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Table 5 Confirmatory Factor Analysis of the constituent items of the ADAPT index of psychosocial impacts of conflict based on the Adaptation and Development After Persecution and Trauma (ADAPT) model

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

 

n

%

β

P

R 2

Factor 1: Safety/security

 Feeling very nervous about family members getting sick because unable to afford medical care

163

70.8

0.93

<0.01

0.87

 Serious worries that the future will be insecure

159

69.1

0.96

<0.01

0.92

 Serious concerns about my family might die of hunger

140

60.8

0.95

<0.01

0.91

 Serious concerns about whether family will survive

139

60.4

0.91

<0.01

0.83

 Feeling unsafe about visiting family or neighbours

102

44.3

0.86

<0.01

0.74

Factor 2: Bonds/Networks

 Feeling very upset about being separated from family in the homeland

179

77.8

0.99

<0.01

0.98

 Feeling very upset about not being able to return home

177

76.9

0.98

<0.01

0.96

 Feeling very upset because of not being able to perform traditional ceremonies for the dead

166

72.1

0.99

<0.01

0.98

 Feeling homesick

164

71.3

0.93

<0.01

0.86

 Serious concerns because of not being able to visit the graves of dead family members

158

68.7

0.94

<0.01

0.89

Factor 3: Access to justice for human rights violations

 Strong feelings of unfairness about the way me and family had been treated in the past

162

70.4

0.97

<0.01

0.93

 Thinking excessively about the unjust things that happened to me and family in the past

154

66.9

0.96

<0.01

0.92

 Lost trust in people because of the unjust things that happened to me and my family in the past

135

58.7

0.97

<0.01

0.95

 Become suspicious of authorities because of the unjust things that happened to me and my family in the past

135

58.7

0.93

<0.01

0.87

 Difficulties accepting the unjust things that happened to me and my family

129

56

0.96

<0.01

0.92

Factor 4: Roles/identities

 Difficulties trying to overcome cultural barriers so that I can have a place in society

133

57.8

0.99

<0.01

0.97

 Feeling frustrated because of not being able to contribute to the family in the way I used to

125

54.3

0.89

<0.01

0.80

 Feeling frustrated because I have to rely on others and cannot get things done on my own

103

44.7

0.93

<0.01

0.87

 Lost a sense of autonomy and control in my life

110

47.8

0.93

<0.01

0.87

Factor 5: Existential meaning (related to expression of political aspirations)

 Feeling worried about the strong influence of Indonesian culture in West Papua

205

89.1

0.98

<0.01

0.95

 Feeling worried about the future of my country

197

85.6

0.99

<0.01

0.97

 Feeling frustrated because I am not able to express my political aspirations

187

81.3

0.89

<0.01

0.78