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Stress is defined as a person's interaction with their environment that is thought to threaten or affect an individual's potential, resources, and well-being. The most popular instrument to assess perceived stress is the Perceived Stress Scale (PSS). Therefore, making a systematic review of studies testing the internal structure of PSS and conducting a Meta-Analytic Confirmatory Factor Analysis (MACFA) on the database created with the information obtained from these studies are the aims of this research. A total of 76 samples from 57 unique studies were included in this database using various inclusion criteria (total N for PSS-14 = 28,632, for PSS-10 = 46,053). The correlated two-factor model for PSS was confirmed by MACFA performed on the pooled correlation matrix generated by the random effects meta-analysis. Findings of dimensionality analyses, factor loadings, omega values, and measurement invariance showed that the model that best explained the factor structure of PSS was the correlated two-factor model. The strict measurement invariance of the PSS was achieved across age and clinical status, and the internal consistency was high according to the omega values. Several recommendations moving forward are discussed., (© 2023 The Authors. Stress and Health published by John Wiley & Sons Ltd.)

Background: Chronic pain is the type of pain that healthcare professionals frequently encounter. Health care students' attitudes towards pain management are not sufficient and this negatively affects their chronic pain management. When students cannot manage the chronic pain they will experience professional burnout, depersonalization, and a decrease in compassion and empathy in patient care. Therefore, the first step in improving health care students' attitudes towards patients with chronic pain is to determine their attitudes., Objective: This study aims to test the validity and reliability of the Scale for Healthcare Professionals' Attitudes towards Patients with Chronic Pain (HCPAPCP Scale) in healthcare students., Method: This quantitative study was conducted with 205 health care students in January-February 2022. Data were collected online with Personal Information Form and the HCPAPCP Scale. To determine the reliability of the scale, internal consistency and test-retest, and for construct validity, exploratory factor analysis and confirmatory factor analysis were performed., Results: The results of the exploratory factor analysis showed that the two-factor scale consisting of 18 items, the factor structure, and the distribution of factors in items were the same as the findings of the original scale. The Cronbach's Alpha coefficient was 0.88 for the first factor and 0.74 for the second factor. Test-retest reliability was 0.60. In confirmatory factor analysis, the model had a good and acceptable fit., Conclusion: We found that the HCPAPCP Scale was valid and reliable in healthcare students.

The aim of this study is to examine the factor structure of Turkish version of the Multidimensional Scale of Perceived Social Support (MSPSS) and to analyze its psychometric properties through the bifactor-ESEM framework. Using a convenience sample of 1124 Turkish adults, seven different models were tested. The results supported the superiority of a bifactor-ESEM solution that included three specific factors (family, friends, and significant others) and a general factor. In addition, bifactor indices showed that the general factor of MSPSS is not strong enough and its multidimensional structure is supported. For the bifactor-ESEM model, strict measurement invariance was achieved according to the gender variable. Our results supported convergent validity for the general and specific factors of the MSPSS, which were found to be associated with measures of distress, loneliness, and resilience. As a result, MSPSS is a valid and reliable measurement tool with its bifactor-ESEM model., Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

This study proposed an improved representation of the DASS-21 factor structure developed by Lovibond and Lovibond in  Behaviour Research and Therapy, 33 , 335-342 (1995) using bifactor exploratory structural equation modeling (bifactor ESEM). This research was conducted by reference to 521 Turkish adults (45.3% females; M age = 27.86, SD  = 8.23). The bifactor ESEM findings indicated a strong general factor of negative affect underlying responses to all DASS-21 items but also that despite the presence of three specific factors (depression, anxiety, and stress), the depression subscale explained a high degree of variance and could be considered to constitute a specific factor. The results obtained from this study show that there is a common factor associated with DASS-21 scales, the total score of DASS-21 can be identified as a measure of general negative affect, and the bifactor ESEM structure of DASS-21 ensures measurement invariance across genders., Competing Interests: Conflicts of interest/competing interestsThe authors have no relevant financial or non-financial interests to disclose., (© The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022, Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.)