Objective To design “Psychological Stress Response Scale of Infectious Disease among College Students”, and provide an effective tool for the assessment of stress symptoms. Methods Following the literature reviews, two dimensions (anxiety and depression) were specified. With a cluster sampling method, 8 792 college students from three universities in Yunnan and Jiangxi were surveyed with questionnaire in November 2022. Items were screened with t-tests and correlation analysis, and the structural validity of the questionnaire was assessed by both exploratory factor analysis and confirmatory factor analysis. In May 2023, 5 279 college students from the above three universities were surveyed again. Results The scale consisted of two dimensions (anxiety and depression) with 12 items. The cumulative contribution rate of variance was 71.26%. Cronbach’s α coefficients of total scales and the two dimensions were 0.927, 0.809, and 0.950, respectively. The correlation coefficient of each item with the total score was 0.66-0.77, and with the dimensions was 0.44-0.84. The confirmatory factor analysis model fitted well (CFI=0.912, TLI=0.890, RMSEA=0.07, SRMR=0.048). The criterion-related validity of the scale with the depression and anxiety symptoms of PHQ-9 and DASS-21 was>0.70. The scale application showed that the total score of the scale and each dimension ≥P75 was positive symptoms. Conclusion The “Psychological Stress Response Scale of Infectious Disease among College Students” has good reliability and validity and can be used to assess the psychological stress response of college students regarding infectious diseases.
Key words
Psychological stress response /
College student /
Infectious disease /
Scale
{{custom_keyword}} /
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] Cansel N,Ucuz I,Arslan AK,et al. Prevalence and predictors ofpsychological response during immediate COVID-19 pandemic[J].Int J Clin Pract,2021,75(5):e13996.
[2] Singh S,Roy D,Sinha K,et al. Impact of COVID-19 and lockdownon mental health of children and adolescents: A narrative reviewwith recommendations[J]. Psychiatry Res,2020(293):113429.
[3] Shah K,Kumari R,Jain M. Unveiling stress markers: A systematicreview investigating psychological stress biomarkers[J].Dev Psych-obiol,2024,66(5):e22490.
[4] 姚树桥.应激系统基因与人类社会心理应激的脑激活模式[C]//第二十二届全国心理学学术会议,2019.
[5] 夏良伟,杨娟,姚树桥.城市青少年焦虑症状的人际易感性-应激模型:多时段追踪研究[J].中国临床心理学杂志,2016,24(3):488-490.
[6] Panchal U,Salazar DPG,Franco M,et al. The impact of COVID-19lockdown on child and adolescent mental health: Systematic review[J].Eur Child Adolesc Psychiatry,2023,32(7):1151-1177.
[7] Samm A,Varnik A,Tooding LM,et al. Children’s depressioninventory in Estonia[D]. Single items and factor structure by ageand gender[J].Eur Child Adolesc Psychiatry,2008,17(3):162-170.
[8] Osman A,Gutierrez PM,Bagge CL,et al. Reynolds adolescentdepression scale-second edition: A reliable and useful instrument[J]. J Clin Psychol,2010,66(12):1324-1345.
[9] Chan SM,Leung CH. Factor structure of the screen for childanxiety-related emotional disorders (SCARED) in a communitysample of Hong Kong Chinese adolescents[J]. Child PsychiatryHum Dev,2015,46(5):671-682.
[10] 教育部“大学生心理健康测评系统”课题组,梁宝勇,郝志红.《中国大学生心理应激量表》的编制[J].心理与行为研究,2005(2):81-87.
[11] Smith FM,Ngakongwa F,Liu Y,et al. Validating the PatientHealth Questionnaire-9 (PHQ-9) for screening of depression inTanzania[J]. Neurol Psychiatry Brain Res,2019(31):9-14.
[12] Chan RC,Xu T,Huang J,et al. Extending the utility of theDepression Anxiety Stress scale by examining its psychometricproperties in Chinese settings[J]. Psychiatry Res,2012,200(2-3):879-883.
[13] Wang K,Shi HS,Geng FL,et al. Cross-cultural validation of theDepression Anxiety Stress Scale-21 in China[J]. Psychol Assess,2016,28(5):e88-e100.
[14] Ma L,Mazidi M,Li K,et al. Prevalence of mental health problemsamong children and adolescents during the COVID-19 pandemic:A systematic review and meta-analysis[J]. J Affect Disord,2021(293):78-89.
[15] Wang X,Hegde S,Son C,et al. Investigating mental health of UScollege students during the COVID-19 pandemic: Cross-sectionalsurvey study[J]. J Med Internet Res,2020,22(9):e22817.
[16] 陶舒曼,付继玲,王惠,等.青少年手机使用依赖自评问卷编制及其在大学生中的应用[J].中国学校卫生,2013,34(1):26-29.
[17] 陶芳标,邢超,袁长江,等.青少年亚健康多维评定问卷全国常模研制[J].中国学校卫生,2009,30(4):292-295.
{{custom_fnGroup.title_en}}
Footnotes
{{custom_fn.content}}