Cargando…

Validation of depression, anxiety, and stress scales (DASS-21) among Thai nursing students in an online learning environment during the COVID-19 outbreak: A multi-center study

The Depression, Anxiety and Stress Scale (DASS-21), an introductory scale used to identify common mental disorders (CMDs) among adults, was validated across cultures in Asian populations; nevertheless, its capacity for screening these disorders may be limited for some specified groups, including nur...

Descripción completa

Detalles Bibliográficos
Autores principales: Wittayapun, Yuwadee, Summart, Ueamporn, Polpanadham, Panicha, Direksunthorn, Thanyaporn, Paokanha, Raweewan, Judabood, Naruk, A’la, Muhamad Zulfatul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10312998/
https://www.ncbi.nlm.nih.gov/pubmed/37390065
http://dx.doi.org/10.1371/journal.pone.0288041
_version_ 1785067027485949952
author Wittayapun, Yuwadee
Summart, Ueamporn
Polpanadham, Panicha
Direksunthorn, Thanyaporn
Paokanha, Raweewan
Judabood, Naruk
A’la, Muhamad Zulfatul
author_facet Wittayapun, Yuwadee
Summart, Ueamporn
Polpanadham, Panicha
Direksunthorn, Thanyaporn
Paokanha, Raweewan
Judabood, Naruk
A’la, Muhamad Zulfatul
author_sort Wittayapun, Yuwadee
collection PubMed
description The Depression, Anxiety and Stress Scale (DASS-21), an introductory scale used to identify common mental disorders (CMDs) among adults, was validated across cultures in Asian populations; nevertheless, its capacity for screening these disorders may be limited for some specified groups, including nursing students. This study attempted to investigate the psychometric scale’s unique features of DASS-21 for Thai nursing students in an online learning environment during the COVID-19 outbreak. A cross-sectional study using the multistage sampling technique recruited 3,705 nursing students from 18 universities located in south and northeast Thailand. The data were gathered using an online web-based survey, and then all respondents were divided into 2 groups (group 1, n = 2,000, group 2, n = 1,705). After using the statistical methods to reduce items, exploratory factor analysis (EFA) using group 1 was performed to investigate the factor structure of the DASS-21. Finally, group 2 used confirmatory factor analysis to verify the modified structure proposed by the EFA and assess the construct validity of the DASS-21. A total of 3,705 Thai nursing students were enrolled. For the factorial construct validity, a three-factor model was initially suggested containing 18 items (DASS-18) spread across 3 components: anxiety (7 items), depression (7 items) and stress (4 items). The internal consistency reliability was acceptable with Cronbach’s alpha in the range of 0.73–0.92for either the total or its subscales. For convergent validity, average variance extracted (AVE) showed that all the DASS-18 subscales achieved convergence effect with AVE in the range of 0.50–0.67. The psychometric features of the DASS-18 will support Thai psychologists and researchers to screen CMDs more easily among undergraduate nursing students in tertiary institutions who enrolled in an online learning environment during the COVID-19 outbreak.
format Online
Article
Text
id pubmed-10312998
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-103129982023-07-01 Validation of depression, anxiety, and stress scales (DASS-21) among Thai nursing students in an online learning environment during the COVID-19 outbreak: A multi-center study Wittayapun, Yuwadee Summart, Ueamporn Polpanadham, Panicha Direksunthorn, Thanyaporn Paokanha, Raweewan Judabood, Naruk A’la, Muhamad Zulfatul PLoS One Research Article The Depression, Anxiety and Stress Scale (DASS-21), an introductory scale used to identify common mental disorders (CMDs) among adults, was validated across cultures in Asian populations; nevertheless, its capacity for screening these disorders may be limited for some specified groups, including nursing students. This study attempted to investigate the psychometric scale’s unique features of DASS-21 for Thai nursing students in an online learning environment during the COVID-19 outbreak. A cross-sectional study using the multistage sampling technique recruited 3,705 nursing students from 18 universities located in south and