Psychometric examination of the Russian version of the Depression, Anxiety, and Stress scales-21

2021 ◽  
Vol 42 (5) ◽  
pp. 80-88
Author(s):  
Alena Zolotareva ◽  

The Depression, Anxiety, and Stress Scales-21 (DASS-21) is one of the most common instruments for assessing psychological distress [2]. The aim of this study was to examine the psychometric properties of the Russian DASS-21. The participants were 1,153 Russian-speaking adults aged 18 to 84 years. In addition to the Russian DASS-21, the participants completed the Symptom Check List-90-Revised (SCL-90-R) and Short Form Health Survey (SF-36). A series of confirmatory factor analyses showed the bifactor structure of the Russian DASS-21, full invariance by gender and partial invariance by age. The Russian DASS-21 scores were negatively correlated with the SF-36 scores and positively associated with the SCL-90-R scores, suggesting the convergent validity. The Cronbach’s alpha coefficients were 0.90, 0.85 and 0.91 for the depression, anxiety, and stress subscales, and 0.95 for the general psychological distress score, indicating the internal reliability. Thus, the Russian DASS-21 is a valid and reliable instrument and can be used for screening and monitoring psychological distress in Russian-speaking respondents.

2020 ◽  
Vol 103 (11) ◽  
pp. 1194-1199

Objective: To develop and validate a Thai version of the Wisconsin Quality of Life (TH WISQoL) Questionnaire. Materials and Methods: The authors developed the TH WISQoL Questionnaire based on a standard multi-step process. Subsequently, the authors recruited patients with kidney stone and requested them to complete the TH WISQoL and a validated Thai version of the 36-Item Short Form Survey (TH SF-36). The authors calculated the internal consistency and interdomain correlation of TH WISQoL and compared the convergent validity between the two instruments. Results: Thirty kidney stone patients completed the TH WISQoL and the TH SF-36. The TH WISQoL showed acceptable internal consistency for all domains (Cronbach’s alpha 0.768 to 0.909). Interdomain correlation was high for most domains (r=0.698 to 0.779), except for the correlation between Vitality and Disease domains, which showed a moderate correlation (r=0.575). For convergent validity, TH WISQoL demonstrated a good overall correlation to TH SF-36, (r=0.796, p<0.05). Conclusion: The TH WISQoL is valid and reliable for evaluating the quality of life of Thai patients with kidney stone. A further large-scale multi-center study is warranted to confirm its applicability in Thailand. Keywords: Quality of life, Kidney stone, Validation, Outcome measurement


2013 ◽  
Vol 29 (10) ◽  
pp. 2071-2082 ◽  
Author(s):  
Bruno Figueiredo Damásio ◽  
Silvia Helena Koller

This study presents the psychometric properties of the Brazilian version of the Appraisal of Self-Care Agency Scale - Revised (ASAS-R). The sample was made up of 627 subjects (69.8% women) aged between 18 and 88 years (mean = 38.3; SD = 13.26) from 17 Brazilian states. Exploratory factor analysis of part of the sample (n1 = 200) yielded a three-factor solution which showed adequate levels of reliability. Two confirmatory factor analyses of the other part of the sample (n2 = 427) tested both the exploratory and the original model. The analysis of convergent validity using the Subjective Happiness Scale, the Satisfaction with Life Scale, and the 36-item Short Form Health Survey Version 2 (SF-36v2) demonstrated adequate levels of validity. A significant correlation was found between levels of self-care agency and age, level of education and income. The analysis of sample members with chronic disease (n = 134) showed that higher levels of self-care agency indicated lower levels of negative impact of the chronic illness in the individual's everyday life.


2020 ◽  
Author(s):  
Manoj Kumar Sharma ◽  
David John Hallford ◽  
Nitin Anand

Background: The Depression, Anxiety, and Stress Scale (DASS) is a widely used measure of negative emotional states. While the DASS is increasingly used in mental health research in India, to date no study has examined the factor structure among Indian adults. Methods: A large community sample of English-speaking Indian adults completed the DASS 21-item version, and confirmatory factor analyses were conducted. Results: The results indicated a good fit for a three factor (depression, anxiety, and stress) and a one-factor model (general psychological distress). There was no substantial difference between the fit of the models, and the DASS subscales were very strongly correlated with one another (r ≥ .80). Conclusion: The findings from this sample suggest that the DASS-21 items appear to assess general psychological distress, with little evidence that the items assess three distinct subscales.


