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Contrasting the Hassles Scale and the Perceived Stress Scale: Who's really measuring appraised stress?
Abstract
Responds to the criticism of the perceived stress scale (PSS) developed by the present author and colleagues (see record 1984-24885-001) by R. S. Lazarus et al (see record 1986-10765-001) in their defense of the hassles scale they developed. It is contended that the PSS predicts psychologic and physical symptoms and health behaviors after controlling for any redundancy with psychological symptom measures.
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A Global Measure of Perceived Stress
Cohen, S., Kamarck, T., & Mermelstein, R. (1983) · Journal of Health and Social Behavior · doi:10.2307/2136404 · Cited by 32,807
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Sorted by citations
Landrine, H., & Klonoff, E. A. (1996) · Journal of Black Psychology · doi:10.1177/00957984960222002 · Cited by 1,154
Psychometric Properties of a European Spanish Version of the Perceived Stress Scale (PSS)
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“The PSS was designed to measure “the degree to which individuals appraise situations in their lives as stressful” (Cohen, 1986, p. 716).”
BackgroundThe stress appraisal measure (SAM): A multidimensional approach to cognitive appraisal
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Hewitt, P., Flett, G., & Mosher, S. (1992) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/bf00962631 · Cited by 437
“In contrast to past observations, this measure shows a relationship to both psychological and physical symptoms that is not due solely to item overlap (see Cohen, 1986).”
ResultEffectiveness of the Mindfulness in Schools Programme: non-randomised controlled feasibility study
Kuyken, W., Weare, K., Ukoumunne, O. C., Vicary, R., Motton, N., Burnett, R., Cullen, C., Hennelly, S., & Huppert, F. (2013) · British Journal of Psychiatry · doi:10.1192/bjp.bp.113.126649 · Cited by 427
“The ten-item version of the Perceived Stress Scale (PSS) 19–21 was used to assess the degree to which life in the past month was perceived as stressful, unpredictable and uncontrollable on a five-point scale (never to very often) that is summed into a total score (range 0–40).”
MethodKlonoff, E., & Landrine, H. (1995) · Psychology of Women Quarterly · doi:10.1111/j.1471-6402.1995.tb00086.x · Cited by 388
Conceptualizing and Measuring Ethnic Discrimination in Health Research
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“The Perceived Stress Scale (Cohen, 1986; Cohen et al., 1983), and the Hassles Scale (Kanner et al., 1981) are the best known of such measures.”
Cognitive Theories of Stress and the Issue of Circularity
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Racial discrimination and psychiatric symptoms among Blacks.
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Social support moderates stress effects on depression
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“higher level of perceived stress [23].”
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“Defined by the Perceived Stress Scale (Cohen, 1986) as ‘the degree to which situations in one’s life are appraised as stressful.”
BackgroundInfluentialThe Highly Sensitive Person : Stress and physical symptom reports
Benham, G. (2006) · Personality and Individual Differences · doi:10.1016/j.paid.2005.11.021 · Cited by 238
“The PSS has been shown to be a better predictor of psychological symptoms, physical symptoms, and health service utilization than life-event scales (Cohen, 1986; Cohen, Kamarck, & Mermelstein, 1983).”
BackgroundSocial skills and the stress-protective role of social support.
Cohen, S., Sherrod, D. R., & Clark, M. S. (1986) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.50.5.963 · Cited by 233
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“The SRE also measures people’s appraisals of the stressfulness of the racist events, in a manner similar to the Perceived Stress Scale (Cohen, 1986; Cohen et al., 1983) and the Hassles Scale (Kanner et al., 1981).”
BackgroundResultEffects of stressful daily events on mood states: Relationship to global perceived stress.
van Eck, M., Nicolson, N. A., & Berkhof, J. H. (1998) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.75.6.1572 · Cited by 210
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“To illustrate our control for redundancy in the present study, we followed the example of Cohen and colleagues (Cohen, 1986; Cohen et al., 1983).”
