Validation of the 21-item Depression, Anxiety, and Stress Scales (DASS-21) in individuals with autism spectrum disorder

Park, Shin; Song, Yun Ju Christine; Demetriou, Eleni; Pepper, Karen L.; Thomas, Emma; Hickie, Ian B.; Guastella, Adam J.

doi:10.1016/j.psychres.2020.113300

Cited by 41 publications

(40 citation statements)

References 55 publications

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“…Intervenciones: El instrumento para medir las síntomas emocionales (depresión ansiedad y estrés) fue el propuesto por (P. F. Lovibond & Lovibond, 1995) utilizó en varios trabajos de investigación como los de (Ahmed et al, 2020;Banna et al, 2020;Bueno-Notivol et al, 2020;Fonseca-Pedrero et al, 2012;Guzmán-González et al, 2019;Park et al, 2020;Patias et al, 2016;Ramírez, 2020;Román et al, 2016;Ruiz et al, 2017).…”

Section: Materiales Y Métodosunclassified

Depresión, ansiedad y estrés de universitarios en tiempos de COVID-19: Uso de escala DASS-21.

Rodríguez¹,

Blanco²

2021

revista

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El propósito de la investigación fue determinar los grados de depresión, ansiedad y estrés en estudiantes de los primeros ciclos de estudio en su paso por la Universidad Agraria la Molina-Perú. El tamaño de muestra fue de 462 universitarios que iniciaban el semestre académico en el mes de julio después de un pare de 5 meses, esto para la adaptación del dictado de las clases a una modalidad virtual, lo cual creemos firmemente generó síntomas emocionales en los estudiantes. Concluyendo que los niveles de depresión, ansiedad y estrés de los jóvenes universitarios en situación crítica de pandemia por el COVID-19 es de 66%, 64,1% y 61,9% respectivamente. Además, existe asociación significativa entre la ansiedad y el sexo del estudiante; finalmente se afirmó que la situación de la pandemia afectó a los jóvenes universitarios en sus emociones y en mayor medida a las estudiantes del sexo femenino, causando estragos en su salud mental. Asimismo se logró confirmar con la alta consistencia interna de la escala DASS-21.

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Section: Materiales Y Métodosunclassified

Depresión, ansiedad y estrés de universitarios en tiempos de COVID-19: Uso de escala DASS-21.

Rodríguez¹,

Blanco²

2021

revista

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“…It is well established that autistic individuals are at elevated risk of anxiety (particularly social anxiety) and depression (Hollocks et al, 2019;Park et al, 2020). A recent review found that in the autistic population, anxiety and depression were among the highest reported comorbid mental health issues (at 20% and 11%, respectively;Lai et al, 2019), which is higher than general population estimates (anxiety reported at 14.4% and depression at 6.2%; 'Mental Health Services in Australia, Prevalence, Impact and Burden', 2019).…”

Section: Anxiety and Depression In Autismmentioning

confidence: 99%

Perceptions of social and work functioning are related to social anxiety and executive function in autistic adults

Woolard

Stratton

Demetriou

et al. 2021

Autism

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Autistic adults report concerns with social skills and unemployment. Despite anxiety and difficulty with executive cognitive skills being associated with autism, no studies to date have investigated relationships between anxiety or executive cognition with social and work functioning. This study aimed to investigate the associations between perceived social anxiety, perceived and objective executive function, and perceived social and work functioning in a sample of autistic people. A total of 62 participants completed self-report questionnaires of social anxiety (via the Liebowitz Social Anxiety Scale), mental health (via the Depression Anxiety Stress Scale), executive cognition (via the Behaviour Rating Inventory of Executive Function) and perceived social and work functioning (the Work and Social Adjustment Scale), and a smaller subset ( n = 36–40) completed performance-based executive function tasks (Trail Making Task and Rapid Visual Processing Task). Participants who reported having more social anxiety and more difficulty with executive cognition also perceived themselves as having poorer social and work functioning. Performance-based executive function was not related to social or work functioning. Our results suggest that perceived social anxiety and executive cognition are both areas that have potential to be targeted to investigate whether they improve social and vocational outcomes for autistic people. Lay abstract Many autistic adults have trouble in social situations and at work. Researchers do not know exactly why autistic people might find it difficult in these environments, and no studies to date have looked the way anxiety or other cognitive processes might affect autistic peoples’ ability to socialise and succeed in getting and keeping jobs. Anxiety (how much you worry) and difficulty with getting stuff done or switching attention (known as executive function) can be concerns for autistic people and may contribute to social and work difficulties. This study looked at the relationships between the way autistic people perceived their anxiety and executive functioning and their ability to socialise and work. Sixty-two autistic participants completed questionnaires related to their ability to socialise and work, their social anxiety and their executive function. We found that participants who thought that they had poorer ability to work also found themselves to have more difficulties with executive function and they were more socially anxious. Our results showed that how autistic participants perceived their social anxiety and executive function were important in their perception of their social skills and work ability. This study supports the idea that anxiety and executive function could be targeted in interventions to support autistic people and their social and work outcomes.

