Module | Content | Description |
---|---|---|
1 | Traumatic events (TEs) | This module comprises 23 items (rated as “not-experienced” or “experienced”) derived from a pool of 46 items. It assesses exposure to conflict-related TEs prior to, during, and following migration |
2 | Ongoing adversities | This module comprises 26 items (rated as “a serious problem” or “not a serious problem”) developed based on the item pool derived from the Humanitarian Emergency Settings Perceived Needs (HESPER) scale [23] |
3 | Adaptation and Development After Persecution and Trauma (ADAPT) Index | This module comprises 22 items (rated on a 4-point Likert scale: 0 = none, 1 = moderately, 2 = very strongly, 3 = extremely) derived from a pool of 63 items, assessing five domains of psychosocial disruptions related to mass conflict: safety/security, bonds/networks, justice, roles/identities, and existential meaning |
4 | Loss of statehooda | This module comprises 10 items (rated on a 4-point Likert scale: 0 = none, 1 = moderately, 2 = very strongly, 3 = extremely) assessing refugees’ perception of statelessness and loss of statehood |
5 | Local idioms of distressa | This module comprises 45 items assessing locally understood syndromes amongst West Papuans |
6 | Mental health module | This module assesses nine current (last 12 months) and lifetime prevalence of mental disorders defined by the DSM-IV/V, Diagnostic and Statistical Manual of Mental Disorders (Fourth and Fifth Editions): Posttraumatic stress disorder, depression, generalized anxiety disorder, panic disorder, somatic symptom disorder, persistent complex bereavement related disorder, separation anxiety, psychosis, and intermittent explosive disorder |
7 | Alcohol and substance useb | This module comprises 5 items (rated as “no” and “yes”) based on the WHO Alcohol Use Disorders Inventory Test (AUDIT) [24] assessing excessive use of alcohol and other substances |
8 | Functional impairmentc | This module comprises 12 items (rated on a 5-point Likert scale: 1 = none, 2 = mild, 3 = moderate, 4 = severe, 5 = extreme) based on the WHO Disability Assessment Schedule (WHODAS) 2.0 [25] assessing disability related to health and mental health conditions in the previous 30-day period |
9 | General physical wellbeing | This module comprises 11 items (rated as “no” and “yes”) assessing general health status, health-related disability, help-seeking behaviour, and barriers to accessing health care in the last 12 months |
10 | Suicidal ideation and behaviour | This module comprises 12 items (rated as “no” and “yes”) assessing episodes of suicidal ideation and behaviour in the last 12 months |
11 | Exposure to Intimate Partner Violence (IPV)d | This module is based on the WHO Multi-Country Study on Women’s Health and Domestic Violence [26] assessing current and lifetime exposure to Intimate Partner Violence (IPV) |