Yapici Eser Hale, Ertuna Defne, Yalcinay-Inan Merve, Kurt Sabitay Imren, Balli Muhammed, Kilciksiz Can Misel, Kucuker Mehmet Utku, Kilic Ozge, Ercan A Cenk, Guclu Oya, Aydemir Ömer
Koç University School of Medicine, Istanbul, Türkiye.
Koç University Graduate School of Health Sciences, Istanbul, Türkiye.
Front Psychol. 2024 Dec 11;15:1479845. doi: 10.3389/fpsyg.2024.1479845. eCollection 2024.
Chronic social-role-related stress plays a crucial role in the development and progression of mental and medical disorders, making it an important factor to consider. This study aimed to translate and validate The Chronic Stress Scale (CSS) adapted by Turner for a Turkish population and explore its role in depression, anxiety, and perceived stress.
A total of 524 participants (mean age 31.59 years, 68% women) were recruited from Koç University and Basaksehir Cam Sakura City Hospitals, including 260 from the general population and 264 with depressive or anxiety disorders. The 51-item CSS was translated into Turkish and validated through reliability and validity analyses, including Cronbach's alpha, exploratory factor analysis, and correlations with the Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), and Perceived Stress Scale (PSS-14).
The Turkish CSS showed good internal consistency (Cronbach's alpha = 0.90) and identified 13 dimensions of chronic stress (partner, children, work, loneliness, finances, workload, debt, relationship inoccupancy, family health, residence, family, ex-partner, and others). Dimensions were named based on the content of the items included. Significant correlations were found between CSS and BDI ( = 0.611, < 0.001), BAI ( = 0.558, < 0.001), and PSS-14 ( = 0.222, < 0.001). Discriminant validity revealed significant score differences between clinical and general populations.
The Turkish CSS is a reliable and valid tool for assessing chronic social role-related stressors, supporting its use for both research and practice.
与社会角色相关的慢性应激在精神和医学疾病的发生发展中起着至关重要的作用，因此是一个需要考虑的重要因素。本研究旨在翻译并验证特纳为土耳其人群改编的《慢性应激量表》（CSS），并探讨其在抑郁、焦虑和感知应激中的作用。
从科克大学和巴塞希尔樱花市医院招募了524名参与者（平均年龄31.59岁，68%为女性），其中260名来自普通人群，264名患有抑郁或焦虑症。将包含51个条目的CSS翻译成土耳其语，并通过信效度分析进行验证，包括克朗巴哈系数、探索性因素分析，以及与贝克抑郁量表（BDI）、贝克焦虑量表（BAI）和感知应激量表（PSS - 14）的相关性分析。
土耳其语版CSS显示出良好的内部一致性（克朗巴哈系数 = 0.90），并确定了慢性应激的13个维度（伴侣、子女、工作、孤独、财务、工作量、债务、关系空缺、家庭健康、居住、家庭、前伴侣及其他）。维度根据所包含条目的内容命名。发现CSS与BDI（r = 0.611，p < 0.001）、BAI（r = 0.558，p < 0.001）和PSS - 14（r = 0.222，p < 0.001）之间存在显著相关性。区分效度显示临床人群和普通人群之间的得分存在显著差异。
土耳其语版CSS是评估与社会角色相关的慢性应激源的可靠有效工具，支持其在研究和实践中的应用。