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“…A further limitation, which is common to ASD studies, was the reliance on self-report measures developed for use in typically developing populations. While psychometric validation of these measures has been investigated [48,51] the impact of limited introspection and alexithymia in ASD populations remains a concern within self-report outcomes [4,59]. In addition, the SRS-2 has been shown to be strongly in uenced by co-occurring psychiatric symptoms (such as anxiety) in children and adolescents [60] and so SRS-2 results may be in uenced by the reductions observed on social anxiety measures.…”

Section: Limitations and Future Directionsmentioning

confidence: 99%

“…The scale had high internal consistency, as determined by a Cronbach's alpha of 0.94.Secondary Outcome measuresDepression Anxiety Stress Scales (DASS-21)[47]. The DASS-21 is a self-report measure of depression, anxiety and stress, and assesses symptom severity over the past week, and has recently been validated for use in ASD populations[48]. Higher scores correspond to increased symptom severity.…”

mentioning

confidence: 99%

Modified CBT for Social Anxiety and Social Functioning in Young Adults with Autism Spectrum Disorder

Bemmer

Boulton

Thomas

et al. 2020

Preprint

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Background: There is a strong research imperative to investigate effective treatment options for adolescents and adults with Autism Spectrum Disorder (ASD). Elevated social anxiety, difficulties with social functioning, and poor mental health have all been identified as core treatment targets for this group. While theoretical models posit a strong bidirectionality between social anxiety and ASD social functioning deficits, few interventions have targeted both domains concurrently. Of the two group interventions previously conducted with adolescents and adults with ASD, significant results have only been observed in either social anxiety or social functioning, and have not generalised to changes in overall mood. The aim of this study was to evaluate the efficacy of a group intervention in young adults with ASD. Primary treatment outcomes were social anxiety symptoms and social functioning difficulties; secondary outcomes were self-reported mood and overall distress. Method: Ten groups of participants completed an eight-week, modified Cognitive Behavioural Therapy (CBT) group intervention targeting both social anxiety and social functioning, that included social skills training, exposure tasks and behavioural experiment components. Seventy-eight adolescents and young adults with ASD, without intellectual impairment, aged between 16 and 38 (M = 22.77; SD = 5.31), were recruited from the community, Headspace centres and the Autism Clinic for Translational Research. Outcomes (social anxiety, social functioning and mood) were measured pre- and post-intervention via self-report questionnaires (administered either online or through the return of hard-copy booklets), and participants were invited to provide anonymous feedback on the intervention (at the mid-point and end of the intervention). Results: Participants demonstrated statistically significant improvements on all outcome measures in response to the intervention. Specifically, social anxiety symptoms decreased (p <.001), and specific subdomains of social functioning improved post intervention, particularly in social motivation (p=.032) and restricted interests and repetitive behaviours (p=.025). Self-reported symptom improvements also generalised to mood (depression, anxiety and stress; p < .05). All improvements demonstrated small effect sizes. Participant feedback was positive and indicated strong satisfaction with the program. Limitations: The absence of a control group and follow up measures, reliance on self-report instruments as outcome measures, and the exclusion of those with intellectual disability represent significant limitations to this study.Conclusions: These findings indicate that a group CBT intervention is an effective treatment for self-reported social anxiety, social functioning and overall mental health in adolescents and young adults with ASD. The standalone nature of the intervention combined with positive participant feedback indicates potential clinical utility, and warrants further study in a randomised-controlled, follow-up design.

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Validation of the 21-item Depression, Anxiety, and Stress Scales (DASS-21) in individuals with autism spectrum disorder

Cited by 41 publications

References 55 publications

Depresión, ansiedad y estrés de universitarios en tiempos de COVID-19: Uso de escala DASS-21.

Depresión, ansiedad y estrés de universitarios en tiempos de COVID-19: Uso de escala DASS-21.

Perceptions of social and work functioning are related to social anxiety and executive function in autistic adults

Modified CBT for Social Anxiety and Social Functioning in Young Adults with Autism Spectrum Disorder

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