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.
Authors
- Rocco Servidio (ORCID: https://orcid.org/0000-0002-4587-0363)
- Mark Damian Griffiths (ORCID: https://orcid.org/0000-0001-8880-6524)
- Renato Pisanti (ORCID: https://orcid.org/0000-0002-8153-2177)
- Paolo Soraci (ORCID: https://orcid.org/0000-0003-0456-7891)
- Elena Del Fante
- Attila Szabó (ORCID: https://orcid.org/0000-0003-2788-4304)
- Giulia Marafioti (ORCID: https://orcid.org/0009-0001-5971-1400)
- Elisa Chini
Institutions
- 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)
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