VALIDATION OF THE KAZAKH VERSION OF THE DEPRESSION ANXIETY STRESS SCALE (DASS-21) IN MEDICAL FACULTY STAFF SAMPLE: THE PILOT STUDY
Background. According to the IHME data, 1 in 10 people in Kazakhstan suffer from mental disorders, predominantly depression and anxiety. Numerous studies of academic medicine have shown that faculty experience higher rates of psychological distress compared with the general population.
Aim. To assess the psychometric reliability of the DASS-21 and its applicability in Kazakh academic faculty sample.
Materials and methods. The study was conducted in May 2021 at Semey Medical University. The DASS-21 was selected for the current validation study. The validation procedure was performed in accordance with the WHO guidelines on translation and adaptation of instruments and committed in 3 phases, which included forward translation, discussion, and back translation. The Kazakh version of the DASS-21 was applied to the pilot group of 30 volunteers.
Results. The vast majority of the responders were females (73.33%). The mean age was 38.17. Overall Cronbach’s alpha for the DASS-21 obtained 0.898. Cronbach’s alphas for the subscales of depression, anxiety, and stress were 0.743, 0.847, and 0.747, respectively. Test-retest reliability as measured in ICC was 0.712 for depression, 0.761 for anxiety, and 0.715 for stress subscales.
Conclusions. Our study supports the psychometric properties of the DASS-21 and recommends it as a suitable tool for screening general symptoms of depression, anxiety, and stress.
Assem K. Uristemova1, https://orcid.org/0000-0001-7212-5054
Ayan O. Myssaev2, https://orcid.org/0000-0001-7332-4856
Serik K. Meirmanov3, https://orcid.org/0000-0002-1199-1263
Lyudmila E. Migina1, https://orcid.org/0000-0002-9648-3822
Laura A. Pak1, https://orcid.org/0000-0002-5249-3359
1 NCJSC «Semey Medical University», Semey, Republic of Kazakhstan;
2 Department of Science and Human Resources, Ministry of Health of the Republic of Kazakhstan, Astana, Republic of Kazakhstan;
3 Ritsumeikan Asia Pacific University, Beppu, Japan.
1. Ali A.M., Green J. Factor structure of the depression anxiety stress Scale-21 (DASS-21): Unidimensionality of the Arabic version among Egyptian drug users // Subst Abuse Treat Prev Policy. BioMed Central Ltd., 2019. Vol. 14, № 1. P. 1–8.
2. Bengwasan P.D., Bernardo A.B.I., Maximo S.I. Translation and Initial Validation of the Depression Anxiety and Stress Scale (DASS-21) in Ilokano // Psychol Stud (Mysore). Springer Science and Business Media LLC, 2022. Vol. 67, № 4. P. 594–604.
3. Bland J.M., Altman D.G. Measuring agreement in method comparison studies // Stat Methods Med Res. SAGE Publications, 1999. Vol. 8, № 2. P. 135–160.
4. Bobak C.A., Barr P.J., O’Malley A.J. Estimation of an inter-rater intra-class correlation coefficient that overcomes common assumption violations in the assessment of health measurement scales // BMC Med Res Methodol. BioMed Central Ltd., 2018. Vol. 18, № 1. P. 1–11.
5. Clark L.A., Watson D. Tripartite model of anxiety and depression: psychometric evidence and taxonomic implications // J Abnorm Psychol. J Abnorm Psychol, 1991. Vol. 100, № 3. P. 316–336.
6. COVID-19 Mental Disorders Collaborators. Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID-19 pandemic // The Lancet. Elsevier B.V., 2021. Vol. 398, № 10312. P. 1700–1712.
7. Ferketich S. Focus on psychometrics. Aspects of item analysis // Research in Nursing & Health. 1991. Vol. 14, № 2. P. 165–168.
8. Ferrari A. Global, regional, and national burden of 12 mental disorders in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019 // Lancet Psychiatry. Elsevier Ltd, 2022. Vol. 9, № 2. P. 137–150.
9. Guncaga J., Lopuchova J., Ferdianova V., Zacek M., Ashimov Y. Survey on Online Learning at Universities of Slovakia, Czech Republic and Kazakhstan during the COVID-19 Pandemic // Educ Sci (Basel). MDPI, 2022. Vol. 12, № 7. P. 1–19.
10. In J. Introduction of a pilot study // Korean J Anesthesiol. Korean Society of Anesthesiologists, 2017. Vol. 70, № 6. P. 601–605.
11. Institute for Health Metrics and Evaluation (IHME). GBD Compare Data Visualization. Seattle, WA, 2020. Accessed January 19, 2023. https://www.healthdata.org/data-visualization/gbd-compare
12. Kakemam E., Navvabi E., Albelbeisi A.H., Saeedikia F., Rouhi A., Majidi S. Psychometric properties of the Persian version of Depression Anxiety Stress Scale-21 Items (DASS-21) in a sample of health professionals: a cross-sectional study // BMC Health Serv Res. BioMed Central Ltd, 2022. Vol. 22, № 1. P. 1–9.
13. Lashuel H.A. Mental health in academia: What about faculty? // Elife. eLife Sciences Publications Ltd, 2020. Vol. 9. e54551.
