ArticleJournal of clinical medicine2021
Structural Equation Modeling of a Global Stress Index in Healthy Soldiers.
Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Perceived organizational Support and Nurses' Caring Behaviors: The Serial Mediating Roles of Perceived Stress and Career Calling.Journal of nursing management · 2026Article
- How to Predict the Onset of Anxiety and Depression in Pediatric Residents? -- A Survey From China.Neuropsychiatric disease and treatment · 2026Article
- Psychosocial well-being index and sick leave in the workplace: a structural equation modeling of Wittyfit data.Frontiers in psychology · 2025Article
- Stress and psychological trauma as predictors of cancer-related fatigue in breast cancer patients (SaFE study)-study protocol of a prospective follow-up study.Frontiers in psychology · 2025Article
- Organizational Silence and Work Engagement Among Chinese Clinical Nurses: The Mediating Role of Career Calling.Journal of nursing management · 2025Article
- Association between social supports and negative emotions among pediatric residents in China: The chain-mediating role of psychological resilience and burnout.Frontiers in public health · 2022Article
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Authors and funding
9 authors.
Funding
Abstract
Accumulation of stress is a prognostic trigger for cardiovascular disease. Classical scores for cardiovascular risk estimation typically do not consider psychosocial stress. The aim of this study was to develop a global stress index (GSI) from healthy participants by combining individual measures of acute and chronic stress from childhood to adult life. One-hundred and ninety-two female and male soldiers completed the Perceived Stress Scale (PSS4), Trier Inventory for Chronic Stress (TICS), Hospital Anxiety and Depression Scale (HADS), Childhood Trauma Questionnaire (CTQ), Posttraumatic Diagnostic Scale Checklist (PDS), and the Deployment Risk and Resilience Inventory (DRRI-2). The underlying structure for the GSI was examined through structural equation modeling. The final hierarchical multilevel model revealed fair fit by taking modification indices into account. The highest order had a g-factor called the GSI. On a second level the latent variables stress, HADS and CTQ were directly loading on the GSI. A third level with the six CTQ subscales was implemented. On the lowest hierarchical level all manifest variables and the DRRI-2/PDS sum scores were located. The presented GSI serves as a valuable and individual stress profile for soldiers and could potentially complement classical cardiovascular risk factors.
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