Depression Anxiety Stress Scales: Factor structure and differential item functioning across women and men

This study examined the factor structure, and differential item functioning of the Depression Anxiety Stress Scales (DASS; Lovibond & Lovibond, 1995) across sex. The DASS was completed by 201 women and 165 men from the general community. Confirmatory factor analysis (CFA) indicated support for the original 3-factor oblique model (factors for depression, anxiety and stress). There was however more support for a bifactor model, with four orthogonal factors: a general factor on which all the depression, anxiety and stress items load, and specific independent factors for depression, anxiety and stress items. None of the DASS items showed DIF. The practical, theoretical, research and clinical implications of the findings are discussed.     

跨文化沟通能力对来华留学生抑郁的影响：身份认同差异的中介作用

为探讨来华留学生个人-表现认同差异、个人-关系认同差异在跨文化沟通能力与抑郁之间的中介作用,采用跨文化智力问卷、个人-表现认同差异问卷、个人-关系认同差异问卷、抑郁量表对301名来华留学生进行调查。结果发现：①相关分析表明跨文化沟通能力与个人-表现认同差异、抑郁呈显著负相关;个人-表现认同差异、个人-关系认同差异与抑郁两两呈显著正相关。②链式中介效应检验显示,跨文化沟通能力不能直接影响抑郁,但存在两条间接路径：个人-表现认同差异的单独中介以及个人-表现认同差异和个人-关系认同差异的链式中介。本研究表明,身份认同差异在跨文化沟通能力与来华留学生抑郁的关系中起重要的中介作用,研究结果能为来华留学生抑郁的预防和干预提供有益启示。     

Anxiety and Depression: Evidence for the Differentiation of Commonly Cooccurring Constructs

Anxiety and depression frequently cooccur diagnostically. This observation has led researchers to investigate whether anxiety and depression can be meaningfully distinguished as unique theoretical constructs or whether they are better conceptualized as features of a general psychological distress. In the present study, we attempted to differentiate self-reported state and trait anxiety from depression in a university sample (N = 593) using the Beck Depression Inventory (BDI) and the Endler Multidimensional Anxiety Scales (EMAS). In addition, we examined the relationship among self-reported anxiety, depression, and neuroticism to determine the extent to which the Anxiety and Depression facet scales of the NEO Personality Inventory—Revised represent distinct and mutually exclusive measures of anxiety and depression. Principal-components analyses and a series of multiple regression models were used to conduct this investigation. Results indicate that both state and trait anxiety and depression can be reliably differentiated with the BDI and the EMAS. Results also suggest that invoking a single general distress factor to explain the strong interrelationships between anxiety and depression in nonclinical samples is premature.     

Workaholism among employees in Japanese corporations: An examination based on the Japanese version of the Workaholism Scales

Abstract: To examine the validity and reliability of the Japanese version of the Workaholism Scales developed originally by J. T. Spence and A. S. Robbins (1992), a questionnaire survey of workers in Japanese industrial organizations was conducted. The Japanese questionnaire was developed by back-translation. Added to the original questionnaire were scales for work overload - quantity, work overload - quality, role ambiguity and role conflict. A total of 1,072 workers (962 men, 110 women) returned usable data (response rate = 87.5%). The factor structure and reliability of the workaholism instrument for Japanese male subjects look almost identical to those obtained by the original study in America except that the work involvement dimension was not reproduced as an independent factor, but overlapped with the drive dimension for the Japanese sample. There was a significant impact of workaholism on job stress and health complaints among Japanese male employees.     

The Ohio Scales Youth Form: Expansion and Validation of a Self-Report Outcome Measure for Young Children

We examined the validity and reliability of a self-report outcome measure for children between the ages of 8 and 11. The Ohio Scales Problem Severity scale is a brief, practical outcome measure available in three parallel forms: Parent, Youth, and Agency Worker. The Youth Self-Report form is currently validated for children ages 12 and older. The Ohio Scales Problem Severity scale was administered to a clinical and comparison sample of children, ages 8–11, then readministered 1 week later to a subsample of children in order to examine test-retest reliability. The Ohio Scales demonstrated acceptable internal consistency and reliability. The Ohio Scales was significantly correlated with the Behavior Assessment System for Children (BASC) across both samples, providing evidence for concurrent validity. Children of the clinical sample reporting higher scores (i.e., more symptomatic) than the children of the comparison sample on the Ohio Scales, thereby demonstrating construct validity.     

Panacea or Placebo: The Historical Quest for Medications to Treat Depression

Background: Over the years, there have been many advances in contemporary medicine and the ability to treat depression with medications. However, some innovative practices in medical treatments appear less than ideal when viewed from a historical perspective. Aims: It is important for health care professionals to appreciate the risks and limitations of a biological approach to an emotional disorder. Conclusions: If professionals can learn from past mistakes, they can better evaluate the merits of contemporary treatments.     

