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Inventory of Sources of Stress During Medical Education - Further Validation

Published online by Cambridge University Press:  01 September 2022

M. Carneiro ,
A. Macedo ,
E. Loureiro ,
M. Dias ,
F. Carvalho ,
D. Telles Correia ,
F. Novais ,
C. Barreto Carvalho ,
C. Cabacos  and
D. Pereira
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M. Carneiro*
Affiliation:
Centro Hospitalar e Universitário de Coimbra, Department Of Psychiatry, Coimbra, Portugal Faculty of Medicine of University of Coimbra, Institute Of Psychological Medicine, Coimbra, Portugal
A. Macedo
Affiliation:
Centro 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, Portugal
E. Loureiro
Affiliation:
Porto University, Faculty Of Medicine, Porto, Portugal
M. Dias
Affiliation:
Coimbra University, Faculty Of Medicine, Coimbra, Portugal
F. Carvalho
Affiliation:
Faculty of Medicine of University of Coimbra, Institute Of Psychological Medicine, Coimbra, Portugal
D. Telles Correia
Affiliation:
Lisbon Medical University, Psychiatry, Lisbon, Portugal
F. Novais
Affiliation:
Lisbon University, Faculty Of Medicine, Lisbon, Portugal
C. Barreto Carvalho
Affiliation:
University of Azores, Department Of Psychology, Ponta Delgada, Portugal
C. Cabacos
Affiliation:
Centro Hospitalar e Universitário de Coimbra, Department Of Psychiatry, Coimbra, Portugal Faculty of Medicine of University of Coimbra, Institute Of Psychological Medicine, Coimbra, Portugal
D. Pereira
Affiliation:
Centro Hospitalar e Universitário de Coimbra, Department Of Psychiatry, Coimbra, Portugal Faculty of Medicine of University of Coimbra, Institute Of Psychological Medicine, Coimbra, Portugal
P. Vitória
Affiliation:
University of Beira Interior, Department Of Psychology And Education, Covilhã, Portugal
A. Araújo
Affiliation:
Centro 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, Portugal
A.T. Pereira
Affiliation:
Faculty of Medicine of University of Coimbra, Institute Of Psychological Medicine, Coimbra, Portugal Coimbra Institute for Biomedical Imaging and Translational Research, -, Coimbra, Portugal
*
*Corresponding author.

Abstract

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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.

Keywords

burnoutmedical studentsInventory of Academic Sources of Stress in Medical Educationconfirmatory factor analysis
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S693
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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