MethodAffect regulation, nicotine addiction, and smoking cessation
Carmody, T. P. (1992) · Journal of Psychoactive Drugs · doi:10.1080/02791072.1992.10471632 · Cited by 206
Jayawardene, W. P., Lohrmann, D. K., Erbe, R. G., & Torabi, M. R. (2017) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2016.11.013 · Cited by 185
“Primary outcome measure was perceived-stress, measured on a standard instrument (e.g. but not limited to Perceived Stress Scale (PSS) (Cohen and Williamson, 1988; Cohen et al., 1983) administered to intervention and control groups pre- and post-intervention and at follow-up.”
BackgroundRice, K. G., & Arsdale, A. C. V. (2010) · Journal of Counseling Psychology · doi:10.1037/a0020221 · Cited by 185
Optimism and risk for job burnout among working college students: stress as a mediator
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Negative life events, perceived stress, negative affect, and susceptibility to the common cold.
Cohen, S., Tyrrell, D. A. J., & Smith, A. P. (1993) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.64.1.131 · Cited by 623
Self-citationChang, E. C., & Rand, K. L. (2000) · Journal of Counseling Psychology · doi:10.1037/0022-0167.47.1.129 · Cited by 155
Perceived Stress and Self‐esteem Mediate the Effects of Work‐related Stress on Depression
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Clear danger: situational determinants of the appraisal of threat.
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Psychological Health and Meaning in Life
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Matthews, K. A., Gump, B. B., & Owens, J. F. (2001) · Health Psychology · doi:10.1037/0278-6133.20.6.403 · Cited by 148
Martin, R. A., Kazarian, S., & Breiter, H. (1995) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/bf02229205 · Cited by 144
“In a 2-month prospective study, S. Cohen (1986) found that the PSS predicted physical and psychological symptoms even after symptoms at Time 1 were partialled out.”
BackgroundMethodInfluentialStress, Self‐Esteem, Hope, Optimism, and Well‐Being in Urban, Ethnic Minority Adolescents
Vacek, K. R., Coyle, L. D., & Vera, E. M. (2010) · Journal of Multicultural Counseling and Development · doi:10.1002/j.2161-1912.2010.tb00118.x · Cited by 140
Chang, E. C. (2006) · Journal of Social and Clinical Psychology · doi:10.1521/jscp.2006.25.9.1001 · Cited by 123
“Accordingly, Cohen, Kamarck, and Mermelstein (1983) developed the Perceived Stress Scale (PSS) to assess for stress appraisal or the extent to which individuals view their lives as unpredictable, uncontrollable, and overloading.”
BackgroundZadok-Gurman, T., Jakobovich, R., Dvash, E., Zafrani, K., Rolnik, B., Ganz, A. B., & Lev-Ari, S. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18073689 · Cited by 128
“A higher score signifies a more stressful daily experience [46].”
BackgroundDo blacks believe that HIV/AIDS is a government conspiracy against them?
Klonoff, E., & Landrine, H. (1999) · Preventive Medicine · doi:10.1006/pmed.1999.0463 · Cited by 123
Prescient Human Fetuses Thrive
Sandman, C. A., Davis, E. P., & Glynn, L. M. (2011) · Psychological Science · doi:10.1177/0956797611422073 · Cited by 137
“This brief, valid, and reliable scale measures general perceptions of stress (i.e., the degree to which respondents perceive their lives to be unpredictable, uncontrollable, or overwhelming) without reference to the sources of stress (Cohen, 1986; Cohen et al., 1983).”
BackgroundMerluzzi, T. V., Philip, E. J., Vachon, D. O., & Heitzmann, C. A. (2011) · Palliative and Supportive Care · doi:10.1017/s1478951510000507 · Cited by 117
“The PSS has been used extensively in health research; for example, higher PSS scores are associated with failure to quit smoking, greater vulnerability to depression, and more colds (Cohen, 1986).”
