64. Assessment of the reliability and validity of the Vietnamese version of the perception of academic stress scale among students of Hanoi Medical University in 2024

Nguyen Tien Dung, Thai Van Huy, Nguyen Thi Thu Ha

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Abstract

In the context where academic stress is a widespread issue affecting both mental health and learning outcomes among university students, the Perception of Academic Stress Scale (PAS) was developed to measure this phenomenon specifically. This study aimed to evaluate the validity and reliability of the Vietnamese version of the Perception of Academic Stress Scale (PAS V). A cross-sectional design was conducted among 416 fourth-year medical students at Hanoi Medical University. Exploratory factor analysis (EFA) revealed three new factor clusters comprising 14 items, which together accounted for 56.43% of the total variance. The resulting scale demonstrated good internal consistency (Cronbach’s alpha = 0.844). Besides, confirmatory factor analysis (CFA) indicated that the three-factor, 13-item model achieved an acceptable fit to the empirical data. Thus, the Vietnamese version of the Perception of Academic Stress Scale (PAS V) constitutes a valid and reliable instrument for assessing sources of academic stress.

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References

1. Ozsaban A, Turan N, Kaya H. Resilience in Nursing Students: The Effect of Academic Stress and Social Support. Clin Exp Health Sci. 2019; 9(1): 69-76. doi:10.33808/marusbed.546903.
2. Karagandy University of the name of academician E.A. Buketov, Kazakhstan, Sabirova R, Umurkulova M, Karagandy University of the name of academician E.A. Buketov, Kazakhstan, Kuo BCH, University of Windsor, Ontario, Canada. Academic stress at different yearsof study. Bull Karaganda Univ Pedagogy Ser. 2020; 100(4): 71-78. doi:10.31489/2020Ped4/71-78.
3. Deng Y, Cherian J, Khan NUN, et al. Family and Academic Stress and Their Impact on Students’ Depression Level and Academic Performance. Front Psychiatry. 2022; 13. doi:10.3389/fpsyt.2022.869337.
4. Examining perceptions of academic stress and its sources among university students: The Perception of Academic Stress Scale - Dalia Bedewy, Adel Gabriel, 2015. Accessed June 26, 2025. https://journals.sagepub.com/doi/full/10.1177/2055102915596714.
5. França FDP, Dias TL. Validity and reliability of the perceptions of academic stress scale. Psicol Teor E Prática. 2021; 23(1): 01-21. doi:10.5935/1980-6906/ePTPPA13041.
6. Dewi D, Jannah M, Darmawanti I. Confirmatory factor analysis of the Perception of Academic Stress Scale (PAS). Int Conf Assess Learn ICAL. Published online October 1, 2022. doi:https://doi.org/10.37517/978-1-74286-697-0-06.
7. Murdhiono WR, Vidayanti V. Examining Academic Stress and Its Source Among Nursing Professional Students (Ners) Using the Modified Perception of Academic Stress Scale (PAS). Indones Nurs J Educ Clin INJEC. 2022; 7(1): 2-15. doi:10.24990/injec.v7i1.441.
8. Ahuja M, Dwivedi A, Gaur A, Sharma RK. Sources of perceived academic stress (PAS) of online examination in graduate and postgraduate Indian students post COVID-19 pandemic. Int J Health Sci. Published online August 22, 2022. doi:10.53730/ijhs.v6ns4.11991.
9. Tran TD, Tran T, Fisher J. Validation of the depression anxiety stress scales (DASS) 21 as a screening instrument for depression and anxiety in a rural community-based cohort of northern Vietnamese women. BMC Psychiatry. 2013; 13(1): 24. doi:10.1186/1471-244X-13-24.
10. Dao-Tran TH, Anderson D, Seib C. The Vietnamese version of the Perceived Stress Scale (PSS-10): Translation equivalence and psychometric properties among older women. BMC Psychiatry. 2017; 17(1): 53. doi:10.1186/s12888-017-1221-6.
11. Truc TT, Loan KX, Nguyen ND, Dixon J, Sun J, Dunne MP. Validation of the Educational Stress Scale for Adolescents (ESSA) in Vietnam. Asia Pac J Public Health. 2015; 27(2): NP2112-NP2121. doi:10.1177/1010539512440818.
12. Hair, Joseph F., Black, William C, Babin, Barry J., Anderson, Rolph E.. Multivariate Data Analysis. 7th ed. New Jersey: Pearson Education, 2010.
13. A Competency Model for Clinical Physicians in China: A Cross-Sectional Survey. PLOS One. Accessed June 26, 2025. https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0166252.
14. Lai K, Green SB. The Problem with Having Two Watches: Assessment of Fit When RMSEA and CFI Disagree. Multivar Behav Res. 2016; 51(2-3): 220-239. doi:10.1080/00273171.2015.1134306.
15. Validation of IFMSA social accountability assessment tool: exploratory and confirmatory factor analysis. BMC Medical Education. Accessed June 26, 2025. https://link.springer.com/article/10.1186/s12909-023-04121-7#ref-CR31.
16. Morcos G, Awan OA. Burnout in Medical School: A Medical Student’s Perspective. Acad Radiol. 2023; 30(6): 1223-1225. doi:10.1016/j.acra.2022.11.023.
17. Lyndon MP, Strom JM, Hussain M. Alyami HM, et al. The relationship between academic assessment and psychological distress among medical students: a systematic review. Perspect Med Educ. 2014; 3(6): 405-418. doi:10.1007/S40037-014-0148-6.
18. Groskurth K, Bluemke M, Lechner CM. Why we need to abandon fixed cutoffs for goodness-of-fit indices: An extensive simulation and possible solutions. Behav Res Methods. 2024; 56(4): 3891-3914. doi:10.3758/s13428-023-02193-3.
19. Stone BM. The Ethical Use of Fit Indices in Structural Equation Modeling: Recommendations for Psychologists. Front Psychol. 2021; 12: 783226. doi:10.3389/fpsyg.2021.783226.
20. Fornell C, Larcker DF. Evaluating Structural Equation Models with Unobservable Variables and Measurement Error. Journal of Marketing Research. 1981; 18(1): 39-50. doi:10.1177/002224378101800104.
21. Lam LW. Impact of competitiveness on salespeople’s commitment and performance. Journal of Business Research. 2012; 65(9): 1328-1334. doi:10.1016/j.jbusres.2011.10.026.