Comparison of Reliability and Validity of the Breast Cancer depression anxiety stress scales (DASS-21) with the Beck Depression Inventory-(BDI-II) and Hospital Anxiety and Depression Scale (HADS)
Journal Title: International Journal of Behavioral Research & Psychology (IJBRP) - Year 2016, Vol 4, Issue 5
Abstract
Background: No study has been conducted to determine the reliability and validity of the Depression, Anxiety and Stress Scale (DASS-21), Hospital Anxiety and Depression [HADS] and Beck Depression Inventory (BDI-II) among the Arab Breast Cancer population. Aim: The aim of this study was to compare the reliability and validity of the Depression, Anxiety, and Stress scale (DASS-21), the Beck Depression Inventory-(BDI-II) and Hospital Anxiety and Depression Scale (HADS) among Breast Cancer women in Qatar. Design: This is an observational cohort hospital based study. Subjects: A list of 1,042 eligible breast cancer patients was prepared, from the disease registry from January 2010 to December 2014 who could be contacted. From the available 1,042 list, 730 breast cancer patients information were available (70.0%) and expressed their consent to participate in the study. Methods: Breast cancer women were screened for depression using DSM-IV criteria, followed by data collection based on 21 items Depression Anxiety Stress Scale (DASS-21), Hospital Anxiety and Depression Scale (HADS) and Beck Depression Inventory (BDI-II) through interviews by trained nurses. Analyses included comparisons between the classifications of women according to the HADS, BDI-II and DASS-21 with classification of breast cancer depression based on DSM IV (Gold standard). Sensitivity, specificity, area under the curve and kappa coefficients was calculated for each scale. Results: The prevalence of postpartum depression was 20% based on DSM-IV criteria while on the other hand the prevalence was 23% based on DASS-21, 21.8% based on BDI-II and 19.7% based on HADS validated tools. Sensitivity was highest for BDI-II (85%) followed by DASS-21 and HADS (78%) based on standard cut off points of ≥17, ≥10 and ≥13 respectively. On the other hand, specificity was highest for DASS-21 (89%) followed by BDI-II (81%) and HADS (80%). The area under the curve (AUC) was 0.86 (95% CI 0.83-0.89) for DASS-21, 0.84 (95% CI 0.80-0.88) for BDI-II and 0.83 (95% CI 0.80-0.86) for HADS scales. There was highest agreement between DASS-21 and HADS (Kappa =0.80 p value <0.001), followed by DASS-21 and BDI-II (Kappa 0.75, p value <0.001) and BDI-II and EPDS (Kappa 0.60, p <0.001). Conclusions: DASS-21, BDI-II and HADS have excellent sensitivity, and specificity to quickly screen for breast cancer women. Agreement is highest among DASS-21 and HADS. Overall, DASS-21 performed better as compared to the other tools based on sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV). The Arab version of the DASS-21 exhibited satisfactory psychometric properties and its use for research and health care practice is warranted. Results indicate and support the cross-cultural validity of the DASS-21 in Arab countries.
Authors and Affiliations
Abdulbari Bener
Keywords
Related Articles
- EP ID EP211951
- DOI 10.19070/2332-3000-1600035
- Views 86
- Downloads 0
Factors Determining of Dropping Out from Treatment Among Methadone Clients: A Qualitative Study in Can Tho City, VietNam
Methadone maintenance therapy has been a main pillar of harm reduction for people who injecting drug user in VietNam as well as in Can Tho. Dropout rate has indicated to be high in Can Tho city. Methadone maintenance has...
Mental Representation Differences between Teenagers and Adults Regarding Self-Concept and SelfSchema Appearance
Mental representations of Self-concept and self-esteem were obtained from a sample of 171 high school students by using a natural semantic network. From students´ concept nets were possible to obtain word pairs related t...
The Core Self in Psychoanalytic Literature and Its Benign and Ideal Dimensions
The author garners support in psychoanalytic literature for the conceptualization of a core self with transcendent properties and the capacity to experience a communal sense of union. This core self is thought to contain...
Who is working at work?
Who is working at work?
Envisioning Homosexuality within Daoism - The Orientation and Sexual Dimensions of Yin and Yang
Explicit examinations of homosexuality within Daoism have not been found within academic journals. This paper attempts to begin to address this issue. Drawing upon an understanding of the foundational principles of Daois...