MethodAffect Regulation, Tobacco Addiction, and Smoking Cessation
Carmody, T. P. (1989) · Journal of Psychoactive Drugs · doi:10.1080/02791072.1989.10472175 · Cited by 114
Relationships between Exterior Views and Nurse Stress: An Exploratory Examination
Pati, D., Harvey, T., & Barach, P. R. (2008) · HERD Health Environments Research & Design Journal · doi:10.1177/193758670800100204 · Cited by 116
“Chronic stress was measured using the Perceived Stress Scale, or PSS-10 (Cohen, 1986; Cohen, Kamarck, & Mermelstien, 1983).”
MethodInfluentialChang, E. C. (2002) · Cognitive Therapy and Research · doi:10.1023/a:1020313427884 · Cited by 99
“Noteworthy, scores on the PSS have been found to prospectively predict psychological symptoms even after controlling for initial levels of adjustment (Cohen, 1986).”
BackgroundAnalysis of job stress profile in the hotel industry
Zohar, D. M. (1994) · International Journal of Hospitality Management · doi:10.1016/0278-4319(94)90022-1 · Cited by 116
Cranford, J. (2004) · Personal Relationships · doi:10.1111/j.1475-6811.2004.00069.x · Cited by 112
“Moreover, the PSS predicted psychological distress scores after controlling for distress scores 21⁄2 months earlier (Cohen, 1986).”
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K−12 teachers' stress and burnout during the COVID-19 pandemic: A systematic review
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“1983)) and has been found to prospectively predict psychological symptoms, physical symptoms, and health behavior even after psychopathology was factored out (Cohen 1986).”
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Cognitive-affective mediators of perfectionism and college student adjustment
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Using syndemic theory to understand food insecurity and diet-related chronic diseases
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Burnout, Perceived Stress, and Depression Among Cardiology Residents in Argentina
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Who gains or who loses weight? Psychosocial factors among first-year university students
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What are we doing to waiting list controls?
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Chwalisz, K. (1996) · Rehabilitation Psychology · doi:10.1037/0090-5550.41.2.91 · Cited by 71
Hassles, health, and personality.
Kohn, P. M., Lafreniere, K., & Gurevich, M. (1991) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.61.3.478 · Cited by 71
Widmer, E. D., Girardin, M., & Ludwig, C. (2017) · Journal of Family Issues · doi:10.1177/0192513x17714507 · Cited by 105
“Dichotomized conflict density (0 = conflict density below the average, 1 = conflict density above the average) and betweenness centrality in family conflict (0 = no conflict betweenness centrality, 1 = some conflict betweenness centrality) variables were used as predictors (X); the stress score (minimum = 0, no stress…”
MethodInfluentialWhat contributes to perceived stress in later life? A recursive partitioning approach.
Scott, S., Jackson, B. R., & Bergeman, C. S. (2011) · Psychology and Aging · doi:10.1037/a0023180 · Cited by 73
Chmitorz, A., Neumann, R. J., Kollmann, B., Ahrens, K. F., Öhlschläger, S., Goldbach, N., Weichert, D., Schick, A., Lutz, B., Plichta, M. M., et al. (2020) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-020-01159-2 · Cited by 75
“However, the rather low amount of perceived stress on the PSS-10 in the present study infers a rather reduced level of stress exposure in the current sample compared to other studies (e.g., [88]).”
BackgroundInfluentialIndividual differences in difficulty quitting smoking
HAJEK, P. (1991) · British Journal of Addiction · doi:10.1111/j.1360-0443.1991.tb01807.x · Cited by 58
Stress, structural social support, and well-being in university students.
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Racial Segregation and Cigarette Smoking Among Blacks: Findings at the Individual Level
Landrine, H., & Klonoff, E. (2000) · Journal of Health Psychology · doi:10.1177/135910530000500211 · Cited by 53
“Theoretically, the event would have a greater negative impact on the individual who appraised it as stressful (Cohen, 1986).”
