Inventory of Sources of Stress During Medical Education - Further Validation

Introduction The Inventory of Academic Sources of Stress in Medical Education (IASSME) evaluates the presence and intensity of the main sources of academic stress for Portuguese Medicine students in five dimensions: Course demands/CD, Human demands/HD, Lifestyle/LS, Academic competition/AC, and Aca...

Full description

Bibliographic Details
Main Authors: M. Carneiro, A. Macedo, E. Loureiro, M. Dias, F. Carvalho, D. Telles Correia, F. Novais, C. Barreto Carvalho, C. Cabacos, D. Pereira, P. Vitória, A. Araújo, A.T. Pereira
Format: Article
Language:English
Published: Cambridge University Press 2022-06-01
Series:European Psychiatry
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S0924933822017849/type/journal_article
_version_ 1797616415411273728
author M. Carneiro
A. Macedo
E. Loureiro
M. Dias
F. Carvalho
D. Telles Correia
F. Novais
C. Barreto Carvalho
C. Cabacos
D. Pereira
P. Vitória
A. Araújo
A.T. Pereira
author_facet M. Carneiro
A. Macedo
E. Loureiro
M. Dias
F. Carvalho
D. Telles Correia
F. Novais
C. Barreto Carvalho
C. Cabacos
D. Pereira
P. Vitória
A. Araújo
A.T. Pereira
author_sort M. Carneiro
collection DOAJ
description Introduction The Inventory of Academic Sources of Stress in Medical Education (IASSME) evaluates the presence and intensity of the main sources of academic stress for Portuguese Medicine students in five dimensions: Course demands/CD, Human demands/HD, Lifestyle/LS, Academic competition/AC, and Academic adjustment/AA. Objectives To further validate the ISSME using Confirmatory Factor Analysis and to analyze the psychometric properties of a new version including additional sources of stress. Methods Participants were 666 Portuguese medicine (82.6%) and dentistry (17.4%) students (81.8% girls); they answered an online survey including the ISSME and other validated questionnaires: Maslach Burnout Inventory – Students Survey (MBI-SS) and Depression Anxiety and Stress Scales (DASS). Results Confirmatory Factor Analysis showed that the second order model composed of five factors (the original structure by Loureiro et al. 2008), but excluding item 11 (loading=.371), presented good fit indexes (χ2/df=3.274; RMSEA=.0581, p<.001; CFI=.917; TLI=.904, GFI=.919). The Cronbach’s alfas were α=.897 for the total and from α=.669 (F2-HD) to α=.859 (F1-CD) for the dimensions. The expanded version, including two additional items related to lack of interest in medicine/dentistry (F6, α=.543) and two additional COVID-19 stress-related-items (F7, α=.744) also showed acceptable fit indexes (χ2/df=3.513; RMSEA=.061, p<.001; CFI=.88.; TLI=.866, GFI=.892). This new version’s α was of .896. Pearson correlations between ISSME and the other measures were significant (p<.01) and high: >.55 with DASS and >.50 with MBI-SS. Girls presented significantly higher ISSME scores. F6 score was significantly higher in dentistry students. Conclusions This further validation study underlines that IASSME presents good validity (construct and convergent) and reliability. Disclosure No significant relationships.
first_indexed 2024-03-11T07:40:42Z
format Article
id doaj.art-0c7bc80a88d64bc9abe330003ff95d2b
institution Directory Open Access Journal
issn 0924-9338
1778-3585
language English
last_indexed 2024-03-11T07:40:42Z
publishDate 2022-06-01
publisher Cambridge University Press
record_format Article
series European Psychiatry
spelling doaj.art-0c7bc80a88d64bc9abe330003ff95d2b2023-11-17T05:08:28ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S693S69310.1192/j.eurpsy.2022.1784Inventory of Sources of Stress During Medical Education - Further ValidationM. Carneiro0A. Macedo1E. Loureiro2M. Dias3F. Carvalho4D. Telles Correia5F. Novais6C. Barreto Carvalho7C. Cabacos8D. Pereira9P. Vitória10A. Araújo11A.T. Pereira12Centro Hospitalar e Universitário de Coimbra, Department Of Psychiatry, Coimbra, Portugal Faculty of Medicine of University of Coimbra, Institute Of Psychological Medicine, Coimbra, PortugalCentro Hospitalar e Universitário de Coimbra, Department Of Psychiatry, Coimbra, Portugal Faculty of Medicine of University of Coimbra, Institute Of Psychological Medicine, Coimbra, Portugal Coimbra Institute for Biomedical Imaging and Translational Research, -, Coimbra, PortugalPorto University, Faculty Of Medicine, Porto, PortugalCoimbra University, Faculty Of Medicine, Coimbra, PortugalFaculty of Medicine of University of Coimbra, Institute Of Psychological Medicine, Coimbra, PortugalLisbon Medical University, Psychiatry, Lisbon, PortugalLisbon University, Faculty Of Medicine, Lisbon, PortugalUniversity of Azores, Department Of Psychology, Ponta Delgada, PortugalCentro Hospitalar e Universitário de Coimbra, Department Of Psychiatry, Coimbra, Portugal Faculty of Medicine of University of Coimbra, Institute Of Psychological Medicine, Coimbra, PortugalCentro Hospitalar e Universitário de