ArticlePsychological reports2018
Multiple Group Confirmatory Factor Analysis of the DASS-21 Depression and Anxiety Scales: How Do They Perform in a Cancer Sample?
Article in Psychological reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.
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Who cites it
30 citing papers in PubMed, 60 citations in OpenAlex.
- An exploration of the relationship between perceived injustice and pain severity in breast cancer survivors: a structural equation model.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Trial
- Randomised controlled trial of music listening combined with progressive muscle relaxation for mood management in women receiving chemotherapy for cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Trial
- The benefits and acceptability of virtual reality interventions for women with metastatic breast cancer in their homes; a pilot randomised trial.BMC cancer · 2022Trial
- Factorial Validation and Psychometric Properties of Hindi-translated Depression, Anxiety and Stress Scale (DASS-Y) Among Indian Male Adolescent Delinquents.Indian journal of psychological medicine · 2026Article
- Assessment of Mental Health in Healthcare Personnel: A Review of DASS, MBI, and Zung Scales.Healthcare (Basel, Switzerland) · 2026Review
- Defining and Assessing Distress in Oncology Patients: A Systematic Review of the Literature.Healthcare (Basel, Switzerland) · 2025Review
- Psychometric Properties of the Depression Anxiety Stress Scales (DASS-42 and DASS-21) in Patients with Hematologic Malignancies.Journal of clinical medicine · 2025Article
- Evaluation of the Stronger Together Peer Mentoring Model Among Patients With Breast and Gynecologic Cancer in Viet Nam.JCO global oncology · 2024Article
- Psychometric properties of the Depression Anxiety Stress Scales (DASS-21) in women with breast cancer.Scientific reports · 2024Article
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- Research progress on the psychological burden and intervention measures in cancer patients.Frontiers in psychiatry · 2024Review
- Mental Health Care Utilization and its Barriers among Iranian Breast Cancer Survivors: A Cross-sectional Study.International journal of community based nursing and midwifery · 2024Article
- Effects of CALM intervention on neutrophil-to-lymphocyte ratio (NLR), fear of cancer recurrence and quality of life in patients with lung cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023Article
- Validation of the brief Adjustment Disorder New Modules with Australian oncology patients.BioPsychoSocial medicine · 2023Article
- Development and psychometric properties of the Stressors in Breast Cancer Scale.Frontiers in psychology · 2023Article
- Patient-caregiver communication concordance in cancer-refinement of the Cancer Communication Assessment Tool in an Australian sample.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- An Investigation of Virtual Reality Nature Experiences in Patients With Metastatic Breast Cancer: Secondary Analysis of a Randomized Controlled Trial.JMIR cancer · 2022Article
- The psychological health of patients diagnosed with cancer in Iraq during the COVID-19 pandemic: A single center study.Psycho-oncology · 2022Article
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Corrections and comments
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
Abstract
The DASS-21 is a public domain instrument that is commonly used to evaluate depression and anxiety in psychiatric and community populations; however, the factor structure of the measure has not previously been examined in oncologic settings. Given that the psychometric properties of measures of distress may be compromised in the context of symptoms related to cancer and its treatment, the present study evaluated the psychometric properties of the DASS-21 Depression and Anxiety scales in cancer patients ( n = 376) as compared to noncancer control participants ( n = 207). Cancer patients ranged in age from 21 to 84 years (mean = 58.3, standard deviation = 10.4) and noncancer control participants ranged in age from 18 to 81 years (mean = 45.0, standard deviation = 11.7). Multiple group confirmatory factor analysis supported the structural invariance of the DASS-21 Depression and Anxiety scales across groups; the factor variance/covariance invariance model was the best fit to the data. Cronbach's coefficient alpha values demonstrated acceptable internal consistency reliability across the total sample as well as within subgroups of cancer patients and noncancer control participants. Expected relationships of DASS-21 Depression and Anxiety scale scores to measures of suicidal ideation, quality of life, self-rated health, and depressed mood supported construct validity. These results support the psychometric properties of the DASS-21 Depression and Anxiety scales when measuring psychological distress in cancer patients.
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