ArticleInternational journal of stress management2025
The Management of Current Stress (MOCS): Reliability and Invariance Testing of Perceived Stress Management Abilities among Patients with Cancer.
Article in International journal of stress management, 2025. 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.
- Improved coping and self-efficacy drive improvements in mood among caregivers of patients with primary malignant brain tumors: Results from a randomized controlled trial.Neuro-oncology · 2026Trial
- Group-based telehealth stress management-lifestyle interventions are feasible for patients with chronic liver disease.Hepatology communications · 2025Trial
- An HRQOL Proof-Of-Concept Analysis of the eHealth TOGETHER Intervention for Adolescent and Young Adult Cancer Survivors: A Brief Report.Psycho-oncology · 2025Trial
- Real World Outcomes of a Condensed Classroom-Based Cognitive Behavioral Therapy for Cancer-Related Cognitive Impairment.Psycho-oncology · 2026Article
- Distinct Sources of Social Adversity, Stress, and Coping Mechanisms among Patients with Breast Cancer to Identify Areas for Intervention.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025Article
- Teaching Cancer Survivors Coping Skills for Managing Fear of Recurrence: Insights From a Pilot Randomized Controlled Trial.Global advances in integrative medicine and healthArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
Across cognitive behavioral treatments for stress management, individuals' ability to effectively learn intervention components is necessary for improved outcomes. The Management of Current Stress (MOCS)-Part A, formerly known as the Measure of Current Status-Part A, captures the uptake of such "active ingredients" or perceived stress management abilities. The MOCS-A is widely used, yet its psychometric properties are not well-established. Little is known about its generalizability across populations. In the current study, we sought to test the MOCS-A reliability among cancer survivors, examine measurement invariance across sex and language (English/Spanish), and verify the measurement structure. We aggregated participants from six randomized controlled trials of stress management interventions, which ran from 1999 to 2024 and enrolled males with prostate cancer (n=649) and females with breast cancer (n=517). Five trials administered the English MOCS-A, and one administered the measure in Spanish. The MOCS-A consists of a total score and four subscales: ability to relax, awareness of bodily tension, assertiveness, and coping confidence. Depending on model assumptions, we calculated omega or alpha reliability estimates. Confirmatory factor analysis tested measurement invariance through incremental constraints added across subgroups. We compared unidimensional, four-factor, second-order, and bifactor models for best fit. The total measure (ω=.93, α=.91) and four subscales (ω=.75-.91; α=.75-.90) demonstrated acceptable reliability. Strong scalar invariance existed between males and females and Spanish and English versions. The bifactor model best fit the measure structure. The MOCS-A is internally consistent, statistically independent, appropriately scored in their current form, and may be implemented across sexes and languages.
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