Stress Numerical Rating Scale-11: Validation in Pediatric Inpatient and Outpatient Pain Settings

LiaBraaten, Brynn M.; Linneman, Nina G.; Czarnecki, Michelle L.; Davies, W. Hobart; Zhang, Liyun; Simpson, Pippa; Mano, Kristen E. Jastrowski; Weisman, Steven J.; Hainsworth, Keri R.

doi:10.1016/j.pmn.2023.03.008

Cited by 1 publication

(2 citation statements)

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“…We found a mean Arabic SNRS-11 score of 4.79 ± 2.47. EFA yielded a two-factor structure of the Arabic SNRS-11, in opposite to the one-dimensional measure obtained in the original validation [24] and another validation in both inpatient and outpatient settings [35]. Although there are advantages to the onedimensional measure as discussed, it does reduce the ability to measure multiple dimensions of stress [37].…”

Section: Discussionmentioning

confidence: 70%

“…Overall, the currently employed subjective stress scales have drawbacks, such as their length, mode of administration, potential retrospective bias [33,34], and the challenge of evaluating past stress to estimate present stress [35]. Therefore, creating a concise and easily administered tool for assessing current stress response levels, adaptable to various modes of administration, and incorporating a brief screening approach, would be valuable for both clinical and research purposes.…”

Section: Measures Of Stressmentioning

confidence: 99%

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Validity and reliability of the Arabic version of the Stress Numerical Rating Scale-11 (Stress NRS-11)

Obeid,

Hallit,

Malaeb

et al. 2024

Preprint

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Background: Meta-analytic results have revealed a significant influence of stress on a wide array of psychological and behavioral markers, underscoring its considerable clinical importance. Providing a simple and cost-effective tool assessing stress for the Arabic-speaking population, predominantly residing in low- and middle-income nations, where research can be arduous, would be immensely beneficial. Therefore, our aim was to examine the psychometric properties of an Arabic version of the Stress Numerical Rating Scale-11 (Arabic SNRS-11), including its factor structure, reliability, and construct validity. Methods: 763 participants were recruited during November 2023. An anonymous self-administered Google Forms link was distributed via social media networks. To explore the factor structure of the Arabic SNRS-11, we utilized the FACTOR software. Initially, an exploratory factor analysis (EFA) was performed, employing principal component analysis on the items from the Perceived Stress Scale (PSS). Subsequently, the analysis was repeated after integrating the Arabic SNRS-11. Results: The results of the EFA revealed two factors, which explained 66.43% of the common variance. When adding the SNRS-11, Bartlett’s test of sphericity, χ2(55) = 4127.1, p < .001, and KMO (.88) remained adequate. The two-factor solution obtained explained 63.28% of the variance. The same structure was obtained in both males and females separately. McDonald’s ω and Cronbach’s α were very good for all models. Both PSS and Arabic SNRS-11 scores correlated significantly and positively with each other, as well as with higher depression, anxiety and stress scores. Finally, no significant difference was found between males and females in terms of PSS and Arabic SNRS-11 scores. Conclusion: The findings indicate that the Arabic SNRS-11 is a cost-effective, valid, and reliable tool for assessing stress. Therefore, we strongly recommend its adoption in future research involving Arabic-speaking adolescents in clinical and research contexts within Arab regions, especially when researchers face limitations in terms of time or resources.

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Section: Discussionmentioning

confidence: 70%