ArticlePloS one2017
Reliability, convergent validity and factor structure of the DASS-21 in a sample of Vietnamese adolescents.
Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 116 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Adaptation of the Friendship Bench Counseling Intervention to Improve Mental Health and HIV Care Engagement Outcomes Among People Living With HIV Who Inject Drugs in Vietnam
Screen, Treat and Retain People With Primary Meth Use Disorder at MMT Clinics
Who cites it
116 citing papers in PubMed, 1 synthesis or guideline pooled it, 273 citations in OpenAlex.
- 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
- Supporting mental well-being of healthcare workers using a mobile app: A mixed-methods feasibility study.PloS one · 2026Trial
- Effectiveness of Mindfulness-Based Stress Reduction on Salivary Cortisol and α-amylase Level, Anxiety and Depression in Students: A Randomized and Parallel-Group Clinical Trial.Applied psychophysiology and biofeedback · 2025Trial
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- The effectiveness of an online interdisciplinary intervention for mental health promotion: a randomized controlled trial.BMC psychology · 2021Trial
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- A Web- and Mobile App-Based Mental Health Promotion Intervention Comparing Email, Short Message Service, and Videoconferencing Support for a Healthy Cohort: Randomized Comparative Study.Journal of medical Internet research · 2020Trial
- Mental health and substance use among women frequenting high-risk venues in Haiphong, Vietnam: findings from an adapted PLACE survey.The International journal on drug policy · 2026Article
- Unmasking the burden of mental health symptoms and risk behaviors in Vietnamese adolescents: evidence from a multicenter cross-sectional study involving 2,631 high school students.Social psychiatry and psychiatric epidemiology · 2026Article
- Optimal Cut-Offs for Digital Addiction Scales as Preliminary Screening Proxies for Psychological Distress Symptoms Among Vietnamese Medical Students: A Single-Centre ROC Curve Analysis.International journal of environmental research and public health · 2026Article
- The Association of Receiving a Diagnosis of Idiopathic Scoliosis with the Self-Esteem and Mental Health of Pediatric Patients: A Cohort Study.Children (Basel, Switzerland) · 2026Article
- Interrelationship between Daytime Functional Outcomes and Psychological Distress in Patients with Obstructive Sleep Apnea: A Cross-Sectional Study.Pulmonary therapy · 2026Article
- Mental health problems as mediators between self-esteem and internet addiction among adolescents.BMC public health · 2026Article
- The validity and reliability of the Patient Health Questionnaire - Adolescent version (PHQ - A) in Vietnam.BMC psychology · 2026Article
- East meets West: cross-cultural generalizability of the numinous motivation inventory in Poland and Vietnam.Frontiers in psychology · 2026Article
- Article
- Feasibility, acceptability, and preliminary efficacy of a telehealth supported self-management intervention for adults with depression symptoms in Vietnam: a mixed-method pre-post study.Pilot and feasibility studies · 2025Article
- Structural validity of the DASS-21 during pandemic-induced psychological distress.Discover mental health · 2025Article
- Prevalence and Determinants of Mental Health Problems among Vietnamese Undergraduate Students across Academic Disciplines.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2025Article
56 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo assess the internal consistency, latent structure and convergent validity of the Depression, Anxiety and Stress Scale-21 (DASS-21) among adolescents in Vietnam.
methodAn anonymous, self-completed questionnaire was conducted among 1,745 high school students in Hanoi, Vietnam between October, 2013 and January, 2014. Confirmatory factor analyses were performed to assess the latent structure of the DASS-21. Factorial invariance between girls and boys was examined. Cronbach alphas and correlation coefficients between DASS-21 factor scores and the domain scores of the Duke Health Profile Adolescent Vietnamese validated version (ADHP-V) were calculated to assess DASS-21 internal consistency and convergent validity.
resultsA total of 1,606/ 1,745 (92.6%) students returned the questionnaire. Of those, 1,387 students provided complete DASS-21 data. The scale demonstrated adequate internal consistency (Cronbach α: 0.761 to 0.906). A four-factor model showed the best fit to the data. Items loaded significantly on a common general distress factor, the depression, and the anxiety factors, but few on the stress factor (p<0.05). DASS-21 convergent validity was confirmed with moderate correlation coefficients (-0.47 to -0.66) between its factor scores and the ADHP-V mental health related domains.
conclusionsThe DASS-21 is reliable and suitable for use to assess symptoms of common mental health problems, especially depression and anxiety among Vietnamese adolescents. However, its ability in detecting stress among these adolescents may be limited. Further research is warrant to explore these results.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.