Terrill Alexandra L, Gjerde Jill M, Garofalo John P
University of Washington, Seattle, WA, USA.
VA San Diego Healthcare System, San Diego, CA, USA.
Stress Health. 2015 Oct;31(4):290-8. doi: 10.1002/smi.2554. Epub 2013 Nov 26.
Background stress is an understudied source of stress that involves both ambient stress and daily hassles upon which new stressors are superimposed. To date, an accurate measure of the background stress construct has not been available. We developed the Background Stress Inventory, a 25-item self-report measure that asks respondents to indicate how distressed they have felt over the past month and the majority of the past year across five domains: financial, occupation, environment, health and social. Seven hundred seventy-two participants completed the paper-and-pencil measure; the sample was randomly split into two separate subsamples for analyses. Exploratory factor analysis suggested five factors corresponding to these domains, and confirmatory factor analysis showed acceptable global fit (X(2)(255) = 456.47, comparative fit index = 0.94, root mean square error of approximation = 0.045). Cronbach's alpha (0.89) indicated good internal reliability. Construct validity analyses showed significant positive relationships with measures of perceived stressfulness (r = 0.62) and daily hassles (0.41), p's < 0.01. Depressive symptoms (0.62) and basal blood pressure (0.21) were both significantly associated with background stress, p's < 0.01. The importance of the proposed measure is reflected in the limited research base on the impact of background stress. Systematic investigation of this measure will provide insight into this understudied form of chronic stress and its potential influence on both psychological and physical endpoints.
背景压力是一种研究较少的压力源,它既包括环境压力,也包括新的压力源叠加其上的日常琐事。迄今为止,尚未有对背景压力结构的准确测量方法。我们开发了背景压力量表,这是一种包含25个条目的自陈式量表,要求受访者指出他们在过去一个月以及过去一年的大部分时间里在五个领域(财务、职业、环境、健康和社交)所感受到的苦恼程度。772名参与者完成了纸笔测量;样本被随机分成两个独立的子样本进行分析。探索性因素分析表明有五个与这些领域相对应的因素,验证性因素分析显示整体拟合度可接受(卡方值(255) = 456.47,比较拟合指数 = 0.94,近似均方根误差 = 0.045)。克朗巴哈系数(0.89)表明内部信度良好。结构效度分析显示与感知压力程度的测量指标(r = 0.62)和日常琐事(0.41)呈显著正相关,p值 < 0.01。抑郁症状(0.62)和基础血压(0.21)均与背景压力显著相关,p值 < 0.01。所提出的测量方法的重要性体现在关于背景压力影响的研究基础有限。对该测量方法的系统研究将有助于深入了解这种研究较少的慢性压力形式及其对心理和生理指标的潜在影响。