Cited by 1,489Posttraumatic Stress Disorder ResearchMigration, Health and TraumaPsychometric Methodologies and Testing

The Harvard Trauma Questionnaire: Validating a Cross-Cultural Instrument for Measuring Torture, Trauma, and Posttraumatic Stress Disorder in Indochinese Refugees

MOLLICA, RICHARD F., CASPI-YAVIN, YAEL, BOLLINI, PAOLA, TRUONG, TOAN, TOR, SVANG, LAVELLE, JAMES·1992·The Journal of Nervous and Mental Disease

Abstract

There are no valid and reliable cross-cultural instruments capable of measuring torture, trauma, and trauma-related symptoms associated with the DSM-III-R diagnosis of posttraumatic stress disorder (PTSD). Generating such standardized instruments for patients from non-Western cultures involves particular methodological challenges. This study describes the development and validation of three Indochinese versions of the Harvard Trauma Questionnaire (HTQ), a simple and reliable screening instrument that is well received by refugee patients and bicultural staff. It identifies for the first time trauma symptoms related to the Indochinese refugee experience that are associated with PTSD criteria. The HTQ's cultural sensitivity may make it useful for assessing other highly traumatized non-Western populations.

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Crossref · 10.1097/00005053-199202000-00008

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  • Functional impairment assessment was based on qualitative data from the study villages.

    “Functional impairment was based on the degree of difficulty in performing important tasks of daily living that were identified on the basis of qualitative data from the study villages, with the use of methods described elsewhere.16,26”
  • The Harvard Trauma Questionnaire is a validated cross-cultural screening instrument designed to assess torture, trauma exposure, and trauma-related symptoms in refugees.

    “The Harvard Trauma Questionnaire is a validated cross-cultural screening instrument designed to assess torture, trauma exposure, and trauma-related symptoms in refugees.”

    From Identifying resilience-promoting factors for refugee survivors of torture (2022) · cites this paper as Mollica et al., 1992

  • The HTQ has high test-retest reliability (α = .89) and internal consistency (α = .90).

    “The HTQ has been reported to have high test-retest reliability ( α = .89) internal consistency ( α = .90; Mollica et al., 1992)”

    From Identifying resilience-promoting factors for refugee survivors of torture (2022) · cites this paper as Mollica et al., 1992

  • The primary outcome measure was self-reported PTSD symptoms assessed using part IV of the Harvard Trauma Questionnaire (HTQ), which has been developed primarily for trauma-affected refugees and validated in several languages and settings.

    “The primary outcome measure was self-reported PTSD symptoms assessed using part IV of the Harvard Trauma Questionnaire (HTQ), which has been developed primarily for trauma-affected refugees and validated in several languages and settings [26, 27].”

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Authors
MOLLICA, R. F., CASPI-YAVIN, Y., BOLLINI, P., TRUONG, T., TOR, S., & LAVELLE, J.
Affiliations
  • Harvard University (US)
  • St. Elizabeth's Medical Center (US)
Venue
The Journal of Nervous and Mental Disease
Published
1992-02
Volume
180
Issue
2
Pages
111-116
ISSN
0022-3018 (ISSN-L)
OpenAlex
W4292855834
Cited by
1,489
References
0
Citations by year
2026: 56 · 2025: 92 · 2024: 66 · 2023: 92 · 2022: 100 · 2021: 98 · 2020: 103 · 2019: 73 · 2018: 90 · 2017: 86 · 2016: 71 · 2015: 59 · 2014: 63 · 2013: 50 · 2012: 54
FWCI
6.74
Type
journal article
Language
en
Open access
closed
Locations
The Journal of Nervous and Mental Disease (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
  • Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
  • Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
Keywords
Harvard Trauma Questionnaire, post-traumatic stress disorder, torture, trauma symptoms, Indochinese refugees, cross-cultural assessment, screening tool, cultural sensitivity, instrument validation, refugee mental health

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