BackgroundResultMaymon, R., Hall, N. C., & Harley, J. M. (2019) · Student Success · doi:10.5204/ssj.v10i3.1407 · Cited by 67
“Perceived stress was assessed using the short form of the Perceived Stress Scale (PSS-4; Cohen, 1986; full scale: Cohen, Kamarck, & Mermelstein, 1983); this four-item global measure assesses stressful experiences over the previous month on a five-point Likert-type scale (0 = never , 4 = very often…”
知覚されたストレス尺度(Perceived Stress Scale)日本語版における信頼性と妥当性の検討
Sumi, K. (2006) · The Japanese Journal of Health Psychology · doi:10.11560/jahp.19.2_44 · Cited by 52
Stults‐Kolehmainen, M., Bartholomew, J. B., & Sinha, R. (2013) · The Journal of Strength and Conditioning Research · doi:10.1519/jsc.0000000000000335 · Cited by 55
“From a theoretical standpoint, however, these measures both are sensitive to the notion of physiological overload, which is a combination of high physical and mental demands and low resources resulting in overreaching beyond one’s adaptive capacity (9,10).”
Meng, R., Li, J., Wang, Z., Zhang, D., Liu, B., Luo, Y., Hu, Y., & Yu, C. (2020) · Health and Quality of Life Outcomes · doi:10.1186/s12955-020-01307-1 · Cited by 58
Measuring occupational balance and its relationship to perceived stress and health
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“Recently, theoretically informed instruments have been developed to measure occupational balance, such as questionnaires designed by researchers in Sweden (Wagman & Håkansson, 2014b) and Austria (Dür et al., 2014). Testing newly designed instruments in different populations advances their development and applicability…”
BackgroundInfluentialInfluence of affective personality on cognition-mediated emotional processing: Need for empowerment
Archer, T., Adrianson, L., Plancak, A., & Karlsson, E. (2007) · The European Journal of Psychiatry · doi:10.4321/s0213-61632007000400002 · Cited by 50
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“[7] The appraisal of this perceived stress is considered to supersede the assessment of stressful life events.[8]”
Reliability and validity of the Perceived Stress Scale in Bangladesh
Mozumder, M. K. (2022) · PLoS ONE · doi:10.1371/journal.pone.0276837 · Cited by 68
“This appraisal-based scale rapidly gained popularity among researchers because of its unique ability to measure stress appraisal as well as its superior psychometric properties and performance compared to life event-based measures of stress [3].”
BackgroundFelton, J. W., Banducci, A. N., Shadur, J. M., Stadnik, R., MacPherson, L., & Lejuez, C. W. (2017) · Development and Psychopathology · doi:10.1017/s0954579417000335 · Cited by 63
“Given that perceptions of stress may be particularly important in understanding the onset of internalizing symptoms (e.g., Cohen, 1986), investigations of the developmental trajectory and related predictors of perceived stress help to elucidate the relations between these constructs.”
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How much gaming is too much? An analysis based on psychological distress
Katz, D., Horváth, Z., Pontes, H. M., Koncz, P., Demetrovics, Z., & Király, O. (2024) · Journal of Behavioral Addictions · doi:10.1556/2006.2024.00036 · Cited by 43
“We used two unreversed items from the short, 4-item Perceived Stress Scale (PSS; Cohen, 1986; Cohen & Williamson, 1988) to assess the degree to which the participants felt their lives were stressful.”
The effects of stress on dna repair capacity
Forlenza, M., Latimer, J., & Baum, A. (2000) · Psychology and Health · doi:10.1080/08870440008405589 · Cited by 46
Socioeconomic disadvantages and neural sensitivity to infant cry: role of maternal distress
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Busseri, M. A., Rose-Krasnor, L., Pancer, S., Pratt, M., Adams, G., Birnie-Lefcovitch, S., Polivy, J., & Wintre, M. (2011) · Journal of Research on Adolescence · doi:10.1111/j.1532-7795.2010.00691.x · Cited by 44
Grandparental Support and Maternal Postpartum Mental Health
Riem, M. M. E., Bakermans‐Kranenburg, M. J., Cima, M., & van IJzendoorn, M. H. (2023) · Human Nature · doi:10.1007/s12110-023-09440-8 · Cited by 61
“Maternal stress was measured with the Perceived Stress Scale (Cohen, 1986) and depressive symptoms were assessed with the EPDS before the intervention at 4- to 28-weeks gestation (T1), after the intervention later in pregnancy (T2), and at 6- to 8-weeks postpartum (T3).”
