Psychometric properties of the Depression Anxiety and Stress Scale-21 in older primary care patients

Gloster, Andrew T.; Rhoades, Howard M.; Novy, Diane; Klotsche, Jens; Senior, Ashley; Kunik, Mark; Wilson, Nancy; Stanley, Melinda A.

doi:10.1016/j.jad.2008.01.023

Cited by 474Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychometric Methodologies and TestingMental Health Research Topics

Psychometric properties of the Depression Anxiety and Stress Scale-21 in older primary care patients

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Gloster, Andrew T., Rhoades, Howard M., Novy, Diane, Klotsche, Jens, Senior, Ashley, Kunik, Mark, Wilson, Nancy, Stanley, Melinda A.·2008·Journal of Affective Disorders

DOI 10.1016/j.jad.2008.01.023PMC PMC2709995

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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.

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The DASS-D is mentioned in the literature as equivalent to the BDI-II scale.
“the DASS-D is mentioned in the literature as equivalent to the BDI-II scale 29 .”
From Relationships between worry and depressive symptoms during two group therapies for generalized anxiety disorder (2022) · cites this paper as [29]

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Authors: Gloster, A. T., Rhoades, H. M., Novy, D., Klotsche, J., Senior, A., Kunik, M., Wilson, N., & Stanley, M. A.
Affiliations: Technische Universität Dresden (DE)
The University of Texas Health Science Center at Houston (US)
The University of Texas MD Anderson Cancer Center (US)
Michael E. DeBakey VA Medical Center (US)
Corresponding author: Gloster, Andrew T.
ORCID: Gloster, Andrew T.
Novy, Diane
Klotsche, Jens
Kunik, Mark
Stanley, Melinda A.
Venue: Journal of Affective Disorders
Publisher: Elsevier BV
Published: 2008-10
Volume: 110
Issue: 3
Pages: 248-259
ISSN: 0165-0327 (ISSN-L)
DOI: 10.1016/j.jad.2008.01.023
PMC: PMC2709995
OpenAlex: W1984065583
Cited by: 474
References: 71
Citations by year: 2026: 14 · 2025: 29 · 2024: 46 · 2023: 34 · 2022: 47 · 2021: 47 · 2020: 40 · 2019: 25 · 2018: 29 · 2017: 23 · 2016: 26 · 2015: 30 · 2014: 23 · 2013: 21 · 2012: 12
FWCI: 10.89
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Journal of Affective Disorders (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: U.S. Public Health Service (53932)
National Institute of Mental Health (R01MH053932)
Topics: 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
Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
Keywords: DASS, DASS-21, psychometric properties, older adults, primary care patients, depression, anxiety, generalized anxiety disorder, factor structure, convergent validity, discriminant validity, internal consistency, diagnostic prediction, participant burden
MeSH terms: Aged, Aged, 80 and over, Anxiety, Depression, Female, Humans, Male, Middle Aged, Primary Health Care, Psychometrics, Surveys and Questionnaires, Stress, Psychological, Reproducibility of Results

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Psychometric properties of the Depression Anxiety and Stress Scale-21 in older primary care patients

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