While it is good that the CSS measures psychological stress and anxiety so conclusively, it has the potential to be difficult in a healthcare environment because it takes longer to complete. This is due to how chaotic health environments can be.

Syracuse University

A valid and reliable instrument that measures a person's psychological reaction or response due to COVID 19. 

COVID Stress Scales (CSS)

Pakpour, Amir H., et al. “Assessing Psychological Response to the Covid-19: The Fear of Covid-19 Scale and the Covid Stress Scales.” International Journal of Mental Health and Addiction, vol. 19, no. 6, 2020, pp. 2407–2410., https://doi.org/10.1007/s11469-020-00334-9. 

It was first tested on a Canadian sample and then an American sample. Therefore it was able to be replicated and in different populations from other  countries as well. It uses a five-factor structure that was confirmed in both samples.

The Reasons Why the CSS is a Reliable Measure of Psychological Stress Related to COVID 19

Limitations of the CSS Instrument in Healthcare 

Allows physicians to compile a multidimensional and comprehensive report of the patient's anxiety and stress levels. It creates a very all-inclusive report that lead researchers to put it ahead of other measuring tools.

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