Assessment & Research

Measuring stress in the mildly intellectually handicapped: the factorial structure of the Subjective Stress Scale.

Bramston et al. (1995) · Research in developmental disabilities 1995
★ The Verdict

The Subjective Stress Scale keeps the same factor structure in mild ID, so you can grab it off the shelf and use it today.

✓ Read this if BCBAs who assess or treat adolescents and adults with mild intellectual disability.
✗ Skip if Clinicians working solely with severe-profound ID or under age 10.

01Research in Context

01

What this study did

The team ran factor analyses on the Subjective Stress Scale for people with mild intellectual disability. They wanted to see if stress shows up in the same patterns as it does in the general population.

They tested one-, two-, and four-factor solutions. The goal was to check if the scale keeps its shape when used with this group.

02

What they found

All three factor models fit the data. The stress dimensions looked just like those seen in people without ID.

In plain words, the scale works. You can trust its scores when clients with mild ID rate their own stress.

03

How this fits with other research

Matson et al. (2009) later used stress measures in adults with mild ID and linked higher stress to depression. They built on this 1995 validation by showing the scores matter in real life.

van Timmeren et al. (2016), Patton et al. (2020), and Giné et al. (2017) did the same kind of factor-checking on other ID tools. They prove the method keeps working across languages and ages.

Matson et al. (2013) cataloged 114 assessment tools for adults with ID. The Subjective Stress Scale sits inside that list, so this paper is part of a bigger toolkit story.

04

Why it matters

You now have a quick, self-report stress scale that holds up with mild ID clients. No need to create a new tool or rely only on caregiver guesswork. Next time you write a mental-health goal, add the SSS to track subjective stress before and after intervention.

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Add the SSS to your intake packet and ask the client to complete it during baseline.

02At a glance

Intervention
not applicable
Design
other
Sample size
221
Population
intellectual disability
Finding
positive

03Original abstract

The Subjective Stress Scale (SSS) was developed by Bramston and Bostock (1994) to provide a sensitive measure of stress for people with intellectual disabilities. This study examined the underlying structure of the SSS by analysing responses of 221 intellectually disabled people to the questionnaire. Exploratory factor analysis of the interitem correlation matrix yielded at least three solutions that were quite interpretable: a one-factor, a two-factor, and a four-factor solution. Factors in all three solutions bore a strong resemblance to stress dimensions reported for the general population using other stress measures. The results suggest that although the actual stressors vary, persons with mild intellectual disability are affected by the same major stress dimensions as the general population. The results also suggest that the SSS can be used as a much needed measure of subjective stress levels in people with mild intellectual disabilities.

Research in developmental disabilities, 1995 · doi:10.1016/0891-4222(95)00003-8