Depression Anxiety and Stress Scales (DASS-21): psychometric analysis across four racial groups

Anxiety Stress Coping. 2007 Sep;20(3):253-65. doi: 10.1080/10615800701309279.

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.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Affect
  • Anxiety / diagnosis*
  • Anxiety / ethnology*
  • Anxiety / psychology
  • Cross-Cultural Comparison
  • Depression / diagnosis*
  • Depression / ethnology*
  • Depression / psychology
  • Humans
  • Middle Aged
  • Psychometrics
  • Racial Groups*
  • Severity of Illness Index
  • Surveys and Questionnaires*