An Opportunity for Genetic Counseling Intervention: Depression in Parents of Individuals with Proteus Syndrome

Depression is common, affecting 2–5% of the general population. Parental depression can confound adjustment to, and caring for, a child with a genetic condition. As part of a study on psychosocial issues of parents caring for children with Proteus syndrome, 31 parents (20 mothers and 11 fathers) completed a depression screening tool, the Beck Depression Inventory. Approximately 23% (4/20 mothers and 3/11 fathers) scored positive on the tool. Pessimism, sense of failure, general lack of satisfaction, sense of punishment, self-dislike, social withdrawal, indecisiveness, work inhibition, somatic preoccupation, and loss of libido were reported more frequently by the group of parents with positive screen results than those with normal results. These data suggest that symptoms of depression may be prevailing among parents of individuals with Proteus syndrome. Because effective interventions for depression are readily available, genetic counselors working with families affected with rare, overgrowth disorders should specifically assess parents for physical and affective symptoms of depression and refer them for appropriate clinical treatment.     

The Effect of Education on Nationalism and Ethnic Exclusionism: An International Comparison

In most studies on ethnic attitudes, a rather strong negative relationship has been found between educational attainment and positive ingroup attitudes (or negative outgroup attitudes). However, it is not well known to what extent this educational effect varies across different national contexts. This study investigated the effect of education on different dimensions of nationalism and ethnic exclusionism with the use of 1995 survey data gathered in 22 countries. Notions from socialization theory were used to test whether the educational effect varies according to the length of liberal-democratic tradition and the degree of religious heterogeneity within a country. Results indicate that educational attainment is strongly related to ethnic exclusionism as well as chauvinism, but not to patriotism. Moreover, the effect of education on ethnic exclusionism is smaller in recently established democracies. The hypothesis regarding stronger educational effects in societies with more religious heterogeneity was not supported.     

The underlying structure of the Beck Depression Inventory II: A multidimensional scaling approach

The purpose of the present study was to confirm Beck’s six symptom categorization of depression through the most recent version of Beck Depression Inventory (BDI-II) by employing a confirmatory multidimensional scaling (MDS). This analysis indicates two independent dimensions in the BDI-II. The disturbance domain dimension relates to the domains wherein the disturbances occur, and validates Beck’s six symptom categorization dividing the items into disturbances in basic need-satisfaction, energy regulation, focused attention, regulation of emotion, motivation, and cognitive distortion in self-evaluation. The level of arousal dimension relates to how the disturbances are expressed, namely in an under-active, regular, or over-active manifestation. The MDS solution suggests 18 (6 × 3) symptom areas of depression, and may serve as a guide for constructing additional items.     

The Depression Anxiety and Stress Scales: Reference data from a large psychiatric outpatient sample

The published norms for the Depression Anxiety and Stress Scale (DASS) give results for clinical populations that largely fall in the severe to very severe categories. As a result, within this population, the ability to compare the comparative contributions of the underlying emotional components is reduced. The present study presents results from a large general psychiatric outpatient population and provides percentile norms with confidence intervals for both the original DASS and the shorter 21‐item form. It is noted that both forms have high validity but that the correlations between scales are higher than those reported in non‐clinical populations. There was little variation between sexes but some variation of results with age with both younger and older cohorts having lower scores except for the Stress scale where there were higher scores in the older group. There is some evidence of a ceiling effect in the Depression and Stress scales. It was noted that nearly a quarter of patient scores fell within the originally defined normal range suggesting that the DASS would not be a particularly sensitive instrument in its previously reported use as a screening instrument for psychiatric illness.     

Theoretical Orientations of New Zealand Psychologists: An International Comparison

Registered practicing psychologists in New Zealand (n = 221) were surveyed concerning their predominant theoretical orientation. Results were compared with findings obtained among Australian psychologists by Byrne and Reinhart (1990), British psychologists by Garrett and Davis (1995), and North American psychologists by Norcross, Karg, and Prochaska (1997a). The results showed that while New Zealand psychologists use cognitive approaches more often than both British and North American psychologists, they use behavioral and psychodynamic approaches less often. Overall, it was found that the eclectic approach is the most popular theoretical orientation obtained in surveys of Australian, New Zealand, and North American psychologists, in that no group subscribed exclusively to a single theoretical orientation.     

An IRT analysis of motive questionnaires: The Unified Motive Scales

Multiple inventories claiming to assess the same explicit motive (achievement, power, or affiliation) show only mediocre convergent validity. In three studies (N = 1685) the structure, nomological net, and content coverage of multiple existing motive scales was investigated with exploratory factor analyses. The analyses revealed four approach factors (achievement, power, affiliation, and intimacy) and a general avoidance factor with a facet structure. New scales (the Unified Motive Scales; UMS) were developed using IRT, reflecting these underlying dimensions. In comparison to existing questionnaires, the UMS have the highest measurement precision and provide short (six-item) and ultra-short (three-item) scales. In a fourth study (N = 96), the UMS demonstrated incremental validity over existing motive scales with respect to several outcome criteria.     

