Systematic review of the measurement properties of the Depression Anxiety Stress Scales–21 by applying updated COSMIN methodology

Lee, Jiyeon; Lee, Eun‐Hyun; Moon, Seung Hei

doi:10.1007/s11136-019-02177-x

Cited by 160 publications

(129 citation statements)

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“…Participants' level of depression, anxiety, and stress was measured using the Depression, Anxiety and Stress Scale (DASS-21) [Lovibond and Lovibond (1995); Pais-Ribeiro et al (2004)], a reliable and valid measure in assessing stress and other mood states, and previously used in research related to SARS (McAlonan et al, 2007) and COVID-19 (C. Wang et al, 2020a;. The internal consistency of the DASS-21 is well supported, with reliability values ranging from .83 to .94 for depression, .66 to .87 for anxiety and .79 to .91 for stress (Lee et al, 2019), even in older community samples (Gloster et al, 2008), as well as in the Portuguese population (Pais-Ribeiro et al, 2004). It evaluates symptoms of depression, anxiety, and stress, on a four-point scale, ranging from 0 ('Did not apply to me at all'), to 3 ('Applied to me very much, or most of the time').…”

Section: Instrumentsmentioning

confidence: 95%

COVID-19 in Portugal: exploring the immediate psychological impact on the general population

Paulino¹,

Dumas-Diniz²,

Brissos³

et al. 2020

Psychology, Health & Medicine

103

101

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Like previous pandemics, the coronavirus disease 2019 (COVID-19) has direct and indirect effects, including in mental health. To evaluate the immediate psychological impact of COVID-19, we conducted an online survey in Portugal (24-27 March 2020), using the Impact of Event Scale-Revised (IES-R) and the Depression, Anxiety and Stress Scale (DASS-21). From the 10,529 participants (M = 31.33; SD = 9.73), 83.4% were women, had a mean age of 31.2 years, and 70.9% were active workers. Depression, anxiety, and stress were rated as moderate to severe in 11.7%, 16.9%, and 5.6% of the sample, respectively. Moreover, 49.2% of participants reported a moderate or severe psychological impact of the outbreak. Women, the unemployed, those with lower education, living in rural areas, and with flu-like symptoms or chronic disorders were risk factors. Further research is needed to identify vulnerable groups to better inform and adapt mental health policies and interventions.

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Section: Instrumentsmentioning

confidence: 95%

COVID-19 in Portugal: exploring the immediate psychological impact on the general population

Paulino¹,

Dumas-Diniz²,

Brissos³

et al. 2020

Psychology, Health & Medicine

103

101

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“…Psychological health was assessed using a modified version of the Depression Anxiety Stress Scale (DASS-21) 25. Although this measure has not been used with this population, it has shown evidence for content, structural and content validity, studied in both clinical and non-clinical groups26 and used with adolescents 27. The scale shows high-quality evidence for bifactor structure, with a generalised negative emotional state dimension intended for use in this study 26.…”

Section: Methodsmentioning

confidence: 99%

“…Although this measure has not been used with this population, it has shown evidence for content, structural and content validity, studied in both clinical and non-clinical groups26 and used with adolescents 27. The scale shows high-quality evidence for bifactor structure, with a generalised negative emotional state dimension intended for use in this study 26. For length, we selected only the depression and anxiety subscales and one item was removed from each scale.…”

Section: Methodsmentioning

confidence: 99%

Measuring menstrual hygiene experience: development and validation of the Menstrual Practice Needs Scale (MPNS-36) in Soroti, Uganda

