot era. (42 items). | No | Yes | Yes |