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...
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Cambridge University Press
2022-06-01
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Series: | European Psychiatry |
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Online Access: | https://www.cambridge.org/core/product/identifier/S0924933822017849/type/journal_article |
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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.
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language | English |
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publishDate | 2022-06-01 |
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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 |
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