The Perceived Stress Questionnaire (PSQ) reconsidered

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The Perceived Stress Questionnaire (PSQ) reconsidered : validation and reference values from different clinical and healthy adult samples. / Fliege, Herbert; Rose, Matthias; Arck, Petra; Walter, Otto B; Kocalevent, Rueya-Daniela; Weber, Cora; Klapp, Burghard F.

in: PSYCHOSOM MED, Jahrgang 67, Nr. 1, 2005, S. 78-88.

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@article{ebb8f10ad6714167afb79a751180fa6f,
title = "The Perceived Stress Questionnaire (PSQ) reconsidered: validation and reference values from different clinical and healthy adult samples",
abstract = "OBJECTIVE: The aim was to translate, revise, and standardize the Perceived Stress Questionnaire (PSQ) by Levenstein et al. (1993) in German. The instrument assesses subjectively experienced stress independent of a specific and objective occasion.METHODS: Exploratory factor analyses and a revision of the scale content were carried out on a sample of 650 subjects (Psychosomatic Medicine patients, women after delivery, women after miscarriage, and students). Confirmatory analyses and examination of structural stability across subgroups were carried out on a second sample of 1,808 subjects (psychosomatic, tinnitus, inflammatory bowel disease patients, pregnant women, healthy adults) using linear structural equation modeling and multisample analyses. External validation included immunological measures in women who had suffered a miscarriage.RESULTS: Four factors (worries, tension, joy, demands) emerged, with 5 items each, as compared with the 30 items of the original PSQ. The factor structure was confirmed on the second sample. Multisample analyses yielded a fair structural stability across groups. Reliability values were satisfactory. Findings suggest that three scales represent internal stress reactions, whereas the scale {"}demands{"} relates to perceived external stressors. Significant and meaningful differences between groups indicate differential validity. A higher degree of certain immunological imbalances after miscarriage (presumably linked to pregnancy loss) was found in those women who had a higher stress score. Sensitivity to change was demonstrated in two different treatment samples.CONCLUSION: We propose the revised PSQ as a valid and economic tool for stress research. The overall score permits comparison with results from earlier studies using the original instrument.",
keywords = "Abortion, Spontaneous/diagnosis, Adolescent, Adult, Age Factors, Aged, Factor Analysis, Statistical, Female, Health Status, Humans, Male, Middle Aged, Postpartum Period/psychology, Pregnancy, Pregnancy Outcome/psychology, Psychometrics, Psychophysiologic Disorders/diagnosis, Reference Values, Reproducibility of Results, Stress, Psychological/diagnosis, Students/psychology, Surveys and Questionnaires",
author = "Herbert Fliege and Matthias Rose and Petra Arck and Walter, {Otto B} and Rueya-Daniela Kocalevent and Cora Weber and Klapp, {Burghard F}",
year = "2005",
doi = "10.1097/01.psy.0000151491.80178.78",
language = "English",
volume = "67",
pages = "78--88",
journal = "PSYCHOSOM MED",
issn = "0033-3174",
publisher = "Lippincott Williams and Wilkins",
number = "1",

}

RIS

TY - JOUR

T1 - The Perceived Stress Questionnaire (PSQ) reconsidered

T2 - validation and reference values from different clinical and healthy adult samples

AU - Fliege, Herbert

AU - Rose, Matthias

AU - Arck, Petra

AU - Walter, Otto B

AU - Kocalevent, Rueya-Daniela

AU - Weber, Cora

AU - Klapp, Burghard F

PY - 2005

Y1 - 2005

N2 - OBJECTIVE: The aim was to translate, revise, and standardize the Perceived Stress Questionnaire (PSQ) by Levenstein et al. (1993) in German. The instrument assesses subjectively experienced stress independent of a specific and objective occasion.METHODS: Exploratory factor analyses and a revision of the scale content were carried out on a sample of 650 subjects (Psychosomatic Medicine patients, women after delivery, women after miscarriage, and students). Confirmatory analyses and examination of structural stability across subgroups were carried out on a second sample of 1,808 subjects (psychosomatic, tinnitus, inflammatory bowel disease patients, pregnant women, healthy adults) using linear structural equation modeling and multisample analyses. External validation included immunological measures in women who had suffered a miscarriage.RESULTS: Four factors (worries, tension, joy, demands) emerged, with 5 items each, as compared with the 30 items of the original PSQ. The factor structure was confirmed on the second sample. Multisample analyses yielded a fair structural stability across groups. Reliability values were satisfactory. Findings suggest that three scales represent internal stress reactions, whereas the scale "demands" relates to perceived external stressors. Significant and meaningful differences between groups indicate differential validity. A higher degree of certain immunological imbalances after miscarriage (presumably linked to pregnancy loss) was found in those women who had a higher stress score. Sensitivity to change was demonstrated in two different treatment samples.CONCLUSION: We propose the revised PSQ as a valid and economic tool for stress research. The overall score permits comparison with results from earlier studies using the original instrument.

AB - OBJECTIVE: The aim was to translate, revise, and standardize the Perceived Stress Questionnaire (PSQ) by Levenstein et al. (1993) in German. The instrument assesses subjectively experienced stress independent of a specific and objective occasion.METHODS: Exploratory factor analyses and a revision of the scale content were carried out on a sample of 650 subjects (Psychosomatic Medicine patients, women after delivery, women after miscarriage, and students). Confirmatory analyses and examination of structural stability across subgroups were carried out on a second sample of 1,808 subjects (psychosomatic, tinnitus, inflammatory bowel disease patients, pregnant women, healthy adults) using linear structural equation modeling and multisample analyses. External validation included immunological measures in women who had suffered a miscarriage.RESULTS: Four factors (worries, tension, joy, demands) emerged, with 5 items each, as compared with the 30 items of the original PSQ. The factor structure was confirmed on the second sample. Multisample analyses yielded a fair structural stability across groups. Reliability values were satisfactory. Findings suggest that three scales represent internal stress reactions, whereas the scale "demands" relates to perceived external stressors. Significant and meaningful differences between groups indicate differential validity. A higher degree of certain immunological imbalances after miscarriage (presumably linked to pregnancy loss) was found in those women who had a higher stress score. Sensitivity to change was demonstrated in two different treatment samples.CONCLUSION: We propose the revised PSQ as a valid and economic tool for stress research. The overall score permits comparison with results from earlier studies using the original instrument.

KW - Abortion, Spontaneous/diagnosis

KW - Adolescent

KW - Adult

KW - Age Factors

KW - Aged

KW - Factor Analysis, Statistical

KW - Female

KW - Health Status

KW - Humans

KW - Male

KW - Middle Aged

KW - Postpartum Period/psychology

KW - Pregnancy

KW - Pregnancy Outcome/psychology

KW - Psychometrics

KW - Psychophysiologic Disorders/diagnosis

KW - Reference Values

KW - Reproducibility of Results

KW - Stress, Psychological/diagnosis

KW - Students/psychology

KW - Surveys and Questionnaires

U2 - 10.1097/01.psy.0000151491.80178.78

DO - 10.1097/01.psy.0000151491.80178.78

M3 - SCORING: Journal article

C2 - 15673628

VL - 67

SP - 78

EP - 88

JO - PSYCHOSOM MED

JF - PSYCHOSOM MED

SN - 0033-3174

IS - 1

ER -