2021 ◽  
pp. 1-11
Author(s):  
Mickeal Pugh ◽  
Paul B. Perrin ◽  
Jack D. Watson ◽  
Duygu Kuzu ◽  
Carmen Tyler ◽  
...  

BACKGROUND: Parkinson’s disease (PD) caregivers, particularly in Latin America, may experience high levels of affiliate stigma due to their association with a person having a disability. The most common measure used of this construct in the literature, the Affiliate Stigma Scale, was validated using non-standard and questionable methods. OBJECTIVE: The purpose of this study was to investigate the factor structure and psychometric properties of the Spanish version of the Affiliate Stigma Scale with PD caregivers in Mexico using more widely accepted psychometric approaches including confirmatory and exploratory factor analyses (confirmatory factor analyses (CFAs) and exploratory factor analyses (EFAs)). METHODS: A sample of 148 PD caregivers from Mexico completed this measure, as well as indices of caregiver burden and anxiety. RESULTS: Initial CFAs revealed that the data did not fit either the originally proposed one-factor or three-factor structures. An EFA was then conducted which was unable to discern any factor structure. Upon instituting a stepwise removal alpha-if-item-deleted process, a 5-item Affiliate Stigma Scale Spanish Short Form was retained with an adequate Cronbach’s alpha, good convergent validity, and a Short Form CFA generally indicating adequate fit. CONCLUSIONS: The new Spanish Affiliate Stigma Scale Short Form holds promise for more appropriately measuring affiliate stigma likely in general but particularly in Spanish and among PD caregivers. The Short Form can assist not only in assessing levels of caregiver affiliate stigma, but in creating novel interventions to help support caregivers and decrease stigma.


2019 ◽  
Vol 20 (1) ◽  
pp. 118-129 ◽  
Author(s):  
Francisco Atienza ◽  
Paul Appleton ◽  
Howard K. Hall ◽  
Isabel Castillo Fernández ◽  
Isabel Balaguer Solá

El Inventario Multidimensional de Perfeccionismo en Deporte (MIPS) es una medida deportiva específica del perfeccionismo desarrollado a partir de una combinación de diferentes modelos multidimensionales. Este estudio analiza las propiedades psicométricas del MIPS en una muestra de adolescentes deportistas. Participaron 429 futbolistas españoles con edades comprendidas entre 9 y 13 años. Los análisis factoriales confirmatorios mostraron que un modelo bidimensional obtenía adecuados índices de ajuste y los coeficientes alfa de Cronbach mostraron niveles de fiabilidad interna aceptables. La validez criterial y convergente del MIPS español ha sido confirmada analizando su asociación con medidas de ansiedad competitiva, auto-estima contingente y con otras dimensiones de perfeccionismo. Los resultados de este estudio sugieren que la versión española del MIPS es un instrumento específico para deporte, bien adaptado, fiable y válido para su utilización con jóvenes deportistas. The Multidimensional Inventory of Perfectionism in Sport (MIPS) is one sport specific measure of perfectionism developed on the basis of a combination of different multidimensional models. This study assesses the psychometrics of the MIPS-Y in a Spanish adolescent sport sample. Participants were 429 Spanish football players with ages ranging from 9 to 13 years. Confirmatory factor analyses showed that a two-dimensional model obtained adequate fit indices and Cronbach’s alpha coefficients showed acceptable levels of internal reliability. The criterion and convergent validity of the Spanish MIPS was also confirmed via its association with measures of sport anxiety, contingent self-worth and additional perfectionism dimensions. The results of this study suggest that the Spanish version of the MIPS is a well-adapted, reliable and valid sport specific instrument for employment with young athletes. O Perfeccionismo Multidimensional em Inventário Desportivo (MIPS) é uma medida específica de perfeccionismo desenvolvida a partir de uma combinação de diferentes modelos multidimensionais. Este estudo analisa as propriedades psicométricas da MIPS em uma amostra de atletas adolescentes. Havia 429 futebolistas espanhóis entre os 9 e os 13 anos. As análises fatoriais confirmatórias mostraram que um modelo bidimensional obteve índices de ajuste adequados e os coeficientes alfa de Cronbach mostraram níveis aceitáveis de confiabilidade interna. A validade convergente e criterial da MIPS espanhola foi confirmada pela análise da sua associação com medidas de ansiedade competitiva, auto-estima contingente e outras dimensões do perfeccionismo. Os resultados deste estudo sugerem que a versão espanhola da MIPS é um instrumento específico do esporte, bem adaptado, confiável e válido para uso com jovens atletas.


