Functioneren de diagnostische instrumenten, die gebruikt worden bij langer in Nederland verblijvende vluchtelingen die behandeld worden door Centrum ‘45, adequaat?
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Are the diagnostic instruments, which are used by war refugees that live for a long time in the Netherlands and get a treatment by Stichting Centrum ’45, adequate? A study of psychometric qualities, main outcomes on questionnaires and significant changes after treatment. Klein, R.E. Utrecht University Objective. This article describes a study considering to what extent diagnostic instruments used by war refugees in Centrum ’45, are reliable. Also the main outcomes on several questionnaires were studied. Additionally is tested if there is a significant difference between baseline measure and exit measure on several questionnaires. Method. First, 195 war refugees were asked to fill in several questionnaires, among physical and mental situation and other things, before treatment started. These war refugees came mainly from the Middle-East and East-Europe. When the treatment was finished, war refugees filled in the same questionnaires as before treatment, to make a comparison between variables possible. Results. Overall, most of the questionnaires had a good reliability. The main outcomes on this inventorying study are that war refugees suffer a lot on somatic and mental complaints. Also, met 96% the criteria of a posttraumatic stress disorder, if the cut-off point of Mollica was used. View of the self and the world was not high and coping wasn’t very effective. Quality of life was average and the participants were integrated in the Dutch society. After treatment at Centrum ’45, very few significant differences were found, between intake- and exit-measurement. The significant differences that were found, yielded that participants worsened over the period of treatment. Conclusion. War refugees enter frequently the mental health care, which make a evaluation of several main-areas of diagnostic- and treatment variables very necessary. In this study was found that war refugees have serious mental problems, like severe anxiety, depression and posttraumatic stress disorder. The diagnostic instruments that were used were mainly reliable. After an average of two years of treatment, the war refugees were not suffering less, but mainly unchanged and sometimes even worsened. There are however some critical points to be mentioned, such as the manner in which the research was taken and about the cross cultural differences.