Depression anxiety stress scale: is it valid for children and adolescents?
Open accessAbstract
The Depression Anxiety Stress Scale (Lovibond & Lovibond, 1995) is used to assess the severity of symptoms in child and adolescent samples although its validity in these populations has not been demonstrated. The authors assessed the latent structure of the 21‐item version of the scale in samples of 425 and 285 children and adolescents on two occasions, one year apart. On each occasion, parallel analyses suggested that only one component should be extracted, indicating that the test does not differentiate depression, anxiety, and stress in children and adolescents. The results provide additional evidence that adult models of depression do not describe the experience of depression in children and adolescents. © 2010 Wiley Periodicals, Inc. J Clin Psychol: 66:1–12, 2010.
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The symptom measure selected has been used and validated in a non-clinical adolescent population.
“The symptom measure selected has been used and validated in a non-clinical adolescent population [47–49].”
From Acceptance and commitment therapy universal prevention program for adolescents: a feasibility study. (2017) · cites this paper as [47]
The Participants and Procedure section describes a community sample that included adolescents, and the Results section assesses the DASS-21 in that sample. But the Abstract reports that the scale did not differentiate depression, anxiety, and stress in children and adolescents. The paper supports its use and evaluation in a non-clinical adolescent population, not an unqualified claim that it was validated for that population. (LLM, conf=0.88)
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Cites
Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR)
American Psychiatric Association (2000) · doi:10.1176/appi.books.9780890423349 · Cited by 11,069 · see citing works
Evaluating the use of exploratory factor analysis in psychological research.
Fabrigar, L. R., Wegener, D. T., MacCallum, R. C., & Strahan, E. J. (1999) · Psychological Methods · doi:10.1037/1082-989x.4.3.272 · Cited by 9,587 · see citing works
(1995) · Cited by 6,909 · see citing works
Henry, J. D., & Crawford, J. R. (2005) · British Journal of Clinical Psychology · doi:10.1348/014466505x29657 · Cited by 5,801 · see citing works
Antony, M. M., Bieling, P. J., Cox, B. J., Enns, M. W., & Swinson, R. P. (1998) · Psychological Assessment · doi:10.1037/1040-3590.10.2.176 · Cited by 4,874 · see citing works
O’connor, B. P. (2000) · Behavior Research Methods, Instruments, & Computers · doi:10.3758/bf03200807 · Cited by 4,116 · see citing works
Psychometric properties of the Depression Anxiety Stress Scales (DASS) in clinical samples
Brown, T. A., Chorpita, B. F., Korotitsch, W., & Barlow, D. H. (1997) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(96)00068-x · Cited by 1,860 · see citing works
Crawford, J. R., & Henry, J. D. (2003) · British Journal of Clinical Psychology · doi:10.1348/014466503321903544 · Cited by 1,756 · see citing works
Lewinsohn, P. M., Hops, H., Roberts, R. E., Seeley, J. R., & al, E. (1993) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.102.1.133 · Cited by 1,736 · see citing works
Lewinsohn, P. M., Hops, H., Roberts, R. E., Seeley, J. R., & Andrews, J. A. (1993) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.102.1.133 · Cited by 1,547 · see citing works
Watson, D., Weber, K., Assenheimer, J. S., Clark, L. A., Strauss, M. E., & McCormick, R. A. (1995) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.104.1.3 · Cited by 1,423 · see citing works
Watson, D., Weber, K., Assenheimer, J. S., Clark, L. A., Strauss, M. E., & McCormick, R. A. (1995) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.104.1.3 · Cited by 1,423 · see citing works
Watson, D., Clark, L. A., Weber, K., Assenheimer, J. S., Strauss, M. E., & McCormick, R. A. (1995) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.104.1.15 · Cited by 1,002 · see citing works
Structural Equation Modeling: Strengths, Limitations, and Misconceptions
Tomarken, A. J., & Waller, N. G. (2004) · Annual Review of Clinical Psychology · doi:10.1146/annurev.clinpsy.1.102803.144239 · Cited by 892 · see citing works
Watson, D., Clark, L. A., Weber, K., et al. (1995) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.104.1.15 · Cited by 745 · see citing works
Applications of covariance structure modeling in psychology: Cause for concern?
