The validity of the 21-item version of the Depression Anxiety Stress Scales as a routine clinical outcome measure

Ng, Felicity; Trauer, Tom; Dodd, Seetal; Callaly, Tom; Campbell, Shirley; Berk, Michael

doi:10.1111/j.1601-5215.2007.00217.x

Cited by 296 publications

(225 citation statements)

References 12 publications

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“…A total of 114 functional and behavioural assessments were completed across the 29 participants over the study time period and included for the analyses. Participants were included at baseline if (1) they fulfilled current criteria for svPPA or nfvPPA [1]; (2) had a reliable proxy informant to report on everyday functioning and behaviour (informants were judged reliable if they either lived with or regularly saw the patient, and if they were able to clearly articulate functional and behavioural information pertaining to the patient); (3) did not have any major physical impairment such as requiring mobility aids; (4) did not have major depressive symptoms as measured by the DASS-21 [11,12], and (5) had a longitudinal assessment within 18 months. People with a diagnosis of lvPPA were excluded from this study based on a combination of a neurological clinical assessment, neuropsychological data and in vivo β-amyloid imaging.…”

Section: Methodsmentioning

confidence: 99%

The Relationship between Behavioural Changes, Cognitive Symptoms, and Functional Disability in Primary Progressive Aphasia: A Longitudinal Study

O'Connor

Clemson

Flanagan

et al. 2016

Dement Geriatr Cogn Disord

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Background: The contribution of behavioural changes to functional decline is yet to be explored in primary progressive aphasia (PPA). Objectives: (1) investigate functional changes in two PPA variants [semantic (svPPA) and non-fluent (nfvPPA)], at baseline and after 12 months; (2) investigate baseline differences in behavioural changes between groups, and (3) explore predictors of functional decline after a 12-month period. Methods: A longitudinal study involving 29 people with PPA (18 svPPA; 11 nfvPPA) seen annually in Sydney/Australia was conducted. A total of 114 functional and behavioural assessments were included for within-group (repeated-measures ANOVA; annual rate of change; multiple regression analyses) and between-group analyses (pairwise comparisons). Results: Functional profiles in svPPA and nfvPPA were similar in people with up to 5 years of disease duration. Behavioural changes were marked in svPPA patients (stereotypical behaviour and apathy) but did not predict annual rate of change of functional abilities; global cognitive scores at baseline did. Despite mild behavioural changes in nfvPPA (disinhibition, apathy), these were significant predictors of annual rate of functional change. Conclusions: The presentation and interplay of behavioural changes and functional disability differ in svPPA and nfvPPA. These varying factors should be taken into account when considering prognosis, disease management, and selection of outcome measures for interventions.

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Section: Methodsmentioning

confidence: 99%

The Relationship between Behavioural Changes, Cognitive Symptoms, and Functional Disability in Primary Progressive Aphasia: A Longitudinal Study

O'Connor

Clemson

Flanagan

et al. 2016

Dement Geriatr Cogn Disord

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“…The longer DASS-42 and short-form DASS-21 were developed using Australian data and have been validated in both clinical and non-clinical samples (Antony et al, 1998;Henry and Crawford, 2005;Ng et al, 2007). The depression scale assesses dysphoria, hopelessness, devaluation of life, self-deprecation, lack of interest/involvement, anhedonia, and inertia; the anxiety scale assesses autonomic arousal, skeletal muscle effects, situational anxiety, and subjective experience of anxious affect; and the stress scale assesses difficulty relaxing, nervous arousal, being easily upset/agitated, irritable/over-reactive and impatient.…”

Section: Assessment Of Depression Anxiety and Stressmentioning

confidence: 99%

Low vitamin D levels are associated with symptoms of depression in young adult males

Black

Jacoby

Allen

et al. 2013

Aust N Z J Psychiatry

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Objective Results from epidemiological studies examining associations between serum 25(OH)D concentrations and depression are equivocal. We investigated the relationship between serum 25(OH)D concentrations and symptoms of depression, anxiety and stress in a population‐based cohort of young adults. Methods The Western Australian Pregnancy Cohort (Raine) Study is a prospective, longitudinal study from birth to adulthood. Symptoms of depression, anxiety and stress were assessed at the 20 year follow‐up using the 21‐item Depression Anxiety Stress Scales (DASS‐21). Associations between serum 25(OH)D concentrations and DASS‐21 scores were explored using multiple linear regression, adjusting for potential confounders (n = 693). Results In males, low serum 25(OH)D concentrations were significantly associated with symptoms of depression (β = −0.20, p < 0.001), anxiety (β = −0.12, p = 0.041) and stress (β = −0.13, p = 0.022). No significant associations were seen in females. Conclusions We found that low serum 25(OH)D concentrations were associated with symptoms of depression, anxiety and stress in males. Further studies are warranted to elucidate the relationship between vitamin D status and these mental health symptoms in young adults. This work was supported by the National Health and Medical Research Council of Australia Project #1022134 (2012–2014).

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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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The validity of the 21-item version of the Depression Anxiety Stress Scales as a routine clinical outcome measure

Abstract: The findings from the present study support the validity of DASS-21 as a routine clinical outcome measure in the private in-patient setting.

Cited by 296 publications

References 12 publications

The Relationship between Behavioural Changes, Cognitive Symptoms, and Functional Disability in Primary Progressive Aphasia: A Longitudinal Study

The Relationship between Behavioural Changes, Cognitive Symptoms, and Functional Disability in Primary Progressive Aphasia: A Longitudinal Study

Low vitamin D levels are associated with symptoms of depression in young adult males

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

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