Coimbra, Department Of Psychiatry, Coimbra, Portugal Faculty of Medicine of University of Coimbra, Institute Of Psychological Medicine, Coimbra, PortugalUniversity of Beira Interior, Department Of Psychology And Education, Covilhã, PortugalCentro Hospitalar e Universitário de Coimbra, Department Of Psychiatry, Coimbra, Portugal Faculty of Medicine of University of Coimbra, Institute Of Psychological Medicine, Coimbra, Portugal Coimbra Institute for Biomedical Imaging and Translational Research, -, Coimbra, PortugalFaculty of Medicine of University of Coimbra, Institute Of Psychological Medicine, Coimbra, Portugal Coimbra Institute for Biomedical Imaging and Translational Research, -, Coimbra, Portugal Introduction The Inventory of Academic Sources of Stress in Medical Education (IASSME) evaluates the presence and intensity of the main sources of academic stress for Portuguese Medicine students in five dimensions: Course demands/CD, Human demands/HD, Lifestyle/LS, Academic competition/AC, and Academic adjustment/AA. Objectives To further validate the ISSME using Confirmatory Factor Analysis and to analyze the psychometric properties of a new version including additional sources of stress. Methods Participants were 666 Portuguese medicine (82.6%) and dentistry (17.4%) students (81.8% girls); they answered an online survey including the ISSME and other validated questionnaires: Maslach Burnout Inventory – Students Survey (MBI-SS) and Depression Anxiety and Stress Scales (DASS). Results Confirmatory Factor Analysis showed that the second order model composed of five factors (the original structure by Loureiro et al. 2008), but excluding item 11 (loading=.371), presented good fit indexes (χ2/df=3.274; RMSEA=.0581, p<.001; CFI=.917; TLI=.904, GFI=.919). The Cronbach’s alfas were α=.897 for the total and from α=.669 (F2-HD) to α=.859 (F1-CD) for the dimensions. The expanded version, including two additional items related to lack of interest in medicine/dentistry (F6, α=.543) and two additional COVID-19 stress-related-items (F7, α=.744) also showed acceptable fit indexes (χ2/df=3.513; RMSEA=.061, p<.001; CFI=.88.; TLI=.866, GFI=.892). This new version’s α was of .896. Pearson correlations between ISSME and the other measures were significant (p<.01) and high: >.55 with DASS and >.50 with MBI-SS. Girls presented significantly higher ISSME scores. F6 score was significantly higher in dentistry students. Conclusions This further validation study underlines that IASSME presents good validity (construct and convergent) and reliability. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933822017849/type/journal_articleburnoutmedical studentsInventory of Academic Sources of Stress in Medical Educationconfirmatory factor analysis
spellingShingle M. Carneiro
A. Macedo
E. Loureiro
M. Dias
F. Carvalho
D. Telles Correia
F. Novais
C. Barreto Carvalho
C. Cabacos
D. Pereira
P. Vitória
A. Araújo
A.T. Pereira
Inventory of Sources of Stress During Medical Education - Further Validation
European Psychiatry
burnout
medical students
Inventory of Academic Sources of Stress in Medical Education
confirmatory factor analysis
title Inventory of Sources of Stress During Medical Education - Further Validation
title_full Inventory of Sources of Stress During Medical Education - Further Validation
title_fullStr Inventory of Sources of Stress During Medical Education - Further Validation
title_full_unstemmed Inventory of Sources of Stress During Medical Education - Further Validation
title_short Inventory of Sources of Stress During Medical Education - Further Validation
title_sort inventory of sources of stress during medical education further validation
topic burnout
medical students
Inventory of Academic Sources of Stress in Medical Education
confirmatory factor analysis
url https://www.cambridge.org/core/product/identifier/S0924933822017849/type/journal_article
work_keys_str_mv AT mcarneiro inventoryofsourcesofstressduringmedicaleducationfurthervalidation
AT amacedo inventoryofsourcesofstressduringmedicaleducationfurthervalidation
AT eloureiro inventoryofsourcesofstressduringmedicaleducationfurthervalidation
AT mdias inventoryofsourcesofstressduringmedicaleducationfurthervalidation
AT fcarvalho inventoryofsourcesofstressduringmedicaleducationfurthervalidation
AT dtellescorreia inventoryofsourcesofstressduringmedicaleducationfurthervalidation
AT fnovais inventoryofsourcesofstressduringmedicaleducationfurthervalidation
AT cbarretocarvalho inventoryofsourcesofstressduringmedicaleducationfurthervalidation
AT ccabacos inventoryofsourcesofstressduringmedicaleducationfurthervalidation
AT dpereira inventoryofsourcesofstressduringmedicaleducationfurthervalidation
AT pvitoria inventoryofsourcesofstressduringmedicaleducationfurthervalidation
AT aaraujo inventoryofsourcesofstressduringmedicaleducationfurthervalidation
AT atpereira inventoryofsourcesofstressduringmedicaleducationfurthervalidation