Psychometric Properties of the Depression, Anxiety, and Stress Scale-21 (DASS-21) across Nine Countries/Regions

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Bibliographic Details
Title: Psychometric Properties of the Depression, Anxiety, and Stress Scale-21 (DASS-21) across Nine Countries/Regions
Language: English
Authors: Cristian Zanon (ORCID 0000-0003-3822-5275), Nan Zhao (ORCID 0000-0003-3498-4741), Nursel Topkaya (ORCID 0000-0002-8469-9140), Ertugrul Sahin (ORCID 0000-0003-3341-8887), David L. Vogel (ORCID 0000-0002-1687-5093), Melissa M. Ertl (ORCID 0000-0002-1022-1777), Samineh Sanatkar (ORCID 0000-0001-9962-163X), Hsin-Ya Liao, Mark Rubin (ORCID 0000-0002-6483-8561), Makilim N. Baptista (ORCID 0000-0001-6519-254X), Winnie W. S. Mak (ORCID 0000-0002-9714-7847), Fatima Rashed Al-Darmaki (ORCID 0000-0001-6452-0708), Georg Schomerus (ORCID 0000-0002-6752-463X), Ying-Fen Wang, Dalia Nasvytiene (ORCID 0000-0002-2810-5790)
Source: International Journal of Testing. 2025 25(2):178-193.
Availability: Routledge. Available from: Taylor & Francis, Ltd. 530 Walnut Street Suite 850, Philadelphia, PA 19106. Tel: 800-354-1420; Tel: 215-625-8900; Fax: 215-207-0050; Web site: http://www.tandf.co.uk/journals
Peer Reviewed: Y
Page Count: 16
Publication Date: 2025
Document Type: Journal Articles
Reports - Research
Education Level: Higher Education
Postsecondary Education
Descriptors: Anxiety, Depression (Psychology), Psychometrics, Cultural Context, Cultural Differences, Factor Structure, Error of Measurement, College Students, Reliability, Factor Analysis, Foreign Countries, Cross Cultural Studies, Goodness of Fit, Scores
Assessment and Survey Identifiers: Depression Anxiety and Stress Scales
DOI: 10.1080/15305058.2025.2489359
ISSN: 1530-5058
1532-7574
Abstract: Examinations of the internal structure of the Depression, Anxiety, and Stress Scale-21 (DASS-21) have yielded inconsistent conclusions within and across cultural contexts. This study examined the dimensionality and reliability of the DASS-21 across three theoretically plausible factor structures (i.e., unidimensional, oblique three-factor, and bifactor) as well as measurement equivalence/invariance of the DASS-21 using two different approaches (i.e., multigroup confirmatory factor analysis and the alignment approach) with a large, diverse sample of 2,920 young adult college student participants from nine countries/regions (i.e., Australia, Brazil, Germany, Hong Kong, Lithuania, Taiwan, Türkiye, United Arab Emirates, and the United States). Results showed an excellent fit of the bifactor model in all countries/regions except the UAE and the US in which the model did not converge. Regarding parameter equivalence, we found configural, threshold, and loading invariance for the oblique three-factor model (across the nine studied countries/regions) and for the bifactor model (across seven countries/regions). Results indicate that DASS-21 scores measure a general psychological distress factor with more validity and reliability than depression, anxiety, or stress constructs independently. Findings supported the bifactor structure of DASS-21 and demonstrated that cross-cultural comparisons using this scale should be conducted using proper procedures, such as the alignment approach.
Abstractor: As Provided
Entry Date: 2025
Accession Number: EJ1469093
Database: ERIC
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Abstract:Examinations of the internal structure of the Depression, Anxiety, and Stress Scale-21 (DASS-21) have yielded inconsistent conclusions within and across cultural contexts. This study examined the dimensionality and reliability of the DASS-21 across three theoretically plausible factor structures (i.e., unidimensional, oblique three-factor, and bifactor) as well as measurement equivalence/invariance of the DASS-21 using two different approaches (i.e., multigroup confirmatory factor analysis and the alignment approach) with a large, diverse sample of 2,920 young adult college student participants from nine countries/regions (i.e., Australia, Brazil, Germany, Hong Kong, Lithuania, Taiwan, Türkiye, United Arab Emirates, and the United States). Results showed an excellent fit of the bifactor model in all countries/regions except the UAE and the US in which the model did not converge. Regarding parameter equivalence, we found configural, threshold, and loading invariance for the oblique three-factor model (across the nine studied countries/regions) and for the bifactor model (across seven countries/regions). Results indicate that DASS-21 scores measure a general psychological distress factor with more validity and reliability than depression, anxiety, or stress constructs independently. Findings supported the bifactor structure of DASS-21 and demonstrated that cross-cultural comparisons using this scale should be conducted using proper procedures, such as the alignment approach.
ISSN:1530-5058
1532-7574
DOI:10.1080/15305058.2025.2489359