MethodSupporting Role of Society and Firms to COVID-19 Management among Medical Practitioners
Zandi, G., Shahzad, I. A., Farrukh, M. H. M., & Kot, S. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17217961 · Cited by 55
“, General Health Questionnaire—GHQ [38], Occupational Stress Index—OSI [39], the General Wellbeing Questionnaire—GWQ [40], Perceived Stress Scale—PSS [25] and Subjective Well-being Inventory—SWI [41].”
BackgroundMethodResultInfluentialCommon Measures for National Institute of Mental Health Funded Research
Barch, D., Gotlib, I., Bilder, R., Pine, D. S., Smoller, J., Brown, C. H., Huggins, W., Hamilton, C., Haim, A., & Farber, G. (2016) · Biological Psychiatry · doi:10.1016/j.biopsych.2015.07.006 · Cited by 42
Neurobehavioral impact of sickle cell disease in early childhood
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Preventing Postpartum Smoking Relapse
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Trait Hostility, Perceived Stress, and Sleep Quality in a Sample of Normal Sleepers
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Gbadamosi, G., & Ross, C. (2012) · doi:10.1177/009102601204100404 · Cited by 40
Weight concerns affect motivation to remain abstinent from smoking postpartum
Levine, M., Marcus, M., Kalarchian, M., Weissfeld, L., & Li, Q. (2006) · Annals of Behavioral Medicine · doi:10.1207/s15324796abm3202_12 · Cited by 40
“The Perceived Stress Scale is a 14-item instrument with adequate reliability that has been used in other smoking cessation studies (40).”
MethodGiesbrecht, G. F., Bagshawe, M., van Sloten, M., MacKinnon, A., Dhillon, A. K., van de Wouw, M., Vaghef‐Mehrabany, E., Rojas, L., Cattani, D., Lebel, C. A., et al. (2021) · JMIR Research Protocols · doi:10.2196/25407 · Cited by 54
“The PSS measures the degree to which participants appraise their lives as unpredictable, uncontrollable, and overloaded [86].”
Trait anger, anger expression, stress, and health status of American and Turkish midlife women.
Thomas, S. P., & Atakan, S. (1993) · Health Care for Women International · doi:10.1080/07399339309516035 · Cited by 38
Leung, S. S. K., & Lam, T. (2012) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2012.06.014 · Cited by 37
The Student Perception of University Support and Structure Scale:development and validation
Wintre, M. G., Gates, S. K. E., Pancer, W. M., Pratt, M. W., Polivy, J., Birnie-Lefcovitch, S., & Adams, G. R. (2009) · Journal of Youth Studies · doi:10.1080/13676260902775085 · Cited by 31
“Perceived Stress Scale Short Form (PSS) (Cohen 1986 )”
BackgroundLifestyle Medicine in Medical Education: Maximizing Impact
Frates, B., Ortega, H., Freeman, K. J., Co, J. P. T., & Bernstein, M. (2024) · Mayo Clinic Proceedings Innovations Quality & Outcomes · doi:10.1016/j.mayocpiqo.2024.07.003 · Cited by 36
Psychological and Biological Correlates of Fatigue After Mild-to-Moderate Traumatic Brain Injury
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The Influence of Stress and Coping on Family Caregivers' Perceptions of Health
Killeen, M. (1990) · The International Journal of Aging & Human Development · doi:10.2190/qjlr-rcd9-rtt2-fe88 · Cited by 34
Bai, X., Jiang, L., Zhang, Q., Wu, T., Wang, S., Zeng, X., Li, Y., Zhang, L., Li, J., Zhao, Y., et al. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.634976 · Cited by 35
“In some research, assessments of perceived stress has been considered more reliable than assessments of stressful life events (47).”