Breckler, S. (1990) · Psychological Bulletin · doi:10.1037/0033-2909.107.2.260 · Cited by 638 · see citing works
Some Cautions Concerning The Application Of Causal Modeling Methods
Cliff, N. (1983) · Multivariate Behavioral Research · doi:10.1207/s15327906mbr1801_7 · Cited by 553 · see citing works
The Depression Anxiety Stress Scale-21: Spanish Translation and Validation with a Hispanic Sample
Daza, P., Novy, D. M., Stanley, M. A., & Averill, P. (2002) · Journal of Psychopathology and Behavioral Assessment · doi:10.1023/a:1016014818163 · Cited by 508 · see citing works
The Developmental Psychopathology of Anxiety
(2001) · Oxford University Press eBooks · doi:10.1093/med:psych/9780195123630.001.0001 · Cited by 479 · see citing works
Clara, I. P., Cox, B. J., & Enns, M. W. (2001) · Journal of Psychopathology and Behavioral Assessment · doi:10.1023/a:1011095624717 · Cited by 403 · see citing works
Szabó, M. (2010) · Journal of Adolescence · doi:10.1016/j.adolescence.2009.05.014 · Cited by 400 · see citing works
Potential problems with "well fitting" models.
Tomarken, A. J., & Waller, N. G. (2003) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.112.4.578 · Cited by 393 · see citing works
The long-term stability and predictive validity of trait measures of affect.
Watson, D., & Walker, L. M. (1996) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.70.3.567 · Cited by 319 · see citing works
The Structure of Child and Adolescent Psychopathology: Generating New Hypotheses.
Lahey, B. B., Applegate, B. E., Waldman, I. D., Loft, J. D., Hankin, B. L., & Rick, J. H. (2004) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.113.3.358 · Cited by 271 · see citing works
Syndrome comorbidity in patients diagnosed with a DSM-III--R anxiety disorder.
Sanderson, W. C., DiNardo, P. A., Rapee, R. M., & Barlow, D. H. (1990) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.99.3.308 · Cited by 258 · see citing works
Cole, D., Truglio, R., & Peeke, L. G. (1997) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.65.1.110 · Cited by 227 · see citing works
Syndrome comorbidity in patients diagnosed with a DSM-III—R anxiety disorder.
Sanderson, W. C., DiNardo, P. A., Rapee, R. M., et al. (1990) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.99.3.308 · Cited by 194 · see citing works
Lonigan, C. J., Carey, M. P., & Finch, A. J., Jr. (1994) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.62.5.1000 · Cited by 185 · see citing works
Turner, N. E. (1998) · Educational and Psychological Measurement · doi:10.1177/0013164498058004001 · Cited by 184 · see citing works
Symptoms of DSM-III-R Major Depression in Adolescence: Evidence from an Epidemiological Survey
ROBERTS, R. E., Lewinsohn, P. M., & Seeley, J. R. (1995) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199512000-00011 · Cited by 178 · see citing works
Chorpita, B. F. (2002) · Research on Child and Adolescent Psychopathology · doi:10.1023/a:1014709417132 · Cited by 174 · see citing works
The symptomatic expression of major depressive disorder in adolescents and young adults.
Lewinsohn, P. M., Pettit, J. W., Joiner, T. E., & Seeley, J. R. (2003) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.112.2.244 · Cited by 171 · see citing works
Lonigan, C. J., Carey, M. P., & Finch, A. J., Jr. (1994) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.62.5.1000 · Cited by 131 · see citing works
Gorsuch, R. L. (2003) · Handbook of Psychology · doi:10.1002/0471264385.wei0206 · Cited by 124 · see citing works
Unmasking unmasked depression in children and adolescents: The problem of comorbidity
Hammen, C. L. (1994) · Clinical Psychology Review · doi:10.1016/0272-7358(94)90018-3 · Cited by 102 · see citing works
Young, J. F., Mufson, L. H., & Davies, M. (2006) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/01.chi.0000222791.23927.5f · Cited by 100 · see citing works
Herman, K. C., Ostrander, R. S., Walkup, J. T., Silva, S. G., & March, J. S. (2007) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.75.5.716 · Cited by 95 · see citing works
Brief report: The factor structure of mood states in an early adolescent sample
Duffy, C. J., Cunningham, E. G., & Moore, S. M. (2005) · Journal of Adolescence · doi:10.1016/j.adolescence.2005.08.013 · Cited by 79 · see citing works
Anxiety, Depression, and Tension/Stress in Children
Szabó, M., & Lovibond, P. F. (2006) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-005-9008-3 · Cited by 66 · see citing works
Turner, C. M., & Barrett, P. M. (2003) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.71.4.826 · Cited by 56 · see citing works
Factor structure of self-reported depression: Clinic-referred children versus adolescents.
