Background <p>Rising rates in depression and suicide across the globe highlight the urgent need for reliable screening tools to identify psychological distress. The 8-item Depression, Anxiety, Stress Scale (DASS-8) offers potential as a brief, efficient measure of psychological wellbeing, but requires validation in Malaysian populations. This study aimed to conduct comprehensive psychometric testing of the DASS-8 in a Malaysian sample.</p> Methods <p>Study 1 involved 665 Malaysian participants who completed an online survey. Exploratory factor analysis (EFA) was performed to examine the internal structure of DASS-8. Study 2 included 202 participants who completed surveys before and after an experimental task to assess short-term temporal stability. Confirmatory factor analysis (CFA) and reliability analysis were conducted.</p> Results <p>The DASS-8 demonstrated excellent psychometric properties with high internal consistency (Cronbach’s α = 0.86). Both EFA and CFA revealed a unidimensional factor structure, contrasting with the three-factor structure (depression, anxiety, stress) found in longer DASS versions. Short-term temporal stability and interclass correlation coefficients supported the scale’s temporal stability (ICC = 0.87, 95% CI [0.83, 0.90]).</p> Conclusion <p>The DASS-8 shows strong psychometric properties in Malaysian samples and functions effectively as a brief measure of general psychological distress rather than as a tool for distinguishing between specific emotional states.</p>

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Evaluation the DASS-8 as a rapid screening tool for mental health in the Malaysian population

  • Elizaveta Berezina,
  • Ai-Suan Lee,
  • Jia Yuin Fam,
  • Daniel Han Jie Lim,
  • Colin Mathew Hugues Desaguliers Gill

摘要

Background

Rising rates in depression and suicide across the globe highlight the urgent need for reliable screening tools to identify psychological distress. The 8-item Depression, Anxiety, Stress Scale (DASS-8) offers potential as a brief, efficient measure of psychological wellbeing, but requires validation in Malaysian populations. This study aimed to conduct comprehensive psychometric testing of the DASS-8 in a Malaysian sample.

Methods

Study 1 involved 665 Malaysian participants who completed an online survey. Exploratory factor analysis (EFA) was performed to examine the internal structure of DASS-8. Study 2 included 202 participants who completed surveys before and after an experimental task to assess short-term temporal stability. Confirmatory factor analysis (CFA) and reliability analysis were conducted.

Results

The DASS-8 demonstrated excellent psychometric properties with high internal consistency (Cronbach’s α = 0.86). Both EFA and CFA revealed a unidimensional factor structure, contrasting with the three-factor structure (depression, anxiety, stress) found in longer DASS versions. Short-term temporal stability and interclass correlation coefficients supported the scale’s temporal stability (ICC = 0.87, 95% CI [0.83, 0.90]).

Conclusion

The DASS-8 shows strong psychometric properties in Malaysian samples and functions effectively as a brief measure of general psychological distress rather than as a tool for distinguishing between specific emotional states.