An Improved Stress-Scale Specifically Designed to Measure Stress of Women with Newly Diagnosed Breast Cancer

Abstract

Most breast cancer patients are middle-aged women actively involved in establishing a family, developing a career, or raising children. With the exception of the Newly Diagnosed Breast Cancer Stress Scale (NDBCSS), few stress scales have been designed for women with breast cancer. This study checked the dimensionality of the NDBCSS by confirmatory factor analysis (CFA) and the results showed a poor fit, indicating an urgent need for improvement. Exploratory factor analysis (EFA) using the varimax rotation method was performed to improve the model, the revised NDBCSS (NDBCSS-R), which showed a good Kaiser-Meyer-Olkin value, Bartlett’s test of sphericity, and internal consistency reliability. The NDBCSS-R showed improved indices compared with NDBCSS, including: chi-square fit statistics/degree of freedom (CMIN/DF), goodness-of-fit index (GFI), adjusted goodness of fit index (AGFI), normed fix index (NFI), relative fit index (RFI), incremental fix index (IFI), Tucker–Lewis index (TLI), comparative fix index (CFI), root mean square error of approximation (RMSEA), root mean square residual (RMR), parsimonious goodness-fit-index (PGFI), and parsimonious normed fit index (PNFI). In conclusion, the improved NDBCSS-R can provide health professionals with an early understanding of the stress levels of women with breast cancer so that they can provide immediate medical intervention to prevent vicious cycles in a timely manner.

Joint Mediation of Psychosis and Mental Stress on Alcohol Consumption and Graduates’ Job Performance: A PLS Structural Equation Modeling

“…Thus, the cognitive displacement of individuals might affect their physical behaviour, which can alter how victims relate with colleagues and other people at the workplace. This result corroborates other previous studies which have documented an unfavourable effect of excessive alcohol consumption on consumers' mood (Alford et al, 2020), workplace productivity (Łyszczarz, 2019;Stepanek et al, 2019) and presenteeism (Buvik et al, 2018;Lee et al, 2021). Past studies on stress have also documented its negative effect on job performance (Aduma et al, 2022;Akah, Owan, Aduma, et al, 2022;Daniel, 2019) and other work-related variables such as productivity (Ma & Ye, 2019;Ramos-Galarza & Acosta-Rodas, 2019) and job satisfaction (An et al, 2020;O'Brien et al, 2019).…”

“…This finding supports the study's result that stress significantly impacts graduate students' capacity to learn and perform in the workplace (Pascoe et al, 2020). A previous study also found that very high levels of persistent mental stress were linked to worse academic performance (Lee et al, 2021). The positive mediation of PE on the nexus between AC and TW may be attributed to mood.…”

“…Previous studies on AC and performance have documented an unfavourable effect of excessive alcohol consumption on consumers' outcomes (Atoyebi et al, 2020;Castellanos-Perilla et al, 2022;Hakulinen & Jokela, 2019;Rehm et al, 2017;Romac et al, 2022). The negative effect occurs in specific areas such as mood (Alford et al, 2020), workplace productivity (Łyszczarz, 2019;Stepanek et al, 2019) and presenteeism (Buvik et al, 2018;Lee et al, 2021). Other analyses have shown marginal consequences of drinking on educational performance (Eze et al, 2017;Zadarko-Domaradzka et al, 2018).…”

“…Another study reported that academic stress dramatically affects students' performance; stress impairs people's capacity to learn, work, and concentrate, all of which contribute to subpar work and performance (Pascoe et al, 2020). A previous study found that very high levels of persistent mental stress were linked to worse academic performance (Lee et al, 2021). Mental stress, on the other hand, disrupts people's thoughts (Kaiser et al, 2015;Rosiek et al, 2016), reasoning (Hidalgo et al, 2019;Schoofs et al, 2009), and functioning (Yaribeygi et al, 2017).…”

Psychometric properties of the perceived stress scale (pss‐10) with breast cancer patients

“…The individual perception of stress depends on personality, learning, and culture (Folkman, 2011). Some measures of perceived stress have been developed specifically for the cancer context, for example, the Questionnaire on Stress in Cancer Patients (Herschbach et al, 2003), which assesses cancer-specific stress situations, and the Newly Diagnosed Breast Cancer Stress Scale (Lee et al, 2013(Lee et al, , 2021, which measures perceptions of stress at the beginning of the breast cancer process.…”