Weiss, B. H., & Weisz, J. R. (1988) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.97.4.492 · Cited by 34 · see citing works
Relations among self-reported depressive symptoms in clinic-referred children versus adolescents.
Weiss, B., Weisz, J. R., Politano, M., Carey, M. P., Nelson, W. M., & Finch, A. J. (1992) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.101.3.391 · Cited by 32 · see citing works
Factor structure of self-reported depression: Clinic-referred children versus adolescents.
Weiss, B. H., & Weisz, J. R. (1988) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.97.4.492 · Cited by 28 · see citing works
Relations among self-reported depressive symptoms in clinic-referred children versus adolescents.
Weiss, B. H., Weisz, J. R., Politano, M., et al. (1992) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.101.3.391 · Cited by 24 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- Finch, A. J., Lipovsky, J. A., & Casat, C. D. (1989). Anxiety & depression in children & adolescents: Negative affectivity or separate constructs? In P. C. Kendall & D. Watson (Eds.), Anxiety & depression: Distinctive & overlapping features. New York, NY: Academic Press.
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Sorted by citations
Bottesi, G., Ghisi, M., Altoè, G., Conforti, E., Melli, G., & Sica, C. (2015) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2015.04.005 · Cited by 701 · see citing works
A multi‐dimensional measure of vocational identity status
Porfeli, E. J., Lee, B., Vondracek, F. W., & Weigold, I. K. (2011) · Journal of Adolescence · doi:10.1016/j.adolescence.2011.02.001 · Cited by 327 · see citing works
Le, M. T. H., Tran, T. D., Holton, S., Nguyen, H. T., Wolfe, R. S., & Fisher, J. (2017) · PLoS ONE · doi:10.1371/journal.pone.0180557 · Cited by 273 · see citing works
Ali, A. M., Alkhamees, A. A., Hori, H., Kim, Y., & Kunugi, H. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph181910142 · Cited by 193 · see citing works
Patias, N. D., Machado, W. D. L., Bandeira, D. R., & Dell’Aglio, D. D. (2016) · Psico-USF · doi:10.1590/1413-82712016210302 · Cited by 186 · see citing works
Academic stress in the final years of school: a systematic literature review
Wuthrich, V. M., Jagiello, T., & Azzi, V. (2020) · Child Psychiatry & Human Development · doi:10.1007/s10578-020-00981-y · Cited by 153 · see citing works
Jiang, L., Yan, Y., Jin, Z., Hu, M., Wang, L., Song, Y., Li, N.-N., Su, J., Wu, D., & Xiao, T. (2020) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.00247 · Cited by 138 · see citing works
Szabó, M., & Lovibond, P. F. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.766890 · Cited by 123 · see citing works
Properties of the DASS‐21 in an Australian Community Adolescent Population
Shaw, T., Campbell, M. A., Runions, K., & Zubrick, S. R. (2016) · Journal of Clinical Psychology · doi:10.1002/jclp.22376 · Cited by 112 · see citing works
Almhdawi, K. A., Alazrai, A., Kanaan, S. F., Shyyab, A. A., Oteir, A. O., Mansour, Z. M., & Jaber, H. (2020) · Neuropsychological Rehabilitation · doi:10.1080/09602011.2020.1760893 · Cited by 87 · see citing works
Hartmann, J., Nelson, B., Spooner, R., Amminger, G. P., Chanen, A. M., Davey, C. G., McHugh, M. J., Ratheesh, A., Treen, D., Yuen, H. P., et al. (2017) · Early Intervention in Psychiatry · doi:10.1111/eip.12483 · Cited by 97 · see citing works
Short version of the Depression Anxiety Stress Scale-21: is it valid for Brazilian adolescents?
