ArticleBMC public health2024
Application of DASS-21 in Chinese students: invariance testing and network analysis.
Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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Who cites it
28 citing papers in PubMed.
- Long-term effects of an online mindfulness intervention on mental health in Chinese nursing students: a randomized controlled trial follow-up.BMC public health · 2025Trial
- Interrelationships Among Psychological Conditions, Oral Health-related Quality of Life, and Clinical Characteristics in Chinese Patients with Minor Recurrent Aphthous Stomatitis.International dental journal · 2026Article
- A survey on stress, anxiety, depression and coping styles in dental undergraduates from 34 universities in China.BMC medical education · 2026Article
- Resilience and physical-functional HRQoL in cirrhosis: a cross-sectional study of nursing-relevant direct and indirect associations linked to psychological distress and frailty.Scientific reports · 2026Article
- Mapping Anxiety, Stress, Depression, Resilience and Happiness in the Adolescent Population: A Network Analysis and Comparison by Sex.European journal of investigation in health, psychology and education · 2026Article
- Adaptation and Validation of the 8-Item Depression, Anxiety, and Stress Scale (DASS-8) in Peruvian School Adolescents.Behavioral sciences (Basel, Switzerland) · 2026Article
- Association between childhood maltreatment patterns and comorbidity of depression and anxiety in left-behind children: a latent class analysis.BMC psychiatry · 2026Article
- Psychometric Validation of the Depression, Anxiety and Stress Scale (DASS-21) in Portuguese Youth Transitioning to Higher Education.Healthcare (Basel, Switzerland) · 2026Article
- The effects of cluster-set resistance training on mental health and sleep quality in sedentary young women: protocol for a randomized controlled trial.Frontiers in psychology · 2026Article
- Psychometric properties and cross-cultural adaptation of the Chinese version of the family caregiver communication tool-chronic illness.Frontiers in public health · 2026Article
- Depression and Artificial Intelligence Anxiety Among Chinese University Students: A Bayesian Network Analysis.Depression and anxiety · 2026Article
- Article
- Childhood emotional abuse and gastrointestinal symptoms among college students: a chain mediation model with physical exercise as the moderating variable and network analysis.Frontiers in psychiatry · 2026Article
- Modeled associations between university physical education mechanisms and students' mental health.Frontiers in psychology · 2026Article
- Anxiety symptoms as the central node: a network analysis of mental health sequelae in a post-COVID-19 national sample.Frontiers in psychology · 2026Article
- Entropy-based risk network identification in adolescent self-injurious behavior using machine learning and network analysis.Translational psychiatry · 2025Article
- Comparison of symptoms of depression, anxiety, and stress in postpartum women with and without pain: a network analysis.BMC pregnancy and childbirth · 2025Article
- The relationship between stigma and psychological distress among Chinese youth with epilepsy: the mediating role of physical activity.BMC public health · 2025Article
- The evaluation of depression, anxiety, and stress among undergraduate dental students in graduation year in Mainland China: a cross-sectional study.BMC medical education · 2025Article
- Psychometric Properties of the Depression Anxiety Stress Scales (DASS-42 and DASS-21) in Patients with Hematologic Malignancies.Journal of clinical medicine · 2025Article
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10 authors.
Funding
Abstract
backgroundThe Depression Anxiety Stress Scale-21 Items (DASS-21) is commonly used to assess the mental health of students, but there is a need for further clarification regarding its equivalence, structure, and core items.
methodsWe conducted a confirmatory factor analysis (CFA) on a sample of 7943 Chinese students to examine the performance of the DASS-21 and assess measurement invariance. Additionally, we utilized network analysis to investigate the structure and centrality of students' mental health.
resultsOur findings revealed a stable three-factor structure for the DASS-21, characterized by high correlations among depression, anxiety, and stress. The DASS-21 demonstrated strict invariance across genders and weak invariance across levels of education. Network analysis indicated that symptoms of depression, anxiety, and stress form clusters, with some symptoms exhibiting strong correlations with each other.
conclusionOur study highlights a substantial interrelation among depression, anxiety, and stress, revealing a structurally clustered pattern. Network analysis underscores the interconnectedness and centrality of these symptoms, recommending a shorter version of the DASS, and emphasizing the imperative for targeted interventions aimed at improving the psychological well-being of students.
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