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
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
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DOI：
10.1186/1471-244x-13-24
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发表时间：
2013-01-12
期刊：
影响因子：
4.4
通讯作者：
Fisher, Jane
中科院分区：
文献类型：
--
作者：
Thach Duc Tran;Tuan Tran;Fisher, Jane
背景：抑郁和焦虑日益被认为是低收入和中低收入国家妇女的严重公共卫生问题。本研究的目的是验证包含21个条目的抑郁、焦虑和应激量表(DASS21)在越南北部农村有孩子的妇女中用于筛查这些常见精神障碍的有效性。方法：将DASS-21从英语翻译成越南语，进行文化验证，反向翻译，并分别完成精神病学家对DSM IV Axis 1诊断抑郁和焦虑障碍的结构化临床访谈。该样本是居住在越南北部河南省的一群有年幼子女的成年妇女的社区代表性队列。运用Cronbach‘s Alpha、探索性因素分析(EFA)和受试者操作特征(ROC)分析确定抑郁、焦虑、压力分量表和总量表的心理测量学特性。各分量表和总量表的内部一致性(Cronbach‘s Alpha)较高，压力分量表为0.70，总量表为0.88，但全民教育的结果表明，21个条目都集中在一个因素上。三个分量表的得分，以及其中两个或三个分量表的组合，能够检测出女性常见的抑郁和焦虑心理障碍，敏感度为79.1%，特异度为77.0%，在>；33的最佳分界点。结论：DASS21-越南验证的21个条目的总分对检测越南北部农村初级卫生保健中有小孩的妇女的常见精神障碍似乎是可以理解的和敏感的，因此在其他资源有限的环境中也可能有助于筛查这些疾病。
Background: Depression and anxiety are recognised increasingly as serious public health problems among women in low- and lower-middle income countries. The aim of this study was to validate the 21-item Depression Anxiety and Stress Scale (DASS21) for use in screening for these common mental disorders among rural women with young children in the North of Vietnam.Methods: The DASS-21 was translated from English to Vietnamese, culturally verified, back-translated and administered to women who also completed, separately, a psychiatrist-administered Structured Clinical Interview for DSM IV Axis 1 diagnoses of depressive and anxiety disorders. The sample was a community-based representative cohort of adult women with young children living in Ha Nam Province in northern Viet Nam. Cronbach's alpha, Exploratory Factor Analyses (EFA) and Receiver Operating Characteristic (ROC) analyses were performed to identify the psychometric properties of the Depression, Anxiety, and Stress subscales and the overall scale.Results: Complete data were available for 221 women. The internal consistency (Cronbach's alpha) of each sub-scale and the overall scale were high, ranging from 0.70 for the Stress subscale to 0.88 for the overall scale, but EFA indicated that the 21 items all loaded on one factor. Scores on each of the three sub-scales, and the combinations of two or three of them were able to detect the common mental disorders of depression and anxiety in women with a sensitivity of 79.1% and a specificity of 77.0% at the optimal cut off of >33. However, they did not distinguish between those experiencing only depression or only anxiety.Conclusions: The total score of the 21 items of the DASS21-Vietnamese validation appears to be comprehensible and sensitive to detecting common mental disorders in women with young children in primary health care in rural northern Vietnam and therefore might also be useful to screen for these conditions in other resource-constrained settings.