da Silva, H. A., dos Passos, M. H. P., de Oliveira, V. M. A., Palmeira, A. C., Pitangui, A. C. R., & de Araújo, R. C. (2016) · Einstein (São Paulo) · doi:10.1590/s1679-45082016ao3732 · Cited by 96 · see citing works
Treatment and Prevention of Depression and Anxiety in Youth: Test of Cross-Over Effects
Garber, J., Brunwasser, S. M., Zerr, A. A., Schwartz, K. T. G., Sova, K., & Weersing, V. R. (2016) · Depression and Anxiety · doi:10.1002/da.22519 · Cited by 91 · see citing works
Chen, I., Chen, C., Liao, X.-L., Chen, X.-M., Zheng, X., Tsai, Y., Lin, C., Griffiths, M. D., & Pakpour, A. H. (2023) · Acta Psychologica · doi:10.1016/j.actpsy.2023.104042 · Cited by 97 · see citing works
Ali, A. M., & Green, J. (2019) · Substance Abuse Treatment Prevention and Policy · doi:10.1186/s13011-019-0226-1 · Cited by 89 · see citing works
Cao, C.-H., Liao, X.-L., Gamble, J. H., Li, L., Jiang, X.-Y., Li, X.-D., Griffiths, M. D., Chen, I., & Lin, C. (2023) · Child and Adolescent Psychiatry and Mental Health · doi:10.1186/s13034-023-00655-2 · Cited by 95 · see citing works
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Bautista, T. G., Roman, G., Khan, M., Lee, M. S., Sahbaz, S., Duthely, L. M., Knippenberg, A., Burgos, M. A. M., Davidson, A., Scaramutti, C., et al. (2023) · Journal of Clinical and Translational Science · doi:10.1017/cts.2023.648 · Cited by 101 · see citing works
Kozlowska, K., McClure, G., Chudleigh, C., Maguire, A., Gessler, D., Scher, S., & Ambler, G. R. (2021) · Human Systems Therapy Culture and Attachments · doi:10.1177/26344041211010777 · Cited by 77 · see citing works
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Burckhardt, R., Manicavasagar, V., Batterham, P. J., Miller, L. M., Talbot, E., & Lum, A. (2015) · Journal of Medical Internet Research · doi:10.2196/jmir.4329 · Cited by 67 · see citing works
Almhdawi, K. A., Mathiowetz, V. G., Al-Hourani, Z. A., Khader, Y. S., Kanaan, S. F., & Alhasan, M. (2017) · Journal of Back and Musculoskeletal Rehabilitation · doi:10.3233/bmr-169669 · Cited by 67 · see citing works
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Acceptance and commitment therapy universal prevention program for adolescents: a feasibility study.
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McLoughlin, L. T., Spears, B. A., Taddeo, C. M., & Hermens, D. F. (2019) · Psychology in the Schools · doi:10.1002/pits.22232 · Cited by 63 · see citing works
Using the Depression, Anxiety, Stress Scales–21 With U.S. Adolescents: An Alternate Models Analysis
Moore, S. A., Dowdy, E., & Furlong, M. J. (2017) · Journal of Psychoeducational Assessment · doi:10.1177/0734282916651537 · Cited by 61 · see citing works
Almhdawi, K. A., Obeidat, D., Kanaan, S. F., Hajela, N., Bsoul, M., Arabiat, A., Alazrai, A., Jaber, H., & Alrabbaie, H. (2021) · Work · doi:10.3233/wor-205276 · Cited by 59 · see citing works
Nehmy, T. J., & Wade, T. D. (2015) · Behaviour Research and Therapy · doi:10.1016/j.brat.2015.02.007 · Cited by 55 · see citing works
Weiss, R. B., Aderka, I. M., Lee, J., Beard, C., & Björgvinsson, Þ. (2014) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-014-9461-y · Cited by 53 · see citing works
Evans, L. N., Haeberlein, K. A., Chang, A., & Handal, P. J. (2020) · Child Psychiatry & Human Development · doi:10.1007/s10578-020-01050-0 · Cited by 51 · see citing works
Kozlowska, K., Spooner, C. J., Palmer, D. M., Harris, A., Korgaonkar, M. S., Scher, S., & Williams, L. M. (2018) · NeuroImage: Clinical · doi:10.1016/j.nicl.2018.02.003 · Cited by 47 · see citing works
Jovanović, V., Gavrilov‐Jerković, V., & Lazić, M. (2019) · Current Psychology · doi:10.1007/s12144-019-00540-2 · Cited by 50 · see citing works
Kaur, S., Christian, H. E., Cooper, M. N., Francis, J., Allen, K. L., & Trapp, G. (2020) · Depression and Anxiety · doi:10.1002/da.23090 · Cited by 49 · see citing works
