The HADStress screen, a brief and nonthreatening screen that can be readily implemented in clinical settings, showed a high association with scores on the PCL in this Somali refugee sample. A cutoff score of 2 or higher on the HADStress screen among refugees warrants additional evaluation for posttraumatic stress symptoms in clinical settings. For communitywide efforts at early recognition and treatment, a cutoff score of 4 may be more practical and cost-effective.
This study was supported by grants R01-MH59579 and 1R01-MH59570 from the National Institute of Mental Health. The authors acknowledge the valuable contributions in advising, translating, recruiting, and interviewing by the following: Abdullahi Gas, M.D., Osman Ahmed, M.D., Israel Gobena, J.D., Johara Mohammed, Elizabeth Namara, Abulqadir Omar, M.D., and Nadifa Osman, M.S.
The authors report no competing interests.
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