Adapting the COVID Stress Scale (CSS) to investigate the level of stress among Hong Kong Chinese people 1 year after the COVID-19 pandemic

Tai Wa Liu; Sarah Suet Shan Wong; Rebecca Cho Kwan Pang; Linda Yin King Lee

doi:10.1016/j.apnu.2023.04.009

Adapting the COVID Stress Scale (CSS) to investigate the level of stress among Hong Kong Chinese people 1 year after the COVID-19 pandemic

Tai Wa Liu^*, Sarah Suet Shan Wong, Rebecca Cho Kwan Pang, Linda Yin King Lee

^*Corresponding author for this work

School of Continuing Education

Research output: Contribution to journal › Journal article › peer-review

2 Citations (Scopus)

Abstract

Background: Stress is a crucial driver that affects hygiene behavior. The Hong Kong population lacks a COVID-19 or pandemic related stress measure investigating the COVID-19 related stress after one year of outbreak.

Design and methods: The original COVID Stress Scale (CSS) was translated and culturally adapted into the Chinese (Cantonese) version (CSS-C). Six hundred and twenty-four participants were recruited from the general public to examine the internal consistency, and concurrent and convergent validity of the CSS-C. The test-retest reliability of CSS-C was examined using 39 university students.

Results: People with old age, women, single, low educational level and borderline and abnormal levels of anxiety and depression were likely to perceive high level of COVID-19 related stress. All CSS-C subscales demonstrated good internal consistency, moderate to good test-retest reliability, and weak to moderate correlations with various mental health-related measures.

Discussion: The CSS could help monitor the stress associated the current and potential future pandemics.

Original language	English
Pages (from-to)	93-100
Number of pages	8
Journal	Archives of Psychiatric Nursing
Volume	44
DOIs	https://doi.org/10.1016/j.apnu.2023.04.009
Publication status	Published - Jun 2023

Scopus Subject Areas

Psychiatric Mental Health

User-Defined Keywords

Anxiety
COVID Stress Scales
COVID-19
Stress
Validation study

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1016/j.apnu.2023.04.009

Cite this

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title = "Adapting the COVID Stress Scale (CSS) to investigate the level of stress among Hong Kong Chinese people 1 year after the COVID-19 pandemic",

abstract = "Background: Stress is a crucial driver that affects hygiene behavior. The Hong Kong population lacks a COVID-19 or pandemic related stress measure investigating the COVID-19 related stress after one year of outbreak.Design and methods: The original COVID Stress Scale (CSS) was translated and culturally adapted into the Chinese (Cantonese) version (CSS-C). Six hundred and twenty-four participants were recruited from the general public to examine the internal consistency, and concurrent and convergent validity of the CSS-C. The test-retest reliability of CSS-C was examined using 39 university students.Results: People with old age, women, single, low educational level and borderline and abnormal levels of anxiety and depression were likely to perceive high level of COVID-19 related stress. All CSS-C subscales demonstrated good internal consistency, moderate to good test-retest reliability, and weak to moderate correlations with various mental health-related measures.Discussion: The CSS could help monitor the stress associated the current and potential future pandemics.",

keywords = "Anxiety, COVID Stress Scales, COVID-19, Stress, Validation study",

author = "Liu, {Tai Wa} and Wong, {Sarah Suet Shan} and Pang, {Rebecca Cho Kwan} and Lee, {Linda Yin King}",

note = "Funding Information: The work described in this paper was fully supported by a grant from the Hong Kong Metropolitan University, Katie Shu Sui Pui Charitable Trust – Research and Publication Fund (KS 2020/06). Publisher Copyright: {\textcopyright} 2023 Elsevier Inc. All rights reserved.",

year = "2023",

month = jun,

doi = "10.1016/j.apnu.2023.04.009",

language = "English",

volume = "44",

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AU - Liu, Tai Wa

AU - Wong, Sarah Suet Shan

AU - Pang, Rebecca Cho Kwan

AU - Lee, Linda Yin King

N1 - Funding Information: The work described in this paper was fully supported by a grant from the Hong Kong Metropolitan University, Katie Shu Sui Pui Charitable Trust – Research and Publication Fund (KS 2020/06). Publisher Copyright: © 2023 Elsevier Inc. All rights reserved.

PY - 2023/6

Y1 - 2023/6

N2 - Background: Stress is a crucial driver that affects hygiene behavior. The Hong Kong population lacks a COVID-19 or pandemic related stress measure investigating the COVID-19 related stress after one year of outbreak.Design and methods: The original COVID Stress Scale (CSS) was translated and culturally adapted into the Chinese (Cantonese) version (CSS-C). Six hundred and twenty-four participants were recruited from the general public to examine the internal consistency, and concurrent and convergent validity of the CSS-C. The test-retest reliability of CSS-C was examined using 39 university students.Results: People with old age, women, single, low educational level and borderline and abnormal levels of anxiety and depression were likely to perceive high level of COVID-19 related stress. All CSS-C subscales demonstrated good internal consistency, moderate to good test-retest reliability, and weak to moderate correlations with various mental health-related measures.Discussion: The CSS could help monitor the stress associated the current and potential future pandemics.

AB - Background: Stress is a crucial driver that affects hygiene behavior. The Hong Kong population lacks a COVID-19 or pandemic related stress measure investigating the COVID-19 related stress after one year of outbreak.Design and methods: The original COVID Stress Scale (CSS) was translated and culturally adapted into the Chinese (Cantonese) version (CSS-C). Six hundred and twenty-four participants were recruited from the general public to examine the internal consistency, and concurrent and convergent validity of the CSS-C. The test-retest reliability of CSS-C was examined using 39 university students.Results: People with old age, women, single, low educational level and borderline and abnormal levels of anxiety and depression were likely to perceive high level of COVID-19 related stress. All CSS-C subscales demonstrated good internal consistency, moderate to good test-retest reliability, and weak to moderate correlations with various mental health-related measures.Discussion: The CSS could help monitor the stress associated the current and potential future pandemics.

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KW - COVID-19

KW - Stress

KW - Validation study

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Adapting the COVID Stress Scale (CSS) to investigate the level of stress among Hong Kong Chinese people 1 year after the COVID-19 pandemic

Abstract

Scopus Subject Areas

User-Defined Keywords

UN SDGs

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