Citation

Randall D, Thomas M, Whiting D, McGrath A. J. Head Trauma Rehabil. 2016; 32(2): 134-144.

Affiliation

Charles Sturt University, Bathurst, Australia (Mss Randall, and Drs Thomas and McGrath); and Brain Injury Rehabilitation Research Group, Ingham Institute of Applied Medical Research, Liverpool, Australia (Dr Whiting).

Copyright

(Copyright © 2016, Lippincott Williams and Wilkins)

DOI

10.1097/HTR.0000000000000250

PMID

27455437

Abstract

OBJECTIVE: To confirm the construct validity of the Depression Anxiety Stress Scales-21 (DASS-21) by investigating the fit of published factor structures in a sample of adults with moderate to severe traumatic brain injury (posttraumatic amnesia > 24 hours). PARTICIPANTS: Archival data from 504 patient records at the Brain Injury Rehabilitation Unit at Liverpool Hospital, Australia. Participants were aged between 16 and 71 years and were engaged in a specialist rehabilitation program. MAIN MEASURE: The DASS-21.

RESULTS: Two of the 6 models had adequate fit using structural equation modeling. The data best fit Henry and Crawford's quadripartite model, which comprised a Depression, Anxiety and Stress factor, as well as a General Distress factor. The data also adequately fit Lovibond and Lovibond's original 3-factor model, and the internal consistencies of each factor were very good (α = 0.82-0.90).

CONCLUSION: This study confirms the structure and construct validity of the DASS-21 and provides support for its use as a screening tool in traumatic brain injury rehabilitation.

Language: en