Developing Stress Assessment forms for Thai Cancer Patients: The Thai Version of the Modified Symptoms of Stress Inventory (Modified SOSI)

Author(s): Tipsuda Sumneangsanor, Manyat Ruchiwit*, Linda Weglicki

Journal Name: Current Psychiatry Research and Reviews
Formerly: Current Psychiatry Reviews

Volume 15 , Issue 2 , 2019

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Abstract:

Background: Cancer is a progressive illness that often has a prolonged treatment time and that severely impacts a person’s quality of life. In Thailand, approximately 113,000 new cancer patients are diagnosed each year. Furthermore, cancer patients also have a high mortality rate of 90%, indicating that cancer is a major health problem both in Thailand and around the world. Physical manifestations of cancer include pain in the organs where cancer has already spread and side effects of treatment, such as chemotherapy and radiation, which adversely impact the mental state of cancer patients. Increased stress often results in other subsequent health conditions. Thus, identifying stress quickly and promptly in cancer patients through proper stress management is important.

Objective: To develop and monitor accurate stress evaluation according to the self-perceptions (Thai version of the Modified Symptoms of Stress Inventory, Modified SOSI) of cancer patients in Thailand.

Research Methodology: This study consists of three steps according to the research guidelines of Wongwiwatthananukit, Newton, and Popovich (2002): (1) the process of creating and developing tools; (2) the process of reviewing questions concerning the tools by experts; and (3) testing procedures for the use of the tools.

Results: Content consistency using Cronbach’s alpha coefficient from 30 samples were determined to be .906. Investigation of the construct validity of the SOSI found that the relationships indicated in stress consisted of physical, mental, and behavioral. Significant relationships between these three aspects were determined by the Kaiser-Meyer-Olkin (KMO) measure of sampling as adequacy = 0.80, and Bartlett’s test of sphericity gave statistical significance at 0.05. The most important indicator was the physical, followed by the mental, while the behavioral had the least weight importance.

Conclusion: The results of this study confirm that the Thai version of the Modified Symptoms of Stress Inventory (Modified SOSI), comprising 30 questions, was able to evaluate stress, including physical, mental and behavioral responses to stress. This inventory was considered concise and appropriate for cancer patients and can be used with other populations.

Keywords: Modified SOSI, cancer patients, Kaiser-Meyer-Olkin, Bartlett's test, Cronbach's alpha coefficient, Thailand.

[1]
World Health Orgainziation. What is Cancer? Available at:http://www.who.int/cancer/en/
[2]
Kelly K, Mutetwa B, Novoson L. Promotion of hospice and homecare programs in Thailand: a framework for the assessment of costs and benefits Doctoral dissertation, Worcester Polytechnic Institute, Worcester, USA, 2006.
[3]
Torre LA, Siegel RL, Ward EM, Jemal A. Global cancer incidence and mortality rates and trends- an update. Cancer Epidemiol Biomarkers Prev 2016; 25(1): 16-27.
[4]
Wilailak S, Lertchaipattanakul N. The epidemiologic status of gynecologic cancer in Thailand. J Gynecol Oncol 2016; 27(6)e65
[5]
Doorenbos AZ, Juntasopeepun P, Eaton LH, Rue T, Hong E, Coenen A. Palliative care nursing interventions in Thailand. J Transcult Nurs 2013; 24(4): 332-9.
[6]
Greenberg BR, Grossman EF, Bolwell G, et al. Biofeedback assisted stress management in patients with lung cancer: a feasibility study. Appl Psychophysiol Biofeedback 2015; 40(3): 201-8.
[7]
The state of cancer care in America: A report by the American Society of Clinical Oncology. J Oncol Pract 2017; 13(4): e353-94.
[8]
Konduru L. Biomarkers of chronic stress. Doctoral dissertation, University of Pittsburgh, Pittsburgh, USA, 2012
[9]
American Psychological Association. Stress in AmericaTM: the impact of discrimination. Available at: http://www.apa.org/news/ press/releases/stress/2015/impact-of-discrimination.pdf
[10]
Opasrattanakorn S, Detprapon M, Sumdaengrit B. Stress and coping of nasopharyngeal carcinoma patients receiving concurrent treatment. Ramathibodi Nurs J 2015; 21(2): 158-71.
[11]
Kaewrat P, Chaiaroon W, Wisestrith W. Life experiences of ongoing chemotherapy for colorectal cancer patients. EAU Heritage J: Sci Technol 2017; 11(1): 224-34.
[12]
Mercanoglu G, Macit C, Mercanoglu F. Stress as a risk factor for cardiovascular events. Cardiol Pharmacol 2015; 4: 140.
[13]
Ergonomic assessment. Stress Assessment. [Accessed on November 26, 2017]. Available at: http://thai-ergonomicassessment. blogspot.com/2014/06/blog-post_4.html
[14]
Leckie MS, Thompson E. Symptoms of stress inventory Seattle. University of Washington 1979.
[15]
Muecke MA. Worries and worriers in Thailand. Health Care Women Int 1994; 15(6): 503-19.
[16]
Dubar M, Dewey L. Stress pain and relaxation [Accessed on November 3, 2017]. Available at: http://painconcern.org.uk/wp-content/uploads/2015/07/Relaxation.pdf
[17]
Juangpanich U, Onbunreang J, Khansorn T, Vatanasapt P. Effect of music therapy on anxiety and pain in cancer patients. J Nurs Health Care 2012; 30(1): 46-52.
[18]
Selye H. Stress in health and disease. Oxford: Butterworth-Heinemann 2013.
[19]
Wongwiwatthananukit S, Newton GD, Popovich NG. Development and validation of an instrument to assess the self-confidence of students enrolled in the advanced pharmacy practice experience situations. Am J Pharm Educ 2002; 66: 5-19.
[20]
Ongiem A, Vichitvejpaisa P. Validation of the tests. Thai J Anesthesiol 2018; 44(1): 36-42.
[21]
Connelly LM. Pilot studies. Medsurg Nurs 2008; 17(6): 411-2.
[22]
Tan X, Michel R. Why do standardized testing programs report scaled scores ETS R & D connections Master thesis, Chiang Mai University, Chiang Mai, Thailand 2011
[23]
Taawapan P. Effect of the cardiac rehabilitation program on functional capacity and stress among myocardial infarction patients Master thesis, Chiang Mai University, Chiang Mai, Thailand 2001.
[24]
Kaewtha V. Effects of relaxation training with biofeedback on stress and blood pressure among persons with hypertension Master thesis, Chiang Mai University, Chiang Mai, Thailand, 2003.
[25]
Ruchiwi M. Effects of biofeedback training and relaxation technique programs on health status and levels of stress in heart disease patients. Walailak J Sci Technol 2012; 20(5): 414-27.
[26]
Thongkhum K. The effect of medication training together with a biofeedback training program on the stress levels of chronic disease patients Master thesis, Thammasat University, Bangkok, Thailand, 2015.


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Article Details

VOLUME: 15
ISSUE: 2
Year: 2019
Page: [143 - 147]
Pages: 5
DOI: 10.2174/1573400515666190527082051

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