scholarly journals The Depression Anxiety Stress Scale 21: Development and Validation of the Depression Anxiety Stress Scale 8-item in Psychiatric Patients and the General Public for Easier Mental Health Measurement in a Post-COVID-19 World

Author(s):  
Amira Ali ◽  
Abdulmajeed A. Alkhamees ◽  
Hiroaki Hori ◽  
Yoshiharu Kim ◽  
Hiroshi Kunugi

Despite extensive investigations of the Depression Anxiety Stress Scales-21 (DASS-21) since its development in 1995, its factor structure and other psychometric properties still need to be firmly established, with several calls for revising its item structure. Employing confirmatory factor analysis (CFA), this study examined the factor structure of the DASS-21 and five shortened versions of the DASS-21 among psychiatric patients (N = 168) and the general public (N = 992) during the COVID-19 confinement period in Saudi Arabia. Multigroup CFA, Mann Whitney W test, Spearman’s correlation, and coefficient alpha were used to examine the shortened versions of the DASS-21 (DASS-13, DASS-12, DASS-9 (two versions), and DASS-8) for invariance across age and gender groups, discriminant validity, predictive validity, item coverage, and internal consistency, respectively. Compared with the DASS-21, all three-factor structures of the shortened versions expressed good fit, with the DASS-8 demonstrating the best fit and highest item loadings on the corresponding factors in both samples (χ2(16, 15) = 16.5, 67.0; p = 0.420, 0.000; CFI= 1.000, 0.998; TLI = 0.999, 0.997; RMSEA = 0.013, 0.059, SRMR = 0.0186, 0.0203). It expressed configural, metric, and scalar invariance across age and gender groups. Its internal consistency was comparable to other versions (α = 0.94). Strong positive correlations of the DASS-8 and its subscales with the DASS-21 and its subscales (r = 0.97 to 0.81) suggest adequate item coverage and good predictive validity of this version. The DASS-8 and its subscales distinguished the clinical sample from the general public at the same level of significance expressed by the DASS-21 and other shortened versions, supporting its discriminant validity. Neither the DASS-21 nor the shortened versions distinguished patients diagnosed with depression and anxiety from other conditions. The DASS-8 represents a valid short version of the DASS-21, which may be useful in research and clinical practice for quick identification of individuals with potential psychopathologies. Diagnosing depression/anxiety disorders may be further confirmed in a next step by clinician-facilitated examinations. Brevity of the DASS-21 would save time and effort used for filling the questionnaire and support comprehensive assessments by allowing the inclusion of more measures on test batteries.

Author(s):  
Amira Mohammed Ali ◽  
Abdulmajeed A. Alkhamees ◽  
Hiroaki Hori ◽  
Yoshiharu Kim ◽  
Hiroshi Kunugi

Despite extensive investigations of the Depression Anxiety Stress Scales-21 (DASS-21) since its development in 1995, its factor structure and other psychometric properties still need to be firmly established, with several calls for revising its item structure. Employing confirmatory factor analysis (CFA), this study examined the factor structure of the DASS-21 and five shortened versions of the DASS-21 among psychiatric patients (N = 168) and the general public (N = 992) during the COVID-19 confinement period in Saudi Arabia. Multigroup CFA, Mann Whitney W test, Spearman’s correlation, and coefficient alpha were used to examine the shortened versions of the DASS-21 (DASS-13, DASS-12, DASS-9 (two versions), and DASS-8) for invariance across age and gender groups, discriminant validity, predictive validity, item coverage, and internal consistency, respectively. Compared with the DASS-21, all three-factor structures of the shortened versions expressed good fit, with the DASS-8 demonstrating the best fit and highest item loadings on the corresponding factors in both samples (χ2(16, 15) = 16.5, 67.0; p = 0.420, 0.001; CFI = 1.000, 0.998; TLI = 0.999, 0.997; RMSEA = 0.013, 0.059, SRMR = 0.0186, 0.0203). The DASS-8 expressed configural, metric, and scalar invariance across age and gender groups. Its internal consistency was comparable to other versions (α = 0.94). Strong positive correlations of the DASS-8 and its subscales with the DASS-21 and its subscales (r = 0.97 to 0.81) suggest adequate item coverage and good predictive validity of this version. The DASS-8 and its subscales distinguished the clinical sample from the general public at the same level of significance expressed by the DASS-21 and other shortened versions, supporting its discriminant validity. Neither the DASS-21 nor the shortened versions distinguished patients diagnosed with depression and anxiety from each other or from other psychiatric conditions. The DASS-8 represents a valid short version of the DASS-21, which may be useful in research and clinical practice for quick identification of individuals with potential psychopathologies. Diagnosing depression/anxiety disorders may be further confirmed in a next step by clinician-facilitated examinations. Brevity of the DASS-21 would save time and effort used for filling the questionnaire and support comprehensive assessments by allowing the inclusion of more measures on test batteries.


2019 ◽  
Vol 25 (2) ◽  
pp. 520-532
Author(s):  
Pedro Alexandre Costa ◽  
Fiona Tasker ◽  
Catarina Ramos ◽  
Isabel Leal

This study examined the psychometric properties of the parent’s versions of the Strengths and Difficulties Questionnaire (SDQ) and the Positive and Negative Affect Schedule–Extended Form (PANAS-X) in a community sample of Portuguese parents. A total of 1100 SDQ and PANAS-X were collected from an online sample of 761 parents, whose ages ranged from 23 to 65 years ( M = 42, SD = 5). Confirmatory factor analyses provided evidence of the internal factor structure of both the SDQ and the PANAS-X and invariance of the factor structure across age and gender groups, with the exception of the SDQ, which failed to provide evidence of invariance between genders. Internal reliability and discriminant validity were confirmed for both measures, although convergent validity was only confirmed for the PANAS-X. Concurrent validity was also confirmed by comparing the results from the SDQ dimensions and the PANAS-X broad dimensions subscales.


