The short-form version of the Depression Anxiety Stress Scales (DASS-21): construct validity and normative data in a large non-clinical sample

Br J Clin Psychol. 2005 Jun;44(Pt 2):227-39. doi: 10.1348/014466505X29657.

Abstract

Objectives: To test the construct validity of the short-form version of the Depression anxiety and stress scale (DASS-21), and in particular, to assess whether stress as indexed by this measure is synonymous with negative affectivity (NA) or whether it represents a related, but distinct, construct. To provide normative data for the general adult population.

Design: Cross-sectional, correlational and confirmatory factor analysis (CFA).

Methods: The DASS-21 was administered to a non-clinical sample, broadly representative of the general adult UK population (N = 1,794). Competing models of the latent structure of the DASS-21 were evaluated using CFA.

Results: The model with optimal fit (RCFI = 0.94) had a quadripartite structure, and consisted of a general factor of psychological distress plus orthogonal specific factors of depression, anxiety, and stress. This model was a significantly better fit than a competing model that tested the possibility that the Stress scale simply measures NA.

Conclusions: The DASS-21 subscales can validly be used to measure the dimensions of depression, anxiety, and stress. However, each of these subscales also taps a more general dimension of psychological distress or NA. The utility of the measure is enhanced by the provision of normative data based on a large sample.

Publication types

  • Validation Study

MeSH terms

  • Adolescent
  • Adult
  • Affect*
  • Aged
  • Aged, 80 and over
  • Anxiety / diagnosis*
  • Anxiety / epidemiology*
  • Cross-Sectional Studies
  • Depression / diagnosis*
  • Depression / epidemiology*
  • Factor Analysis, Statistical
  • Female
  • Humans
  • Male
  • Middle Aged
  • Reproducibility of Results
  • Severity of Illness Index
  • Stress, Psychological / diagnosis*
  • Stress, Psychological / epidemiology*
  • Surveys and Questionnaires*