Al-Wardat, M. S., Salimei, C., Alrabbaie, H., Etoom, M., Khashroom, M., Clarke, C., Almhdawi, K. A., & Best, T. (2024) · Journal of Clinical Medicine · doi:10.3390/jcm13061533 · Cited by 49 · see citing works
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Jovanović, V. (2013) · Child Indicators Research · doi:10.1007/s12187-013-9195-5 · Cited by 36 · see citing works
Dwight, A. R., Briesch, A. M., Hoffman, J. A., & Rutt, C. (2024) · Child & Youth Care Forum · doi:10.1007/s10566-024-09795-8 · Cited by 35 · see citing works
Almhdawi, K. A., Alazrai, A., Obeidat, D., Altarifi, A., Oteir, A., Aljammal, A. H., Arabiat, A., Alrabbaie, H., Jaber, H., & Almousa, K. M. (2021) · Work · doi:10.3233/wor-205309 · Cited by 35 · see citing works
Bibi, H., & Saleem, T. (2021) · Journal of Religion and Health · doi:10.1007/s10943-021-01240-7 · Cited by 29 · see citing works
Duong, C., & Hurst, C. P. (2016) · BMC Research Notes · doi:10.1186/s13104-016-2099-y · Cited by 28 · see citing works
Chung, J., Mukerji, S., & Kozlowska, K. (2023) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/00048674221082520 · Cited by 27 · see citing works
The Relationship between Child Stress, Child Mindfulness and Parent Mindfulness
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McLoughlin, L. T. (2019) · Current Psychology · doi:10.1007/s12144-019-00378-8 · Cited by 26 · see citing works
Ahmad, N., Roslan, S. B., Othman, S., Shukor, S. F. A., & Bakar, A. Y. A. (2018) · International Journal of Academic Research in Business and Social Sciences · doi:10.6007/ijarbss/v8-i6/4275 · Cited by 26 · see citing works
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de psicología, A. P. C. –. C., & Valencia, P. D. (2019) · Avances en Psicología · doi:10.33539/avpsicol.2019.v27n2.1796 · Cited by 31 · see citing works
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Hilton, M., Boulton, K., Kozlowska, K., McClure, G., & Guastella, A. J. (2022) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2022.02.018 · Cited by 20 · see citing works
Evans, L. N., Haeberlein, K. A., Chang, A., & Handal, P. J. (2020) · Current Psychology · doi:10.1007/s12144-020-00937-4 · Cited by 19 · see citing works
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Zhang, S., Yuan, Y., Zhuang, W., Xiong, T., Xu, Y., Zhang, J., Tao, C., Liang, J., & Wang, Y. (2022) · Frontiers in Neurology · doi:10.3389/fneur.2022.843055 · Cited by 19 · see citing works
Nehmy, T. J., & Wade, T. D. (2014) · Mental Health & Prevention · doi:10.1016/j.mhp.2014.11.002 · Cited by 21 · see citing works
Neurometabolic alterations in children and adolescents with functional neurological disorder
Charney, M. F., Foster, S., Shukla, V., Zhao, W., Jiang, S. H., Kozlowska, K., & Lin, A. P. (2023) · NeuroImage Clinical · doi:10.1016/j.nicl.2023.103557 · Cited by 17 · see citing works
Kozlowska, K., Cruz, C., Davies, F., Brown, K. J., Palmer, D. M., McLean, L., Scher, S., & Williams, L. M. (2016) · Australian and New Zealand Journal of Family Therapy · doi:10.1002/anzf.1187 · Cited by 16 · see citing works
Lee, S., Bernstein, R., Ip, K. I., & Olson, S. L. (2022) · Development and Psychopathology · doi:10.1017/s0954579422001043 · Cited by 16 · see citing works
The Emotional Experience Associated with Worrying in Adolescents
Fowler, S., & Szabó, M. (2012) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-012-9316-3 · Cited by 16 · see citing works
Factor structure of the Depression, Anxiety and Stress Scale among caregivers in Southeastern Europe
Murphy, H., Prandstetter, K., Ward, C. L., Hutchings, J., Kunovski, I., Tăut, D., & Foran, H. M. (2023) · Family Relations · doi:10.1111/fare.12882 · Cited by 15 · see citing works
Kozlowska, K., Schollar-Root, O., Savage, B., Hawkes, C., Chudleigh, C., Raghunandan, J., Scher, S., & Helgeland, H. (2023) · Children · doi:10.3390/children10111724 · Cited by 14 · see citing works
“The Depression Anxiety and Stress Scales are a validated measure of perceived distress in paediatric populations [75,76].”
