Measuring stress in medical education: validation of the Korean version of the higher education stress inventory with medical students

Abstract Background Medical students face a variety of stressors associated with their education; if not promptly identified and adequately dealt with, it may bring about several negative consequences in terms of mental health and academic performance. This study examined psychometric properties of...

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Main Authors: Eun-Jung Shim, Hong Jin Jeon, Hana Kim, Kwang-Min Lee, Dooyoung Jung, Hae-Lim Noh, Myoung-Sun Roh, Bong-Jin Hahm
Format: Article
Language:English
Published: BMC 2016-11-01
Series:BMC Medical Education
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12909-016-0824-9
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author Eun-Jung Shim
Hong Jin Jeon
Hana Kim
Kwang-Min Lee
Dooyoung Jung
Hae-Lim Noh
Myoung-Sun Roh
Bong-Jin Hahm
author_facet Eun-Jung Shim
Hong Jin Jeon
Hana Kim
Kwang-Min Lee
Dooyoung Jung
Hae-Lim Noh
Myoung-Sun Roh
Bong-Jin Hahm
author_sort Eun-Jung Shim
collection DOAJ
description Abstract Background Medical students face a variety of stressors associated with their education; if not promptly identified and adequately dealt with, it may bring about several negative consequences in terms of mental health and academic performance. This study examined psychometric properties of the Korean version of the Higher Education Stress Inventory (K-HESI). Methods The reliability and validity of the K-HESI were examined in a large scale multi-site survey involving 7110 medical students. The K-HESI, Beck Depression Inventory (BDI) and questions regarding quality of life (QOL) and self-rated physical health (SPH) were administered. Results Exploratory factor analysis of the K-HESI identified seven factors: Low commitment; financial concerns; teacher-student relationship; worries about future profession; non-supportive climate; workload; and dissatisfaction with education. A subsequent confirmatory factor analysis supported the 7-factor model. Internal consistency of the K-HESI was satisfactory (Cronbach’s α = .78). Convergent validity was demonstrated by its positive association with the BDI. Known group validity was supported by the K-HESI’s ability to detect significant differences on the overall and subscale scores of K-HESI according to different levels of QOL and SPH. Conclusions The K-HESI is a psychometrically valid tool that comprehensively assesses various relevant stressors related to medical education. Evidence-based stress management in medical education empirically guided by the regular assessment of stress using reliable and valid measure is warranted.
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spelling doaj.art-d71025ff21dd41ed89d99e1fcdaaed7b2022-12-22T01:21:38ZengBMCBMC Medical Education1472-69202016-11-011611810.1186/s12909-016-0824-9Measuring stress in medical education: validation of the Korean version of the higher education stress inventory with medical studentsEun-Jung Shim0Hong Jin Jeon1Hana Kim2Kwang-Min Lee3Dooyoung Jung4Hae-Lim Noh5Myoung-Sun Roh6Bong-Jin Hahm7Department of Psychology, Pusan National UniversityDepartment of Psychiatry, Depression Center, Samsung Medical Center, Sungkyunkwan University School of MedicineDepartment of Psychology, Ajou UniversityDepartment of Neuropsychiatry, Seoul National University HospitalDepartment of Human Factors Engineering, Ulsan National Institute of Science and TechnologyDepartment of Psychology, Pusan National UniversityHealth Service Center, Seoul National UniversityDepartment of Neuropsychiatry, Seoul National University HospitalAbstract Background Medical students face a variety of stressors associated with their education; if not promptly identified and adequately dealt with, it may bring about several negative consequences in terms of mental health and academic performance. This study examined psychometric properties of the Korean version of the Higher Education Stress Inventory (K-HESI). Methods The reliability and validity of the K-HESI were examined in a large scale multi-site survey involving 7110 medical students. The K-HESI, Beck Depression Inventory (BDI) and questions regarding quality of life (QOL) and self-rated physical health (SPH) were administered. Results Exploratory factor analysis of the K-HESI identified seven factors: Low commitment; financial concerns; teacher-student relationship; worries about future profession; non-supportive climate; workload; and dissatisfaction with education. A subsequent confirmatory factor analysis supported the 7-factor model. Internal consistency of the K-HESI was satisfactory (Cronbach’s α = .78). Convergent validity was demonstrated by its positive association with the BDI. Known group validity was supported by the K-HESI’s ability to detect significant differences on the overall and subscale scores of K-HESI according to different levels of QOL and SPH. Conclusions The K-HESI is a psychometrically valid tool that comprehensively assesses various relevant stressors related to medical education. Evidence-based stress management in medical education empirically guided by the regular assessment of stress using reliable and valid measure is warranted.http://link.springer.com/article/10.1186/s12909-016-0824-9Higher educationStressMedical studentsMeasurement
spellingShingle Eun-Jung Shim
Hong Jin Jeon
Hana Kim
Kwang-Min Lee
Dooyoung Jung
Hae-Lim Noh
Myoung-Sun Roh
Bong-Jin Hahm
Measuring stress in medical education: validation of the Korean version of the higher education stress inventory with medical students
BMC Medical Education
Higher education
Stress
Medical students
Measurement
title Measuring stress in medical education: validation of the Korean version of the higher education stress inventory with medical students
title_full Measuring stress in medical education: validation of the Korean version of the higher education stress inventory with medical students
title_fullStr Measuring stress in medical education: validation of the Korean version of the higher education stress inventory with medical students
title_full_unstemmed Measuring stress in medical education: validation of the Korean version of the higher education stress inventory with medical students
title_short Measuring stress in medical education: validation of the Korean version of the higher education stress inventory with medical students
title_sort measuring stress in medical education validation of the korean version of the higher education stress inventory with medical students
topic Higher education
Stress
Medical students
Measurement
url http://link.springer.com/article/10.1186/s12909-016-0824-9
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