Measuring stress in clinical and nonclinical subjects using a German adaptation of the Perceived Stress Scale

Background/objectives Several studies have indicated that stress is associated with common mental disorders, and work stress trebles the risk of developing them. However, a validated assessment tool for measuring and establishing psychological stress correlates in this group of clients remains unavailable. The objectives of the present study were to examine the psychometric properties of the Chinese version of the Perceived Stress Scale-10 (CPSS-10) on people with common mental disorders with different employment statuses and explore its correlates. Methods Two hundred and fifty-two participants with common mental disorders were recruited. The data were analysed through exploratory factor and confirmatory analyses to investigate construct validity. The convergent and discriminant validities were examined based on their correlation with other measures, while the internal consistency was estimated using Cronbach’s α coefficient. A t-test was used to detect differences between groups. The CPSS-10 correlates were explored using multiple linear regression analysis. Results Principal component analysis with varimax rotation yielded two factors, which accounted for 63.82% of the total variance, while confirmatory factor analysis confirmed its factor structure. The CPSS-10 had a positively moderate to strong correlation with other measures, thereby indicating its acceptable convergent and discriminant validities. The internal consistency ranged from acceptable to good for the two subscales and ten overall items, while the item-total correlation was adequate except for the seventh item. There were no group differences in gender nor employment status. Finally, the CPSS-10 predictors were studied. Conclusion The CPSS-10 is a reliable and valid instrument for people with common mental disorders with different employment statuses.

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Three Versions of the Perceived Stress Scale: Psychometric Evaluation in a Nationally Representative Sample of Chinese Adults during the COVID-19 Pandemic

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18168312 ◽

2021 ◽

Vol 18 (16) ◽

pp. 8312

Author(s):

Zhuang She ◽

Dan Li ◽

Wei Zhang ◽

Ningning Zhou ◽

Juzhe Xi ◽

...

Keyword(s):

General Population ◽

Psychometric Properties ◽

Perceived Stress ◽

Representative Sample ◽

Online Survey ◽

Psychometric Evaluation ◽

Perceived Stress Scale ◽

Good Reliability ◽

Stress Scale ◽

Nationally Representative

(1) Background: The COVID-19 outbreak has created pressure in people’s daily lives, further threatening public health. Thus, it is important to assess people’s perception of stress during COVID-19 for both research and practical purposes. The Perceived Stress Scale (PSS) is one of the most widely used instruments to measure perceived stress; however, previous validation studies focused on specific populations, possibly limiting the generalization of results. (2) Methods: This study tested the psychometric properties of three versions of the Chinese Perceived Stress Scale (CPSS-14, CPSS-10, and CPSS-4) in the Chinese general population during the COVID-19 pandemic. A commercial online survey was employed to construct a nationally representative sample of 1133 adults in Mainland China (548 males and 585 females) during a one-week period. (3) Results: The two-factor (positivity and negativity) solution for the three versions of the CPSS showed a good fit with the data. The CPSS-14 and CPSS-10 had very good reliability and the CPSS-4 showed acceptable reliability. Scores on all three versions of the CPSS were significantly correlated in the expected direction with health-related variables (e.g., depression, anxiety, and perceived COVID-19 risk), supporting the concurrent validity of the CPSS. (4) Conclusions: All three versions of the CPSS appear to be appropriate for use in research with samples of adults in the Chinese general population under the COVID-19 crisis. The CPSS-10 and CPSS-14 both have strong psychometric properties, but the CPSS-10 would have more utility because it is shorter than the CPSS-14. However, the CPSS-4 is an acceptable alternative when administration time is limited.

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AB0657 PERCEIVED STRESS AND FOOD INSECURITY IN PREGNANT AND POSTPARTUM WOMEN WITH RHEUMATIC DISEASES DURING THE COVID-19 PANDEMIC

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2021-eular.807 ◽

2021 ◽

Vol 80 (Suppl 1) ◽

pp. 1360.3-1361

Author(s):

L. G. Espinosa Banuelos ◽

P. R. Ancer Rodríguez ◽

M. G. Herrera López ◽

C. M. Skinner Taylor ◽

L. Pérez Barbosa ◽

...

