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Published in: Journal of Immigrant and Minority Health 2/2019

01-04-2019 | Original Paper

Psychometric Properties of the Multidimensional Loss Scale with Refugee Women-at-Risk Recently Arrived in Australia

Authors: Lyn Vromans, Robert D. Schweitzer, Mark Brough, Ignacio Correa-Velez, Kate Murray, Caroline Lenette

Published in: Journal of Immigrant and Minority Health | Issue 2/2019

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Abstract

Refugee women-at-risk represent a distinct and vulnerable refugee population. We investigated the psychometric properties of the Multidimensional Loss Scale (MLS) with 104 women-at-risk, recently-arrived in Australia. Cross-sectional survey included: the MLS (indexing loss events and loss distress); Harvard Trauma Questionnaire (Indexing Trauma Events and Trauma Symptoms), and; Hopkins Symptom Checklist-37 (indexing anxiety, depression, and somatization symptoms). Exploratory factor analyses of MLS loss distress revealed a six-factor model (loss of symbolic self; loss of home; loss of interdependence; loss of past aspirations; interpersonal loss, and; loss of intrapersonal integrity). Cronbach alphas indicated satisfactory internal consistency for loss events (0.83) and distress (0.88). Correlations supported convergent validity of loss distress with trauma symptoms (r = 0.41) and divergent validity with anxiety (r = 0.09), Depression (r = 0.29), and somatic (r = 0.24) symptoms. Findings support MLS use in assessment of loss and associated distress with refugee women-at-risk.
Literature
2.
go back to reference Harris DL. Counting our losses. Reflecting on change, loss, and transition in everyday life. New York: Routledge; 2011.CrossRef Harris DL. Counting our losses. Reflecting on change, loss, and transition in everyday life. New York: Routledge; 2011.CrossRef
7.
go back to reference Vromans L, Schweitzer RD, Brough M. The multidimensional loss scale: validating a cross-cultural instrument for measuring loss. J Nerv Ment Dis. 2012;200:349–57.CrossRefPubMed Vromans L, Schweitzer RD, Brough M. The multidimensional loss scale: validating a cross-cultural instrument for measuring loss. J Nerv Ment Dis. 2012;200:349–57.CrossRefPubMed
8.
go back to reference Eisenbruch M. Cross cultural aspects of bereavement. 1: a conceptual framework for comparative analysis. Cult Med Psychiatr. 1984;8:283–309.CrossRef Eisenbruch M. Cross cultural aspects of bereavement. 1: a conceptual framework for comparative analysis. Cult Med Psychiatr. 1984;8:283–309.CrossRef
9.
go back to reference Eisenbruch M. From post-traumatic stress disorder to cultural bereavement: Diagnosis of Southeast Asian refugees. Soc Sci Med. 1991;33:673 – 80.CrossRefPubMed Eisenbruch M. From post-traumatic stress disorder to cultural bereavement: Diagnosis of Southeast Asian refugees. Soc Sci Med. 1991;33:673 – 80.CrossRefPubMed
10.
go back to reference American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders (3). Washington: APA; 1987. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders (3). Washington: APA; 1987.
11.
go back to reference Green BL. Traumatic loss: conceptual and empirical links between trauma and bereavement. J Person Interperson Loss. 2000;5:1–17.CrossRef Green BL. Traumatic loss: conceptual and empirical links between trauma and bereavement. J Person Interperson Loss. 2000;5:1–17.CrossRef
12.
go back to reference Nickerson A, Liddell B, Maccallum F, Steel Z, Silove D, Bryant R. Posttraumatic Stress disorder and prolonged grief in refugees exposed to trauma and loss. BMC Psychiatr. 2014;14:106.CrossRef Nickerson A, Liddell B, Maccallum F, Steel Z, Silove D, Bryant R. Posttraumatic Stress disorder and prolonged grief in refugees exposed to trauma and loss. BMC Psychiatr. 2014;14:106.CrossRef
13.
go back to reference Vromans L, Schweitzer RD, Brough M, Correa-Velez I, Murray K, Lenette C. Contributions of loss events to loss distress and trauma symptoms in recently-resettled refugee women-at-risk. J Loss Trauma. 2017;4:357–70.CrossRef Vromans L, Schweitzer RD, Brough M, Correa-Velez I, Murray K, Lenette C. Contributions of loss events to loss distress and trauma symptoms in recently-resettled refugee women-at-risk. J Loss Trauma. 2017;4:357–70.CrossRef
14.
go back to reference Fisher S. Occupation of the womb: Forced impregnation as genocide. Duke Law J. 1996;46:91–133.CrossRef Fisher S. Occupation of the womb: Forced impregnation as genocide. Duke Law J. 1996;46:91–133.CrossRef
15.
