Depressive and anxiety symptoms in refugees: Insights from classical test theory, item response theory and network analysis

Schlechter P, Wilkinson PO, Knausenberger J, Wanninger K, Kamp S, Morina N, Hellmann J (2021)
Clinical Psychology & Psychotherapy 28(1): 169-181.

Zeitschriftenaufsatz | Veröffentlicht | Englisch
 
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Schlechter, Pascal; Wilkinson, Paul O.; Knausenberger, Judith; Wanninger, Katharina; Kamp, Svea; Morina, Nexhmedin; Hellmann, JensUniBi
Abstract / Bemerkung
Screening tools developed for Western populations have produced heterogeneous prevalence estimates for depression and anxiety disorders among refugees. The use of these instruments assumes that psychopathological symptoms are manifested similarly across different cultural groups. Here, we scrutinized whether depressive and anxiety symptoms are manifested similarly between German residents and refugees in Germany. We tested measurement invariance, test information and specifics of symptom interrelations in 200 refugees and 202 German residents with classical test theory (CTT), item response theory (IRT) and network analysis. Participants completed the Patient Health Questionnaire regarding depressive and anxiety symptoms in either Arabic or German. Measurement invariance was only present to a certain extent. Questionnaires were most informative on different spectrums of the latent traits for the two groups. Network analysis demonstrated that symptom interrelations of depressive and anxiety symptoms differed across residents and refugees. This was especially true for core symptoms of common nosological systems, such as losing interest or feeling depressed. Surprisingly, traumatic events in the past were not central in refugees' anxiety networks. Core symptoms of nosological systems seem to be differently pronounced in refugees and residents, which has important implications for our understanding of mental health symptoms in refugees.
Erscheinungsjahr
2021
Zeitschriftentitel
Clinical Psychology & Psychotherapy
Band
28
Ausgabe
1
Seite(n)
169-181
ISSN
1063-3995
eISSN
1099-0879
Page URI
https://pub.uni-bielefeld.de/record/2962884

Zitieren

Schlechter P, Wilkinson PO, Knausenberger J, et al. Depressive and anxiety symptoms in refugees: Insights from classical test theory, item response theory and network analysis. Clinical Psychology & Psychotherapy. 2021;28(1):169-181.
Schlechter, P., Wilkinson, P. O., Knausenberger, J., Wanninger, K., Kamp, S., Morina, N., & Hellmann, J. (2021). Depressive and anxiety symptoms in refugees: Insights from classical test theory, item response theory and network analysis. Clinical Psychology & Psychotherapy, 28(1), 169-181. https://doi.org/10.1002/cpp.2499
Schlechter, P., Wilkinson, P. O., Knausenberger, J., Wanninger, K., Kamp, S., Morina, N., and Hellmann, J. (2021). Depressive and anxiety symptoms in refugees: Insights from classical test theory, item response theory and network analysis. Clinical Psychology & Psychotherapy 28, 169-181.
Schlechter, P., et al., 2021. Depressive and anxiety symptoms in refugees: Insights from classical test theory, item response theory and network analysis. Clinical Psychology & Psychotherapy, 28(1), p 169-181.
P. Schlechter, et al., “Depressive and anxiety symptoms in refugees: Insights from classical test theory, item response theory and network analysis”, Clinical Psychology & Psychotherapy, vol. 28, 2021, pp. 169-181.
Schlechter, P., Wilkinson, P.O., Knausenberger, J., Wanninger, K., Kamp, S., Morina, N., Hellmann, J.: Depressive and anxiety symptoms in refugees: Insights from classical test theory, item response theory and network analysis. Clinical Psychology & Psychotherapy. 28, 169-181 (2021).
Schlechter, Pascal, Wilkinson, Paul O., Knausenberger, Judith, Wanninger, Katharina, Kamp, Svea, Morina, Nexhmedin, and Hellmann, Jens. “Depressive and anxiety symptoms in refugees: Insights from classical test theory, item response theory and network analysis”. Clinical Psychology & Psychotherapy 28.1 (2021): 169-181.
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