Perceived Stress Scale: Reliability and validity study in Greece

Eleni Andreou, Evangelos C. Alexopoulos, Christos Lionis, Liza Varvogli, Charalambos Gnardellis, George P. Chrousos, Christina Darviri

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203 Citations (Scopus)


Objective: To translate the Perceived Stress Scale (versions PSS-4, -10 and -14) and to assess its psychometric properties in a sample of general Greek population. Methods: 941 individuals completed anonymously questionnaires comprising of PSS, the Depression Anxiety and Stress scale (DASS-21 version), and a list of stress-related symptoms. Psychometric properties of PSS were investigated by confirmatory factor analysis (construct validity), Cronbach's alpha (reliability), and by investigating relations with the DASS-21 scores and the number of symptoms, across individuals' characteristics. The two-factor structure of PSS-10 and PSS-14 was confirmed in our analysis. We found satisfactory Cronbach's alpha values (0.82 for the full scale) for PSS-14 and PSS-10 and marginal satisfactory values for PSS-4 (0.69). PSS score exhibited high correlation coefficients with DASS-21 subscales scores, meaning stress (r = 0.64), depression (r = 0.61), and anxiety (r = 0.54). Women reported significantly more stress compared to men and divorced or widows compared to married or singled only. A strong significant (p < 0.001) positive correlation between the stress score and the number of self-reported symptoms was also noted. Conclusions: The Greek versions of the PSS-14 and PSS-10 exhibited satisfactory psychometric properties and their use for research and health care practice is warranted.

Original languageEnglish
Pages (from-to)3287-3298
Number of pages12
JournalInternational Journal of Environmental Research and Public Health
Issue number8
Publication statusPublished - 11 Aug 2011


  • Greece
  • Perceived Stress Scale
  • Psychometric properties
  • Translation
  • Validation

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    Andreou, E., Alexopoulos, E. C., Lionis, C., Varvogli, L., Gnardellis, C., Chrousos, G. P., & Darviri, C. (2011). Perceived Stress Scale: Reliability and validity study in Greece. International Journal of Environmental Research and Public Health, 8(8), 3287-3298.