go back to reference Bartolomei L, Eckert R, Pittaway E. (2014). “What happens there… follows us here”: resettled but still at risk: refugee women and girls in Australia. Refuge 30: 45–56. Bartolomei L, Eckert R, Pittaway E. (2014). “What happens there… follows us here”: resettled but still at risk: refugee women and girls in Australia. Refuge 30: 45–56.
16.
go back to reference Seguin M, Lewis R, Amirejibi T, Razmadze M, Makhashvili N, Roberts B. Our flesh is here but our soul stayed there: a qualitative study on resource loss due to war and displacement among internally-displaced women in the Republic of Georgia. Soc Sci Med. 2016;150:239–47.CrossRefPubMed Seguin M, Lewis R, Amirejibi T, Razmadze M, Makhashvili N, Roberts B. Our flesh is here but our soul stayed there: a qualitative study on resource loss due to war and displacement among internally-displaced women in the Republic of Georgia. Soc Sci Med. 2016;150:239–47.CrossRefPubMed
17.
go back to reference Allotey P. Traveling with excess baggage: health problems of refugee women in Western Australia. Women Health. 1998;28:63–81.CrossRefPubMed Allotey P. Traveling with excess baggage: health problems of refugee women in Western Australia. Women Health. 1998;28:63–81.CrossRefPubMed
18.
go back to reference Manderson L, Kelaher M, Markovic M, McManus K. A woman without a man is a woman at risk in Australian Humanitarian programs. J Refugee Stud. 1998;11:3.CrossRef Manderson L, Kelaher M, Markovic M, McManus K. A woman without a man is a woman at risk in Australian Humanitarian programs. J Refugee Stud. 1998;11:3.CrossRef
19.
go back to reference Eaton L, Louw L. Culture and Self in South Africa: Individualism/Collectivism Predictions. J Soc Psychol. 2000;140:210–8.CrossRefPubMed Eaton L, Louw L. Culture and Self in South Africa: Individualism/Collectivism Predictions. J Soc Psychol. 2000;140:210–8.CrossRefPubMed
20.
go back to reference James W. Principles of psychology. Chicago: University of Chicago Press; 1980. James W. Principles of psychology. Chicago: University of Chicago Press; 1980.
21.
go back to reference Mollica RF, McDonald L, Massagli M, Silove D. Measuring trauma, measuring torture: Instructions and guidance on the utilization of the Harvard Program in Refugee Trauma’s Versions of the Hopkins Symptom checklist-25 (HSCL-25) and the Harvard Trauma questionnaire (HTQ). Cambridge: Harvard Program in Refugee Trauma; 2004. Mollica RF, McDonald L, Massagli M, Silove D. Measuring trauma, measuring torture: Instructions and guidance on the utilization of the Harvard Program in Refugee Trauma’s Versions of the Hopkins Symptom checklist-25 (HSCL-25) and the Harvard Trauma questionnaire (HTQ). Cambridge: Harvard Program in Refugee Trauma; 2004.
22.
go back to reference Mollica RF, Caspi-Yavin Y, Bollini P, Truong T, Tor S, Lavelle J. The Harvard Trauma Questionnaire. Validating a cross-cultural instrument for measuring torture, trauma, and posttraumatic stress disorder in Indochinese refugees. J Nerv Ment Dis. 1992;180:111–6.CrossRefPubMed Mollica RF, Caspi-Yavin Y, Bollini P, Truong T, Tor S, Lavelle J. The Harvard Trauma Questionnaire. Validating a cross-cultural instrument for measuring torture, trauma, and posttraumatic stress disorder in Indochinese refugees. J Nerv Ment Dis. 1992;180:111–6.CrossRefPubMed
23.
go back to reference Hesbacher PT, Rickels K, Morris RJ, Newman H, Rosenfeld H. Psychiatric Illness in family practice. J Clin Psychiatr. 1980;41:6–10. Hesbacher PT, Rickels K, Morris RJ, Newman H, Rosenfeld H. Psychiatric Illness in family practice. J Clin Psychiatr. 1980;41:6–10.
24.
go back to reference Schweitzer RD, Melville FA, Steel Z, Lacherez P. Trauma, post-migration living difficulties, and social support as predictors of psychological adjustment in resettled Sudanese refugees. Aust N Z J Psychiatry. 2006;40:79–187.CrossRef Schweitzer RD, Melville FA, Steel Z, Lacherez P. Trauma, post-migration living difficulties, and social support as predictors of psychological adjustment in resettled Sudanese refugees. Aust N Z J Psychiatry. 2006;40:79–187.CrossRef
25.
go back to reference Schweitzer RD, Brough MK, Vromans LP, Asic-Kobe M. Mental health of newly arrived Burmese refugees in Australia: contributions of pre-migration and post-migration experience. Aust N Z J Psychiatry. 2011;45:299–307.CrossRefPubMed Schweitzer RD, Brough MK, Vromans LP, Asic-Kobe M. Mental health of newly arrived Burmese refugees in Australia: contributions of pre-migration and post-migration experience. Aust N Z J Psychiatry. 2011;45:299–307.CrossRefPubMed
26.
go back to reference Kaiser HF. The application of electronic computers to factor analysis. Educ Psychol Meas. 1960;20:141–51.CrossRef Kaiser HF. The application of electronic computers to factor analysis. Educ Psychol Meas. 1960;20:141–51.CrossRef
27.
