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01.12.2014 | Original Paper | Ausgabe 6/2014

Journal of Immigrant and Minority Health 6/2014

Specific Trauma Subtypes Improve the Predictive Validity of the Harvard Trauma Questionnaire in Iraqi Refugees

Zeitschrift:
Journal of Immigrant and Minority Health > Ausgabe 6/2014
Autoren:
Bengt B. Arnetz, Carissa L. Broadbridge, Hikmet Jamil, Mark A. Lumley, Nnamdi Pole, Evone Barkho, Monty Fakhouri, Yousif Rofa Talia, Judith E. Arnetz

Abstract

Trauma exposure contributes to poor mental health among refugees, and exposure often is measured using a cumulative index of items from the Harvard Trauma Questionnaire (HTQ). Few studies, however, have asked whether trauma subtypes derived from the HTQ could be superior to this cumulative index in predicting mental health outcomes. A community sample of recently arrived Iraqi refugees (N = 298) completed the HTQ and measures of posttraumatic stress disorder (PTSD) and depression symptoms. Principal components analysis of HTQ items revealed a 5-component subtype model of trauma that accounted for more item variance than a 1-component solution. These trauma subtypes also accounted for more variance in PTSD and depression symptoms (12 and 10 %, respectively) than did the cumulative trauma index (7 and 3 %, respectively). Trauma subtypes provided more information than cumulative trauma in the prediction of negative mental health outcomes. Therefore, use of these subtypes may enhance the utility of the HTQ when assessing at-risk populations.

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