Adaptation of the Medical Student Stress Factor Scale Into Turkish: Validity and Reliability Study

Few studies assessing stress symptoms are specific to medical education, and even fewer are designed to determine which stressors affect medical students. It was aimed to adapt the Medical Student Stress Factor Scale (MSSF) into Turkish and to provide a valid and reliable tool to determine stress ca...

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Main Authors: İrem Akova MD, Ezgi Ağadayı MD, Nagehan Ekici Koşaroğlu MD, Gamze Gündoğdu MD
Format: Article
Language:English
Published: SAGE Publishing 2025-07-01
Series:Inquiry: The Journal of Health Care Organization, Provision, and Financing
Online Access:https://doi.org/10.1177/00469580251356131
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author İrem Akova MD
Ezgi Ağadayı MD
Nagehan Ekici Koşaroğlu MD
Gamze Gündoğdu MD
author_facet İrem Akova MD
Ezgi Ağadayı MD
Nagehan Ekici Koşaroğlu MD
Gamze Gündoğdu MD
author_sort İrem Akova MD
collection DOAJ
description Few studies assessing stress symptoms are specific to medical education, and even fewer are designed to determine which stressors affect medical students. It was aimed to adapt the Medical Student Stress Factor Scale (MSSF) into Turkish and to provide a valid and reliable tool to determine stress caused by medical education in medical students. Between January and May 2024, 632 medical students participated. The Depression Anxiety Stress Scale-21 (DASS-21), the MSSF, and a sociodemographic data form were used. The MSSF is a 7-point Likert-type scale with 28 items. Although individual item scores range from 1 to 7, the total and subscale scores are calculated by averaging item scores, resulting in an overall score range from 1 to 7. Test-retest, Cronbach α, Davis technique, exploratory and confirmatory factor analyses (EFA and CFA), Pearson correlation, and descriptive analyses were used. The scale’s Cronbach’s alpha was .937, and the Kaiser-Meyer-Olkin (KMO) coefficient was .935. The sphericity results of the Bartlett test were x ²  = 9302.227, P  < .001. In the CFA analysis, GFI = 0.814, CFI = 0.840, x ² /df = 3.108, and RMSEA = 0.081 were determined. The MSSF total and subscale scores were positively correlated with all DASS-21 subscales ( P  < .001), supporting the construct validity of the Turkish version of the scale. It was found that the validity and reliability analyses of the Turkish version of the MSSF were satisfactorily met.
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publisher SAGE Publishing
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series Inquiry: The Journal of Health Care Organization, Provision, and Financing
spelling doaj-art-9bd8f90ceaaf4138a795b3d4a5700d4c2025-08-20T03:25:00ZengSAGE PublishingInquiry: The Journal of Health Care Organization, Provision, and Financing0046-95801945-72432025-07-016210.1177/00469580251356131Adaptation of the Medical Student Stress Factor Scale Into Turkish: Validity and Reliability Studyİrem Akova MD0Ezgi Ağadayı MD1Nagehan Ekici Koşaroğlu MD2Gamze Gündoğdu MD3Sivas Cumhuriyet University, TürkiyeSivas Cumhuriyet University, TürkiyeSivas Provincial Health Directorate, TürkiyeBatman Provincial Health Directorate, TürkiyeFew studies assessing stress symptoms are specific to medical education, and even fewer are designed to determine which stressors affect medical students. It was aimed to adapt the Medical Student Stress Factor Scale (MSSF) into Turkish and to provide a valid and reliable tool to determine stress caused by medical education in medical students. Between January and May 2024, 632 medical students participated. The Depression Anxiety Stress Scale-21 (DASS-21), the MSSF, and a sociodemographic data form were used. The MSSF is a 7-point Likert-type scale with 28 items. Although individual item scores range from 1 to 7, the total and subscale scores are calculated by averaging item scores, resulting in an overall score range from 1 to 7. Test-retest, Cronbach α, Davis technique, exploratory and confirmatory factor analyses (EFA and CFA), Pearson correlation, and descriptive analyses were used. The scale’s Cronbach’s alpha was .937, and the Kaiser-Meyer-Olkin (KMO) coefficient was .935. The sphericity results of the Bartlett test were x ²  = 9302.227, P  < .001. In the CFA analysis, GFI = 0.814, CFI = 0.840, x ² /df = 3.108, and RMSEA = 0.081 were determined. The MSSF total and subscale scores were positively correlated with all DASS-21 subscales ( P  < .001), supporting the construct validity of the Turkish version of the scale. It was found that the validity and reliability analyses of the Turkish version of the MSSF were satisfactorily met.https://doi.org/10.1177/00469580251356131
spellingShingle İrem Akova MD
Ezgi Ağadayı MD
Nagehan Ekici Koşaroğlu MD
Gamze Gündoğdu MD
Adaptation of the Medical Student Stress Factor Scale Into Turkish: Validity and Reliability Study
Inquiry: The Journal of Health Care Organization, Provision, and Financing
title Adaptation of the Medical Student Stress Factor Scale Into Turkish: Validity and Reliability Study
title_full Adaptation of the Medical Student Stress Factor Scale Into Turkish: Validity and Reliability Study
title_fullStr Adaptation of the Medical Student Stress Factor Scale Into Turkish: Validity and Reliability Study
title_full_unstemmed Adaptation of the Medical Student Stress Factor Scale Into Turkish: Validity and Reliability Study
title_short Adaptation of the Medical Student Stress Factor Scale Into Turkish: Validity and Reliability Study
title_sort adaptation of the medical student stress factor scale into turkish validity and reliability study
url https://doi.org/10.1177/00469580251356131
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