ArticleBMJ open2023
Psychometric validation of the Perceived Stress Scale (PSS-10) among family caregivers of people with schizophrenia in China.
Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed.
- Effects of a digital self-efficacy training in stressed university students: A randomized controlled trial.PloS one · 2024Trial
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- Implementation of a Family-Centered Care Model in Psychiatric Hospitals as a Means of Reducing Caregiver Anxiety: A Comparative Study.Community mental health journal · 2026Article
- Effectiveness and Feasibility of Self-Monitoring for Weight Management in Individuals With Mental Disorders Using Digital Intervention: Protocol for a Stepped-Wedge Cluster Randomized Trial ("SWIM" Study).JMIR research protocols · 2026Article
- Long term biopsychosocial outcomes and their associations after total knee arthroplasty in individuals with knee osteoarthritis.Scientific reports · 2026Article
- Article
- Psychometric evaluation of the Perceived Stress Scale (PSS-10) in Ecuadorian adults: evidence from a bifactor model and measurement invariance.Frontiers in psychology · 2026Article
- Self-Regulation of Healthy Lifestyles in the Nursing Workplace: A Mixed-Method Evaluation.Journal of nursing management · 2026Article
- Mental Health of Psychologists During a Period of Cumulative Crises in Lebanon: The Predictive Role of Self-Esteem.Healthcare (Basel, Switzerland) · 2025Article
- Psychometric validation of the Chinese version of the perceived stress scale-10 among pregnant women.BMC psychology · 2025Article
- Prevalence and predictors of stress, anxiety, and depression among healthcare workers during the COVID-19 pandemic at a mental referral hospital in Kampala, Uganda.BMC public health · 2025Article
- The Effects of Moderate-Intensity Physical Exercise and Yoga Interventions on Stress in Hispanic College Students: A Pilot Study.Sports (Basel, Switzerland) · 2025Article
- Assessing impact of chamber restricted environmental stimulation therapy on stress and sleep quality among university students: an intervention study.BMC psychology · 2025Article
- Effects of a closed-loop mindfulness-based program for reducing stress in family caregivers of people with dementia: a study protocol of a randomized controlled trial.BMC psychology · 2025Article
- Research on the perception of pre-semen collection stress and its influencing factors in men on the day of oocyte retrieval in IVF-ET.Journal of assisted reproduction and genetics · 2025Article
- Illness Expectations and Asthma Symptoms: A 6-Month Longitudinal Study.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- A cross-sectional study of the current status of psychological health and its correlation with academic performance in medical students: taking medical students in a medical university in China as examples.Frontiers in psychiatry · 2025Article
- Why do knowledge workers choose knowledge hiding: the mediating role of perceived stress.Frontiers in psychology · 2025Article
- Psychometric validation of type 2 Diabetes Distress Assessment System in an Indian type 2 diabetes population.Scientific reports · 2024Article
- Quality of Life Evaluation Before and After Pulmonary Lobe Resection for Benign Diseases: A Comparative Study Among Patients with Tuberculosis, Bronchiectasis, and Benign Lung Nodules.Diseases (Basel, Switzerland) · 2024Article
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6 authors.
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Abstract
backgroundThe 10-item Perceived Stress Scale (PSS-10) is a widely used measure of perceived stress that has been validated in various populations, yet with inconsistent results on its factor structure. The present study examines the reliability and validity of the PSS-10 in a population not previously examined: Chinese family caregivers of persons with schizophrenia, with a focus on factor analysis.
methodsA sample of 449 family caregivers of persons with schizophrenia was recruited for psychometric testing of the scale. The factor structure of PSS-10 was tested by randomly dividing the sample into two groups for both exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). The scale was further tested for internal consistency, test-retest reliability, convergent validity, discriminant validity and concurrent validity.
resultsEFA extracted two factors: perceived helplessness with six negative phrasing items and perceived efficacy with four positive phrasing items. CFA confirmed the structure of two factors with satisfactory model fit indices. Convergent validity was supported by high standard regression weight (0.78-0.92), average variance extracted (AVE=0.79-0.81) and composite reliability (0.88-0.94), while discriminant validity was confirmed by higher AVE estimates than the squared interconstruct correlations. The PSS-10 showed good internal consistency and test-retest reliability, with Cronbach's alpha of 0.79 and intraclass correlation coefficient of 0.91, respectively. Concurrent validity was demonstrated by its significant positive correlations with stigma, depression and anxiety, as well as significant negative correlations with social support, family functioning and positive caregiving experiences.
conclusionThe two-factor PSS-10 has good psychometric characteristics assessing the perceived stress of family caregivers of people with schizophrenia. The findings indicate that the PSS-10 can be used to measure perceived stress in future research and practice among caregivers of people with schizophrenia, and potentially, other caregiving samples.
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