2017 ◽  
Vol 2 (3) ◽  
pp. 188-195 ◽  
Author(s):  
Kathleen Morrisroe ◽  
Wendy Stevens ◽  
Molla Huq ◽  
Joanne Sahhar ◽  
Gene-Siew Ngian ◽  
...  

Background We aimed to evaluate the construct validity of the Patient-Reported Outcomes Measurement Information System 29 (PROMIS-29) in Australian systemic sclerosis (SSc) patients. Methods SSc patients, identified through the Australian Scleroderma Cohort Study database, completed two quality-of-life instruments concurrently, the PROMIS-29 and the Medical Outcomes Study 36-Item Short Form Health Survey (SF-36). The construct validity of the PROMIS-29 was assessed by the correlations between the PROMIS-29 and the SF-36 and Health Assessment Questionnaire Disability Index (HAQ-DI). Cronbach's alpha was used to test the internal reliability of all instruments in Australian SSc patients and non-parametric correlation, including Spearman's correlation, was used to test the construct validity of PROMIS-29 against the SF-36 and HAQ-DI. Results A total of 477 completed questionnaires were returned, equating to a response rate of 59.6%. The mean (±SD) age of respondents at the time of the survey was 64.1 (±11.1) years. They were predominantly female (87.4%), with limited disease subtype (lcSSc) (77.8%) and long disease duration from onset of first non-Raynaud's phenomenon symptom at the time of survey (10.9 ± 11.1 years). For the correlation analysis between the PROMIS-29 and the legacy instruments, all Spearman correlation coefficients were in the logical direction and highly significant suggesting that the PROMIS-29 is a good alternative to other validated measures of disease burden. Conclusions Our study indicates that the PROMIS-29 questionnaire is a valid instrument for measuring health-related quality of life in Australian females with lcSSc of long duration.


Cancers ◽  
2020 ◽  
Vol 12 (12) ◽  
pp. 3503
Author(s):  
Darius Kalasauskas ◽  
Naureen Keric ◽  
Salman Abu Ajaj ◽  
Leoni von Cube ◽  
Florian Ringel ◽  
...  

The diagnosis of intracranial meningiomas as incidental findings is increasing by growing availability of MRI diagnostics. However, the psychological distress of patients with incidental meningiomas under a wait-and-watch strategy is unknown. Therefore, we aimed to compare the psychosocial situation of meningioma patients under wait-and-watch to patients after complete resection to bridge this gap. The inclusion criteria for the prospective monocenter study were either an incidental meningioma under a wait-and-watch strategy or no neurologic deficits after complete resection. Sociodemographic, clinical, and health-related quality of life and clinical data were assessed. Psychosocial factors were measured by the Distress Thermometer (DT), Hospital Anxiety and Depression Scale (HADS), Brief Fatigue Inventory (BFI), and the Short Form (SF-36). A total of 62 patients were included (n = 51 female, mean age 61 (SD 13) years). According to HADS, the prevalence of anxiety was 45% in the postoperative and 42% in the wait-and-watch group (p = 0.60), and depression was 61% and 87%, respectively (p = 0.005). In total, 43% of patients under wait-and-watch and 37% of patients in the postoperative group scored ≥6 on the DT scale. SF-36 scores were similar in all categories except general health (p = 0.005) and physical component aggregate score (43.7 (13.6) vs. 50.5 (9.5), (p = 0.03), both lower in the wait-and-watch group. Multivariate analysis revealed the wait-and-watch strategy was associated with a 4.26-fold higher risk of a pathological depression score based on HADS (p = 0.03). This study demonstrates a high prevalence of psychological distress in meningioma patients. Further evaluation is necessary to identify the patients in need of psychooncological support.


