This study describes the construction and evaluation of an instrument for measuring psychological well-being in refugees. A 16-item scale, ‘How do you feel?’, for concurrent measurement of present and previous well-being was constructed and translated into five languages. Male war-wounded refugees were tested during hospitalization shortly after arrival (n= 60) and after two years (n= 53). The group was culturally heterogenous. The reliability was acceptable (0.78–0.92). Construct validation yielded acceptable validity. Back-translations indicated minor ambiguities. A revised 10-item version is suggested for future use. The scale is easily administered and provides a potentially useful screening instrument to complement medical examinations. It can also be used for evaluating prevention programs and for research purposes.
Beiser, M. , Johnson, P. J., & Turner, R. J. (1993). Unemployment, underemployment and depressive affect among Southeast Asian refugees. Psychological Medicine, 23, 731–743.
2.
Brislin, R. W. , Lonner, W. J., & Thorndike, R. M. (1973). Cross-cultural research methods. New York: Wiley.
3.
Diener, E. (1984). Subjective well-being. Psychological Bulletin, 95, 542–575.
4.
Eyton, J. , & Neuwirth, G. (1984). Cross-cultural validity: Ethnocentrism in health studies with special reference to the Vietnamese. Social Sciences and Medicine, 18, 447–453.
5.
Hauff, E. (1986). Assessment of mental health in refugee populations. In Ministry of Welfare, Health & Cultural Affairs, Health hazards of organized violence. Proceedings of a working group on health hazards of organized violence(pp. 101–113). Rijswijk, The Netherlands: Ministry of Welfare, Health and Cultural Affairs.
6.
Hermansson, A-C. , Carlsson, V. A., Hörnquist, J. O., & Thyberg. M. (1995). War-wounded refugees in Sweden. Background and flight. Scandinavian Journal of Social Welfare, 4, 255–261.
7.
Hermansson, A-C. , & Timpka, T. (1995). Tre perspektiv p oh‰lsa hos flyktingar [Three perspectives on ill-health in refugees]. Socialmedicinsk Tidskrift, 72, 375–377.
8.
Hornquist, J. O. (1989). Quality of life: Concept and assessment. Scandinavian Journal of Social Medicine, 18, 69–79.
9.
Jablensky, A. , Marsella, A. J., Ekblad, S., Jansson, B., Levi, L., & Bornemann, T. (1994). Refugee mental health and well-being: Conclusions and recommendations. In A. J. Marsella, T. Bornemann, S. Ekblad, & J. Orley (Eds.), Amidst peril and pain. The mental health and well-being of the world¥s refugees(pp. 327–339). Washington, DC: American Psychological Association Press.
10.
Keane, T. M. , Weathers, F. W., & Kaloupek, D. G. (1992). Psychological assessment of post-traumatic stress disorder. PTSD Research Quarterly, 3, 1–7.
11.
Kinzie, J. D. , Manson, S. M., Vinh, D. T., Tolan, N. T., Anh, B., & Pho, T. N. (1982). Development and validation of a Vietnamese-language depression rating scale. American Journal of Psychiatry, 139, 1276–1281.
12.
Landstinget i ÷stergotland . (1991). Medical center for refugees. Linköping, Sweden: County Council of stergtland. (In Swedish).
13.
Larsen, R. J. , Diener, E., & Emmons, R. A. (1985). An evaluation of subjective wellbeing measures. Social Indicators Research, 17, 1–17.
14.
McDowell, I. , & Newell, C. (1987). Measuring health: A guide to rating scales and questionnaires. New York: Oxford University Press.
15.
Ministry of Welfare , Health & Cultural Affairs. (1986). Health hazards of organized violence. Proceedings of a working group on health hazards of organized violence. Rijswijk, The Netherlands: Ministry of Welfare, Health and Cultural Affairs.
16.
Muecke, M. A. (1992). New paradigms for refugee health problems. Social Science and Medicine, 35, 515–523.
17.
Nordenfelt, L. (1988). Livskvalitet – en studie av ett begrepp[Quality of life a study of a concept]. Linkping, Sweden: University of Linkping, Department of Health and Society, SHS 10.
18.
Polit, D. F. , & Hungler, B. P. (1991). Nursing research. Principles and methods. Philadelphia: J. B. Lippincott.
19.
Roth, G. , & Ekblad, S. (1993). Migration and mental health: Current research issues. Nordic Journal of Psychiatry, 47, 185–189.
20.
Sandstedt, A-C. , Carlsson, V. A., Hörnquist, J. O., & Thyberg, M. (1992). War-wounded refugees. Quality of life after 2–3 years in Sweden. Scandinavian Journal of Social Medicine, 20, 173–178.
21.
Struwe, G. (1994). Training health and medical professionals to care for refugees: issues and methods. In A. J. Marsella, T. Bornemann, S. Ekblad, & J. Orley (Eds.), Amidst peril and pain. The mental health and well-being of the world¥s refugees(pp. 311–324). Washington, DC: American Psychological Association Press.
22.
The Swedish Ministry of Culture . (1994). Immigrant and refugee policy. Stockholm: The Printing Works of the Cabinet Office and Ministries.
23.
United Nations High Commissioner for Refugees. (1995). UNHCR at a glance. No 984 (951210). Geneva: UNHCR Public Information.
24.
Westermeyer, J. (1985). Psychiatric diagnosis across cultural boundaries. American Journal of Psychiatry, 142, 798–805.
25.
Wilson, J. P. , & Raphael, B. (1993). International handbook of traumatic stress syndromes. New York: Plenum Press.
26.
World Health Organization . (1977). International classification of diseases –Manual of the international statistical classification of diseases, injuries and causes of death. Geneva: WHO.
27.
World Health Organization . (1984). Health for all year 2000. Geneva: WHO.
