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Psychometric properties of the Depression Anxiety and Stress Scale-21 in older primary care patients
Abstract The Depression Anxiety Stress Scale (DASS) was designed to efficiently measure the core symptoms of anxiety and depression and has demonstrated positive psychometric properties in adult samples of anxiety and depression patients and student samples. Despite these findings, the psychometric...
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| Published in: | Journal of affective disorders 2008-10, Vol.110 (3), p.248-259 |
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| container_title | Journal of affective disorders |
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| creator | Gloster, Andrew T Rhoades, Howard M Novy, Diane Klotsche, Jens Senior, Ashley Kunik, Mark Wilson, Nancy Stanley, Melinda A |
| description | Abstract The Depression Anxiety Stress Scale (DASS) was designed to efficiently measure the core symptoms of anxiety and depression and has demonstrated positive psychometric properties in adult samples of anxiety and depression patients and student samples. Despite these findings, the psychometric properties of the DASS remain untested in older adults, for whom the identification of efficient measures of these constructs is especially important. To determine the psychometric properties of the DASS 21-item version in older adults, we analyzed data from 222 medical patients seeking treatment to manage worry. Consistent with younger samples, a three-factor structure best fit the data. Results also indicated good internal consistency, excellent convergent validity, and good discriminative validity, especially for the Depression scale. Receiver operating curve analyses indicated that the DASS-21 predicted the diagnostic presence of generalized anxiety disorder and depression as well as other commonly used measures. These data suggest that the DASS may be used with older adults in lieu of multiple scales designed to measure similar constructs, thereby reducing participant burden and facilitating assessment in settings with limited assessment resources. |
| doi_str_mv | 10.1016/j.jad.2008.01.023 |
| format | article |
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Despite these findings, the psychometric properties of the DASS remain untested in older adults, for whom the identification of efficient measures of these constructs is especially important. To determine the psychometric properties of the DASS 21-item version in older adults, we analyzed data from 222 medical patients seeking treatment to manage worry. Consistent with younger samples, a three-factor structure best fit the data. Results also indicated good internal consistency, excellent convergent validity, and good discriminative validity, especially for the Depression scale. Receiver operating curve analyses indicated that the DASS-21 predicted the diagnostic presence of generalized anxiety disorder and depression as well as other commonly used measures. These data suggest that the DASS may be used with older adults in lieu of multiple scales designed to measure similar constructs, thereby reducing participant burden and facilitating assessment in settings with limited assessment resources.</description><identifier>ISSN: 0165-0327</identifier><identifier>EISSN: 1573-2517</identifier><identifier>DOI: 10.1016/j.jad.2008.01.023</identifier><identifier>PMID: 18304648</identifier><identifier>CODEN: JADID7</identifier><language>eng</language><publisher>Amsterdam: Elsevier B.V</publisher><subject>Aged ; Aged, 80 and over ; Anxiety ; Anxiety - diagnosis ; Assessment ; Biological and medical sciences ; Depression - diagnosis ; Depression Anxiety Stress Scale ; Female ; GAD ; Humans ; Male ; Medical sciences ; Middle Aged ; Older adults ; Primary Health Care ; Psychiatry ; Psychology. Psychoanalysis. Psychiatry ; Psychometrics - methods ; Psychometrics. Diagnostic aid systems ; Psychopathology. Psychiatry ; Reproducibility of Results ; Stress, Psychological - diagnosis ; Surveys and Questionnaires ; Techniques and methods</subject><ispartof>Journal of affective disorders, 2008-10, Vol.110 (3), p.248-259</ispartof><rights>Elsevier B.V.</rights><rights>2008 Elsevier B.V.</rights><rights>2008 INIST-CNRS</rights><rights>2008 Elsevier B.V. All rights reserved. 