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Introducing the Greek adaptation of acute stress disorder scale’ (ASDS). High reliabil-ity and validity in an epidemiological sample

Published: Apr 13, 2021
Acute stress ASDS psychometrics greek adaptation psychopathology
Georgios Pilafas
Nefeli Paraskevi Strongylaki
Despina Menti
Georgios Lyrakos


Background: Acute stress disorder is a common and profound psychological condition. It concerns the physiological activation of the neuroendocrinological bodily response against any stressors within minutes of exposure to the stimuli, and under some particular criteria until the end of the first month.

Aim: The present study is conducted with the view of providing a new, culturally adapted, self-reported measure of acute stress in the Greek population.

Material & Methods: A variety of methods and analysis were employed and performed accordingly, in order to translate the original English questionnaire and to test the new Greek version for its reliability and validity in a Greek sample (N= 1,158).

Results: The most important findings conclude a high validity of the Greek version (α= .925) and a strong correlation with resilience and psychosomatic symptoms.

Conclusion: It is highly recommended for future studies concerning the Greek population to adapt and test-retest the questionnaire, as well as for practitioners to use the Greek version of ASDS in clinical and private practice.

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Bryant RA. Acute stress disorder. Psychiatry 2006;5(7):238–9.
Nielsen SB, Stanislaus S, Saunamäki K, Grøndahl C, Banner J, Jørgensen MB. Can acute stress be fatal? A systematic cross-disciplinary review. Stress 2019;22(3):286–94.
Szabo YZ, Slavish DC, Graham-Engeland JE. The effect of acute stress on salivary markers of inflammation: A system-atic review and meta-analysis. Brain, Behavior, and Immunity 2020;88:887–900.
van Oort J, Tendolkar I, Hermans EJ, Mulders PC, Beckmann CF, Schene AH, et al. How the brain connects in response to acute stress: A review at the human brain systems level. Neuroscience & Biobehavioral Reviews 2017;83:281–97.
Chen X, Gianferante D, Hanlin L, Fiksdal A, Breines JG, Thoma MV, et al. HPA-axis and inflammatory reactivity to acute stress is related with basal HPA-axis activity. Psycho-neuroendocrinology 2017;78:168–76.
Fiksdal A, Hanlin L, Kuras Y, Gianferante D, Chen X, Thoma MV, et al. Associations between symptoms of depression and anxiety and cortisol responses to and recovery from acute stress. Psychoneuroendocrinology 2019;102:44–52.
Garfin DR, Thompson RR, Holman EA. Acute stress and subsequent health outcomes: A systematic review. Journal of Psychosomatic Research 2018;112:107–13.
Kinlein SA, Phillips DJ, Keller CR, Karatsoreos IN. Role of corticosterone in altered neurobehavioral responses to acute stress in a model of compromised hypothalamic-pituitary-adrenal axis function. Psychoneuroendocrinology 2019;102:248–55.
Wadsworth ME, Broderick AV, Loughlin‐Presnal JE, Ben-dezu JJ, Joos CM, Ahlkvist JA, et al. Co-activation of SAM and HPA responses to acute stress: A review of the litera-ture and test of differential associations with preadoles-cents’ internalizing and externalizing. Developmental Psy-chobiology 2019;61(7):1079–93.
American Psychiatric Association. Diagnostic and Statisti-cal Manual of Mental Disorders (DSM-5®). American Psy-chiatric Pub; 2013. 1520 p.
World Health Organization. F43.0 Acute stress reaction [Internet]. ICD-10 Version:2019. 2019 [cited 2020 May 18]. Available from:
Bryant RA, Moulds ML, Guthrie RM. Acute Stress Disorder Scale: a self-report measure of acute stress disorder. Psy-chol Assess 2000;12(1):61–8.
Goodman LA. Snowball Sampling. Ann Math Statist 1961;32(1):148–70.
Likert R. A technique for the measurement of attitudes. Archives of Psychology 1932;22 140:55–55.
IBM Corp. IBM SPSS Statistics for Windows. Armonk, NY: IBM Corp.; 2020.
Faul F, Erdfelder E, Buchner A, Lang A-G. Statistical power analyses using G*Power 3.1: Tests for correlation and re-gression analyses. Behavior Research Methods 2009;41(4):1149–60.
Kuliś D, Whittaker C, Greimel E, Bottomley A, Koller M, Group on behalf of the EQ of L. Reviewing back translation reports of questionnaires: the EORTC conceptual frame-work and experience. Expert Review of Pharmacoeconom-ics & Outcomes Research 2017;17(6):523–30.
Gesser-Edelsburg A, Shahbari NAE, Cohen R, Halavi AM, Hijazi R, Paz-Yaakobovitch G, et al. Differences in Percep-tions of Health Information Between the Public and Health Care Professionals: Nonprobability Sampling Questionnaire Survey. Journal of Medical Internet Research 2019;21(7):e14105.
Field A. Discovering Statistics Using IBM SPSS Statistics. SAGE; 2013. 954 p.
Cai W, Pan Y, Zhang S, Wei C, Dong W, Deng G. Relation-ship between cognitive emotion regulation, social support, resilience and acute stress responses in Chinese soldiers: Exploring multiple mediation model. Psychiatry Research 2017;256:71–8.
Chen Y-L, Lu M-H, Weng L-T, Lin C, Huang P-W, Wang C-H, et al. A Correlational Study of Acute Stress and Resili-ence Among Hospitalized Burn Victims Following the Tai-wan Formosa Fun Coast Explosion. Clin Nurs Res 2018;1054773818793599.
Zimmer C, Taff CC, Ardia DR, Ryan TA, Winkler DW, Vi-tousek MN. On again, off again: Acute stress response and negative feedback together predict resilience to experi-mental challenges. Functional Ecology 2019;33(4):619–28.
Nisar H, Srivastava R. Fundamental Concept of Psychoso-matic Disorders: A Review. Psychosomatic Disorders 2018;3(1):7.
Schneiderman N, Mccabe P, Baum AS, Baum AS. Stress and Disease Processes: Perspectives in Behavioral Medicine. Psychology Press; 2018. 363 p.
Thoma MV, Gianferante D, Hanlin L, Fiksdal A, Chen X, Rohleder N. Stronger hypothalamus-pituitary-adrenal axis habituation predicts lesser sensitization of inflammatory re-sponse to repeated acute stress exposures in healthy young adults. Brain, Behavior, and Immunity 2017;61:228–35.
NHS England & Wales. Nicholson McBride Resilience Questionnaire (NMRQ) [Internet]. Resilience Questionnaire. 2020. Available from:
Helfricht S, Landolt MA, Moergeli H, Hepp U, Wegener D, Schnyder U. Psychometric evaluation and validation of the German version of the Acute Stress Disorder Scale across two distinct trauma populations. Journal of Traumatic Stress 2009;22(5):476–80.
Goodman LA. Snowball Sampling. Ann Math Statist 1961;32(1):148–70.
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