Dass 42

Download as pdf or txt
Download as pdf or txt
You are on page 1of 5

Positive actions to improve mental well-being among construction workers Page 1

Appendix

1. Depression Anxiety and Stress Scale DASS-42

1.1. Description
The DASS-42 is a 42 item self-report scale designed to measure the emotional states of
depression, anxiety and stress. The principal value of the DASS in a clinical setting is to
clarify the locus of emotional disturbance, as part of the broader task of clinical
assessment. The essential function of the DASS is to assess the severity of the core
symptoms of Depression, Anxiety and Stress. Accordingly, the DASS allows not only a
way to measure the severity of a patient’s symptoms but a means by which a patient’s
response to treatment can also be measured.

This is a screening instrument and practitioners should make a clinical judgment as to


whether an individual needs further assessment for anxiety and depression. High scores
on the DASS would certainly alert the clinician to a high level of distress in the patient
and this would need to be explored further within the interview process. Similarly, low
scores on the DASS should not be a substitute for a comprehensive clinical interview.

1.2. Scoring
Each of the 42 questions is scored on a 4-point scale ranging from 0 (“Did not apply to
me at all”) to 3 (“Applied to me very much, or most of the time”). Scores for Depression,
Anxiety and Stress are calculated by summing the scores for the relevant items:

Depression: 3, 5, 10, 13, 16, 17, 21, 24, 26, 31, 34, 37, 38, 42

Anxiety: 2, 4, 7, 9, 15, 19, 20, 23, 25, 28, 30, 36, 40, 41

Stress: 1, 6, 8, 11, 12, 14, 18, 22, 27, 29, 32, 33, 35, 39

1.3. DASS-42 Score Sheet


Enter each score from the questionnaire into the first two columns. Add up each row and
enter the score into the available box (D, A or S). Add up the each of the D, A and S
columns (Table 1).

The total for each column is the score for that trait:
Page 2 Appendix 1

- D = Depression

- A = Anxiety

- S = Stress

Table 1. DASS-42 Score Sheet


Depression Anxiety Stress
Q Score Q Score
scores scores scores
1 22
2 23
3 24
4 25
5 26
6 27
7 28
8 29
9 30
10 31
11 32
12 33
13 34
14 35
15 36
16 37
17 38
18 39
19 40
20 41
21 42
Total

1.4. Interpretation guide


The DASS is based on a dimensional rather than a categorical conception of measure of
distress where depression and anxiety vary along a continuum of severity. The DASS
has no direct implications for the allocation of patients to discrete diagnostic categories
postulated in classificatory systems such as the DSM and ICD. However, recommended
cutoffs for conventional severity labels are given in the DASS Manual
(http://www2.psy.unsw.edu.au/groups/dass/order.htm) (Table 2).

The severity labels are used to describe the full range of scores in the population, so
‘mild’ for example means that the person is above the population mean but probably still
Positive actions to improve mental well-being among construction workers Page 3

below the typical severity of someone seeking help (i.e. it does not mean a mild level of
disorder).

Table 2. Interpretation guide for scores


Depression (D) Anxiety (A) Stress (S)
Normal 0-9 0-7 0-14
Mild oct-13 08-sep 15-18
Moderate 14-20 oct-14 19-25
Severe 21-27 15-19 26-33
Extremely severe 28+ 20+ 34+
Page 4 Appendix 1

1.5. DASS-42 Questionnaire

Table 3. DASS-42 questions


Positive actions to improve mental well-being among construction workers Page 5

1.6. References

[1] Lovibond S.H., Lovibond, P.F. (1995). Manual for the Depression Anxiety Stress
Scales (2nd ed.). Sydney: Psychology Foundation.

[2] Crawford, J. R., & Henry, J. D. (2003). The Depression Anxiety Stress Scales
(DASS): Normative data and latent structure in a large non-clinical sample. British
Journal of Clinical Psychology, 42(2), 111–131.Scoring

You might also like