Monitoring stress among internal medicine residents

Psychology, Health & Medicine

ISSN: 1354-8506 (Print) 1465-3966 (Online) Journal homepage: http://www.tandfonline.com/loi/cphm20

Monitoring stress among internal medicine residents: an experience-driven, practical and short measure Nils Myszkowski, Barbara Villoing, Franck Zenasni, Philippe Jaury & Emilie Boujut To cite this article: Nils Myszkowski, Barbara Villoing, Franck Zenasni, Philippe Jaury & Emilie Boujut (2016): Monitoring stress among internal medicine residents: an experience-driven, practical and short measure, Psychology, Health & Medicine, DOI: 10.1080/13548506.2016.1220599 To link to this article: http://dx.doi.org/10.1080/13548506.2016.1220599

Published online: 12 Aug 2016.

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Date: 13 August 2016, At: 09:28

Psychology, Health & Medicine, 2016 http://dx.doi.org/10.1080/13548506.2016.1220599

Monitoring stress among internal medicine residents: an experience-driven, practical and short measure Nils Myszkowskia  , Barbara Villoingb, Franck Zenasnic, Philippe Jauryb and Emilie Boujutd a

Department of Psychology, Dyson College of Arts and Sciences, Pace University, New York, NY, USA; bFaculté de Médecine, Département de Médecine Générale, Université Paris Descartes, Sorbonne Paris Cité, Paris, France; cLaboratoire Adaptations Travail-Individu, IUPDP, Université Paris Descartes, Sorbonne Paris Cité, Boulogne-Billancourt, France; dLaboratoire de Psychopathologie et Processus de Santé, IUPDP, Université Paris Descartes, Sorbonne Paris Cité, Boulogne-Billancourt, France

ABSTRACT

Residents experience severely high levels of stress, depression and burnout, leading to perceived medical errors, as well as to symptoms of impairment, such as chronic anger, cognitive impairment, suicidal behavior and substance abuse. Because research has not yet provided a psychometrically robust population-specific tool to measure the level of stress of medicine residents, we aimed at building and validating such a measure. Using an inductive scale development approach, a short, pragmatic measure was built, based on the interviews of 17 medicine residents. The Internal Medicine Residency Stress Scale (IMRSS) was then administered in a sample of 259 internal medicine residents (199 females, 60 males, MAge = 25.6) along with the Hospital Anxiety and Depression Scale, Maslach Burnout Inventory, Satisfaction With Life Scale and Ways of Coping Checklist. The IMRSS showed satisfactory internal reliability (Cronbach’s α = .86), adequate structural validity – studied through Confirmatory Factor Analysis (χ2/df = 2.51, CFI = .94; SRMR = .037, RMSEA = .076) – and good criterion validity – the IMRSS was notably strongly correlated with emotional exhaustion (r = .64; p