14. Lee R.S., Son Hing L.S., Gnanakumaran V., Weiss S.K., Lero D.S., Hausdorf P.A., Daneman D. INSPIRED but Tired: How Medical Faculty’s Job Demands and Resources Lead to Engagement, Work-Life Conflict, and Burnout // Front Psychol. Frontiers Media SA, 2021. Vol. 12. P. 1–19.
15. Lovibond P.F., Lovibond S.H. The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories // Behaviour Research and Therapy. 1995. Vol. 33, № 3. P. 335–343.
16. Lu S., Hu S., Guan Y., Xiao J., Cai D., Gao Z., Sang Z., Wei J., Zhang X., Margraf J. Measurement Invariance of the Depression Anxiety Stress Scales-21 Across Gender in a Sample of Chinese University Students // Front Psychol. Frontiers Media S.A., 2018. Vol. 9. 2064.
17. Lufler R.S., McNulty M.A. The glass ceiling thickens: the impact of COVID-19 on academic medicine faculty in the United States // Med Educ Online. Taylor & Francis, 2022. Vol. 27, № 1. 2058314.
18. Moya E., Larson L.M., Stewart R.C., Fisher J., Mwangi M.N., Phiri K.S. Reliability and validity of depression anxiety stress scale (DASS)-21 in screening for common mental disorders among postpartum women in Malawi // BMC Psychiatry. BioMed Central, 2022. Vol. 22, № 1. 352.
19. Nieuwenhuijsen K., de Boer A.G., Verbeek J.H., Blonk R.W., van Dijk F.J. The Depression Anxiety Stress Scales (DASS): detecting anxiety disorder and depression in employees absent from work because of mental health problems // Occup Environ Med. BMJ Publishing Group Ltd, 2003. Vol. 60, № suppl 1. P. i77–i82.
20. Osman A., Wong J.L., Bagge C.L., Freedenthal S., Gutierrez P.M., Lozano G. The Depression Anxiety Stress Scales-21 (DASS-21): Further Examination of Dimensions, Scale Reliability, and Correlates // J Clin Psychol. 2012. Vol. 68, № 12. P. 1322–1338.
21. Penninx B.W.J.H., Benros M.E., Klein R.S., Vinkers C.H. How COVID-19 shaped mental health: from infection to pandemic effects // Nature Medicine 2022 28:10. Nature Publishing Group, 2022. Vol. 28, № 10. P. 2027–2037.
22. Peters L., Peters A., Andreopoulos E., Pollock N., Pande R.L., Mochari-Greenberger H. Comparison of DASS-21, PHQ-8, and GAD-7 in a virtual behavioral health care setting // Heliyon. Elsevier, 2021. Vol. 7, № 3. e06473.
23. Pezirkianidis C., Karakasidou E., Lakioti A., Stalikas A., Galanakis M. Psychometric Properties of the Depression, Anxiety, Stress Scales-21 (DASS-21) in a Greek Sample // Psychology. Scientific Research Publishing, 2018. Vol. 9, № 15. P. 2933–2950.
24. Sarıçam H. The psychometric properties of turkish version of depression anxiety stress scale-21 (DASS-21) in health control and clinical samples // JCBPR. 2018. Vol. 7, № 1. P. 19–30.
25. da Silva H.A., dos Passos M.H., de Oliveira V.M., Palmeira A.C., Pitangui A.C., de Araújo R.C. Short version of the Depression Anxiety Stress Scale-21: is it valid for Brazilian adolescents? // Einstein. Instituto de Ensino e Pesquisa Albert Einstein, 2016. Vol. 14, № 4. P. 486.
26. Taber K.S. The Use of Cronbach’s Alpha When Developing and Reporting Research Instruments in Science Education // Res Sci Educ. Springer Netherlands, 2018. Vol. 48, № 6. P. 1273–1296.
27. Tran T.D., Tran T., Fisher J. Validation of the depression anxiety stress scales (DASS) 21 as a screening instrument for depression and anxiety in a rural community-based cohort of northern Vietnamese women // BMC Psychiatry. BioMed Central, 2013. Vol. 13, № 1. P. 1–7.
28. United Nations. UN News. COVID-19: Depression, anxiety soared 25 per cent in a year. 2022. Accessed January 24, 2023. https://news.un.org/en/story/2022/03/1113162
29. Vignola R.C.B., Tucci A.M. Adaptation and validation of the depression, anxiety and stress scale (DASS) to Brazilian Portuguese // J Affect Disord. 2014. Vol. 155, № 1. P. 104–109.
30. World Health Organization. WHO Guidelines on Translation. Process of translation and adaptation of instruments. Geneva, 2016. https://terrance.who.int/mediacentre/data/WHODAS/Guidelines/WHODAS%202.0%20Translation%20guidelines.pdf
31. World Health Organization. WHO highlights urgent need to transform mental health and mental health care. 2022. Accessed January 22, 2023. https://www.who.int/news/item/17-06-2022-who-highlights-urgent-need-to-transform-mental-health-and-mental-health-care
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Uristemova A.K., Myssaev A.O., Meirmanov S.K., Migina L.E., Pak L.A. Validation of the Kazakh version of the Depression Anxiety Stress Scale (DASS-21) in medical faculty staff sample: the pilot study // Nauka i Zdravookhranenie [Science & Healthcare]. 2023, (Vol.25) 5, pp. 262-269. doi 10.34689/SH.2023.25.5.032Похожие публикации:
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