The Refugee-Mental Health Assessment Package (R-MHAP); rationale, development and first-stage testing amongst West Papuan refugees

Tay, Alvin Kuowei; Rees, Susan; Chen, Jack; Kareth, Moses; Mohsin, Mohammed; Silove, Derrick

doi:10.1186/s13033-015-0018-6

International Journal of Mental Health Systems

Table 3 Confirmatory Factor Analysis of the constituent items of the module of common Traumatic Events (TEs)

From: The Refugee-Mental Health Assessment Package (R-MHAP); rationale, development and first-stage testing amongst West Papuan refugees

	n	%	β	P	R ²
First-order CFA
Factor 1: Conflict-related experiences
Forced to live in poor conditions due to ongoing violence	86	37.4	0.98	<0.001	0.95
Direct experience of war for political reasons	84	36.5	0.99	<0.001	0.97
Home intentionally destroyed	80	34.8	0.99	<0.001	0.97
Lack of shelter because of conflict	79	34.3	0.98	<0.001	0.97
Humiliated in front of other people	73	31.7	0.96	<0.001	0.92
Forced to go into hiding during war	70	30.4	0.97	<0.001	0.95
Involved in active combat as freedom fighters	68	29.6	0.95	<0.001	0.91
Held captive or imprisoned	54	23.5	0.97	<0.001	0.93
Torture	35	15.2	0.91	<0.001	0.82
Abducted by members of other political groups	25	10.9	0.85	<0.001	0.73
Factor 2: Traumatic losses
Disappearances of family members	74	32.2	0.94	<0.001	0.89
Separated from family members	71	30.9	0.99	<0.001	0.97
Forced to abandon family members during war	69	30	0.98	<0.001	0.97
Multiple deaths of family members	67	29.1	0.97	<0.001	0.93
Not being able to perform cultural ceremonies for the dead	37	16.1	0.96	<0.001	0.92
Factor 3: Witnessing murders
Witnessing strangers tortured	78	33.9	0.97	<0.001	0.93
Hearing about family members tortured and murdered	78	33.9	0.94	<0.001	0.88
Witnessing dead bodies	60	26.1	0.89	<0.001	0.79
Witnessing rape and sexual abuse	38	16.5	0.83	<0.001	0.69
Factor 4: Childhood adversities
Witnessing violence at home	31	13.5	0.94	<0.001	0.88
Physical abuse during childhood	26	11.3	0.91	<0.001	0.82
Factor 5: Health-related stress
Not being able to access medical care for family members	76	33	0.99	<0.001	0.98
Not being able to access medical care for self	68	29.6	0.98	<0.001	0.97
Second-order CFA
Factor 1: Conflict-related experiences			0.99	<0.001	0.98
Factor 2: Traumatic losses			0.99	<0.001	0.99
Factor 3: Witnessing murders			0.92	<0.001	0.85
Factor 4: Childhood adversities			0.76	<0.001	0.58
Factor 5: Health-related stress			0.99	<0.001	0.97

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ISSN: 1752-4458

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