DEPRESSION ANXIETY STRESS SCALE IN OLDER ADULTS: ITEM RESPONSE THEORY AND CONFIRMATORY FACTOR MODELS
2024

Assessing Depression, Anxiety, and Stress in Older Veterans

Sample size: 660 publication Evidence: moderate

Author Information

Author(s): Liu Wen, Zimmerman M Bridget, Hadlandsmyth Katherine, Smith Tracey, Buckwalter Joseph A, Green David M, Dindo Lilian, Rakel Barbara

Primary Institution: University of Iowa

Hypothesis

The study examines the psychometric properties of the Depression Anxiety & Stress Scale (DASS) in older U.S. Veterans experiencing knee pain.

Conclusion

The study supports the use of a 3-factor structure for the DASS in older Veterans, showing strong correlations and acceptable internal consistency.

Supporting Evidence

  • The DASS has been translated into multiple languages and is widely used.
  • The 3-factor structure showed strong correlations among the factors.
  • The internal consistency for Depression was 0.904, for Anxiety 0.767, and for Stress 0.883.
  • Item Response Theory analysis showed acceptable item discrimination and difficulty levels.

Takeaway

This study looked at how well a questionnaire works for older Veterans who are feeling sad, anxious, or stressed, and found it works pretty well.

Methodology

The study used Confirmatory Factor Analysis and Item Response Theory to evaluate the DASS in a randomized controlled trial.

Limitations

Further research is needed to investigate the performance of DASS in Veterans with more diversity in gender and socioeconomic status.

Participant Demographics

Participants were older U.S. Veterans, average age 66.7 years, 88% male, 72.2% white, and 61% married.

Statistical Information

P-Value

<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1093/geroni/igae098.2601

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