Hennegan

Nansubuga²,

Smith³

et al. 2020

BMJ Open

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Strengths and limitations of this study► This study reports the development and validation of the Menstrual Practice Needs Scale (MPNS-36) and the conceptual justification for the measure. ► Measure development drew on systematic reviews and findings from studies of measurement challenges in menstrual health research across a range of contexts. ► The MPNS-36 sought to measure the degree to which the practices and environments used in managing menstrual bleeding meet respondents' needs. ► There were no existing validated measures of menstrual experience against which to demonstrate the convergent and divergent validity of the scale. ► The scale was tested among schoolgirls in Uganda, a single population and language, and requires further research on cross-cultural validity and use in other populations. AbStrACtObjective This study describes the development and validation of the Menstrual Practice Needs Scale (MPNS-36), which measures the extent to which respondents' menstrual practices and environments meet their needs.Methods A 54-item pool was developed following systematic review of qualitative and quantitative studies and expert feedback. Item reduction and scale validation were undertaken using a cross-sectional survey of 538 menstruating schoolgirls in Soroti, Uganda. Test-retest reliability was assessed in a subsample of 52 girls 2 weeks after the first administration. Construct validity was tested through relationships with hypothesised correlates: confidence to manage menses, self-reported school absenteeism and mental health symptoms.results The MPNS-36 comprises 28 items applicable to all respondents and 8 items capturing washing and drying experiences for those reusing menstrual materials. A four-factor solution for the core 28 items was the best fit for the data (root mean square error of approximation (RMSEA)=0.028-0.029; comparative fit index (CFI)=0.961-0.964; Tucker-Lewis index (TLI)=0.953-0.955), supplemented by two factors for reuse (RMSEA=0.021-0.030; CFI=0.987-0.994; TLI=0.981-0.991). Subscale and total scores were calculated as mean scores to support accessibility for practitioners. The subscales were 'material and home environment needs' (11 items, α ordinal =0.84), 'transport and school environment needs' (5 items, α ordinal =0.73), 'material reliability concerns' (3 items, α ordinal =0.55), 'change and disposal insecurity' (9 items, α ordinal =0.80), 'reuse needs' (5 items, α ordinal =0.76) and 'reuse insecurity' (3 items, α ordinal =0.56). Relationships between subscales and hypothesised correlates supported validity. Home-based and school-based items were more strongly associated with confidence to manage menstruation at home and school, respectively. Higher total scores indicated more positive experiences and were associated with greater odds of not missing school during the last menstrual period (OR=2.62, 95% CI 1.52 to 4.50). Test-retest reliability was moderate (total score: intraclass correlation coefficient, ICC (2,1) =0.69).Conclusions The MPNS-36 demonstrated acceptable reliabili...

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“…The DASS was first developed as a 42-item instrument (Lovibond & Lovibond, 1995), but so as not to burden respondents and administrators, the authors also presented a shorter, 21-item version (DASS-21) with seven items in each of the scales. Several studies have established the DASS-21's psychometric properties in both clinical and nonclinical groups (for a review see Lee, Lee, & Moon, 2019). In addition, the DASS-21 has been successfully used to measure changes in depression and anxiety following an intervention (e.g., Cann, Rogers, & Matthews, 2003;Kennedy, Rapee, & Edwards, 2009).…”

mentioning

confidence: 99%

Longitudinal invariance and information of the Depression, Anxiety, and Stress Scales

Anghel

2020

J Clin Psychol

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Objectives The study investigates the psychometric properties of the Depression, Anxiety, and Stress Scales (DASS‐21). Method The DASS‐21 was administered to a community sample twice over the course of 7 months ( N T 1 = 235 and N T 2 = 171; 51% female, Mage = 22 years). A partial credit Rasch model was used to determine the scales' longitudinal invariance and reliability. Results The DASS‐21 mostly demonstrated longitudinal invariance across administrations. The Depression and Anxiety subscales were sufficiently reliable to distinguish among the suggested severity categories, but the Stress scale was not. Conclusion Several revisions of the DASS are recommended. It is also suggested that the Stress scale should be used with caution, given its low reliability.

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Systematic review of the measurement properties of the Depression Anxiety Stress Scales–21 by applying updated COSMIN methodology

Cited by 160 publications

References 50 publications

COVID-19 in Portugal: exploring the immediate psychological impact on the general population

COVID-19 in Portugal: exploring the immediate psychological impact on the general population

Measuring menstrual hygiene experience: development and validation of the Menstrual Practice Needs Scale (MPNS-36) in Soroti, Uganda

Longitudinal invariance and information of the Depression, Anxiety, and Stress Scales

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