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Cross-culturally adapting the GHQ-12 for use with refugee populations

Opportunities, dilemmas, and challenges

Bibliographic Data

ID2395582
AuthorsMaya Fennig (0000-0002-9095-6780, Tel Aviv University, corresponding author)
Year2024
Volume61
Issue2
Pages168-181
Publication date2024-04-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueTranscultural Psychiatric Research Review (JOURNAL)
Journal identifiersISSN: 0041-1108 • E-ISSN: 0315-4386
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/13634615231223884
PMID38233737
OpenAlexW4390982460
LanguageEN
Citations received3
References cited66

This article discusses the opportunities, dilemmas, and challenges involved in the cross-cultural adaptation (CCA) of psychological scales for use with refugee populations. It draws on insights derived from an attempt to adapt the 12-item General Health Questionnaire (GHQ-12) to the particular culture and context of Eritrean refugees residing in Israel. Multiple techniques including expert translations, a focus-group discussion, a survey, and piloting, were employed to attain a cross-cultural and conceptually equivalent measure. During the CCA process, the research team encountered issues pertaining to conceptual non-equivalence, the structure of the measure's responses and scoring system, and acceptability. These issues required the team to move beyond semantic translation by adapting certain items. This study demonstrates the compromises which need to be made in the adaptation process and indicates the potential bias which each of these compromises introduces. Despite its limitations, CCA does appear to significantly improve detection of mental health symptoms in refugee populations. Overall, the results of the present study provide support for the notion that the sensitive and appropriate assessment of individuals from refugee backgrounds requires adopting a rigorous, systematic, and contextual approach to instrument adaptation, with an emphasis on the integration of idioms of distress as well as the adaptation of Likert-type scales

Adaptation (eye · Context (archaeology · Developmental psychology · Distress · Geography · Likert scale · Mental health · Political science · Psychiatry · Refugee · Applied Psychology · Clinical Psychology · Mental Health Treatment and Access · Migration, Health and Trauma · Psychology · Racial and Ethnic Identity Research · Social Psychology

  • Cognitive Screening Variability by English Proficiency

    Open Access•Katherine Kitchens•Journal of Cross-Cultural…•2026

  • "Exploring "Language of Suffering

    Open Access•Maya Fennig, Myriam Denov•Qualitative Health Research•2025

  • The Somali Distress and Resilience Scale

    Open Access•Alec Terrana, William Bruno et al.•Transcultural Psychiatric…•2024

  • Use of ‘Sense of Coherence (Soc)’ Scale to Measure Resilience in Eritrea

    Open Access•Astier M Almedom, BERHE TESFAMICHAEL et al.•Journal of Biosocial Science•2007

  • The prevalence of mental illness in refugees and asylum seekers

    Open Access•Rebecca Blackmore, Jacqueline Boyle et al.•PLoS Medicine•2020

  • Translation and Cross-Cultural Adaptation of Assessment Instruments Used in Psychological Research With Children and Families

    Open Access•Brigit M van Widenfelt, Philip D A Treffers et al.•Clinical Child and Family…•2005

  • New WHO prevalence estimates of mental disorders in conflict settings

    Open Access•Fiona Charlson, Mark Van Ommeren et al.•The Lancet•2019

  • Cross-Cultural Validity and Reliability Testing of a Standard Psychiatric Assessment Instrument without a Gold Standard

    Paul Bolton•The Journal of Nervous and Mental…•2001

  • An alternative approach to cross-cultural function assessment

    Open Access•Paul Bolton, Alice M Tang et al.•Social Psychiatry and Psychiatric…•2002

  • Mental health and quality of life among asylum seekers and refugees living in refugee housing facilities in Sweden

    Open Access•Anna Leiler, Anna Bjärtå et al.•Social Psychiatry and Psychiatric…•2019

  • A review of guidelines for cross-cultural adaptation of questionnaires could not bring out a consensus

    Open Access•Jonathan Epstein, Ruth Miyuki Santo et al.•Journal of Clinical Epidemiology•2015

  • Developing Instruments for Cross-Cultural Psychiatric Research

    Joseph A Flaherty, F MOISES GAVIRIA et al.•The Journal of Nervous and Mental…•1988

  • Validation of cross-cultural child mental health and psychosocial research instruments

    Open Access•B A Kohrt, Mark J D Jordans et al.•BMC Psychiatry•2011

  • Validated Screening Tools for Common Mental Disorders in Low and Middle Income Countries

    Open Access•Gemma‐Claire Ali, Grace Ryan et al.•PLoS ONE•2016

  • Anthropology and Psychiatry

    Open Access•A Kleinman•The British Journal of Psychiatry•1987

  • Measuring Trauma and Health Status in Refugees

    Michael Hollifield, T D Warner et al.•JAMA•2002

  • Association of Torture and Other Potentially Traumatic Events With Mental Health Outcomes Among Populations Exposed to Mass Conflict and Displacement