BackgroundLuo, J., Xian, G., Yao, C.-K., Jin, J., Zhao, J., Song, X., & Gong, J. (2025) · BMC Public Health · doi:10.1186/s12889-025-23287-x · Cited by 14 · see citing works
shabani, M. J., Gharraee, B., & Tajrishi, K. Z. (2025) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1452878 · Cited by 13 · see citing works
Chen, I., Lin, Y.-C., Lin, C., Wang, W., & Gamble, J. H. (2022) · Journal of Men s Health · doi:10.31083/j.jomh1803070 · Cited by 12 · see citing works
Mahmoud, J. S. R. (2011) · UKnowledge (University of Kentucky) · Cited by 13 · see citing works
Iannattone, S., Mignemi, G., Pivetta, E., Gatta, M., Sica, C., Cardi, V., Canale, N., Spoto, A., & Bottesi, G. (2024) · PLoS ONE · doi:10.1371/journal.pone.0299229 · Cited by 12 · see citing works
Improving Mental Health Outcomes Assessment with the Mental Health Inventory‐21
Hennessy, M., Patrick, J. C., & Swinbourne, A. L. (2017) · Australian Psychologist · doi:10.1111/ap.12330 · Cited by 12 · see citing works
Self-citationMcCalman, J., Bainbridge, R. G., Redman-MacLaren, M. L., Russo, S., Rutherford, K., Tsey, K., Ungar, M. T., Wenitong, M., & Hunter, E. M. (2017) · Frontiers in Education · doi:10.3389/feduc.2017.00019 · Cited by 11 · see citing works
Stress-system activation in children with chronic pain: A focus for clinical intervention
McInnis, P., Braund, T. A., Chua, Z. K., & Kozlowska, K. (2019) · Clinical Child Psychology and Psychiatry · doi:10.1177/1359104519864994 · Cited by 11 · see citing works
Almhdawi, K. A., Jaber, H., Alghwiri, A. A., Arabiat, A., Alazrai, A., Tariah, H. S. A., Obeidat, D., & Alrabbaie, H. (2021) · Neuropsychological Rehabilitation · doi:10.1080/09602011.2021.1984256 · Cited by 10 · see citing works
Mathematics anxiety among prospective elementary school teachers and their treatment
Daharnis, D., Nirwana, H., Ifdil, I., Afdal, A., Ardi, Z., Taufik, T., Erlamsyah, E., Alizamar, A., Fadli, R. P., Erwinda, L., et al. (2019) · Journal of Physics Conference Series · doi:10.1088/1742-6596/1157/4/042089 · Cited by 10 · see citing works
Almhdawi, K. A., Kanaan, S. F., Khader, Y. S., Al-Hourani, Z. A., Al-Jarrah, M. D., Almomani, F., & Alqhazo, M. T. (2021) · Work · doi:10.3233/wor-205226 · Cited by 9 · see citing works
Carapeto, M., Domingos, R., & Veiga, G. (2020) · European Journal of Investigation in Health Psychology and Education · doi:10.3390/ejihpe10040072 · Cited by 9 · see citing works
Yousif, M., Abdelrahman, A., Al-Jamea, L. H., Al-Yami, F. S., & Woodman, A. (2022) · Journal of Tropical Pediatrics · doi:10.1093/tropej/fmac042 · Cited by 9 · see citing works
Manzar, M. D., Mohammed, S., Nureye, D., Kashoo, F. Z., Noohu, M. M., Alotaibi, J. S., Alamri, M. S., & Griffiths, M. D. (2025) · PLoS ONE · doi:10.1371/journal.pone.0325238 · Cited by 14 · see citing works
Factorial analysis of stress factors among the sample of Lebanese police officers
Fayyad, F., Kukić, F., Ćopić, N., Koropanovski, N., & Dopsaj, M. (2020) · Policing An International Journal · doi:10.1108/pijpsm-05-2020-0081 · Cited by 8 · see citing works