Keyword(s):

Food Security ◽

Food Insecurity ◽

Perceived Stress ◽

Rheumatic Diseases ◽

Household Food Security ◽

Postpartum Women ◽

Depression And Anxiety ◽

Perceived Stress Scale ◽

Stress Scale ◽

Household Food

Background:The SARS-CoV-2 pandemic has directly impacted the psychological and physical health of individuals worldwide, as well as the global economy. Food insecurity rates have risen especially in vulnerable countries like Mexico. Furthermore, social isolation and economic uncertainty have multiplied depression and anxiety disorders. Pregnant and postpartum women are particularly vulnerable to food insecurity, increased stress, depression, and anxiety.Objectives:The aim of this study is to determine the perception of food insecurity (FI) and perceived stress in pregnant and postpartum women with rheumatic disease during the SARS-CoV-2 pandemic.Methods:An observational, cross-sectional and descriptive study was conducted. Patients from to the pregnancy and rheumatic diseases clinic of the University Hospital “Dr. José E. González” in Northeast Mexico evaluated between August to October 2020 were included. The Spanish validated versions of the Household Food Security Access Scale (HFIAS) and the Perceived Stress Scale (PSS-10) were applied by telephonic interview. The WHO recommendations were employed to determine the appropriate intake for each food group in a week. The Kolmogorov-Smirnov test was used to determine normality of the data. The Spearman correlation coefficient and the Kruskal-Wallis test were used for statistical analysis.Results:A total of 29 women were included. Six (20.6%) women were found to have moderate or severe degrees of food insecurity. In addition, 12 (40.30%) perceived moderate and severe levels of stress in the PSS-10. No relationship was found between food insecurity and perceived stress (p= 0.059). The food groups that exceeded the recommended weekly frequency were oils and sugars exceeded 3.9 and 2.9 frequencies, respectively.Conclusion:We found that 20.6% women suffered household food insecurity and 40.3% suffered moderate and severe levels of stress. No relationship was found between food insecurity with the HIFAS scale and perceived stress measures with the PSS-10. We found that oils and sugars exceeded more by the double of the recommended frequency per week.References:[1]Pérez-Escamilla R, Cunningham K, Moran VH. COVID-19 and maternal and child food and nutrition insecurity: a complex syndemic. Matern Child Nutr. 2020;16(3):e13036. doi:10.1111/mcn.13036[2]Adams EL, Caccavale LJ, Smith D, Bean MK. Food Insecurity, the Home Food Environment, and Parent Feeding Practices in the Era of COVID-19. Obesity (Silver Spring). 2020;28(11):2056-2063. doi:10.1002/oby.22996Table 1.Socio-demographic characteristics and scale results.Age, years, mean (SD)27.5 (7.03)Diagnosis, n (%)RA16 (55.1)SLE7 (24.4)Others6 (20.6)Results per scalesHFIAS, n (%)No risk13 (44.8)Mild10 (34.4)Moderated3 (10.3)Severe3 (10.3)EPP-10, n (%)Mild17 (58.6)Moderated9 (31.0)Severe3 (10.3)SD: standard deviation, RA: Rheumatoid arthritis, SLE: Systemic lupus erythematosus, HFIAS: Household food security access component scale, EPP-10: Perceived stress scale 10 items.Disclosure of Interests:None declared.

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Evaluation of the Reliability, Validity, and Predictive Validity of the Subscales of the Perceived Stress Scale in Older Adults

Journal of Alzheimer s Disease ◽

10.3233/jad-170289 ◽

2017 ◽

Vol 59 (3) ◽

pp. 987-996 ◽

Cited By ~ 9

Author(s):

Julie M. Jiang ◽

Elizabeth K. Seng ◽

Molly E. Zimmerman ◽

Martin Sliwinski ◽

Mimi Kim ◽

...

