Spanish Adaptation of the Overall Anxiety and Depression Severity and Impairment Scales in University Students

Int J Environ Res Public Health. 2021 Dec 29;19(1):345. doi: 10.3390/ijerph19010345.


The lifetime prevalence of emotional disorders in Spain is 4.1% for anxiety and 5.2% for depression, increasing among university students. Considering the scarcity of screenings with adequate psychometric properties, this study aims to explore the validity evidence of the Overall Anxiety/Depression Severity and Impairment Scales (OASIS and ODSIS). A total of 382 university students from the general population were assessed on anxiety and depressive symptoms, as well as quality of life. The one-dimensional structure of both the OASIS and ODSIS explained 87.53% and 90.60% of variance, with excellent internal consistency (α = 0.94 and 0.95, respectively) and optimal cut-offs of 4 and 5, respectively. Both scales show a significant moderate association with other measures of anxiety, depression and quality of life. The OASIS and ODSIS have shown good reliability and sound validity evidence that recommend their use for the assessment and early detection of anxiety and depressive symptoms, and associated quality of life impairment in Spanish youth.

Keywords: Spanish university students; anxiety; depression; psychometric properties; transdiagnostic.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Anxiety / epidemiology
  • Depression* / diagnosis
  • Depression* / epidemiology
  • Humans
  • Psychiatric Status Rating Scales
  • Psychometrics
  • Quality of Life*
  • Reproducibility of Results
  • Students
  • Universities