Understanding the Effect of Social Capital on the Depression of Urban Chinese Adolescents: An Integrative Framework

Using data from an ongoing longitudinal study of 5,164 adolescents and their parents from seven cities in mainland China, this study investigated how social capital embedded in the family and the community, together with family human capital and financial capital, influenced the depressive symptoms of urban Chinese adolescents within an integrative framework. The structural equation modeling results suggested that higher community social capital was associated with lower level of adolescent depressive symptoms and was the strongest predictor among all these contextual factors. Family social capital played a significant role in mediating the effects of all other contextual factors on adolescent depressive symptoms. Unexpectedly, higher family financial capital predicted increased depressive symptoms both directly and indirectly through its negative effect on family social capital. As for gender, female adolescents reported more depressive symptoms as a result of less available family social capital. Implications of these findings for theory, practice, policy, and future research are discussed.     

Couples' Disease: The Experience of Living with a Partner with Chronic Depression

This study is concerned with the impact of chronic depression on partners. Thirteen male and female participants who lived with a partner with chronic depression were interviewed. Data were analyzed using thematic analysis. Findings highlighted a need for caregivers to be more centrally involved in their partner's care, given that they face stigma, shifts in role identity, and uncertainty, which all potentially threaten the level of support they can give their partner. In this sense, depression might be described as a “couples disease,” suggesting that couples therapy and group support for partners should be more widely available to help reduce the burden on partners and potentially prevent relationship breakdown.     

Group Communication During Resource Dilemmas: 4: The Effect of Group Size

Previous theory and research implies that increasing the size of groups facing resource dilemmas results in poorer outcomes, but no previous study has allowed for communication among group members. The present study relates group size with communication content, task outcomes, and participant perceptions of their experience. With communication, actual group size was irrelevant; to the extent that groups chose to cooperate, outcomes were more equal within groups and participants had more positive perceptions. Greater information exchange and negative maintenance talk was related with less equal outcomes and more negative perceptions; more discussion relevant to specific strategy was associated with more equal outcomes. Findings are instructive concerning the genesis and role of group cooperation.     

The Behavioral Activation for Depression Scale (BADS): Psychometric Properties and Factor Structure

In Behavioral Activation (BA) for depression (Martell, C. R., Addis, M. E., & Jacobson, N. S. (2001)), which has recently received empirical support in a large randomized trial, therapists pay close attention to the function of behavior and the role of aversive controlling stimuli and escape and avoidance behavior in depression. A key variable to measure in studies of BA is when and how clients become more activated over the course of treatment. This study sought to develop an initial set of items for the Behavioral Activation for Depression Scale (BADS), submit these items to an exploratory factor analysis in an initial administration (Study 1, N = 391), and submit the resulting scale to a confirmatory factor analysis in a second administration (Study 2, N = 319). Results indicated four factors (Activation, Avoidance/Rumination, Work/School Impairment, and Social Impairment) with good factor structure, internal consistency, and test-retest reliability. Evidence for construct and predictive validity is presented.     

Stress Generation in Adolescent Depression: The Moderating Role of Child Abuse and Neglect

The present study examined the role of childhood abuse and neglect and depression recurrence in moderating the generation of stressful life events in adolescent depression. Maltreatment history and stressful life events were assessed using two rigorous contextual interviews and rating systems. In a sample of 59 community depressed adolescents we found significantly higher rates of interpersonal events in the 3-month period immediately following depression episode onset versus the 3-month period immediately preceding onset in adolescents with a history of childhood maltreatment. By contrast, rates of events remained constant over a matched period in a control group of non-maltreated adolescents. Furthermore, the generation of interpersonal events only held among those on a first onset of depression. These results suggest that a history of childhood abuse and neglect exacerbates the psychosocial dysfunction associated with the onset of depression, particularly in the very first episode.     

Latino/a Depression and Smoking: An Analysis Through the Lenses of Culture, Gender, and Ethnicity

Rates of major depressive disorder (MDD) and cigarette smoking increase with Latino/a acculturation, but this varies by gender and ethnic subgroup. We investigated how lived experiences (i.e., discrimination, family conflict, family cohesion, familismo) clustered together in the everyday lives of Latina/os. We further examined associations of cluster profile and Latino/a subgroup with MDD and smoking, and tested whether gender moderated these associations. Data came from the National Latino Asian American Study, which included 2,554 Latino/as (48 % female; mean age = 38.02 years). K-means cluster analysis revealed six profiles of experience, which varied by gender and socio-cultural characteristics. Proportionately more women than men were in groups with problematic family lives. Acculturated Latino/as were disproportionately represented in profiles reporting frequent discrimination, family conflict, and a lack of shared family values and cohesion. Profiles characterized by high discrimination and family problems also predicted elevated risk for MDD and smoking. Findings suggest that Latino/a acculturation comes jointly with increased discrimination, increased family conflict, and reduced family cohesion and shared family values, exacerbating risk for MDD and smoking. This research on pathways to depression and smoking can inform the development of targeted assessment, prevention, and intervention strategies, tailored to the needs of Latino/as.