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The SF-36 Among Cambodian and Vietnamese Refugees: An Examination of Psychometric Properties
Authors:Devon E. Hinton  Samuel J. Sinclair  Rita C.-Y. Chung  Mark H. Pollack
Affiliation:(1) Massachusetts General Hospital, Boston, MA, USA;(2) Southeast Asian Clinic, Arbour Counseling Services, Lowell, MA, USA;(3) Health Assessment Lab, Boston, MA, USA;(4) George Mason University, Fairfax, VA, USA;(5) Massachusetts General Hospital, Department of Psychiatry, 15 Parkman Street, WACC 812, Boston, MA 02114, USA
Abstract:Among traumatized Cambodian (N=90) and Vietnamese (N=94) refugees attending a psychiatric clinic, the study examined the validity and psychometric properties of the Short Form-36 Health Survey (SF-36), a measure of self-perceived mental and physical health. In both patient samples, all eight SF-36 scales displayed excellent internal consistency (item-scale correlations and Cronbach's α). But, similar to other studies of Asian samples, (a) the Vitality (VT) scale did not separate from the Mental Health (MH) and General Health (GH) scales, as evidenced by item-scale and interscale correlations, and (b) the VT scale loaded as strongly (Vietnamese sample) or more strongly (Cambodian sample) than the MH scale on the so-called Mental Factor in a two-factor solution of the eight scales (with the GH scale also loading heavily on the same factor).
Keywords:Southeast Asians  Cambodians  Vietnamese  Refugees  SF-36  Health status  Culture  Stress disorder  Posttraumatic
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