M C Mitchell1, N R Burns, D S Dorstyn. 1. School of Psychology, University of Adelaide, Adelaide, South Australia, Australia. mc.mitch@optusnet.com.au
Abstract
STUDY DESIGN: Comparison of two self-report instruments with a structured diagnostic interview. OBJECTIVE: To investigate the properties of the Depression Anxiety Stress Scales-21 (DASS-21) in patients with spinal cord injuries. SETTING: South Australian Spinal Cord Injuries Service, Hampstead Rehabilitation Centre, Northfield, South Australia. METHODS: Forty paraplegic or tetraplegic patients participated. Two self-report measures, DASS-21 and Brief Symptom Inventory (BSI), assessed Depression, Anxiety and Stress. These measures were compared with each other and with diagnoses based on the Mini International Neuropsychiatric Interview. RESULTS: Mean scores on both self-report measures were below clinical threshold levels. Prevalence rates of anxiety and depression were higher on DASS-21 than on BSI. DASS-21 was as sensitive as BSI, but had lower specificity to detect anxiety and depression. CONCLUSION: DASS-21 is a promising screening measure for patients with spinal cord injury in a rehabilitation setting. It has greater sensitivity for identifying those with possible anxiety disorders than it does for those with depressive disorders.
STUDY DESIGN: Comparison of two self-report instruments with a structured diagnostic interview. OBJECTIVE: To investigate the properties of the Depression Anxiety Stress Scales-21 (DASS-21) in patients with spinal cord injuries. SETTING: South Australian Spinal Cord Injuries Service, Hampstead Rehabilitation Centre, Northfield, South Australia. METHODS: Forty paraplegic or tetraplegic patients participated. Two self-report measures, DASS-21 and Brief Symptom Inventory (BSI), assessed Depression, Anxiety and Stress. These measures were compared with each other and with diagnoses based on the Mini International Neuropsychiatric Interview. RESULTS: Mean scores on both self-report measures were below clinical threshold levels. Prevalence rates of anxiety and depression were higher on DASS-21 than on BSI. DASS-21 was as sensitive as BSI, but had lower specificity to detect anxiety and depression. CONCLUSION:DASS-21 is a promising screening measure for patients with spinal cord injury in a rehabilitation setting. It has greater sensitivity for identifying those with possible anxiety disorders than it does for those with depressive disorders.
Authors: Raúl Soto-Cámara; Susana Navalpotro-Pascual; José Julio Jiménez-Alegre; Noemí García-Santa-Basilia; Henar Onrubia-Baticón; José M Navalpotro-Pascual; Israel John Thuissard; Juan José Fernández-Domínguez; María Paz Matellán-Hernández; Elena Pastor-Benito; Carlos Eduardo Polo-Portes; Rosa M Cárdaba-García Journal: J Clin Med Date: 2022-04-15 Impact factor: 4.964
Authors: Pamela A Kisala; David S Tulsky; Claire Z Kalpakjian; Allen W Heinemann; Ryan T Pohlig; Adam Carle; Seung W Choi Journal: J Spinal Cord Med Date: 2015-05 Impact factor: 1.985