Evidence map›Paper›PMID 40301958›Full record

ArticleBMC psychology2025

Comparing the psychometric evidence of the Depression, Anxiety, and Stress Scale-21 (DASS-21) between Spanish and Chinese primary schoolteachers: insights from classical test theory and rasch analysis.

Xu Wang, Cui-Hong Cao, Xiao-Ling Liao, Xing-Yong Jiang, Mark D Griffiths, I-Hua Chen, Chung-Ying Lin, Olga Malas

Abstract readComparative Study
In one paragraph

Article in BMC psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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5citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. Self-stigma and suicide risk mediates the associations of inattention/impulsivity symptoms with psychological distress and quality of life among people with schizophrenia.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Xu WangFaculty of Education, Qufu Normal University, Qufu, 273165, China.
Cui-Hong CaoFaculty of Education, Qufu Normal University, Qufu, 273165, China.
Xiao-Ling LiaoFaculty of Education, Jiangxi Science and Technology Normal University, Nanchang, 330038, China.
Xing-Yong JiangYangan Primary School of Qionglai City, Qionglai, 611535, China.
Mark D GriffithsInternational Gaming Research Unit, Psychology Department, Nottingham Trent University, Nottingham, UK.
I-Hua ChenChinese Academy of Education Big Data, Qufu Normal University, Qufu, 273165, China. aholechen@gmail.com.
Chung-Ying LinInstitute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, 701401, Taiwan, ROC. cylin36933@gmail.com.
Olga MalasDepartment of Psychology, Sociology and Social Work Faculty of Education, Psychology and Social Work, University of Lleida, Lleida, Spain.

Funding

the Key Project of Guangxi Higher Education Teaching Reform Project in 2022: Mining of Curriculum Ideological and Political Elements and Teaching Practice for the Major of Mathematics and Applied Mathematics under the Background of Excellent Teachers 2.0 2022JGZ165
6 · The paper itself

Abstract

backgroundPrimary schoolteachers play a pivotal role in the education of children, highlighting the importance of addressing their psychological well-being and mental health. While the Depression, Anxiety, and Stress Scale-21 (DASS-21) is a globally recognized instrument for evaluating mental health, its systematic validation among primary schoolteachers, particularly in a cross-national context, remains understudied. The present cross-cultural study evaluated the psychometric properties of DASS-21 among primary schoolteachers in Spain and China to compare the DASS-21 between teachers across Western and Eastern cultures.

methodsThe study sample comprised 1,350 Spanish and 2,580 Chinese primary schoolteachers. The DASS-21, alongside the Emotional Exhaustion Scale for Teachers, was used to evaluate its psychometric properties. The construct and concurrent validity of the DASS-21 were examined using Rasch analysis, Confirmatory Factor Analysis (CFA), and Structural Equation Modeling (SEM). Additionally, measurement invariance was tested across two national teacher cohorts.

resultsRasch analysis confirmed the validity of most DASS-21 items among both the Spanish and Chinese teachers, with only the same item from the Anxiety subscale showing inadequate fit in both countries. CFA across both countries initially favored a bifactor model, which was subsequently excluded due to problematic factor loadings. Instead, a single-factor model provided the best fit for Chinese teachers, while a correlated three-factor model was optimal for Spanish teachers. SEM demonstrated the DASS-21's concurrent validity with emotional exhaustion, with consistent findings across both samples. After excluding Differential Item Functioning (DIF) items, strict measurement invariance between Spanish and Chinese teachers was achieved, as verified by multi-group CFA.

conclusionThe DASS-21 exhibits commendable psychometric properties, rendering it a suitable instrument for evaluating the mental illness of primary schoolteachers in both Spain and China.

Indexed as

AnxietyDepressionPsychiatric Status Rating ScalesSchool TeachersStress, PsychologicalAdultChinaCross-Cultural ComparisonFactor Analysis, StatisticalFemaleHumansMaleMiddle AgedPsychometricsReproducibility of ResultsSpainChinaClassical test theoryPrimary schoolteachersPsychometric propertiesRasch analysisSpainThe DASS-21

Identifiers

PMID40301958
PMCPMC12039084

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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.