COVID-19 Vaccination in Young People with Functional Neurological Disorder: A Case-Control Study
Lim, N., Wood, N., Prasad, A., Waters, K. A., Singh‐Grewal, D., Dale, R. C., Elkadi, J., Scher, S., & Kozlowska, K. (2022) · Vaccines · doi:10.3390/vaccines10122031 · Cited by 7 · see citing works
Schlier, B., Ellett, L., Thompson, E., Gaudiano, B. A., Krkovic, K., & Kingston, J. L. (2024) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-024-01187-9 · Cited by 7 · see citing works
Dependability and Usability of the DASS-21 as a Progress-Monitoring Tool for Youth
Dwight, A. R., Briesch, A. M., Hoffman, J. A., & Rutt, C. (2024) · Journal of Psychoeducational Assessment · doi:10.1177/07342829241227758 · Cited by 6 · see citing works
Broda, M. D., Conley, A. H., Clarke, P. B., Ohrt, J. H., & Joy, J. (2025) · Psychological Reports · doi:10.1177/00332941241313105 · Cited by 6 · see citing works
The Depression Anxiety Stress Scale: Features and applications
Gillies, J. C. P., & Dozois, D. J. A. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-817933-8.00025-6 · Cited by 6 · see citing works
Magdalene, D., Bhattacharjee, H., Deshmukh, S., Mohapatra, S. S. D., Ali, A., Paidi, R., & Multani, P. K. (2021) · Indian Journal of Ophthalmology · doi:10.4103/ijo.ijo_3071_20 · Cited by 6 · see citing works
Mellor, D. J., Hallford, D. J., Tan, J., & Waterhouse, M. (2018) · International Journal of Psychology · doi:10.1002/ijop.12548 · Cited by 5 · see citing works
Abdin, E., Tan, B. C. W., Chang, S. S. H., Samari, E., Tan, B., Tang, C. Y. Z., Vaingankar, J. A., Verma, S. K., & Subramaniam, M. (2025) · Frontiers in Psychology · doi:10.3389/fpsyg.2025.1563190 · Cited by 4 · see citing works
Cummins, R., Hawkes, C., Longworth, J., Scher, S., & Kozlowska, K. (2025) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2025.1560873 · Cited by 5 · see citing works
Wiener, U. P. N., & Toro, M. T. (2019) · Avances en Psicología · doi:10.33539/avpsicol.2019.v27n2.1795 · Cited by 7 · see citing works
Confirmatory factor analysis of the DASS-10 with Black adolescents
Goodwin, A. K. B., & Knox, J. L. (2024) · Journal of Affective Disorders Reports · doi:10.1016/j.jadr.2024.100735 · Cited by 4 · see citing works
READING ANXIETY OF EFL LEARNERS IN INDONESIAN RURAL SCHOOLS: A QUANTITATIVE STUDY
Mudra, H., & Mckinnon, T. (2022) · LLT Journal A Journal on Language and Language Teaching · doi:10.24071/llt.v25i2.5221 · Cited by 4 · see citing works
Ifdil, I., Suranata, K., Rangka, I. B., Bakar, A. Y. A., Susiani, K., & Subramaniam, T. S. (2023) · International Journal of Disaster Risk Reduction · doi:10.1016/j.ijdrr.2023.103976 · Cited by 4 · see citing works
Güilgüiruca, M., Quiñones, M., & Zúñiga, C. (2023) · Revista Iberoamericana de Diagnóstico y Evaluación - e Avaliação Psicológica · doi:10.21865/ridep70.4.03 · Cited by 3 · see citing works
Structural validity of the DASS-21 during pandemic-induced psychological distress
Bajre, P. K. (2025) · Discover Mental Health · doi:10.1007/s44192-025-00349-5 · Cited by 3 · see citing works
Thanatophobia and Its Treatment Using Neurolinguistic Programming