go back to reference Cattell RB. The scree test for the number of factors. Multivar Behav Res. 1966;1:245–76.CrossRef Cattell RB. The scree test for the number of factors. Multivar Behav Res. 1966;1:245–76.CrossRef
28.
go back to reference Stevens JP. Applied multivariate statistics for the social sciences. 2 Hillsdale, NJ: Erlbaum; 1992. Stevens JP. Applied multivariate statistics for the social sciences. 2 Hillsdale, NJ: Erlbaum; 1992.
30.
go back to reference Rosbrook B, Schweitzer RD. The meaning of home for Karen and Chin refugees from Burma: an interpretative phenomenological approach. Eur J Psychother Counsel. 2010;12:159–72.CrossRef Rosbrook B, Schweitzer RD. The meaning of home for Karen and Chin refugees from Burma: an interpretative phenomenological approach. Eur J Psychother Counsel. 2010;12:159–72.CrossRef
31.
go back to reference Lenette C. ‘I am a widow, mother and refugee’: narratives of widowhood: lived experiences of two refugee women in Brisbane. J Refugee Stud. 2014;27:403–21.CrossRef Lenette C. ‘I am a widow, mother and refugee’: narratives of widowhood: lived experiences of two refugee women in Brisbane. J Refugee Stud. 2014;27:403–21.CrossRef
32.
go back to reference Lenette C. Mistrust and refugee women who are lone parents in resettlement contexts. Qualit Social Work. 2015;14:119–34.CrossRef Lenette C. Mistrust and refugee women who are lone parents in resettlement contexts. Qualit Social Work. 2015;14:119–34.CrossRef
33.
go back to reference Triandis H. Collectivism and individualism as cultural syndromes. Cross Cult Res. 1993;27:155–80.CrossRef Triandis H. Collectivism and individualism as cultural syndromes. Cross Cult Res. 1993;27:155–80.CrossRef
34.
go back to reference Bruce EJ, Schultz CL. Nonfinite loss and grief: a psychoeducational approach. Baltimore: Paul H. Brookes; 2001. Bruce EJ, Schultz CL. Nonfinite loss and grief: a psychoeducational approach. Baltimore: Paul H. Brookes; 2001.
35.
go back to reference Shear KM, Smith-Caroff K. Traumatic loss and the syndrome of complicated grief. PTSD Res Quart. 2002;13(1):1–8. Shear KM, Smith-Caroff K. Traumatic loss and the syndrome of complicated grief. PTSD Res Quart. 2002;13(1):1–8.
36.
go back to reference Boss P. Ambiguous loss: learning to live with unresolved grief. Cambridge: Harvard University Press; 1999. Boss P. Ambiguous loss: learning to live with unresolved grief. Cambridge: Harvard University Press; 1999.
37.
go back to reference Doran G, Hansen D. Constructions of Mexican American family grief after the death of a child: an exploratory study. Cult Divers Ethnic Minor Psychol 2006; 12:199 – 21. Doran G, Hansen D. Constructions of Mexican American family grief after the death of a child: an exploratory study. Cult Divers Ethnic Minor Psychol 2006; 12:199 – 21.
38.
go back to reference Herman J. Recovery from psychological trauma. Psychiatr Clin Neurosci. 1998;52:S98-S103.CrossRef Herman J. Recovery from psychological trauma. Psychiatr Clin Neurosci. 1998;52:S98-S103.CrossRef
39.
go back to reference Rando T. Treatment of complicated mourning. Champaign, IL: Research Press; 1993. Rando T. Treatment of complicated mourning. Champaign, IL: Research Press; 1993.
40.
go back to reference Krause N, Shaw BA, Carney J. A descriptive epidemiology of lifetime trauma and the physical health status of older adults. Psychol Aging. 2004;19:637–48.CrossRefPubMed Krause N, Shaw BA, Carney J. A descriptive epidemiology of lifetime trauma and the physical health status of older adults. Psychol Aging. 2004;19:637–48.CrossRefPubMed
41.
go back to reference Doka K. Challenging the paradigm: new understandings of grief. Grief Matters. 2001;4:31–3. Doka K. Challenging the paradigm: new understandings of grief. Grief Matters. 2001;4:31–3.
42.
go back to reference Worden W. Grief counselling and grief therapy. A handbook for the mental health practitioner. 4. London: Routledge; 2009. Worden W. Grief counselling and grief therapy. A handbook for the mental health practitioner. 4. London: Routledge; 2009.
43.
go back to reference Rosenblatt P, Jackson D, Walsh P. Grief and mourning in cross-cultural perspective. Med Anthropol. 1978;9:18–9. Rosenblatt P, Jackson D, Walsh P. Grief and mourning in cross-cultural perspective. Med Anthropol. 1978;9:18–9.
Metadata
Title
Psychometric Properties of the Multidimensional Loss Scale with Refugee Women-at-Risk Recently Arrived in Australia
Authors
Lyn Vromans
Robert D. Schweitzer
Mark Brough
Ignacio Correa-Velez
Kate Murray
Caroline Lenette
Publication date
01-04-2019
Publisher
Springer US
Published in
Journal of Immigrant and Minority Health / Issue 2/2019
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-018-0750-5

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