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Abstract：
Background: High levels of post-traumatic stress are well documented among refugees. Yet, refugee adolescents display high heterogeneity in their type of trauma and symptom levels.Objective: Following the recurrent plea for validated trauma screening tools, this study investigated the psychometric properties of the Children\'s Revised Impact of Event Scale (CRIES-8) among refugee adolescents from Afghanistan (n = 148), Syria (n = 234), and Somalia (n = 175) living in Europe.Method: The model fit for the confirmatory factor structures was tested, as well as measurement invariance between the three groups. The robustness of results was evaluated by testing measurement invariance between recently arrived and settled adolescents, and between different response labelling options. Reliability (α, ω, and ordinal α), criterion validity, and prevalence estimates were calculated.Results: The intrusion subscale showed a better stable model fit than the avoidance subscale, but the two-factor structure was mainly supported. Configural measurement invariance was achieved between Afghan and Somali adolescents, and strong measurement invariance between Syrian and Somali adolescents. The results were robust considering the time living in the host country and response labelling styles. Reliability was low among Afghan and Syrian adolescents (.717-.856), whereas it was higher among Somali adolescents (.831-.887). The total score had medium-sized correlations with emotional problems (.303-.418) and low correlations with hyperactivity (.077-.155). There were statistically significant differences in symptom prevalence: Afghan adolescents had higher prevalence (55.5%) than Syrian (42.8%) and Somali (37%) adolescents, and unaccompanied refugee minors had higher symptom prevalence (63.5%) than accompanied adolescents (40.7%).Conclusions: This study mostly supports the use of the CRIES-8 among adolescents from Afghanistan, Syria, and Somalia, and even comparative analyses of group means. Variation in reliability estimates, however, makes diagnostic predictions difficult, as the risk of misclassification is high.
We investigated the psychometric properties of the 8-item Children’s Revised Impact of Event Scale (CRIES-8) among refugee adolescents from Afghanistan, Syria, and Somalia living in Europe.We found support for the CRIES-8 as a suitable assessment tool for Afghan, Syrian, and Somali adolescents.The reliability of the CRIES-8 was low among Afghan and Syrian adolescents, whereas among Somali adolescents, reliability was higher.
We investigated the psychometric properties of the 8-item Children’s Revised Impact of Event Scale (CRIES-8) among refugee adolescents from Afghanistan, Syria, and Somalia living in Europe.We found support for the CRIES-8 as a suitable assessment tool for Afghan, Syrian, and Somali adolescents.The reliability of the CRIES-8 was low among Afghan and Syrian adolescents, whereas among Somali adolescents, reliability was higher.
摘要：
背景：难民中创伤后应激水平很高。然而，难民青少年在创伤类型和症状水平上表现出高度异质性。目标：在对经过验证的创伤筛查工具的反复恳求之后，这项研究调查了儿童修订的事件影响量表（CRIES-8）在阿富汗难民青少年中的心理测量特性（n=148），叙利亚（n=234），和生活在欧洲的索马里（n=175）。方法：检验验证性因子结构的模型拟合，以及三组之间的测量不变性。结果的稳健性是通过测试最近到达和定居青少年之间的测量不变性来评估的，以及不同的响应标签选项之间。可靠性(α，ω,和序数α)，标准有效性，并计算了患病率估计值。结果：入侵子量表显示出比回避子量表更好的稳定模型拟合，但主要支持双因素结构。阿富汗和索马里青少年之间实现了配置测量不变性，以及叙利亚和索马里青少年之间强大的测量不变性。考虑到居住在东道国的时间和响应标签风格，结果是可靠的。阿富汗和叙利亚青少年的可靠性很低（.717-.856），而索马里青少年的比例更高(.831-.887)。总分与情绪问题的相关性中等（.303-.418），与多动症的相关性较低（.077-.155）。症状患病率有统计学上的显著差异:阿富汗青少年的患病率(55.5%)高于叙利亚青少年(42.8%)和索马里青少年(37%),无人陪伴的难民未成年人的症状患病率（63.5％）高于陪伴的青少年（40.7％）。结论：这项研究主要支持在阿富汗青少年中使用CRIES-8，叙利亚,索马里,甚至是对群体手段的比较分析。可靠性估计的变化，然而,使诊断预测变得困难，错误分类的风险很高。
我们调查了阿富汗难民青少年的8项儿童修订事件影响量表（CRIES-8）的心理测量特性，叙利亚,和生活在欧洲的索马里。我们发现CRIES-8是阿富汗的合适评估工具，叙利亚,索马里青少年。CRIES-8在阿富汗和叙利亚青少年中的可靠性很低，而在索马里青少年中，可靠性更高。
我们调查了阿富汗难民青少年的8项儿童修订事件影响量表（CRIES-8）的心理测量特性，叙利亚,和生活在欧洲的索马里。我们发现CRIES-8是阿富汗的合适评估工具，叙利亚,索马里青少年。CRIES-8在阿富汗和叙利亚青少年中的可靠性很低，而在索马里青少年中，可靠性更高。
