Rates and correlates of psychological distress and PTSD among persons with physical disabilities in Cambodia

Maddock, Alan; Best, Paul; Ean, Nil; Armour, Chérie; Ramstrand, Nerrolyn

doi:10.1186/s12939-023-01842-5

Cited by 2 publications

References 46 publications

(71 reference statements)

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Psychometric validation of an Arabic translation of the Impact of Event Scale-6 (IES-6)

Hemade,

Hallit,

Malaeb

et al. 2024

Preprint

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Background The Impact of Event Scale-6 (IES-6) is a reduced version of the Impact of Event Scale – Revised, and has been developed to rapidly screen for PTSD. This study aimed to psychometrically evaluate and validate a new Arabic translation of the Impact of Event Scale − 6 on a sample of adults from the general population of Lebanon. Methods Participants (n = 601) were Arabic-speaking adults from the general population of Lebanon who completed our Arabic translation of the IES–6, along with measures of psychological distress and death anxiety. Results Confirmatory Factor Analysis was performed and showed that the fit of a one-factor model of the Arabic translation of the IES–6 was acceptable. Total scores were found to have adequate reliability (ω = .94; α = .94). Adequate patterns of concurrent validity were also demonstrated, with IES-6 scores significantly and positively correlating with psychological distress (r = .41; p < .001) and death anxiety (r = .53; p < .001). Finally, sex invariance was established at the configural, metric, and scalar levels, with females scoring significantly higher than males. Conclusion Our study suggests that the Arabic translation of the IES–6 is valid and reliable for assessment of PTSD symptoms. The availability of this scale should help improve research on PTSD and also evaluate the effectiveness of PTSD treatments.

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Psychometric validation of an Arabic translation of the Impact of Event Scale-6 (IES-6)

Hemade,

Hallit,

Malaeb

et al. 2024

Preprint

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Developing and testing a community based, online vs. face-to-face peer led intervention to improve mental well-being in Cambodian adults with physical disabilities

Best,

Maddock,

Ean

et al. 2024

Front. Digit. Health

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BackgroundDespite growing international attention, there remains an urgent need to develop mental health services within low and middle income countries. The Khmer Rouge period in Cambodia saw the destruction of all health services infrastructure in the 1970s. Consequently, Cambodia has struggled to rebuild both its economy and healthcare system, with the number of qualified mental health clinicians remaining disproportionately low. Resultantly, there is a pressing need to develop low-cost community based alternatives of mental healthcare.MethodsUsing a mixed methods design, researchers developed an 8-week peer-led intervention, known as a Friendship Group, for adults with physical disabilities using both face-to-face and online delivery methods. The Wilcoxon Signed-Rank test was used to assess changes in pre-post survey scores and qualitative data was collected in form of five focus groups post intervention.Results41 participants were allocated across four Friendship groups – two were online and two face-to-face. Attrition rate was 22% post-intervention (n = 32). ITT analyses showed a statistically significant decrease in psychological distress scores [Z = −3.808, p < .001] from pre [Mdn = 20, IQR = 16.5–25.5] to post [Mdn = 16, IQR = 14–18.5] intervention. A Wilcoxon signed-ranks test also showed a statistically significant decrease in PTSD scores [Z = −2.239, p < .025] from pre [Mdn = 4, IQR = 3–5] to post [Mdn = 3, IQR = 2.75–4] intervention. There was also a statistically significant decrease in worry scores [Z = −3.904, p < .001] from pre [Mdn = 5, IQR = 3.5–6.5] to post [Mdn = 3, IQR = 3–4] intervention. There were no significant group differences between the face to face and online groups. A number of interconnected themes emerged from focus group data (n = 5), these included the mental health benefits of Friendship Groups as conceptualised through knowledge acquisition, skill development and peer support.ConclusionsThe Friendship group intervention delivered in both online and face-to-face formats appears feasible and acceptable within the Cambodian context. Initial data revealed positive findings in terms of reduction in psychological distress, worry and PTSD symptoms as well increased feeling as calm.

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Rates and correlates of psychological distress and PTSD among persons with physical disabilities in Cambodia

Cited by 2 publications

References 46 publications

Psychometric validation of an Arabic translation of the Impact of Event Scale-6 (IES-6)

Psychometric validation of an Arabic translation of the Impact of Event Scale-6 (IES-6)

Developing and testing a community based, online vs. face-to-face peer led intervention to improve mental well-being in Cambodian adults with physical disabilities

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