J Korean Med Sci.  2021 Jun;36(25):e168. 10.3346/jkms.2021.36.e168.

Factorial Validity of the Arabic Version of the Stress and Anxiety to Viral Epidemics-6 Items (SAVE-6) Scale among the General Population in Lebanon

Affiliations
  • 1Department of Psychiatry, GangNeung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea
  • 2Department of Convergence Medicine, University of Ulsan College of Medicine, Seoul, Korea
  • 3Faculty of Medical Sciences, Lebanese University, Fanar, Lebanon
  • 4Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
  • 5Department of Psychology, Sungshin Women's University, Seoul, Korea

Abstract

This study explored the psychometric properties of the Arabic version of the Stress and Anxiety to Viral Epidemics-6 items (SAVE-6) scale for assessing people's anxiety in response to the viral epidemic in Lebanon. The 406 participants responded voluntarily to the online survey that included the SAVE-6, Generalized Anxiety Disorder-7 (GAD-7), and Patient Health Questionnaire-9 (PHQ-9) tools. The single-structure SAVE-6 model showed good internal consistency (Cronbach's α = 0.773). The SAVE-6 scale also showed good convergent validity with the GAD-7 (Spearman's ρ = 0.42, P < 0.001) and PHQ-9 (ρ = 0.38, P < 0.001). Receiver operating characteristic (ROC) analysis revealed an Arabic SAVE-6 cut-off score of 12 points (area under the curve [AUC] = 0.753; sensitivity = 62.74%; specificity = 78.26%) for an at least mild degree of anxiety (GAD-7 score ≥ 5). The Arabic version of the SAVE-6 was a reliable, valid, and solely usable scale for measuring the anxiety response of the general population to the viral epidemic.

Keyword

COVID-19; SAVE-6; Anxiety; Arabic

Reference

1. U.S. Embassy in Lebanon. COVID-19 information. Updated 2021. Accessed March 28, 2021. https://lb.usembassy.gov/covid-19-information/.
2. Chung S, Ahn MH, Lee S, Kang S, Suh S, Shin YW. The stress and anxiety to viral epidemics-6 items (SAVE-6) scale: a new instrument for assessing the anxiety response of general population to the viral epidemic during the COVID-19 pandemic. Front Psychol. 2021; 12:669606. PMID: 34149565.
Article
3. Chung S, Kim HJ, Ahn MH, Yeo S, Lee J, Kim K, et al. Development of the Stress and Anxiety to Viral Epidemics-9 (SAVE-9) scale for assessing work-related stress and anxiety in healthcare workers in response to COVID-19. PsyArXiv. Forthcoming. 2020; DOI: 10.31234/osf.io/a52b4.
Article
4. Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine. The SAVE-9 scale. Updated 2021. Accessed March 17, 2021. www.save-viralepidemic.net.
5. Ahn JK, Kim Y, Choi KH. The psychometric properties and clinical utility of the Korean version of GAD-7 and GAD-2. Front Psychiatry. 2019; 10:127. PMID: 30936840.
Article
6. Park SJ, Choi HR, Choi JH, Kim KW, Hong JP. Reliability and validity of the Korean version of the Patient Health Questionnaire-9 (PHQ-9). Anxiety Mood. 2010; 6(2):119–124.
7. Gravetter F, Wallnau L. Essentials of Statistics for the Behavioral Sciences. 8th ed. Belmont, CA, USA: Wadsworth;2014.
8. Glorfeld LW. An improvement on Horn's parallel analysis methodology for selecting the correct number of factors to retain. Educ Psychol Meas. 1995; 55(3):377–393.
Article
9. Horn JL. A rationale and test for the number of factors in factor analysis. Psychometrika. 1965; 30(2):179–185. PMID: 14306381.
Article
10. Timmerman ME, Lorenzo-Seva U. Dimensionality assessment of ordered polytomous items with parallel analysis. Psychol Methods. 2011; 16(2):209–220. PMID: 21500916.
Article
11. Lorenzo-Seva U, Ferrando PJ. FACTOR: a computer program to fit the exploratory factor analysis model. Behav Res Methods. 2006; 38(1):88–91. PMID: 16817517.
Article
12. Awang Z. Structural Equation Modeling Using AMOS Graphic. Shah Alam, Malaysia: Penerbit Universiti Teknologi Mara;2012.
13. Lam LW. Impact of competitiveness on salespeople's commitment and performance. J Bus Res. 2012; 65(9):1328–1334.
Article
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