Psychometric Analyses of the Italian 8-Item, 9-Item, and 12-Item Versions of the Depression, Stress and Anxiety Scale

The present study aimed to validate the Italian 8-item, 9-item, and 12-item versions of the Depression, Anxiety and Stress Scale-21 (DASS-21), addressing the need for shorter yet psychometrically robust measures. Two studies were conducted with different samples. In Study 1 (<i>n</i> = 541), confirmatory factor analysis (CFA) and reliability testing of the short-form versions of the DASS were performed, and their convergent validity with life satisfaction and mental well-being was examined. Study 2 (<i>n</i> = 321) extended this validation by reassessing factor structure, reliability, and convergent validity using constructs associated with psychological distress, including positive and negative affect, self-esteem, and perceived stress. Results demonstrated that all short-form versions retained the three-factor structure of the original DASS-21, with overall sufficient fit indices, especially the 9-item model. Reliability metrics confirmed internal consistency (all Cronbach's alpha and McDonald's omega ≥0.70). Convergent validity analyses indicated strong correlations between the short-form versions of DASS-21 (min = 0.675, max = 0.956) and associated psychological constructs, aligning with theoretical expectations. The scales captured the relationships between psychological distress, positive and negative affect, perceived stress, mental well-being, self-esteem, and life satisfaction. Findings suggest that the Italian versions of the DASS-8, DASS-9, and DASS-12 provide feasible and reliable alternatives to the DASS-21 for assessing depression, anxiety, and stress, supporting their usefulness in clinical and research contexts, particularly in circumstances in which brevity is essential.

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Publication Details

Journal
Evaluation & the Health Professions
Published
2025-09-20
DOI
https://doi.org/10.1177/01632787251380550
Citations
1
Primary Topic
Psychological Well-being and Life Satisfaction
Type
article
Field-Weighted Citation Impact
2.44
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article

Psychometric Analyses of the Italian 8-Item, 9-Item, and 12-Item Versions of the Depression, Stress and Anxiety Scale

Rocco Servidio, Mark Damian Griffiths, Renato Pisanti, Paolo Soraci et al.
1 citations
Evaluation & the Health Professions
Psychological Well-being and Life Satisfaction
2.44
article

Psychometric Analyses of the Italian 8-Item, 9-Item, and 12-Item Versions of the Depression, Stress and Anxiety Scale

Rocco Servidio, Mark Damian Griffiths, Renato Pisanti, Paolo Soraci, Elena Del Fante, Attila Szabó, Giulia Marafioti, Elisa Chini
article en
1 citations

Abstract

The present study aimed to validate the Italian 8-item, 9-item, and 12-item versions of the Depression, Anxiety and Stress Scale-21 (DASS-21), addressing the need for shorter yet psychometrically robust measures. Two studies were conducted with different samples. In Study 1 (<i>n</i> = 541), confirmatory factor analysis (CFA) and reliability testing of the short-form versions of the DASS were performed, and their convergent validity with life satisfaction and mental well-being was examined. Study 2 (<i>n</i> = 321) extended this validation by reassessing factor structure, reliability, and convergent validity using constructs associated with psychological distress, including positive and negative affect, self-esteem, and perceived stress. Results demonstrated that all short-form versions retained the three-factor structure of the original DASS-21, with overall sufficient fit indices, especially the 9-item model. Reliability metrics confirmed internal consistency (all Cronbach's alpha and McDonald's omega ≥0.70). Convergent validity analyses indicated strong correlations between the short-form versions of DASS-21 (min = 0.675, max = 0.956) and associated psychological constructs, aligning with theoretical expectations. The scales captured the relationships between psychological distress, positive and negative affect, perceived stress, mental well-being, self-esteem, and life satisfaction. Findings suggest that the Italian versions of the DASS-8, DASS-9, and DASS-12 provide feasible and reliable alternatives to the DASS-21 for assessing depression, anxiety, and stress, supporting their usefulness in clinical and research contexts, particularly in circumstances in which brevity is essential.

Evaluation & the Health Professions
University Niccolò Cusano (IT), Associazione Italiana Arbitri (IT), Centro Neurolesi Bonino Pulejo (IT), University of Calabria (IT), Nottingham Trent University (GB), University of Milano-Bicocca (IT), Széchenyi István University (HU)
Openalex Percentile: Top 10%
Psychological Well-being and Life Satisfaction
2.44
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