Skattningsskala för postmigratorisk stress hos flyktingar – ny vetenskaplig publikation av Andreas Malm, Petter Tinghög, Jurgita Narusyte och Fredrik Saboonchi.

Doktorand Andreas Malm har tillsammans med Fredrik Saboonchi, Petter Tinghög och Jurgita Narusyte (verksam vid Sektionen för Försäkringsmedicin, CNS, Karolinska Institutet) publicerat en artikel i tidskriften Conflict and Health. Artikeln har titeln The refugee post-migration stress scale (RPMS) – development and validation among refugees from Syria recently resettled in Sweden, och finns att läsa Open access på: https://conflictandhealth.biomedcentral.com/articles/10.1186/s13031-019-0246-5 

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.