northeast Thailand. The data were gathered using an online web-based survey, and then all respondents were divided into 2 groups (group 1, n = 2,000, group 2, n = 1,705). After using the statistical methods to reduce items, exploratory factor analysis (EFA) using group 1 was performed to investigate the factor structure of the DASS-21. Finally, group 2 used confirmatory factor analysis to verify the modified structure proposed by the EFA and assess the construct validity of the DASS-21. A total of 3,705 Thai nursing students were enrolled. For the factorial construct validity, a three-factor model was initially suggested containing 18 items (DASS-18) spread across 3 components: anxiety (7 items), depression (7 items) and stress (4 items). The internal consistency reliability was acceptable with Cronbach’s alpha in the range of 0.73–0.92for either the total or its subscales. For convergent validity, average variance extracted (AVE) showed that all the DASS-18 subscales achieved convergence effect with AVE in the range of 0.50–0.67. The psychometric features of the DASS-18 will support Thai psychologists and researchers to screen CMDs more easily among undergraduate nursing students in tertiary institutions who enrolled in an online learning environment during the COVID-19 outbreak. Public Library of Science 2023-06-30 /pmc/articles/PMC10312998/ /pubmed/37390065 http://dx.doi.org/10.1371/journal.pone.0288041 Text en © 2023 Wittayapun et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Wittayapun, Yuwadee
Summart, Ueamporn
Polpanadham, Panicha
Direksunthorn, Thanyaporn
Paokanha, Raweewan
Judabood, Naruk
A’la, Muhamad Zulfatul
Validation of depression, anxiety, and stress scales (DASS-21) among Thai nursing students in an online learning environment during the COVID-19 outbreak: A multi-center study
title Validation of depression, anxiety, and stress scales (DASS-21) among Thai nursing students in an online learning environment during the COVID-19 outbreak: A multi-center study
title_full Validation of depression, anxiety, and stress scales (DASS-21) among Thai nursing students in an online learning environment during the COVID-19 outbreak: A multi-center study
title_fullStr Validation of depression, anxiety, and stress scales (DASS-21) among Thai nursing students in an online learning environment during the COVID-19 outbreak: A multi-center study
title_full_unstemmed Validation of depression, anxiety, and stress scales (DASS-21) among Thai nursing students in an online learning environment during the COVID-19 outbreak: A multi-center study
title_short Validation of depression, anxiety, and stress scales (DASS-21) among Thai nursing students in an online learning environment during the COVID-19 outbreak: A multi-center study
title_sort validation of depression, anxiety, and stress scales (dass-21) among thai nursing students in an online learning environment during the covid-19 outbreak: a multi-center study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10312998/
https://www.ncbi.nlm.nih.gov/pubmed/37390065
http://dx.doi.org/10.1371/journal.pone.0288041
work_keys_str_mv AT wittayapunyuwadee validationofdepressionanxietyandstressscalesdass21amongthainursingstudentsinanonlinelearningenvironmentduringthecovid19outbreakamulticenterstudy
AT summartueamporn validationofdepressionanxietyandstressscalesdass21amongthainursingstudentsinanonlinelearningenvironmentduringthecovid19outbreakamulticenterstudy
AT polpanadhampanicha validationofdepressionanxietyandstressscalesdass21amongthainursingstudentsinanonlinelearningenvironmentduringthecovid19outbreakamulticenterstudy
AT direksunthornthanyaporn validationofdepressionanxietyandstressscalesdass21amongthainursingstudentsinanonlinelearningenvironmentduringthecovid19outbreakamulticenterstudy
AT paokanharaweewan validationofdepressionanxietyandstressscalesdass21amongthainursingstudentsinanonlinelearningenvironmentduringthecovid19outbreakamulticenterstudy
AT judaboodnaruk validationofdepressionanxietyandstressscalesdass21amongthainursingstudentsinanonlinelearningenvironmentduringthecovid19outbreakamulticenterstudy
AT alamuhamadzulfatul validationofdepressionanxietyandstressscalesdass21amongthainursingstudentsinanonlinelearningenvironmentduringthecovid19outbreakamulticenterstudy