Ifdil, I., Zola, N., Putri, Y. E., Zatrahadi, M. F., Darmawati, D., & Ardi, Z. (2019) · Addictive Disorders & Their Treatment · doi:10.1097/adt.0000000000000186 · Cited by 3 · see citing works
Magnani, L., Carmisciano, L., Dell’Orletta⋄, F., Bettinardi, O., Chiesa, S., Imbesi, M., Limonta, G., Montagna, E., Turone, I., Martinasso, D., et al. (2023) · BMJ Open · doi:10.1136/bmjopen-2022-066642 · Cited by 3 · see citing works
Mental health of persons with disabilities during the COVID-19 pandemic in Bangladesh
Faruk, M. O., Siddik, M. A. B., Chowdhury, K. U. A., Bari, N., Hossain, M. S., Noor, S., Alam, M. R., Akter, T., Adams, B., Thikeo, M., et al. (2025) · PLoS ONE · doi:10.1371/journal.pone.0322218 · Cited by 2 · see citing works
Mazulis, M. F. F. (2017) · Universidad de Lima · doi:10.26439/ulima.tesis/3571 · Cited by 2 · see citing works
Garrido, S., O'Keeffe, Z., Chmiel, A., Boydell, K., Doran, B., & Nguyễn, Q. V. (2025) · Frontiers in Psychology · doi:10.3389/fpsyg.2025.1568958 · Cited by 1 · see citing works
Žuro, B., Hevey, D., Coey, P., Harris, C., & Byrne, G. (2025) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsaf071 · Cited by 1 · see citing works
Hospitality Students’ Perceptions of Their Mental Health: Implications for Teaching and Learning
Deale, C. S., & Lee, S. H. (2024) · Journal of Hospitality & Tourism Education · doi:10.1080/10963758.2024.2369124 · Cited by 1 · see citing works
Propiedades psicométricas de la DASS-21 en adolescentes argentinos
Areas, M., Khoury, T., Penedo, J. M. G., & Roussos, A. (2023) · Revista de Psicopatología y Psicología Clínica · doi:10.5944/rppc.36925 · Cited by 1 · see citing works
- Authors
- Patrick, J., Dyck, M., & Bramston, P.
- Affiliations
- University of Southern Queensland (AU)
- Griffith University (AU)
- Corresponding author
- Patrick, Jeff
- Venue
- Journal of Clinical Psychology
- Publisher
- Wiley
- Published
- 2010-08-02
- Volume
- 66
- Issue
- 9
- Pages
- 996-1007
- ISSN
- 0021-9762 (ISSN-L)
- 1097-4679
- OpenAlex
- W2098938417
- Cited by
- 113
- References
- 38
- Citations by year
- 2026: 3 · 2025: 10 · 2024: 11 · 2023: 10 · 2022: 15 · 2021: 10 · 2020: 9 · 2019: 9 · 2018: 5 · 2017: 9 · 2016: 10 · 2015: 4 · 2014: 4 · 2013: 1 · 2012: 1
- FWCI
- 1.41
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- University of Southern Queensland ePrints (University of Southern Queensland) (acceptedVersion)
- eCite Digital Repository (University of Tasmania) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Griffith Research Online (submittedVersion)
- Funders
- Queensland Health
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Keywords
- DASS, children, adolescents, psychometric validity, latent structure, depression, anxiety, stress, parallel analysis, factor structure
- MeSH terms
- Adolescent, Age Factors, Anxiety, Child, Depression, Depressive Disorder, Major, Major Depressive Disorder, Depressive Disorder, Female, Humans, Male, Psychiatric Status Rating Scales, Psychometrics, Sex Factors, Stress, Psychological, Reproducibility of Results
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