ArticleSubstance abuse treatment, prevention, and policy2019
Factor structure of the depression anxiety stress Scale-21 (DASS-21): Unidimensionality of the Arabic version among Egyptian drug users.
Article in Substance abuse treatment, prevention, and policy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers.
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49 citing papers in PubMed, 87 citations in OpenAlex.
- Psychometric Evaluation of Six DASS-21 Short Forms for Male Survivors.Research on social work practice · 2026Article
- Relationship between depression, anxiety, and perceived burdensomeness: the mediating role of emotional regulation among Egyptian older adults.Frontiers in public health · 2026Article
- When minds and networks matter: how mental health and social capital shape social frailty in older adults.Frontiers in medicine · 2026Article
- Associations between psychological distress and untreated dental caries in conflict-affected Syrian adolescents: a cross-sectional study.Frontiers in oral health · 2026Article
- Structural validity of the DASS-21 during pandemic-induced psychological distress.Discover mental health · 2025Article
- Psychometric evaluation of the Arabic version of the Eight-item Center for Epidemiological Studies Depression Scale (CESD-8): Specific cultural considerations for the assessment of depression.International journal of nursing studies advances · 2025Article
- The repercussions of watching scenes of the escalating conflict in Gaza strip on the mental health of adolescents in a neighboring country.BMC public health · 2025Article
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- Reply to the Comments on "Stress, Anxiety, and Depression Before and 12 Months After Bariatric Surgery: Repeated Cross-Sectional study".Indian journal of psychological medicine · 2024Article
- Assessment of depression, anxiety, stress, alcohol dependence, and resilience in migrant workers during COVID-19 crisis.Industrial psychiatry journal · 2024Article
- The Depression Anxiety Stress Scale 8: investigating its cutoff scores in relevance to loneliness and burnout among dementia family caregivers.Scientific reports · 2024Article
- Factor structure and psychometric properties of the Jordanian version of the depression anxiety stress scale (DASS-21).Neuropsychopharmacology reports · 2024Article
- Effectiveness of Cognitive Behavioral Therapy (CBT) on Psychological Distress among Mothers of Children with Autism Spectrum Disorder: The Role of Problem-Solving Appraisal.Behavioral sciences (Basel, Switzerland) · 2024Article
- The mediating role of health literacy between the presence of chronic disease and psychological distress among older persons in Xi'an city of China.BMC public health · 2023Article
- Psychometric evaluation of the depression, anxiety, and stress scale-21 (DASS-21) among Chinese primary and middle school teachers.BMC psychology · 2023Article
- Prevalence and associated factors with mental health symptoms among semi-professional cricket players after the resumption of sporting activities following an extensive lockdown.South African journal of sports medicine · 2023Article
- Analyzing Role Overload, Mental Health, and Quality of Life Among Jordanian Female Healthcare Professionals: A Cross-Sectional Study.International journal of women's health · 2023Article
- Article
- The association between depression and addictive social media use during the COVID-19 pandemic: The mediating role of sense of control.PloS one · 2023Article
- Psychometric evaluation of the Depression Anxiety Stress Scale 8 among women with chronic non-cancer pelvic pain.Scientific reports · 2022Article
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Authors and funding
2 authors at 2 institutions in 2 countries.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundEmotional distress is common among illicit drug users, and it can negatively affect treatment outcomes and increase the risk of relapse. Nonetheless, instruments that properly measure emotional distress are lacking. Therefore, this study investigated the factor structure of the Arabic Depression Anxiety Stress Scale-21 (DASS-21) in that population.
methodsThe DASS-21 and the Self-stigma of Alcohol Dependence Scale (SSAD) were completed by 149 inpatient Egyptian drug users. The DASS-21 was examined using exploratory factor analysis, partial confirmatory factor analysis, and parallel analysis. For validation testing, correlations between stigma scores and DASS scores were computed.
resultsA one-factor solution provided the best fit to the DASS-21 data. Four items with low loadings were removed. The resulting DASS-17 was also unidimensional, and its reliability was high (0.88). On the validation tests, the DASS scores correlated with the stigma scores as hypothesized.
conclusionSubscales of the Arabic version of the DASS-21 do not differentiate between depression and anxiety. A modified 17-item version (the DASS-17) was suitable for measuring overall distress, and the results of convergent validation testing indicated that it was superior to the DASS-21.
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