Psychiatry Investig.  2023 Nov;20(11):1095-1102. 10.30773/pi.2023.0260.

Assessing Stress and Anxiety in Firefighters During the Coronavirus Disease-2019 Pandemic: A Comparative Adaptation of the Stress and Anxiety in the Viral Epidemic–9 Items and Stress and Anxiety in the Viral Epidemics–6 Items Scales

Affiliations
  • 1Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea
  • 2Department of Psychiatry, Veteran Health Service Medical Center, Seoul, Republic of Korea
  • 3Department of Psychology, University of Chittagong, Chattogram, Bangladesh
  • 4National Centre for Epidemiology and Population Health, Australian National University, Canberra, Australia
  • 5Department of Psychiatry, SMG-SNU (Seoul National University) Boramae Medical Center, Seoul, Republic of Korea
  • 6Department of Psychiatry, Seoul National University Bundang Hospital, Seongnam, Republic of Korea

Abstract


Objective
This study assessed the reliability and validity of the Stress and Anxiety to Viral Epidemics–9 items (SAVE-9) and Stress and Anxiety to Viral Epidemics–6 items (SAVE-6) scales for measuring viral anxiety among firefighters during the coronavirus disease-2019 pandemic.
Methods
An online survey was conducted among 304 firefighters assigned in Gyeonggi-do. The SAVE-9 scale, initially developed for healthcare workers, was adapted for firefighters. We compared it with the SAVE-6 scale designed for the general population among the firefighters sample. The confirmatory factor analysis (CFA) was conducted to explore the factor structure of both scales. Internal consistency reliability was checked using Cronbach’s alpha and McDonald’s omega. Convergent validity was assessed in accordance with the Patient Health Questionnaire–9 and Generalized Anxiety Disorder–7 scales.
Results
The SAVE-9 scale demonstrated a Cronbach alpha of 0.880, while the SAVE-6 scale yielded an alpha of 0.874. CFA indicated good model fits for both SAVE-9 and SAVE-6 scales among firefighters sample. The SAVE-9 and SAVE-6 comparably measures viral anxiety of firefighters.
Conclusion
Both of the SAVE-9 and SAVE-6 scales are reliable and valid instruments for assessing viral anxiety among firefighters during the pandemic.

Keyword

Firefighter; Coronavirus disease-2019; Stress and Anxiety to Viral Epidemics?9 items; Anxiety; Stress
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