Construct validity of the perceived stress scale (PSS-10) in a sample of health professionals in family medicine in Bosnia and Herzegovina

Background: The 10-item Perceived Stress Scale (PSS-10) has not been translated into Bosnian, nor has a study been conducted employing a sample of family medicine physicians and nurses to examine the instrument's reliability, validity, and factorial structure. Thus, the goal of this study was t...

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Main Authors: Zaim Jatic, Natasa Trifunovic, Hasiba Erkocevic, Elvira Hasanovic, Irma Dzambo, Aida Pilav
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:Public Health in Practice
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666535223000599
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author Zaim Jatic
Natasa Trifunovic
Hasiba Erkocevic
Elvira Hasanovic
Irma Dzambo
Aida Pilav
author_facet Zaim Jatic
Natasa Trifunovic
Hasiba Erkocevic
Elvira Hasanovic
Irma Dzambo
Aida Pilav
author_sort Zaim Jatic
collection DOAJ
description Background: The 10-item Perceived Stress Scale (PSS-10) has not been translated into Bosnian, nor has a study been conducted employing a sample of family medicine physicians and nurses to examine the instrument's reliability, validity, and factorial structure. Thus, the goal of this study was to investigate the reliability and construct validity of the Bosnian version of the PSS-10 among family medicine professionals. Study design: Cross-sectional descriptive study provided among healthcare professionals in family medicine, using Google forms questionnaire (PSS-10) in Bosnian language. Methods: Translation of PSS-10 in Bosnian is performed according to the proposed set of standardized guidelines. The questionnaire was sent on the email addresses of family physicians and nurses in whole Bosnia and Herzegovina. The collected data were subjected to reliability testing, exploratory and confirmatory factor analysis, which tested three alternative plausible models suggested by the extant literature: single factor, correlated two-factor and bifactor. Results: A total of 272 out of 440 (RR = 61.3) nurses and physician working in family medicine in Bosnia and Herzegovina completed the PSS-10 Bosnia and Herzegovina version (BH). Participants were aged 25 to 69, with a mean age of 44.7 (±10.55). Most participants were women (86.8%) and physicians (58.8%) with specialisation in family medicine (43%). The overall Cronbach's alpha was 0.87 and the test–retest reliability coefficient was 0.88. Exploratory Factor Analysis yielded 2 factors with eigenvalues of 4.77 and 1.35, accounting for 61.2% of variance. Factor 1 consisted of 6 items representing ‘’perceived distress'’, whereas Factor 2 consisted of 4 items representing ‘’perceived coping’’. The Confirmatory factor analysis indicated a very good fit of this bifactor model to this sample. Conclusions: Our results implies that the PSS-10-BH, as a bifactor model with good reliability and validity, may accurately measure the stress levels of family medicine physicians and nurses.
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spelling doaj.art-0902a2fbcecd4bc2b3dec2820242ccc62023-12-10T06:18:22ZengElsevierPublic Health in Practice2666-53522023-12-016100413Construct validity of the perceived stress scale (PSS-10) in a sample of health professionals in family medicine in Bosnia and HerzegovinaZaim Jatic0Natasa Trifunovic1Hasiba Erkocevic2Elvira Hasanovic3Irma Dzambo4Aida Pilav5Department of Family Medicine, Faculty of Medicine, University of Sarajevo, Sarajevo, Bosnia and Herzegovina; Public Institution Health Centre of Sarajevo Canton, Sarajevo, Bosnia and Herzegovina; Corresponding author. Grbavicka 85, Sarajevo, Bosnia and Herzegovina.Department of Family Medicine, Faculty of Medicine, University of Sarajevo, Sarajevo, Bosnia and Herzegovina; Public Institution Health Centre of Sarajevo Canton, Sarajevo, Bosnia and HerzegovinaDepartment of Family Medicine, Faculty of Medicine, University of Sarajevo, Sarajevo, Bosnia and Herzegovina; Public Institution Health Centre of Sarajevo Canton, Sarajevo, Bosnia and HerzegovinaPublic Institution Health Centre of Sarajevo Canton, Sarajevo, Bosnia and HerzegovinaPublic Institution Health Centre of Sarajevo Canton, Sarajevo, Bosnia and HerzegovinaPublic Institution Institute for Public Health of Sarajevo Canton, Sarajevo, Bosnia and HerzegovinaBackground: The 10-item Perceived Stress Scale (PSS-10) has not been translated into Bosnian, nor has a study been conducted employing a sample of family medicine physicians and nurses to examine the instrument's reliability, validity, and factorial structure. Thus, the goal of this study was to investigate the reliability and construct validity of the Bosnian version of the PSS-10 among family medicine professionals. Study design: Cross-sectional descriptive study provided among healthcare professionals in family medicine, using Google forms questionnaire (PSS-10) in Bosnian language. Methods: Translation of PSS-10 in Bosnian is performed according to the proposed set of standardized guidelines. The questionnaire was sent on the email addresses of family physicians and nurses in whole Bosnia and Herzegovina. The collected data were subjected to reliability testing, exploratory and confirmatory factor analysis, which tested three alternative plausible models suggested by the extant literature: single factor, correlated two-factor and bifactor. Results: A total of 272 out of 440 (RR = 61.3) nurses and physician working in family medicine in Bosnia and Herzegovina completed the PSS-10 Bosnia and Herzegovina version (BH). Participants were aged 25 to 69, with a mean age of 44.7 (±10.55). Most participants were women (86.8%) and physicians (58.8%) with specialisation in family medicine (43%). The overall Cronbach's alpha was 0.87 and the test–retest reliability coefficient was 0.88. Exploratory Factor Analysis yielded 2 factors with eigenvalues of 4.77 and 1.35, accounting for 61.2% of variance. Factor 1 consisted of 6 items representing ‘’perceived distress'’, whereas Factor 2 consisted of 4 items representing ‘’perceived coping’’. The Confirmatory factor analysis indicated a very good fit of this bifactor model to this sample. Conclusions: Our results implies that the PSS-10-BH, as a bifactor model with good reliability and validity, may accurately measure the stress levels of family medicine physicians and nurses.http://www.sciencedirect.com/science/article/pii/S2666535223000599StressReliabilityValidityTranslationFamily medicine
spellingShingle Zaim Jatic
Natasa Trifunovic
Hasiba Erkocevic
Elvira Hasanovic
Irma Dzambo
Aida Pilav
Construct validity of the perceived stress scale (PSS-10) in a sample of health professionals in family medicine in Bosnia and Herzegovina
Public Health in Practice
Stress
Reliability
Validity
Translation
Family medicine
title Construct validity of the perceived stress scale (PSS-10) in a sample of health professionals in family medicine in Bosnia and Herzegovina
title_full Construct validity of the perceived stress scale (PSS-10) in a sample of health professionals in family medicine in Bosnia and Herzegovina
title_fullStr Construct validity of the perceived stress scale (PSS-10) in a sample of health professionals in family medicine in Bosnia and Herzegovina
title_full_unstemmed Construct validity of the perceived stress scale (PSS-10) in a sample of health professionals in family medicine in Bosnia and Herzegovina
title_short Construct validity of the perceived stress scale (PSS-10) in a sample of health professionals in family medicine in Bosnia and Herzegovina
title_sort construct validity of the perceived stress scale pss 10 in a sample of health professionals in family medicine in bosnia and herzegovina
topic Stress
Reliability
Validity
Translation
Family medicine
url http://www.sciencedirect.com/science/article/pii/S2666535223000599
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