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Cross-Cultural Validation of the Depression Anxiety Stress Scale-21 in China
Wang, Kui1; Shi, Hai-Song2; Geng, Fu-Lei1,3; Zou, Lai-Quan1,3; Tan, Shu-Ping4; Wang, Yi1; Neumann, David L.5,6; Shum, David H. K.5,6; Chan, Raymond C. K.1
2016-05-01
Source PublicationPSYCHOLOGICAL ASSESSMENT
Correspondent Emailrckchan@psych.ac.cn
ISSN1040-3590
SubtypeArticle
Volume28Issue:5Pages:E88-E100
AbstractThe gap between the demand and delivery of mental health services in mainland China can be reduced by validating freely available and psychometrically sound psychological instruments. The present research examined the Chinese version of the 21-item Depression Anxiety Stress Scales (DASS-21). Study 1 administered the DASS-21 to 1,815 Chinese college students and found internal consistency indices (Cronbach's alpha) of .83, .80, and .82 for the Depression, Anxiety, and Stress subscales, respectively, and .92 for the total DASS total. Test-retest reliability over a 6-month interval was .39 to .46 for each of the 3 subscales and .46 for the total DASS. Moderate convergent validity of the Depression and Anxiety subscales was demonstrated via significant correlations with the Chinese Beck Depression Inventory (r = .51 at Time 1 and r = .64 at Time 2) and the Chinese State-Trait Anxiety Inventory (r = .41), respectively. Confirmatory factor analyses supported the original 3-factor model with 1 minor change (nonnormed fit index [NNFI] = .964, comparative fit index [CFI] = .968, and root mean square error of approximation [RMSEA] = .079). Study 2 examined the clinical utility of the Chinese DASS-21 in 166 patients with schizophrenia and 90 matched healthy controls. Patients had higher Depression and Anxiety but not Stress subscale scores than healthy controls. A discriminant function composed of the linear combination of 3 subscale scores correctly discriminated 69.92% of participants, which again supported the potential clinical utility of the DASS in mainland China. Taken together, findings in these studies support the cross-cultural validity of the DASS-21 in China.
KeywordDASS confirmatory factor analysis reliability validity schizophrenia
DOI10.1037/pas0000207
Indexed BySSCI
Language英语
Funding OrganizationNational Key Technologies RD Programme(2012BAI36B01) ; Beijing Training Project for the Leading Talents in S T(Z151100000315020) ; Knowledge Innovation Project of the Chinese Academy of Sciences(KSCX2-EW-J-8) ; CAS/SAFEA International Partnership Programme for Creative Research Teams(Y2CX131003) ; Area of Strategic Investment Chronic Disease Prevention Innovation Grant from Griffith University(213507) ; National Natural Science Foundation of China(31200775) ; Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences(KLMH2014ZG09)
WOS Research AreaPsychology
WOS SubjectPsychology, Clinical
WOS IDWOS:000381698600004
WOS HeadingsSocial Sciences
WOS KeywordLARGE NONCLINICAL SAMPLE ; PSYCHOMETRIC PROPERTIES ; BECK DEPRESSION ; MAJOR DEPRESSION ; COMMUNITY SAMPLE ; TRIPARTITE MODEL ; CLINICAL-SAMPLES ; NEGATIVE AFFECT ; NORMATIVE DATA ; MENTAL-HEALTH
Citation statistics
Cited Times:29[WOS]   [WOS Record]     [Related Records in WOS]
Document Type期刊论文
Identifierhttp://ir.psych.ac.cn/handle/311026/20518
Collection中国科学院心理健康重点实验室
Corresponding AuthorChan, Raymond C. K.
Affiliation1.Chinese Acad Sci, Inst Psychol, Key Lab Mental Hlth, Neuropsychol & Appl Cognit Neurosci Lab, 16 Lincui Rd, Beijing 100101, Peoples R China
2.North China Elect Power Univ, Students Affairs Div, Beijing, Peoples R China
3.Univ Chinese Acad Sci, Beijing, Peoples R China
4.Beijing Huilongguan Hosp, Beijing, Peoples R China
5.Griffith Univ, Menzies Hlth Inst Queensland, Nathan, Qld 4111, Australia
6.Griffith Univ, Sch Appl Psychol, Nathan, Qld 4111, Australia
Recommended Citation
GB/T 7714
Wang, Kui,Shi, Hai-Song,Geng, Fu-Lei,et al. Cross-Cultural Validation of the Depression Anxiety Stress Scale-21 in China[J]. PSYCHOLOGICAL ASSESSMENT,2016,28(5):E88-E100.
APA Wang, Kui.,Shi, Hai-Song.,Geng, Fu-Lei.,Zou, Lai-Quan.,Tan, Shu-Ping.,...&Chan, Raymond C. K..(2016).Cross-Cultural Validation of the Depression Anxiety Stress Scale-21 in China.PSYCHOLOGICAL ASSESSMENT,28(5),E88-E100.
MLA Wang, Kui,et al."Cross-Cultural Validation of the Depression Anxiety Stress Scale-21 in China".PSYCHOLOGICAL ASSESSMENT 28.5(2016):E88-E100.
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