Keyword(s):

Older Adults ◽

Predictive Validity ◽

Perceived Stress ◽

Perceived Stress Scale ◽

Stress Scale

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Major dietary patterns and metabolic syndrome associated with severity of coronary artery disease: A structural equation modeling

Nutrition and Health ◽

10.1177/02601060211020655 ◽

2021 ◽

pp. 026010602110206

Author(s):

Mohamed Kuhail ◽

Kurosh Djafarian ◽

Sakineh Shab-Bidar ◽

Mehdi Yaseri

Keyword(s):

Metabolic Syndrome ◽

Perceived Stress ◽

Dietary Patterns ◽

Structural Equation ◽

Equation Modeling ◽

Gensini Score ◽

Perceived Stress Scale ◽

Stress Scale ◽

Direct Association ◽

Artery Disease

Background: The association of dietary patterns and metabolic syndrome with the severity of coronary artery disease (CAD) is little known. Aim: This study aimed to explore the relationship between major dietary patterns and the severity of CAD among newly discovered patients by using structural equation modeling (SEM). Methods: In this cross-sectional study, we included 423 newly diagnosed patients with CAD, aged 35–65 years, who underwent coronary angiography. The severity of CAD was assessed by the Gensini score. All patients were tested by using a semi-quantitative food frequency questionnaire, international physical activity questionnaire, perceived stress scale, lipid profile, fasting blood glucose, and anthropometric and blood pressure measurements. Statistical analysis was performed using SPSS and AMOS version 24. Results: Two dietary patterns (DPs) were identified by principal components analysis and labeled as “unhealthy DP” and “healthy DP”. The results of SEM analysis showed that the unhealthy DP has a significant positive direct association with the severity of CAD (β=0.304, p<0.001), which is indirectly mediated by the presence of metabolic syndrome (β=0.021, p=0.021), adjusted for age and perceived stress scale. However, healthy DP has a significant negative direct association with the Gensini score (β=-0.213, p<0.001), and an indirect association through negative metabolic syndrome (β=-0.019, p=0.022), controlled for gender, physical activity, and perceived stress scale. Conclusions: The severity of CAD was directly associated with the unhealthy DP and indirectly mediated by the presence of the metabolic syndrome, while a healthy DP had a direct inverse association with CAD severity and indirectly mediated by the absence of metabolic syndrome.

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Psychometric Evaluation of the Perceived Stress Scale in Multiple Sclerosis

ISRN Rehabilitation ◽

10.1155/2013/608356 ◽

2013 ◽

Vol 2013 ◽

pp. 1-9 ◽

Cited By ~ 25

Author(s):

Salene M. Wu ◽

Dagmar Amtmann

Keyword(s):

Multiple Sclerosis ◽

Perceived Stress ◽

Factor Model ◽

Reliability And Validity ◽

Psychometric Evaluation ◽

General Factor ◽

Perceived Stress Scale ◽

Stress Scale ◽

Two Factors ◽

Mental And Physical Health

Multiple sclerosis (MS) is a progressive disease characterized by neurological symptoms and sometimes heightened levels of distress. The Perceived Stress Scale (PSS) is often used in MS samples to measure stress but has not been validated in this population. Participants (n=446) completed the PSS as well as measure of depression, anxiety, and mental and physical health. Factor analyses indicated that the general factor of a bifactor model accounted for a large amount of the variance in the 14-item and 10-item versions of the PSS. The 4-item PSS had two factors, the Stress subscale and the Coping subscale, but a one-factor model also fits the data well. Total scores and both subscales had sufficient reliability and validity for all versions of the PSS, although a few items of the 14-item PSS had low item-total correlations. This study supports the use of the total score of the PSS in MS but also suggests that the 10-item PSS had better psychometric properties than the 14-item PSS.

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