    Zachary Steel, Tien Chey et al.•JAMA•2009

  • Culture and Depression

    Arthur Kleinman, Byron Good•Culture and Depression•1985

  • The impact of trauma, flight and protracted displacement on the mental health of Eritrean refugees living in Israel

    Open Access•Maya Fennig, Myriam Denov•SSM - Mental Health•2022

  • Global forced displacement

    United Nations High Commissioner for Refugees•Global Trends•2021

  • The Harvard Trauma Questionnaire

    Open Access•Marwa Shoeb, Harvey M Weinstein et al.•International Journal of Social…•2007

  • Nepali Concepts of Psychological Trauma

    Open Access•B A Kohrt, Daniel J Hruschka•Culture Medicine and Psychiatry•2010

  • How to Fail a Scale

    Open Access•E Mendenhall, A W Kim•Culture Medicine and Psychiatry•2019

  • Idioms of distress

    Open Access•M Nichter•Culture Medicine and Psychiatry•1981

  • Utilization of Standardized Mental Health Assessments in Anthropological Research

    Open Access•E Mendenhall, K E Yarris et al.•Culture Medicine and Psychiatry•2016

  • Adapting culturally appropriate mental health screening tools for use among conflict-affected and other vulnerable adolescents in Nigeria

    Open Access•Bonnie N Kaiser, Cynthia J Ticao et al.•Cambridge Prisms Global Mental…•2019

  • Construct validity and factor structure of sense of coherence (SoC-13) scale as a measure of resilience in Eritrean refugees living in Ethiopia

    Open Access•Berhanie Getnet, Atalay Alem•Conflict and Health•2019

  • Violence en route

    Tsega Gebreyesus, Zebib Sultan et al.•Health Care For Women International•2019

  • Eritrean Asylum Seekers’ Lament Ceremonies in Israel as Contested Sites of Identity Formation

    Open Access•Galia Sabar, Adam Rotbard•African Diaspora•2015

  • The association between perceived social support and posttraumatic stress symptoms among Eritrean and Sudanese male asylum seekers in Israel

    Ora Nakash, Maayan Nagar et al.•International Journal of Culture…•2017

  • The Politics of Language in Eritrea

    Redie Bereketeab•African and Asian Studies•2010

  • Relations between traumatic life events and mental health of Eritrean asylum-seeking mothers and their children's mental health

    Open Access•Yael Mayer, Rotem Ilan et al.•Children and Youth Services Review•2020

  • The Afghan Symptom Checklist

    K E Miller, Patricia A Omidian et al.•American Journal of Orthopsychiatry•2006

  • Resilience in Context

    Open Access•C Panter-Brick, Kristin Hadfield et al.•Child Development•2017

  • The Contribution of Gender-Role Orientation to Psychological Distress Among Male African Asylum-Seekers in Israel

    Ora Nakash, Cleo Wiesent-Brandsma et al.•Journal of Immigrant & Refugee…•2013

  • Preparing Instruments for Transcultural Research

    Open Access•Mark Van Ommeren, Bhogendra Sharma et al.•Transcultural Psychiatry•1999

  • Methodological Challenges in Cross-Cultural Mental Health Research

    Open Access•Glorisa Canino, Roberto Lewis-Fernández et al.•Transcultural Psychiatry•1997

  • Cultural concepts of distress and psychiatric disorders

    Open Access•Roberto Lewis-Fernández, L J Kirmayer•Transcultural Psychiatry•2019

  • The emotional distress of asylum seekers in Israel and the characteristics of those seeking psychiatric versus medical help

    Open Access•Naama Kiat, Rafael Youngmann et al.•Transcultural Psychiatry•2017

  • Mental and somatic health and pre- and post-migration factors among older Somali refugees in Finland

    Open Access•Mulki Mölsä, Raija-Leena Punamäki et al.•Transcultural Psychiatry•2014

  • Strategies for assessing mental health in Haiti

    Open Access•Bonnie N Kaiser, B A Kohrt et al.•Transcultural Psychiatry•2013

  • The relationship of PTSD to key somatic complaints and cultural syndromes among Cambodian refugees attending a psychiatric clinic

    Open Access•Devon E Hinton, M Alexandra Kredlow et al.•Transcultural Psychiatry•2013

  • Ethical Research in Refugee Communities and the Use of Community Participatory Methods

    Open Access•B Heidi Ellis, Maryam Kia-Keating et al.•Transcultural Psychiatry•2007

  • Toward a Culture-Informed Epidemiology

    Joop De Jong, Joop De Joop et al.•Transcultural Psychiatry•2002

Unique citing works3
Citations per year1,5
Citation span2024 - 2026 (3)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 3

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