Multiple Group Confirmatory Factor Analysis of the Dass-21 Depression and Anxiety Scales
How Do They Perform in a Cancer Sample
Bibliographic Data
| ID | 13655505 |
|---|---|
| Authors | Rina S Fox (0000-0003-4307-5259, Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, USA, corresponding author), Teresa Lillis (0000-0002-3979-0439, Rush University Medical Center), Teresa A Lillis (Rush University Medical Center), James Gerhart (0000-0002-6661-6401, Rush University Medical Center), Michael Hoerger (0000-0002-4398-2820, Departments of Psychology, Psychiatry, and Medicine, Tulane University, USA), Paul R Duberstein (0000-0001-6882-0898, University of Rochester), Paul Duberstein (Departments of Psychiatry and Family Medicine, University of Rochester, USA) |
| Year | 2017 |
| Volume | 121 |
| Issue | 3 |
| Pages | 548-565 |
| Publication date | 2017-08-24 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Psychological Reports (JOURNAL) |
| Journal identifiers | ISSN: 0033-2941 • E-ISSN: 1558-691X |
| Publisher | SAGE Publishing (PUBLISHER • US) |
| DOI | 10.1177/0033294117727747 |
| PMID | 28836917 |
| OpenAlex | W2746295118 |
| Language | EN |
| Citations received | 12 |
| References cited | 37 |
The DASS-21 is a public domain instrument that is commonly used to evaluate depression and anxiety in psychiatric and community populations; however, the factor structure of the measure has not previously been examined in oncologic settings. Given that the psychometric properties of measures of distress may be compromised in the context of symptoms related to cancer and its treatment, the present study evaluated the psychometric properties of the DASS-21 Depression and Anxiety scales in cancer patients ( n = 376) as compared to noncancer control participants ( n = 207). Cancer patients ranged in age from 21 to 84 years (mean = 58.3, standard deviation = 10.4) and noncancer control participants ranged in age from 18 to 81 years (mean = 45.0, standard deviation = 11.7). Multiple group confirmatory factor analysis supported the structural invariance of the DASS-21 Depression and Anxiety scales across groups; the factor variance/covariance invariance model was the best fit to the data. Cronbach's coefficient alpha values demonstrated acceptable internal consistency reliability across the total sample as well as within subgroups of cancer patients and noncancer control participants. Expected relationships of DASS-21 Depression and Anxiety scale scores to measures of suicidal ideation, quality of life, self-rated health, and depressed mood supported construct validity. These results support the psychometric properties of the DASS-21 Depression and Anxiety scales when measuring psychological distress in cancer patients
Anxiety · Confirmatory factor analysis · Death anxiety · Depression (economics · Measurement invariance · Psychiatry · Sample (material · Statistics · Structural equation modeling · Cancer survivorship and care · Cardiac Health and Mental Health · Clinical Psychology · Family Support in Illness · Mathematics · Psychology
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| Unique citing works | 12 |
|---|---|
| Citations per year | 1,5 |
| Citation span | 2018 - 2026 (9) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 12 |