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A simple instrument for assessing stress in clinical practice
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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 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]
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“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]
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Blackstone, R. P. (2016) · Springer eBooks · doi:10.1007/978-3-319-39409-1_8 · Cited by 1
Fava, G. A., & Guidi, J. (2020) · Ärztliche Psychotherapie · doi:10.21706/aep-15-3-149 · Cited by 1
Self-citationSaleh, S. M., Mahdi, A., Kamel, A. Z., Hasan, H. F., Jawad, H. F., Husseini, H., Nassr, A., Kamel, K. T., Aldiban, W., & Fouad, M. (2024) · Discover Public Health · doi:10.1186/s12982-024-00253-3 · Cited by 1
Vescovelli, F., Sarti, D., & Ruini, C. (2024) · Gerontology and Geriatric Medicine · doi:10.1177/23337214241277056
Metadata
- 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
- Social Sciences › Arts and Humanities › History and Philosophy of Science › 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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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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