Cited by 301Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychometric Methodologies and TestingMental Health Research Topics

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Psychometric properties of the Depression Anxiety Stress Scales (DASS) in depressed clinical samples

Page, Andrew C., Hooke, Geoffrey R., Morrison, David L.·2007·British Journal of Clinical Psychology

DOI 10.1348/014466506x158996

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Abstract

Objectives. The psychometric properties of the Depression Anxiety Stress Scales (DASS; ) were examined in depressed psychiatric hospital samples. Design and Methods. Three studies administered the DASS and other symptom measures at admission and discharge to consecutive adult hospital patients with a primary diagnosis of depression. Study 3 aimed to address problems with the DASS by extending the response options. Results. Study 1 found that the DASS had good reliability and validity, was moderately sensitive to change, but the Depression Scale exhibited a ceiling effect. In Study 2, confirmatory factor analysis supported a three‐factor structure and the DASS continued to demonstrate good psychometric properties, but the ceiling effect was replicated. Study 3 found that by extending the response scale to include an additional option, the factor structure of the instrument as a whole was maintained, the sensitivity to treatment was increased, but the ceiling effect was only marginally reduced. Conclusions. The psychometric properties of the DASS were sound in clinically depressed samples, but the Depression Scale exhibited a ceiling effect that could not be resolved with minor changes to the scale. Suggestions for revisions of the DASS are made.

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Authors: Page, A. C., Hooke, G. R., & Morrison, D. L.
Affiliations: The University of Western Australia (AU)
Corresponding author: Page, Andrew C.
ORCID: Page, Andrew C.
Venue: British Journal of Clinical Psychology
Publisher: Wiley
Published: 2007-09
Volume: 46
Issue: 3
Pages: 283-297
ISSN: 0144-6657 (ISSN-L)
2044-8260
DOI: 10.1348/014466506x158996
OpenAlex: W2061442569
Cited by: 301
References: 30
Citations by year: 2026: 7 · 2025: 12 · 2024: 22 · 2023: 23 · 2022: 29 · 2021: 25 · 2020: 30 · 2019: 18 · 2018: 17 · 2017: 14 · 2016: 18 · 2015: 24 · 2014: 20 · 2013: 13 · 2012: 9
FWCI: 2.51
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor, 1217 d)
Locations: British Journal of Clinical Psychology (publishedVersion)
PubMed (publishedVersion)
UWA Profiles and Research Repository (UWA) (submittedVersion)
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, depression, psychometric properties, reliability statistics, validity, sensitivity to change, ceiling effect, factor structure, psychiatric inpatients, scale revision
MeSH terms: Adolescent, Adult, Aged, Aged, 80 and over, Depressive Disorder, Factor Analysis, Statistical, Female, Humans, Male, Middle Aged, Psychological Tests, Psychometrics, Reproducibility of Results

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Psychometric properties of the Depression Anxiety Stress Scales (DASS) in depressed clinical samples

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