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Table 2 Exploratory factor analysis item coefficients

From: Psychometric properties of a new self-report measure of medical student stress using classic and modern test theory approaches

Item ID Item (each begins with
“Since starting medical school”)
Social challenges High activation Low activation Items removed
msss1 I notice fluctuations in appetite. 0.08 0.03 0.46  
msss2 I have difficulty asking for help. 0.45 0.21 0.2  
msss3 I have trouble falling/staying asleep. −0.02 0.24 0.38 x
msss4 I receive less satisfaction from learning. 0.11 −0.04 0.65  
msss5 I am unable to relax. −0.05 0.69 0.23  
msss6 I feel anxious. −0.08 0.69 0.27  
msss7 I am unable to enjoy activities outside of classes/rotations. 0.01 0.49 0.29  
msss8 I feel pressure extracurricular activities (student groups, research, etc.). 0.2 0.37 −0.11 x
msss9 I notice that I drink alcohol in excess. 0.02 −0.08 0.33 x
msss10 I use drugs in excess (prescription and/or non-prescription). −0.01 − 0.04 0.47 x
msss11 I feel hopeless that I will ever get my degree. 0.08 0.25 0.59  
msss12 I feel depressed. 0 0.32 0.61  
msss13 I am stressed about finances. 0.17 0.07 0.28 x
msss14 I have a hard time motivating myself to study. 0.18 −0.06 0.62  
msss15 I feel emotionally exhausted. 0.11 0.46 0.38  
msss16 I feel bothered by the amount of exposure to death and human suffering. 0.3 0.06 0.17 x
msss17 I am fearful of failing. 0.13 0.52 0.28  
msss18 I exercise less. 0.18 0.18 0.15 x
msss19 I feel unsupported by my peers. 0.54 0.18 0.09  
msss20 I feel competition from my peers. 0.54 0.29 −0.19  
msss21 I feel unsupported by faculty. 0.8 −0.09 0.16  
msss22 I feel taken advantage of by faculty (i.e. research mentors, professors, and/or school administrators). 0.68 −0.1 0.02  
msss23 It is challenging to maintain relationships with others outside of school. 0.08 0.34 0.19 x
msss24 I feel pressure from others (parents, professors, mentors, etc) to get good grades. 0.39 0.23 0.06  
msss25 I feel unmotivated to attend class. 0.18 −0.06 0.41 x
msss26 I feel pressure from myself to get good grades. 0.1 0.71 −0.38 x
msss27 I am overly self-critical. −0.01 0.85 −0.03  
msss28 I feel need to be perfect. 0.2 0.77 −0.29 x
msss29 I am unsure of abilities as student. 0.07 0.49 0.36  
msss30 I hardly have enough time to get things done. −0.04 0.41 0.32  
msss31 I feel overwhelmed by everything there is to do. 0.01 0.53 0.43  
msss32 I struggle maintaining a healthy school-life balance. 0.15 0.59 0.16  
msss33 It is challenging to start or maintain romantic relationships. 0.12 0.31 0.19 x
msss34 I think about dropping out of school. 0.09 0 0.79  
msss35 I question my decision to enter medical school. 0.15 −0.05 0.76 x
  1. Coefficients in bold characterize respective factors; correlations between factors High Activation and Social Challenges = .42; correlation between factors Low Activation and Social Challenges = .36; Correlation between factors Low Activation and High Activation = .31. Due to conceptual and psychometric misfit (e.g., model explained less variance/greater error in ratings) we removed items found in the “Items Removed” column. As before, each item stem has the same contextual qualifier – “Since starting medical school”