2003 ◽  
Vol 21 (5) ◽  
pp. 787-792 ◽  
Author(s):  
Christopher Recklitis ◽  
Tara O’Leary ◽  
Lisa Diller

Purpose: This study examined the utility of routine psychologic screening in a childhood cancer survivor clinic by evaluating patient acceptance, comparing subjects’ symptoms to normative data, examining the utility of specific tests, and identifying risk factors associated with psychological distress. Methods: During their annual clinic visit, 101 adult survivors of childhood cancer (median age, 25 years) completed the Symptom Checklist 90 Revised (SCL-90), as well as the Short Form 36 (SF-36), Beck Depression Inventory (BDI), and one additional suicide question. Psychological distress was operationally defined according to the published SCL-90 clinical case rule, classifying subjects with a consistent pattern of symptom elevations as clinical cases. Results: The majority of subjects (80%) completed the screening in less than 30 minutes and reported little (15%) or no (84%) distress. Sixty-four percent believed it would help “very much” or “moderately” in getting to know them, and 35% thought it would help “slightly.” On the SCL-90, 32 subjects (31.7%) had a positive screen, indicating significant psychological distress. All subjects with clinically significant symptoms on the BDI and SF-36 Mental Health Scale were cases on the SCL-90 (case-positive). Suicidal symptoms were reported in 13.9% of the sample, all of whom were SCL-90 cases. In a logistic regression model, subjects’ dissatisfaction with physical appearance, poor physical health, and treatment with cranial radiation were associated with psychological distress. Conclusion: Results demonstrate that routine psychological screening can be successfully integrated into the cancer survivor clinic and may be effective in identifying those survivors with significant distress who require further evaluation.


2019 ◽  
Author(s):  
Sameera Senanayake ◽  
PKB Mahesh ◽  
Nalika Gunawardena ◽  
Nicholas Graves ◽  
Sanjeewa Kularatna

AbstractObjectiveEQ-5D-3L is a generic QOL tool used mainly in economic evaluations. Burden of Chronic Kidney Disease (CKD) is rising in Sri Lanka. Assessing the validity of generic QOL tools creates new opportunities of their utilization among patients with CKD.MethodsA cross-sectional study was conducted among 1036 CKD patients, selected using the simple random sampling technique. The validity was tested with six a-priori hypotheses. These included construct validity assessments, evaluating convergent validity and performing known group comparisons. EQ-5D-3L, Short Form-36 (SF-36), Center for Epidemiological Studies Depression Scale (CES-D-20) and General Health Questionnaire-12 (GHQ-12) were used to assess QOL, presence of depression and psychological distress respectively. Internal consistency of the whole tool and when each item is removed was assessed by Cronbach alpha.ResultsThe response rate was 99.2%. Majority of participants were males (n=646,62.4%) in the age category of 41-60 (n=530; 51.2%). Most were in either stage 4 or 5 of CKD (n=646,75.1%). The summary measures of SF-36, positively and significantly correlated with the EQ-5D-3L index and VAS scores (p<0.001). EQ-5D-3L QOL scores were significantly different between the group with depression and without as measured by CES-D-20 (p<0.001). Assessed using GHQ-12, similar significance was detected between the group with psychological distress and without (p<0.001). The Cronbach alpha was 0.834 and when each item was removed, ranged from 0.782 to 0.832.ConclusionEQ-5D-3L is a valid generic QOL tool with satisfactory internal consistency to be used among CKD patients in the pre-dialysis stage.


2020 ◽  
pp. 073428292096294
Author(s):  
Patricia A. Lowe

A short form of the 43-item Test Anxiety Measure for College Students (TAM-C) was developed in the present study. The TAM-C consists of six (social concerns, cognitive interference, worry, physiological hyperarousal, task irrelevant behaviors, and facilitating anxiety) scales. Twenty-four items from the TAM-C were selected for the short form. Single-group confirmatory factor analyses (CFAs) and correlational analyses were conducted with the responses of 728 U.S. college students to the TAM-C Short Form. Results of the single-group CFAs supported a six-factor model for the TAM-C Short Form. Concurrent and convergent validity evidence was found for the TAM-C Short Form scores. Overall, the findings suggest the TAM-C Short Form is an economical measure with unique features to assess test and facilitating anxiety in the college student population.


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