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The Perceived Stress Questionnaire (PSQ) reconsidered: validation and reference values from different clinical and healthy adult samples.

机译:重新考虑感知压力问卷(PSQ):来自不同临床和健康成人样本的验证值和参考值。

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OBJECTIVE: The aim was to translate, revise, and standardize the Perceived Stress Questionnaire (PSQ) by Levenstein et al. (1993) in German. The instrument assesses subjectively experienced stress independent of a specific and objective occasion. METHODS: Exploratory factor analyses and a revision of the scale content were carried out on a sample of 650 subjects (Psychosomatic Medicine patients, women after delivery, women after miscarriage, and students). Confirmatory analyses and examination of structural stability across subgroups were carried out on a second sample of 1,808 subjects (psychosomatic, tinnitus, inflammatory bowel disease patients, pregnant women, healthy adults) using linear structural equation modeling and multisample analyses. External validation included immunological measures in women who had suffered a miscarriage. RESULTS: Four factors (worries, tension, joy, demands) emerged, with 5 items each, as compared with the 30 items of the original PSQ. The factor structure was confirmed on the second sample. Multisample analyses yielded a fair structural stability across groups. Reliability values were satisfactory. Findings suggest that three scales represent internal stress reactions, whereas the scale "demands" relates to perceived external stressors. Significant and meaningful differences between groups indicate differential validity. A higher degree of certain immunological imbalances after miscarriage (presumably linked to pregnancy loss) was found in those women who had a higher stress score. Sensitivity to change was demonstrated in two different treatment samples. CONCLUSION: We propose the revised PSQ as a valid and economic tool for stress research. The overall score permits comparison with results from earlier studies using the original instrument.
机译:目的:目的是翻译,修订和标准化Levenstein等人的《感知压力问卷》(PSQ)。 (1993),德文。该仪器评估主观经历的压力,与特定的客观情况无关。方法:对650名受试者(心身医学患者,分娩后的妇女,流产后的妇女和学生)的样本进行了探索性因素分析和量表内容的修订。使用线性结构方程模型和多样本分析对1,808名受试者(心身,耳鸣,炎症性肠病患者,孕妇,健康成年人)的第二个样本进行了验证性分析和跨亚组的结构稳定性检查。外部验证包括对流产妇女的免疫措施。结果:出现了四个因素(忧虑,紧张,喜悦,要求),每个因素有5个因素,而原始PSQ中有30个因素。在第二个样品上确认了因子结构。多样本分析在各个组之间产生了公平的结构稳定性。可靠性值令人满意。研究结果表明,三个量表代表内部压力反应,而量表“需求”与感知到的外部压力源有关。组之间的显着和有意义的差异表明差异的有效性。在那些压力分值较高的女性中,流产后某些免疫学失衡的程度较高(可能与流产有关)。在两个不同的处理样品中证明了对变化的敏感性。结论:我们建议将修订后的PSQ作为压力研究的有效且经济的工具。总分可以与使用原始仪器的早期研究结果进行比较。

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