2008</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c648t-b14242f15b688ace5a937e6e623da7348db4ae23d4ee85f434077aa7404f1a9b3</citedby><cites>FETCH-LOGICAL-c648t-b14242f15b688ace5a937e6e623da7348db4ae23d4ee85f434077aa7404f1a9b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,315,786,790,891,27957,27958</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20632348$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18304648$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gloster, Andrew T</creatorcontrib><creatorcontrib>Rhoades, Howard M</creatorcontrib><creatorcontrib>Novy, Diane</creatorcontrib><creatorcontrib>Klotsche, Jens</creatorcontrib><creatorcontrib>Senior, Ashley</creatorcontrib><creatorcontrib>Kunik, Mark</creatorcontrib><creatorcontrib>Wilson, Nancy</creatorcontrib><creatorcontrib>Stanley, Melinda A</creatorcontrib><title>Psychometric properties of the Depression Anxiety and Stress Scale-21 in older primary care patients</title><title>Journal of affective disorders</title><addtitle>J Affect Disord</addtitle><description>Abstract The Depression Anxiety Stress Scale (DASS) was designed to efficiently measure the core symptoms of anxiety and depression and has demonstrated positive psychometric properties in adult samples of anxiety and depression patients and student samples. Despite these findings, the psychometric properties of the DASS remain untested in older adults, for whom the identification of efficient measures of these constructs is especially important. To determine the psychometric properties of the DASS 21-item version in older adults, we analyzed data from 222 medical patients seeking treatment to manage worry. Consistent with younger samples, a three-factor structure best fit the data. Results also indicated good internal consistency, excellent convergent validity, and good discriminative validity, especially for the Depression scale. Receiver operating curve analyses indicated that the DASS-21 predicted the diagnostic presence of generalized anxiety disorder and depression as well as other commonly used measures. These data suggest that the DASS may be used with older adults in lieu of multiple scales designed to measure similar constructs, thereby reducing participant burden and facilitating assessment in settings with limited assessment resources.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anxiety</subject><subject>Anxiety - diagnosis</subject><subject>Assessment</subject><subject>Biological and medical sciences</subject><subject>Depression - diagnosis</subject><subject>Depression Anxiety Stress Scale</subject><subject>Female</subject><subject>GAD</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Older adults</subject><subject>Primary Health Care</subject><subject>Psychiatry</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychometrics - methods</subject><subject>Psychometrics. Diagnostic aid systems</subject><subject>Psychopathology. Psychiatry</subject><subject>Reproducibility of Results</subject><subject>Stress, Psychological - diagnosis</subject><subject>Surveys and Questionnaires</subject><subject>Techniques and methods</subject><issn>0165-0327</issn><issn>1573-2517</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><recordid>eNp9kltv1DAQhSMEokvhB_CC_AJvCeNL4kRIlapSLlIlkBaeLceZsA5ZO9jZiv33ddioXB54smx_c-ZozmTZcwoFBVq9HopBdwUDqAugBTD-INvQUvKclVQ-zDaJKXPgTJ5lT2IcAKBqJDzOzmjNQVSi3mTd53g0O7_HOVhDpuAnDLPFSHxP5h2StzgFjNF6Ry7dT4vzkWjXke28vJKt0SPmjBLriB87DEnB7nU4EqMDkkknKTfHp9mjXo8Rn63nefb13fWXqw_5zaf3H68ub3KTvMx5SwUTrKdlW9W1NljqhkussGK805KLumuFxnQRiHXZCy5ASq2lANFT3bT8PLs46U6Hdo-dSb2DHtXqSXlt1d8_zu7UN3-rmISmacok8GoVCP7HAeOs9jYaHEft0B-iqhpR84pCAukJNMHHGLC_b0JBLdmoQaVs1JKNAqpSNqnmxZ_uflesYSTg5QromAbbB-2Mjfccg4oz_ot7c-IwzfLWYlDRpDkb7GxAM6vO2__auPin2ozW2dTwOx4xDv4QXApJURWZArVdlmjZIaiX_WGU3wEaR8Kn</recordid><startdate>20081001</startdate><enddate>20081001</enddate><creator>Gloster, Andrew T</creator><creator>Rhoades, Howard M</creator><creator>Novy, Diane</creator><creator>Klotsche, Jens</creator><creator>Senior, Ashley</creator><creator>Kunik, Mark</creator><creator>Wilson, Nancy</creator><creator>Stanley, Melinda A</creator><general>Elsevier B.V</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20081001</creationdate><title>Psychometric properties of the Depression Anxiety and Stress Scale-21 in older primary care patients</title><author>Gloster, Andrew T ; Rhoades, Howard M ; Novy, Diane ; Klotsche, Jens ; Senior, Ashley ; Kunik, Mark ; Wilson, Nancy ; Stanley, Melinda A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c648t-b14242f15b688ace5a937e6e623da7348db4ae23d4ee85f434077aa7404f1a9b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anxiety</topic><topic>Anxiety - diagnosis</topic><topic>Assessment</topic><topic>Biological and medical sciences</topic><topic>Depression - diagnosis</topic><topic>Depression Anxiety Stress Scale</topic><topic>Female</topic><topic>GAD</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Older adults</topic><topic>Primary Health Care</topic><topic>Psychiatry</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychometrics - methods</topic><topic>Psychometrics. Diagnostic aid systems</topic><topic>Psychopathology. Psychiatry</topic><topic>Reproducibility of Results</topic><topic>Stress, Psychological - diagnosis</topic><topic>Surveys and Questionnaires</topic><topic>Techniques and methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gloster, Andrew T</creatorcontrib><creatorcontrib>Rhoades, Howard M</creatorcontrib><creatorcontrib>Novy, Diane</creatorcontrib><creatorcontrib>Klotsche, Jens</creatorcontrib><creatorcontrib>Senior, Ashley</creatorcontrib><creatorcontrib>Kunik, Mark</creatorcontrib><creatorcontrib>Wilson, Nancy</creatorcontrib><creatorcontrib>Stanley, Melinda A</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of affective disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gloster, Andrew T</au><au>Rhoades, Howard M</au><au>Novy, Diane</au><au>Klotsche, Jens</au><au>Senior, Ashley</au><au>Kunik, Mark</au><au>Wilson, Nancy</au><au>Stanley, Melinda A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Psychometric properties of the Depression Anxiety and Stress Scale-21 in older primary care patients</atitle><jtitle>Journal of affective disorders</jtitle><addtitle>J Affect Disord</addtitle><date>2008-10-01</date><risdate>2008</risdate><volume>110</volume><issue>3</issue><spage>248</spage><epage>259</epage><pages>248-259</pages><issn>0165-0327</issn><eissn>1573-2517</eissn><coden>JADID7</coden><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-3</notes><notes>content type line 23</notes><notes>ObjectType-Undefined-2</notes><abstract>Abstract The Depression Anxiety Stress Scale (DASS) was designed to efficiently measure the core symptoms of anxiety and depression and has demonstrated positive psychometric properties in adult samples of anxiety and depression patients and student samples. Despite these findings, the psychometric properties of the DASS remain untested in older adults, for whom the identification of efficient measures of these constructs is especially important. To determine the psychometric properties of the DASS 21-item version in older adults, we analyzed data from 222 medical patients seeking treatment to manage worry. Consistent with younger samples, a three-factor structure best fit the data. Results also indicated good internal consistency, excellent convergent validity, and good discriminative validity, especially for the Depression scale. Receiver operating curve analyses indicated that the DASS-21 predicted the diagnostic presence of generalized anxiety disorder and depression as well as other commonly used measures. These data suggest that the DASS may be used with older adults in lieu of multiple scales designed to measure similar constructs, thereby reducing participant burden and facilitating assessment in settings with limited assessment resources.</abstract><cop>Amsterdam</cop><pub>Elsevier B.V</pub><pmid>18304648</pmid><doi>10.1016/j.jad.2008.01.023</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of affective disorders, 2008-10, Vol.110 (3), p.248-259 |
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| subjects | Aged Aged, 80 and over Anxiety Anxiety - diagnosis Assessment Biological and medical sciences Depression - diagnosis Depression Anxiety Stress Scale Female GAD Humans Male Medical sciences Middle Aged Older adults Primary Health Care Psychiatry Psychology. Psychoanalysis. Psychiatry Psychometrics - methods Psychometrics. Diagnostic aid systems Psychopathology. Psychiatry Reproducibility of Results Stress, Psychological - diagnosis Surveys and Questionnaires Techniques and methods |
| title | Psychometric properties of the Depression Anxiety and Stress Scale-21 in older primary care patients |
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