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Baksbat (broken courage): the development and validation of the inventory to measure baksbat, a Cambodian trauma-based cultural syndrome of distress.
Cult Med Psychiatry. 2012 Dec; 36(4):640-59.CM

Abstract

This article outlines the development and validation of an inventory measuring a Cambodian cultural syndrome of distress called 'baksbat' (broken courage). The inventory development phase involved ethnographic interviews with a preliminary group of 53 experts having knowledge or experience of baksbat. The initial ethnographically derived inventory with 32 items was developed and administered to a second group of 390 consecutive patients to assess factor loadings. The validation phase used confirmatory factor analysis (CFA) to test goodness-of-fit of four hypothesized factor models of the newly developed inventory in a third group of 159 participants. CFA confirms three-factor models that have the best goodness-of-fit, thus a 24-item baksbat inventory clustering of three-symptom categories was developed. Multiple regression, which assesses the relationship between the dependent variable (PTSD) and a subcluster of baksbat inventory (predictors), shows baksbat inventory accounts for 47 % of the total variance of symptoms in PTSD (R (2) = .47). Of the three-symptom clusters, 'psychological distress' shows significant contribution to the total variance of symptoms in PTSD (β = .63, p < .001). Of significance, some symptoms of baksbat were independent from symptoms of PTSD with isolated symptoms that are culturally specific. These preliminary findings suggest that baksbat could be a potential Cambodian trauma-based syndrome with its own culturally validated inventory.

Authors+Show Affiliations

Transcultural Psychosocial Organization (TPO Cambodia), TPO Building, No 2&4, Oknha Vaing Road, Sangkat Phnom Penh Thmey, Khan Sen Sok, Phnom Penh, Cambodia. sotheara@tpocambodia.org

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

23054296

Citation

Chhim, Sotheara. "Baksbat (broken Courage): the Development and Validation of the Inventory to Measure Baksbat, a Cambodian Trauma-based Cultural Syndrome of Distress." Culture, Medicine and Psychiatry, vol. 36, no. 4, 2012, pp. 640-59.
Chhim S. Baksbat (broken courage): the development and validation of the inventory to measure baksbat, a Cambodian trauma-based cultural syndrome of distress. Cult Med Psychiatry. 2012;36(4):640-59.
Chhim, S. (2012). Baksbat (broken courage): the development and validation of the inventory to measure baksbat, a Cambodian trauma-based cultural syndrome of distress. Culture, Medicine and Psychiatry, 36(4), 640-59. https://doi.org/10.1007/s11013-012-9279-6
Chhim S. Baksbat (broken Courage): the Development and Validation of the Inventory to Measure Baksbat, a Cambodian Trauma-based Cultural Syndrome of Distress. Cult Med Psychiatry. 2012;36(4):640-59. PubMed PMID: 23054296.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Baksbat (broken courage): the development and validation of the inventory to measure baksbat, a Cambodian trauma-based cultural syndrome of distress. A1 - Chhim,Sotheara, PY - 2012/10/12/entrez PY - 2012/10/12/pubmed PY - 2013/5/17/medline SP - 640 EP - 59 JF - Culture, medicine and psychiatry JO - Cult Med Psychiatry VL - 36 IS - 4 N2 - This article outlines the development and validation of an inventory measuring a Cambodian cultural syndrome of distress called 'baksbat' (broken courage). The inventory development phase involved ethnographic interviews with a preliminary group of 53 experts having knowledge or experience of baksbat. The initial ethnographically derived inventory with 32 items was developed and administered to a second group of 390 consecutive patients to assess factor loadings. The validation phase used confirmatory factor analysis (CFA) to test goodness-of-fit of four hypothesized factor models of the newly developed inventory in a third group of 159 participants. CFA confirms three-factor models that have the best goodness-of-fit, thus a 24-item baksbat inventory clustering of three-symptom categories was developed. Multiple regression, which assesses the relationship between the dependent variable (PTSD) and a subcluster of baksbat inventory (predictors), shows baksbat inventory accounts for 47 % of the total variance of symptoms in PTSD (R (2) = .47). Of the three-symptom clusters, 'psychological distress' shows significant contribution to the total variance of symptoms in PTSD (β = .63, p < .001). Of significance, some symptoms of baksbat were independent from symptoms of PTSD with isolated symptoms that are culturally specific. These preliminary findings suggest that baksbat could be a potential Cambodian trauma-based syndrome with its own culturally validated inventory. SN - 1573-076X UR - https://www.unboundmedicine.com/medline/citation/23054296/Baksbat__broken_courage_:_the_development_and_validation_of_the_inventory_to_measure_baksbat_a_Cambodian_trauma_based_cultural_syndrome_of_distress_ L2 - https://doi.org/10.1007/s11013-012-9279-6 DB - PRIME DP - Unbound Medicine ER -