ArticleBMC psychiatry2009
Rasch model analysis of the Depression, Anxiety and Stress Scales (DASS).
Article in BMC psychiatry, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 2 of them syntheses that pooled it.
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Who cites it
63 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Systematic review of the measurement properties of the Depression Anxiety Stress Scales-21 by applying updated COSMIN methodology.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2019Pooled it
- Interformat reliability of digital psychiatric self-report questionnaires: a systematic review.Journal of medical Internet research · 2014Pooled it
- Designing and evaluating a mobile app to assist patients undergoing coronary angiography and assessing its impact on anxiety, stress levels, and self-care.BMC medical informatics and decision making · 2024Trial
- Hyperhidrosis quality of life index (HidroQoL): further validation by applying classical test theory and item response theory using data from a phase III clinical trial.Journal of patient-reported outcomes · 2023Trial
- Positive affect treatment targets reward sensitivity: A randomized controlled trial.Journal of consulting and clinical psychology · 2023Trial
- Investigating resting brain perfusion abnormalities and disease target-engagement by intranasal oxytocin in women with bulimia nervosa and binge-eating disorder and healthy controls.Translational psychiatry · 2020Trial
- The adult social care outcomes toolkit easy read for older people (ASCOT-ER OP): an exploratory factor analysis and Rasch validation study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026Article
- Psychological Pain Measurement in the Context of Suicidal Behavior: Rasch Analysis of the Spanish Psychache Scale Version.Journal of clinical medicine · 2025Article
- Article
- Clarifications and perspectives on mental health assessment during the COVID-19 pandemic.Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999) · 2025Article
- Exploratory factor analysis and Rasch analysis to assess the structural validity of the Adult Social Care Outcomes Toolkit Proxy version (ASCOT-Proxy) completed by care home staff.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024Article
- Article
- Quality of Life and Incidence of Clinical Signs and Symptoms among Caregivers of Persons with Mental Disorders: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2024Article
- Assessment and Psychometric Properties of the 21-Item Depression Anxiety Stress Scale (DASS-21) among Portuguese Higher Education Students during the COVID-19 Pandemic.European journal of investigation in health, psychology and education · 2023Article
- Psychometric evaluation of the depression, anxiety, and stress scale-21 (DASS-21) among Chinese primary and middle school teachers.BMC psychology · 2023Article
- Graded Response Model Analysis and Computer Adaptive Test Simulation of the Depression Anxiety Stress Scale 21: Evaluation and Validation Study.Journal of medical Internet research · 2023Article
- An Exploration of the Influence of Non-Biomechanical Factors on Lifting-Related LBP.International journal of environmental research and public health · 2023Article
- The YSQ-R: Predictive Validity and Comparison to the Short and Long Form Young Schema Questionnaire.International journal of environmental research and public health · 2023Article
- The General Mattering Scale, the Anti-Mattering Scale, and the Fear of Not Mattering Inventory: Psychometric Properties and Links with Distress and Hope Among Chinese University Students.Psychology research and behavior management · 2023Article
- Depression, anxiety, and stress among university students in Selangor, Malaysia during COVID-19 pandemics and their associated factors.PloS one · 2023Article
3 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is a growing awareness of the need for easily administered, psychometrically sound screening tools to identify individuals with elevated levels of psychological distress. Although support has been found for the psychometric properties of the Depression, Anxiety and Stress Scales (DASS) using classical test theory approaches it has not been subjected to Rasch analysis. The aim of this study was to use Rasch analysis to assess the psychometric properties of the DASS-21 scales, using two different administration modes.
methodsThe DASS-21 was administered to 420 participants with half the sample responding to a web-based version and the other half completing a traditional pencil-and-paper version. Conformity of DASS-21 scales to a Rasch partial credit model was assessed using the RUMM2020 software.
resultsTo achieve adequate model fit it was necessary to remove one item from each of the DASS-21 subscales. The reduced scales showed adequate internal consistency reliability, unidimensionality and freedom from differential item functioning for sex, age and mode of administration. Analysis of all DASS-21 items combined did not support its use as a measure of general psychological distress. A scale combining the anxiety and stress items showed satisfactory fit to the Rasch model after removal of three items.
conclusionThe results provide support for the measurement properties, internal consistency reliability, and unidimensionality of three slightly modified DASS-21 scales, across two different administration methods. The further use of Rasch analysis on the DASS-21 in larger and broader samples is recommended to confirm the findings of the current study.
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