Convergent Validity and Preliminary Cut-Off Scores for the Anxiety and Depression Subscales of the DASS-21 in US Adolescents

Evans, Luke; Haeberlein, Kristen; Chang, Alexander; Handal, Paul J.

doi:10.1007/s10578-020-01050-0

Cited by 28 publications

(14 citation statements)

References 25 publications

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“…The 75th percentile of the anxiety and depressive subscales of the DASS-14 were used as the validity criterion of the OASIS (DASS-Anxiety score = 5) and ODSIS (DASS-Depression score = 6), respectively. A similar threshold was suggested by previous studies on adolescents and young adults from the general population [ 53 , 54 ]. The questionnaires’ cut-offs were determined using the Youden Index, as per the following formula, where S represents the sensitivity and Sp the specificity: Y = S + Sp − 1 …”

Section: Methodssupporting

confidence: 85%

Spanish Adaptation of the Overall Anxiety and Depression Severity and Impairment Scales in University Students

Osma

Martínez‐Loredo

Díaz-García

et al. 2021

IJERPH

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The lifetime prevalence of emotional disorders in Spain is 4.1% for anxiety and 5.2% for depression, increasing among university students. Considering the scarcity of screenings with adequate psychometric properties, this study aims to explore the validity evidence of the Overall Anxiety/Depression Severity and Impairment Scales (OASIS and ODSIS). A total of 382 university students from the general population were assessed on anxiety and depressive symptoms, as well as quality of life. The one-dimensional structure of both the OASIS and ODSIS explained 87.53% and 90.60% of variance, with excellent internal consistency (α = 0.94 and 0.95, respectively) and optimal cut-offs of 4 and 5, respectively. Both scales show a significant moderate association with other measures of anxiety, depression and quality of life. The OASIS and ODSIS have shown good reliability and sound validity evidence that recommend their use for the assessment and early detection of anxiety and depressive symptoms, and associated quality of life impairment in Spanish youth.

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Section: Methodssupporting

confidence: 85%

Spanish Adaptation of the Overall Anxiety and Depression Severity and Impairment Scales in University Students

Osma

Martínez‐Loredo

Díaz-García

et al. 2021

IJERPH

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“…Participants were asked to indicate how much each statement applied to them over the past week, using a 4-point Likert scale, ranging from 0 (“Did not apply to me at all”) to 3 (“Applied to me very much, or most of the time”) ( 60 ). The DASS-21 has been shown to be a valid and reliable measure of depression in adolescents, with adequate internal consistency (α = 0.76–0.90) ( 61 ), as well as satisfactory discriminant validity and convergent validity when compared to other measures of depression ( 62 ). This was confirmed in the present study (α = 0.76).…”

Section: Methodsmentioning

confidence: 99%

Understanding Sleep-Wake Behavior in Late Chronotype Adolescents: The Role of Circadian Phase, Sleep Timing, and Sleep Propensity

et al. 2022

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BackgroundAdolescents with a late chronotype are at greater risk for mood disorders, risk-taking behaviors, school absenteeism, and lower academic achievement. As there are multiple causes for late chronotype, the field lacks studies on the relationship between mood, circadian phase, and phase angle of entrainment in late chronotype adolescents. Three objectives guide this explorative study: (1) to describe sleep, circadian phase, and phase angle of entrainment in late chronotype adolescents, (2) to explore how different levels of lateness are associated with sleep quality, sleep propensity, and mood, and (3) to investigate the influence of circadian phase on bedtime choice and sleep duration.MethodsBaseline data from 19 male adolescents (M = 16.4 ± 1.0 yrs), who were part of a larger intervention trial, were analyzed. Chronotype was measured with the Munich Chronotype Questionnaire, circadian timing via dim light melatonin onset (DLMO), and sleep habits with a 7-day sleep log. Further questionnaires assessed daytime sleepiness, sleep quality, and mood. Evening sleepiness and sustained attention were used as a proxy for evening sleep propensity.ResultsOn school nights, sleep duration averaged 7.78 h (±1.65), and 9.00 h (±1.42) on weekend nights. Mean DLMO was observed at 23.13 h (± 1.65), with a weekend phase angle of entrainment of 2.48 h. Regression fittings revealed a tendency for shorter phase angles with delayed DLMOs. Further analysis with chronotype subgroups revealed that this was only true for light and moderate late types, whereas extreme late types showed wide phase angles. Even though daytime sleepiness and sleep duration did not differ between subgroups, mood and sleep quality declined as lateness increased. Extreme late chronotypes experienced higher evening sleepiness, while slight late chronotypes showed higher evening attention. Chronotype but not DLMO predicted bedtime on school- and particularly weekend-nights.ConclusionsOur findings suggest that with increasing lateness, the likelihood of experiencing poor sleep quality and mood disorders increases. As DLMO did not predict bedtime, our data indicate that the factors contributing to a late chronotype are versatile and complex, particularly for extreme late types. Further studies involving a larger and gender-balanced sample are needed to confirm findings.

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“…The DASS-21 is a self-report instrument assessing depression, anxiety, and stress [ 26 , 27 ]. It contains 21 items, and each item is rated on a 4-Likert point scale (0 = did not apply to me at all to 3 = applied to me very much or most of the time ).…”

Section: Methodsmentioning

confidence: 99%

Weight Stigma among Young Adults in Thailand: Reliability, Validation, and Measurement Invariance of the Thai-Translated Weight Self Stigma Questionnaire and Perceived Weight Stigma Scale

Paratthakonkun

Kamolthip

Rattaprach

et al. 2022

IJERPH

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The previous studies found that the Weight Self Stigma Questionnaire (WSSQ) and Perceived Weight Stigma Scale (PWSS) have shown well-established psychometric properties for measuring weight stigma with strong reliability and validity from different languages. However, there is a lack of an appropriate instrument in assessing weight stigma in Thai samples. This study aimed to examine the Thai WSSQ and PWSS among Thai university students. Both instruments were also assessed for their measurement invariance across gender and weight status subgroups. A cross-sectional study was conducted on 801 university students in Thailand between January 2022 and July 2022. All participants completed a demographic questionnaire and a Thai version of the WSSQ, PWSS, and Depression Anxiety Stress Scale-21 (DASS-21) via an online survey. Reliability, validity, measurement invariance, and correlational analyses were performed to investigate whether the Thai versions of the WSSQ and PWSS psychometric properties were acceptable. Both translated questionnaires demonstrated overall acceptable psychometric properties and revealed a two-dimensional structure for the WSSQ, and unidimensional structure for the PWSS. Measurement invariance was obtained across gender and weight status subgroups. Additionally, both translated WSSQ and PWSS were significantly correlated with DASS-21. The Thai-translated WSSQ and PWSS showed strong validity, reliability, and factorial invariance across different subgroups for measuring weight stigma among Thai university students.

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Convergent Validity and Preliminary Cut-Off Scores for the Anxiety and Depression Subscales of the DASS-21 in US Adolescents

Cited by 28 publications

References 25 publications

Spanish Adaptation of the Overall Anxiety and Depression Severity and Impairment Scales in University Students

Spanish Adaptation of the Overall Anxiety and Depression Severity and Impairment Scales in University Students

Understanding Sleep-Wake Behavior in Late Chronotype Adolescents: The Role of Circadian Phase, Sleep Timing, and Sleep Propensity

Weight Stigma among Young Adults in Thailand: Reliability, Validation, and Measurement Invariance of the Thai-Translated Weight Self Stigma Questionnaire and Perceived Weight Stigma Scale

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