Evidence map›Paper›PMID 40472855›Full record

ArticleChild: care, health and development2025

Validating the Depression Anxiety Stress Scales-21 in Community Mothers and Fathers Across the Infant's First Year.

Birgitta Kerstis, Peter Jönsson, Mariette Derwig, Kent W Nilsson, Inger Kristensson Hallström, Sara Lindeberg

Abstract readValidation Study
In one paragraph

Article in Child: care, health and development, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

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2 · The registry

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Birgitta KerstisDivision of Caring Sciences, School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden.ORCID https://orcid.org/0000-0003-0242-0343
Peter JönssonDepartment of Psychology, Faculty of Education, Kristianstad University, Kristianstad, Sweden.
Mariette DerwigChild and Family Health, Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.
Kent W NilssonCenter for Clinical Research, Central Hospital of Västerås, Uppsala University, Uppsala, Sweden.ORCID https://orcid.org/0000-0002-8853-2508
Inger Kristensson HallströmChild and Family Health, Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.
Sara LindebergChild and Family Health, Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.ORCID https://orcid.org/0009-0006-6458-4705

Funding

Föreningen Mjölkdroppen (Helsingborg)Kempe-Carlgrenska FoundationMälardalen UniversitySwedish Research Council for Health, Working Life and Welfare 2013-2101
6 · The paper itself

Abstract

backgroundTo investigate the effects of different types of parental health status on child development and health, valid parental distress measurement instruments are needed. The aim was to assess the psychometric measurement properties of the 21-item Depression Anxiety Stress Scales (DASS-21) used during the postnatal year in community samples of Swedish mothers and fathers.

methodsData were collected at postnatal months 1, 6 and 12 from 66 mothers (mean age 31 years) and 58 fathers (mean age 32 years). Psychometric measurement properties were assessed with interitem analysis and intra-individual measurements cross-correlations. As part of assessing construct validity, the hypotheses that the levels of the different types of postnatal distress as measured by the DASS-21 would be higher in mothers than in fathers were tested.

resultsThe DASS-21 internal consistencies were good for both parent groups. The DASS-21 depression scale correlated strongly with the Edinburgh Postnatal Depression Scale (EPDS) in mothers and moderately strongly in fathers at each timepoint. Correlations between the DASS-21 anxiety scale and the EPDS 'anxiety component' were mostly in the low-to-moderate range. The DASS-21 stress scale significantly distinguished parental distress levels in the expected direction, as did the total DASS-21 scale.

conclusionsSimilar DASS-21 psychometric properties to those demonstrated for non-perinatal adult populations were indicated. The results suggest the usefulness of the DASS-21 during the early, middle and late postnatal periods for measuring types of as well as general maternal and paternal distress. Further analysis in larger perinatal parental samples for more conclusive results is warranted.

Indexed as

AnxietyDepressionDepression, PostpartumFathersMothersStress, PsychologicalAdultFemaleHumansInfantMalePsychiatric Status Rating ScalesPsychometricsReproducibility of ResultsSwedenConsensus‐based Standards for the Selection of Health Status Measurement Instruments (COSMIN)Depression Anxiety Stress Scales‐21 (DASS‐21)Edinburgh Postnatal Depression Scale (EPDS)fathersmotherspostnatal parental distressvalidity

Identifiers

PMID40472855
PMCPMC12140811

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