Assessment of stress and self-efficacy for the NIH Toolbox for Neurological and Behavioral Function

Mary Jo Kupst*, Zeeshan Butt, Catherine M. Stoney, James W. Griffith, John M. Salsman, Susan Folkman, David Cella

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

60 Scopus citations


Background and Objectives: The NIH Toolbox for Neurological and Behavioral Function assessment battery contains measures in the domains of cognitive function, motor function, sensory function, and emotional health. It was designed for use in epidemiological and clinical trials health-related research. Design: This paper describes the first phase of instrument development for the stress and self-efficacy subdomain of emotional health. Based on an extensive literature review and expert consultation, 127 measures were initially considered for inclusion in this subdomain, including measures of stress, self-efficacy, emotion regulation, and coping. Results: Several measures, including emotion regulation and measures of coping strategies, did not meet criteria that were a priori established for inclusion. Psychometric properties of the remaining candidate measures were evaluated using data from five independent samples (combined N = 3175). Confirmatory and exploratory factor analyses indicated the Perceived Stress Scale and the General Self-Efficacy Scale each assessed single dimensions. Conclusions: Based on their psychometric performance, these two instruments were selected for inclusion and subsequent national norming for the NIH Toolbox.

Original languageEnglish (US)
Pages (from-to)531-544
Number of pages14
JournalAnxiety, Stress and Coping
Issue number5
StatePublished - Sep 3 2015


  • NIH Toolbox
  • perceived stress
  • psychometrics
  • self-efficacy

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology
  • Developmental and Educational Psychology
  • Arts and Humanities (miscellaneous)


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