Assessment of Perceived Stress Related to Migration and Acculturation in Patients with Psychiatric Disorders (MIGSTR10)—Development, Reliability, and Dimensionality of a Brief Instrument

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Assessment of stressors related to migration and acculturation in patients with psychiatric disorder and migration background could help improve culturally sensitive concepts of psychiatry and psychotherapy for diagnosis and treatment. The present overview delineates development and psychometric properties of an instrument (MIGSTR10) for assessment of stressors related to migration and acculturation, particularly for application in patients with psychiatric disorders. Ten migration-related stressors were derived from a qualitative content analysis of case histories of patients with psychiatric disorder and migration background and put into a suitable interview and questionnaire format (MIGSTR10; 10 questions, answer format: categorical yes/no, and dimensional 0–10) for self-assessment and observer ratings in several languages. Reliability (interrater agreement, internal consistency) and dimensionality (multi-dimensional scaling, MDS) were investigated in n = 235 patients with migration background and n = 612 indigenous German patients. Interrater agreement (ICC) for MIGSTR10 single items and sum scores (categorical and dimensional) was sufficiently high (≥.58); internal consistency (Cronbach’s α) reached medium to high values (.56–.73). MDS revealed a two-dimensional solution with two item clusters (A: communication, migration history, forced marriage, homesickness, discrimination, other stressors; B: family conflicts, loss of status, feelings of shame, guilt feelings). The MIGSTR10 is a rationally developed, straightforward 10-item screening instrument with satisfactory psychometric properties for the assessment of individual and specific stressors related to migration and acculturation.

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We wish to thank Uschi Brucks (†),Suzan Kamçılı-Kubach, Songül Strassheim, Metin Özek (†) and Abuzer Doğan, and Christiane Olschinski for their valuable contribution to the development of the MIGSTR10 questionnaire.


This research did not receive any specific grant from funding agencies in the public, commercial, or not-profit sectors.

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Correspondence to Matthias J. Müller.

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All procedures performed in studies involving human participants were in accordance with the ethical standard of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Müller, M.J., Zink, S. & Koch, E. Assessment of Perceived Stress Related to Migration and Acculturation in Patients with Psychiatric Disorders (MIGSTR10)—Development, Reliability, and Dimensionality of a Brief Instrument. Psychiatr Q 88, 473–483 (2017) doi:10.1007/s11126-016-9461-z

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  • Assessment scale
  • Migration-related stressors
  • Scale development
  • Reliability