Psychometric properties of the Depression Anxiety Stress Scales (DASS) in depressed clinical samples

Page, Andrew C.; Hooke, Geoffrey R.; Morrison, David

doi:10.1348/014466506x158996

Cited by 240 publications

(204 citation statements)

References 28 publications

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“…For instance, one study with a clinical sample found that the DASS-21 accurately distinguishes between individuals with mood disorder, panic disorder or obsessivecompulsive disorder (Page, Hooke, & Morrison, 2007). Participants were asked to indicate how frequently in the preceding week they had experienced symptoms such as "I felt like I wasn't worth much as a person", (depression subscale, α=.88), "I felt I was close to panic" (anxiety subscale, α=.81) and "I tended to over-react to situations" (stress subscale, α=.84) from 0 "Did not apply to me at all" to 3 "Applied to me very much, or most of the time".…”

Section: Depression Anxiety Stress Scales (Dass-21)mentioning

confidence: 99%

“Depression is who I am”: Mental illness identity, stigma and wellbeing

Cruwys

Gunaseelan

2016

Journal of Affective Disorders

109

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Background: Previous research has found that in the face of discrimination, people tend to identify more strongly with stigmatized groups. Social identification can, in turn, buffer wellbeing against the negative consequences of discrimination. However, this rejection identification model has never been tested in the context of mental illness identity. Methods:A survey was conducted with 250 people with diagnosed depression or current symptoms of at least moderate clinical severity.Results: Experiencing mental illness stigma was associated with poorer wellbeing.Furthermore, people who had experienced such stigma were more likely to identify as a depressed person. Social identification as depression magnified, rather than buffered, the relationship between stigma and reduced wellbeing. This relationship was moderated by perceived social norms of the depressed group for engaging in depressive thoughts and behaviors.Conclusions: These findings suggest that mental illness stigma is a double-edged sword: as well as the direct harms for wellbeing, by increasing identification with other mental illness sufferers, stigma might expose sufferers to harmful social influence processes.

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Section: Depression Anxiety Stress Scales (Dass-21)mentioning

confidence: 99%

“Depression is who I am”: Mental illness identity, stigma and wellbeing

Cruwys

Gunaseelan

2016

Journal of Affective Disorders

109

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“…However, to do so they need a validated measure. The Depression Anxiety Stress Scale (DASS) is a frequently used measure (1) with good psychometric properties (2) . It has a demonstrated ability to discriminate between clinical and nonclinical groups (3) .…”

Section: Introductionmentioning

confidence: 99%

Confirmatory factor analysis of the portuguese Depression Anxiety Stress Scales-21

Apóstolo

Tanner²,

Arfken

2012

Rev. Latino-Am. Enfermagem

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To determine which of three published models best characterizes the factor structure of the Análisis factorial confirmatoria de la versión portuguesa de la Depression Anxiety Stress Scale-21El objetivo de este estudio fue determinar cual de los tres modelos publicados mejor caracteriza la estructura factorial de la versión portuguesa de la Depression Anxiety Stress Scale-21 (DASS-21) y evaluar su validez y confiabilidad. Se compararon los tres modelos a través de análisis factorial confirmatoria de la DASS-21, aplicada el 1.297 pacientes adultos, del servicio de atención básica (66,7% mujeres; edad Media=48,57 años). La relación entre la DASS-21 y la Positive and Negative Affect Schedule (PANAS) también fue analizada. El modelo de tres factores correlacionados se ajusta mejor a los datos. La escala presentó buena consistencia interna con valores alfa observados en las subescalas, variando de 0,836 a 0,897. La correlación con la PANAS fue positiva y comedida con la escala de afecto negativa, y negativa y limitada con la escala de afecto positivo. Esos resultados corroboran la estructura de tres factores. La prueba presentó confiabilidad adecuada y validez de constructo, dando soporte a su uso para rastrear pacientes portugueses en el servicio de atención básica.

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“…Moderate level cut-offs (Depression ≥ 7, Anxiety ≥ 5, Stress ≥ 10) are representative of clinical populations (Lovibond & Lovibond, 1995;Ronk, Korman, Hooke, & Page, 2013). The instrument has good to excellent internal consistency (Cronbach's α = 0.82-0.94), good criterion validity, acceptable discriminant validity, moderate sensitivity to clinical change, and acceptable to good temporal stability (r = 0.71-0.81) in clinical samples (Antony et al, 1998;Brown, Chorpita, Korotitsch, & Barlow, 1997;Henry & Crawford, 2005;Ng et al, 2007;Page, Hooke, & Morrison, 2007).…”

Section: Methodsmentioning

confidence: 99%

Perceptions of Hematopoietic Stem Cell Transplantation and Coping Predict Emotional Distress During the Acute Phase After Transplantation

Baliousis¹,

Rennoldson²,

Dawson³

et al. 2017

ONF

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Purpose/objectives: To test whether a widely used model of adjustment to illness, the self-regulatory model, explains the patterns of distress during acute haematopoietic stem cell transplantation (HSCT). According to the model, perceptions of HSCT, coping, and coping appraisals are associated with distress.Design: Longitudinal, correlational. Knowledge translation: Patients are more distressed when they perceive HSCT negatively, and risk becoming stuck in a vicious cycle, because distress appears worse if patients attribute it to undergoing HSCT. Avoidant coping is associated with worse distress, but positive approach coping that is helpful in other populations seem to be ineffective during HSCT. Discussing patients' negative perceptions of HSCT and identifying effective coping approaches for patients undergoing HSCT is important.

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Psychometric properties of the Depression Anxiety Stress Scales (DASS) in depressed clinical samples

Abstract: The psychometric properties of the DASS were sound in clinically depressed samples, but the Depression Scale exhibited a ceiling effect that could not be resolved with minor changes to the scale. Suggestions for revisions of the DASS are made.

Cited by 240 publications

References 28 publications

“Depression is who I am”: Mental illness identity, stigma and wellbeing

“Depression is who I am”: Mental illness identity, stigma and wellbeing

Confirmatory factor analysis of the portuguese Depression Anxiety Stress Scales-21

Perceptions of Hematopoietic Stem Cell Transplantation and Coping Predict Emotional Distress During the Acute Phase After Transplantation

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