A simple instrument for assessing stress in clinical practice
Open accessAbstract
Summary: Methods to assess the role of stress factors in patients with medical conditions are often rather complex, require specific training, and are difficult to use in clinical practice. We attempted to develop a short index tailored to a busy clinical setting, which would be easy to use while providing adequate individual information. This index (Psychosocial Index) was largely derived from well-established instruments, such as Kellner's Screening List for Psychosocial Problems. In addition, on the basis of the patient's self-report of items, the clinician is asked to rate four dimensions of the patient's life: stress, wellbeing, psychological distress, and illness behaviour. The questionnaires of 34 female patients with functional medical disorders were first rated by an internist and afterwards, blindly, by a psychiatrist. Agreement between the two raters was excellent, as measured by the intraclass correlation coefficient. It is hoped that this Psychosocial Index may provide a new tool for psychosomatic research and practice.
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A shorter version, the 6-item part of the PsychoSocial Index, was found to be a sensitive measure of well-being, yet it does not allow differentiation of the various dimensions.
“A shorter version, the 6-item part of the PsychoSocial Index 50,51 , has been developed and submitted to clinimetric validation: it was found to be a sensitive measure of well-being, yet it does not allow differentiation of the various dimensions.”
From The pursuit of euthymia (2020) · cites this paper as [50]
The INSTRUMENT section (page unavailable) identifies questions 31–36 as six well-being items within the 55-item Psychosocial Index. It does not report validation of those items as a shorter standalone measure, find them sensitive to well-being, or assess whether they distinguish its dimensions. The Results concern inter-rater agreement for the full index’s observer-rated dimensions. (LLM, conf=0.86)
Experimental — accuracy not yet measuredThe Psychosocial Index showed good psychometric properties.
“it showed good psychometric properties [49]”
From Protocol and methods for testing the efficacy of well-being therapy in chronic migraine patients: a randomized controlled trial. (2018) · cites this paper as [49]
The Results report excellent inter-rater concordance for the Psychosocial Index’s four observer-rated dimensions. The Validation Design and Statistical Methods section says this was the reliability assessment of the novel observer-rated part; it does not establish good psychometric properties for the index more broadly. (LLM, conf=0.84)
Experimental — accuracy not yet measured
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RetractedThe role of interviewing in endocrine practice
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The Assessment of the Adult Patient with Overweight and Obesity
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Fundamentals of Diet, Exercise, and Behavior Modification
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- Authors
- Sonino, N., & Fava, G. A.
- Affiliations
- University of Padua (IT)
- University at Buffalo, State University of New York (US)
- Venue
- Postgraduate Medical Journal
- Publisher
- Oxford University Press (OUP)
- Published
- 1998-07-01
- Volume
- 74
- Issue
- 873
- Pages
- 408-410
- ISSN
- 0032-5473 (ISSN-L)
- 1469-0756
- PMC
- PMC2360999
- OpenAlex
- W2124306688
- Cited by
- 104
- References
- 26
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 10 · 2023: 7 · 2022: 7 · 2021: 9 · 2020: 9 · 2019: 8 · 2018: 3 · 2017: 1 · 2016: 5 · 2015: 3 · 2014: 1 · 2013: 3 · 2012: 6
- FWCI
- 0.99
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Postgraduate Medical Journal (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Padua Research Archive (University of Padova) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Medicine, History, and Philosophy
- Social Sciences › Psychology › Applied Psychology › Psychological Testing and Assessment
- Keywords
- psychological distress, well-being, illness behavior, rater agreement, psychosomatic medicine, self-report questionnaire
- MeSH terms
- Adult, Data Collection, Evaluation Studies as Topic, Female, Humans, Psychosomatic Medicine, Surveys and Questionnaires, Stress, Psychological
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