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

The DOI matches its Crossref record; 68 of the 71 references it cites were found in a registry or an index.

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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  1. Watson, 1998, Development and validation of brief measures of positive and negative affect: the PANAS scales, Journal of Personality and Social Psychology, 54, 1063, 10.1037/0022-3514.54.6.1063 · DOI · Paper page

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Metadata

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
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
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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