2014 ◽  
Vol 29 ◽  
pp. 1
Author(s):  
D. Novick ◽  
W. Montgomery ◽  
V. Moneta ◽  
X. Peng ◽  
R. Brugnoli ◽  
...  

2020 ◽  
Vol 23 (2) ◽  
pp. 97-120
Author(s):  
Aleksandar Batoćanin ◽  
Bojana Dinić

The aim of the research is to explore the psychometric characteristics of the Serbian adaptation of the Adult ADHD Self-Report Scale (ASRS-v1.1) Symptom Checklist and Screener, as well as the Adult ADHD Self-Report Screening Scale for DSM-5 (ASRS-5). In addition to these scales, the Depression Anxiety Stress Scale-21 (DASS-21), Dickman Impulsivity Inventory (DII) and the questions about frequency of risky behaviours (use of alcohol, cigarettes and drugs, overeating, and physical aggression) were administrated on the sample of 226 adults from the general population (43.8% males). The results of confirmatory factor analysis supported the one-factor structure of the ASRS-5. The three-factor structure had the best fit indices for the ASRS-v1.1 Symptom Checklist (inattention, hyperactivity, and impulsivity factors), while the two-factor structure was the best for the ASRS-v1.1 Screener (inattention and hyperactivity factors). However, there was a large profile similarity between factors, which calls into question their discriminant validity. All scales correlated significantly with dysfunctional impulsivity and aspects of psychological distress, with ASRS-5 having the largest number of correlations with risky behaviours. There were no sex differences, and correlations with age were negative. It can be concluded that, although all scales show satisfactory psychometric characteristics, ASRS-5 is the preferred one, given its clear one-dimensional structure and somewhat better validity.


2010 ◽  
Vol 138 (9-10) ◽  
pp. 564-569 ◽  
Author(s):  
Svetlana Jovanovic ◽  
Ivanka Gajic ◽  
Bojan Mandic ◽  
Jelena Mandic ◽  
Vlada Radivojevic

Introduction. Oral diseases in psychiatric patients are usually a result of bad oral hygiene and psychopharmaceutical side-effects. Objective. The aim of this study was to detect oral lesions in patients hospitalized in psychiatric institutions with the confirmed diagnosis of psychiatric illness and mood disorder with psychotic characteristics, as well as to discover the factors that can influence these oral lesions. Methods. Cross-section study consisted of 186 hospitalized patients with psychiatric disorders in the experimental group, out of whom 87 were males and 99 females. Patients were aged from 18 to 59 years, mean age 46.0?8.0 years. The control group consisted of 186 healthy persons matched for age and gender. Data on oral lesions were obtained within history and clinical examination of the oral cavity. Other medical data were collected from medical documentation. Statistical analysis was performed by Student?s t-test, chi-square test and logistic regression. Results. Dry mouth was registered in 78.5% of patients. The difference in tongue and lip lesions, burning and stinging symptoms, bruxism, facial pain, low saliva rates, halitosis, taste changes and swallowing difficulties between the patients and healthy persons was highly statistically significant (p<0.001). Age and gender, as well as the factors of main disease, influence burning and stinging, bruxism, low saliva rates, swallowing difficulties, taste changes and facial pain of the psychiatric patients. Conclusion. Results imply that psychiatric patients are more frequently involved with oral lesions than healthy persons. It is necessary to organize specific preventive and educational oral health programmes with these patients, as well as with doctors who treat the basic illness.


Author(s):  
Wengao Gong

This chapter describes how American bloggers and Chinese bloggers from similar age and gender groups represent themselves and their identities linguistically in their blogs and explores whether and to what extent the differences in terms of the blogging language and culture affect these representations. The author adopts a corpus-based approach and focuses on the description and the comparison of the orthographic features and semantic domain preference as revealed in the blog entries. By conducting a cross-linguistic and cross-cultural comparison between American bloggers and Chinese bloggers, the author finds that bloggers’ linguistic practice is closely related to their developmental stage of life, their gender, and the cultural environment they are immersed in. Meanwhile, bloggers’ linguistic practice is also constrained by the internal system of the language they use for blogging.


2022 ◽  
pp. 585-599
Author(s):  
Cesar Omar Balderrama Armendariz ◽  
Jose de Jesus Flores Figueroa ◽  
Judith Lara Reyes ◽  
Ludovico Soto Nogueira

The purpose of this chapter is to analyze the physical aerobic work in terms of the metabolic expenditure and compare it with the recommended boundaries of energy found in literature, proposing an alternative to the potential work overload through a compensatory equation introduced in the standard time of the workstation. To support the study, information considering the estimated metabolic expenditure in workers was applied to a novel procedure to reduce the metabolic demand of the task according to age and gender. Results of the study indicated that women older than 30 years exceeded the energy limits from moderate to very heavy load activities, and men older than 40 years exceeded the energy limits in heavy and very heavy workloads. The proposal of compensatory equation statistically reduced the energy loads below the recommended limits of energy. The aerobic workload is a sensitive factor for age and gender groups and can be potential risks for developing cardiovascular diseases as well as some musculoskeletal disorders.


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