TY - JOUR
T1 - HADStress screen for posttraumatic stress
T2 - Replication in Ethiopian refugees
AU - Gulden, Ashley
AU - Westermeyer, Joseph
AU - Lien, Rebecca
AU - Spring, Marline
AU - Johnson, David
AU - Butcher, James
AU - Jaranson, James
PY - 2010/10
Y1 - 2010/10
N2 - Purpose was to assess whether a 4-symptom somatic screen, shown to correlate with current post-traumatic stress symptoms in 1 refugee group, could function as a screening instrument in another group of refugees. Sample consisted of 512 community-dwelling refugees from Ethiopia. Data collection included demography, types of torture and nontorture trauma experienced a decade earlier in Africa, and current posttraumatic stress symptoms. Somatic symptoms included headaches (H), appetite change (A), dizziness and faintness (D), and sleep problems (S), added with equal weighting into the HADStress Screen, ranging from 0 to 4. Results showed that age, gender, torture, and other trauma experiences from a decade ago, and current posttraumatic stress symptoms predicted current somatic symptoms on univariate analyses. On a negative binomial regression model, current posttraumatic stress symptoms, male gender, and number of torture types predicted a high HADStress score. Post hoc tests supported cut-off levels at 3 and at 4 symptoms. Conclusion is that the HADStress Screen can serve as an efficient, nonthreatening screen for posttraumatic stress symptoms among refugees.
AB - Purpose was to assess whether a 4-symptom somatic screen, shown to correlate with current post-traumatic stress symptoms in 1 refugee group, could function as a screening instrument in another group of refugees. Sample consisted of 512 community-dwelling refugees from Ethiopia. Data collection included demography, types of torture and nontorture trauma experienced a decade earlier in Africa, and current posttraumatic stress symptoms. Somatic symptoms included headaches (H), appetite change (A), dizziness and faintness (D), and sleep problems (S), added with equal weighting into the HADStress Screen, ranging from 0 to 4. Results showed that age, gender, torture, and other trauma experiences from a decade ago, and current posttraumatic stress symptoms predicted current somatic symptoms on univariate analyses. On a negative binomial regression model, current posttraumatic stress symptoms, male gender, and number of torture types predicted a high HADStress score. Post hoc tests supported cut-off levels at 3 and at 4 symptoms. Conclusion is that the HADStress Screen can serve as an efficient, nonthreatening screen for posttraumatic stress symptoms among refugees.
KW - Refugee
KW - posttraumatic stress
KW - screening
KW - somatization
KW - torture
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U2 - 10.1097/NMD.0b013e3181f49c0a
DO - 10.1097/NMD.0b013e3181f49c0a
M3 - Article
C2 - 20921868
AN - SCOPUS:77958194578
SN - 0022-3018
VL - 198
SP - 762
EP - 767
JO - Journal of Nervous and Mental Disease
JF - Journal of Nervous and Mental Disease
IS - 10
ER -