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Validation of Bengali perceived stress scale among LGBT population
Mozumder, M. (2017) · BMC Psychiatry · doi:10.1186/s12888-017-1482-0 · Cited by 31
“This appraisal based scale has been demonstrated to outperform life event based measures in assessment of stress [3].”
Program adherence and coping strategies as predictors of success in a smoking treatment program.
Kamarck, T., & Lichtenstein, E. (1988) · Health Psychology · doi:10.1037//0278-6133.7.6.557 · Cited by 31
The Effect of Inquiry-Based Stress Reduction on Teacher Burnout: A Controlled Trial
Schnaider-Levi, L., Ganz, A., Zafrani, K., Goldman, Z., Mitnik, I., Rolnik, B., & Lev-Ari, S. (2020) · Brain Sciences · doi:10.3390/brainsci10070468 · Cited by 30
“This questionnaire validity was confirmed in previous studies [32].”
ResultAmanvermez, Y., Karyotaki, E., Cuijpers, P. J., Čihařová, M., Bruffaerts, R., Kessler, R. C., Klein, A. M., Wiers, R. W. H. J., & de Wit, L. M. (2023) · Anxiety Stress & Coping · doi:10.1080/10615806.2023.2280701 · Cited by 41
“We included depression and anxiety together to control for general negative a ff ect, because both anxiety and depression are known for their potential interrelations with perceived stress (Cohen, 1986; de Rooij et al., 2010; Hammen, 2015).”
BackgroundDesrichard, O., Vallet, F., Agrigoroaei, S., Fagot, D., & Spini, D. (2018) · European Journal of Ageing · doi:10.1007/s10433-017-0451-2 · Cited by 29
“We used the four items of the short version of the Perceived Stress Scale (PSS, Cohen 1986; Cohen et al.”
MethodPallavicini, F., Gaggioli, A., Raspelli, S., Cipresso, P., Serino, S., Vigna, C., Grassi, A., Morganti, L., Baruffi, M., Wiederhold, B. K., et al. (2013) · Trials · doi:10.1186/1745-6215-14-191 · Cited by 31
Does perceived stress mediate the effect of cultural consonance on depression?
Balieiro, M. C., dos Santos, M. D., dos Santos, J. D., & Dressler, W. (2011) · Transcultural Psychiatry · doi:10.1177/1363461511418873 · Cited by 26
“Rather, it is intended to allow the individual to assess all events and circumstances meaningful to him or her, and to assess whether or not these demands exceed his or her ability to respond (Cohen, 1986).”
Background
Metadata
- Authors
- Cohen, S.
- Affiliations
- Carnegie Mellon University (US)
- Corresponding author
- Cohen, Sheldon
- ORCID
- Cohen, Sheldon
- Venue
- American Psychologist
- Published
- 1986-06
- Volume
- 41
- Issue
- 6
- Pages
- 716-718
- ISSN
- 0003-066X (ISSN-L)
- 1935-990X
- OpenAlex
- W2071713180
- Cited by
- 231
- References
- 0
- Citations by year
- 2026: 4 · 2025: 11 · 2024: 17 · 2023: 10 · 2022: 17 · 2021: 10 · 2020: 10 · 2019: 8 · 2018: 5 · 2017: 7 · 2016: 13 · 2015: 4 · 2014: 3 · 2013: 9 · 2012: 5
- FWCI
- 5.83
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Psychologist (publishedVersion)
- KiltHub Repository (submittedVersion)
- Topics
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Social Sciences › Psychology › Clinical Psychology › Health and Well-being Studies
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- Perceived Stress Scale, stress measurement, psychosomatic symptoms, health behavior, psychological symptoms
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