ArticleBMC health services research2022
Psychometric properties of the Persian version of Depression Anxiety Stress Scale-21 Items (DASS-21) in a sample of health professionals: a cross-sectional study.
Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers, 1 of them a synthesis that pooled it.
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Who cites it
70 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The psychosomatic impact of Yoga in medical education: a systematic review and meta-analysis.Medical education online · 2024Pooled it
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- Compassion-Focused Therapy for Mothers of Children With Autism Spectrum Disorder: Impact on Parental Burnout, Self-Criticism, and Psychological Distress.Journal of autism and developmental disorders · 2026Article
- Contemplative Practice and Responses to Mortality Salience: Evidence from Long-Term Sufi Meditators.Behavioral sciences (Basel, Switzerland) · 2026Article
- The Impact of Workplace Bullying and Organizational Incivility on Nurses' Emotional Distress: Exploring Parallel Mediation Through Life Satisfaction and Functional Impairment-A Cross-Sectional Study.International journal of mental health nursing · 2026Article
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- Assessment of Mental Health in Healthcare Personnel: A Review of DASS, MBI, and Zung Scales.Healthcare (Basel, Switzerland) · 2026Review
- The Validation of the Revised Illness Perception Questionnaire in Cancer Patients: An Exploratory Factor Analysis for Further Psychometric Evidence.Brain and behavior · 2026Article
- Workplace incivility and bullying across healthcare professionals: patterns and correlates - a cross-sectional study.BMJ open · 2026Article
- Passive-avoidant leadership and psychological distress among Iranian nurses: the mediating role of work-to-family conflict.BMC health services research · 2026Article
- Beyond the virus: demographic and psychological predictors of marital satisfaction in HPV-infected Iranian women.BMC research notes · 2026Article
- Caregiver psychological distress in psychiatric inpatient settings: findings from a cross-sectional study.Annals of medicine and surgery (2012) · 2026Article
- Association of severe depression with bone mineral content: a mediation analysis in PERSIAN cohort study.BMC public health · 2026Article
- Central Sensitization Severity in Chronic Low Back Pain: Associations with Sleep, Distress, Cortisol, and Visuospatial Working Memory.Journal of pain research · 2026Article
- Insomnia and psychological disintegration: Evidence from a transdiagnostic network analysis.PloS one · 2026Article
- Comparison of stress, anxiety, and depression between pre-hospital emergency operational staff and hospital emergency department nurses.Journal of education and health promotion · 2026Article
- Adolescent pregnancy and early gestation depressive symptoms in rural Bangladesh: Is there an association?PloS one · 2026Article
- Effect of hypnosis on psychological distress in female university students with premenstrual syndrome.Discover mental health · 2025Article
10 more citing papers are in PubMed but not listed here.
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6 authors.
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Abstract
backgroundAlthough the Depression Anxiety Stress Scale-21 Items (DASS-21) has been used in different countries and translated into different languages, the Persian version of this scale has not been validated for healthcare professions in Iran. Therefore, the purpose of this study was to examine the psychometric properties of the Persian version of DASS-21 for nurses.
methodsThis cross-sectional study was conducted among 1135 nurses working in public hospitals, who were selected through convenience sampling. DASS-21, which consists of 21 items and three dimensions (depression, anxiety, and stress), has been translated into Persian, and there is an online version available. A confirmatory factor analysis (CFA) was performed to examine the factor structure of this scale. Cronbach's alpha coefficient was also measured to establish internal consistency. Besides, the intraclass correlation coefficient (ICC) was calculated to assess the test-retest reliability.
resultsThe Cronbach's alpha coefficient was acceptable for anxiety (0.79), stress (0.91), and depression (0.93). An acceptable test-retest reliability (0.740-0.881, P < 0.01) was also reported for DASS-21 and its three dimensions. The results of CFA showed acceptable model fit (χ
conclusionThe Persian version of DASS-21 showed good psychometric characteristics, and it was confirmed as a valid and reliable tool for evaluating depression, anxiety, and stress among Iranian nurses. However, further validation studies of the Persian DSASS-21 are needed among other healthcare professionals, including physicians, midwives, and allied health professionals.
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