PURPOSE: This study examines the psychometric properties of the Hopkins Symptom Checklist-10 (HSCL-10) among Burmese refugee adults resettled in the United States (U.S.). Although widely used to screen for anxiety and depression, the HSCL-10 has not been validated in Burmese refugee populations. MATERIALS AND METHODS: This study employed a cross-sectional quantitative design with a sample of 217 Burmese refugee adults. Exploratory factor analysis (EFA) examined the underlying factor structure of the HLSC-10, followed by confirmatory factor analysis (CFA) to assess model fit. Internal consistency was assessed using Cronbach's alpha, and divergent validity was evaluated using the WHO-5 Index, a global well-being scale. RESULTS: < .082); GFI = 0.961; NFI = 0.937; TLI = 0.984; CFI = 0.988; and RMSEA = 0.040 0.001-0.068). The HSCL-D and HSCL-A showed significant inverse correlations with the WHO-5 Well-Being Index, supporting divergent validity. DISCUSSION: Findings support the two-factor structure of the HSCL-10 and provide evidence of acceptable internal consistency and divergent validity in a Burmese refugee sample. These results extend prior research and contribute to the limited literature on its use in Burmese refugee populations. CONCLUSION: The HSCL-10 demonstrates promising psychometric properties and preliminary evidence of validity for assessing anxiety and depressive symptoms among Burmese refugee adults, and may be useful in both clinical and research settings.
Kareen N. Tonsing (2026) studied this question.