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Depression Anxiety and Stress Scales (DASS-21): Psychometric analysis across four racial groups
Abstract
Growing cross-cultural awareness has led researchers to examine frequently used research instruments and assessment tools in racially diverse populations. The present study was conducted to assess the psychometric characteristics of the 21-item version of the Depression, Anxiety, and Stress Scales (DASS-21) among different racial groups. The DASS-21 was chosen because it appears to be a reliable and easy to administer measure, ideal for both clinical and research purposes. Results suggest that the internal consistency, and convergent and divergent validity of the DASS-21 are similar across racial groups. Multigroup CFA, however, indicated that item loadings were invariant, while scale covariances were not invariant. This suggests that, although the items may load similarly on the depression, anxiety and stress constructs, these constructs may be differentially inter-related across groups. Implications for application in clinical practice are discussed.
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“the scale has demonstrated a substantial relationship with other depression and anxiety measures among Asians (35).”
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“For example, some studies have found higher depression, anxiety and stress among Asians and Chinese than Westerners (Le et al., 2025; Norton, 2007), whereas other studies have found similar levels of these negative emotional states between Chinese and Westerners (Zanon et al., 2021, 2025).”
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Castillo, L. H. S., & Hernández-Rosas, E. (2026) · Frontiers in Psychology · doi:10.3389/fpsyg.2026.1808531
“As a result, researchers and practitioners often select a short form primarily for reasons of convenience rather than on the basis of integrated psychometric evidence (AERA, APA, NCME, 2014; Messick, 1995; Norton, 2007).”
Batsikadze, G., Spisák, Z., Zeidan, P., Klein, M., Nio, E., Ernst, T. M., Diekmann, N., Göricke, S., Cheng, S., Merz, C. J., et al. (2026) · Human Brain Mapping · doi:10.1002/hbm.70556
“Each participant underwent a neurological examination prior to the start of the experiment, and their depression, anxiety, and stress levels were assessed using the DASS-21 questionnaire (Henry and Crawford 2005; Norton 2007).”
Onyewuenyi, A. C., Villareal, L., Defreitas, S. A., Obilor, T., & Herres, J. (2026) · The Journal of Black Psychology · doi:10.1177/00957984261456060
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“Common classification of anxiety level based on DASS 21 scores is specified as normal (0-7) to extremely severe (20+) (Norton, 2007).”
Pervasive TBI and Inhibitory Control in a Male New Zealand Prison Population
Guy, S., Mahon, S., Webb, J. W., Dudley, M. D., & Theadom, A. (2026) · Brain Sciences · doi:10.3390/brainsci16060637
Marshall, M. J., Kandasamy, K., & Yang, L. (2026) · Psychiatry International · doi:10.3390/psychiatryint7040151
Metadata
- Authors
- Norton, P. J.
- Affiliations
- University of Houston (US)
- Corresponding author
- Norton, Peter J.
- ORCID
- Norton, Peter J.
- Venue
- Anxiety, Stress, & Coping
- Publisher
- Informa UK Limited
- Published
- 2007-08-08
- Volume
- 20
- Issue
- 3
- Pages
- 253-265
- ISSN
- 1061-5806 (ISSN-L)
- 1477-2205
- OpenAlex
- W2088994872
- Cited by
- 708
- References
- 46
- Citations by year
- 2026: 33 · 2025: 64 · 2024: 76 · 2023: 73 · 2022: 74 · 2021: 78 · 2020: 70 · 2019: 41 · 2018: 39 · 2017: 26 · 2016: 27 · 2015: 16 · 2014: 31 · 2013: 18 · 2012: 18
- FWCI
- 7.29
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Anxiety Stress & Coping (publishedVersion)
- PubMed (publishedVersion)
- 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-21, DASS, cross-cultural validity, racial groups, measurement invariance, multi-group confirmatory factor analysis, convergent and discriminant validity, internal consistency, depression, anxiety, stress
- MeSH terms
- Adolescent, Adult, Affect, Anxiety, Cross-Cultural Comparison, Depression, Humans, Middle Aged, Psychometrics, Surveys and Questionnaires, Severity of Illness Index, Racial Groups
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