DASS 28

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The textbook library has only a passing reference to DASS without substantive coverage. I'll answer from knowledge.

DASS-28 — Depression Anxiety Stress Scales (Short Form)

Overview

The DASS-28 is a self-report questionnaire that measures the severity of three negative emotional states: Depression, Anxiety, and Stress. It is a short form of the original DASS-42, developed by Lovibond & Lovibond (1995). The "28" refers to its 42-item origin — the short form retains 14 of the 42 items (7 per subscale), but confusingly is sometimes called DASS-28 because scores are doubled to compare against the 42-item norms.
Note: The short form is officially the DASS-21 (21 items, 7 per subscale). "DASS-28" is sometimes used informally but is not a standard validated name — you may be referring to the DASS-21.

Structure

SubscaleItemsWhat it measures
Depression7Dysphoria, hopelessness, devaluation of life, self-deprecation, anhedonia, inertia
Anxiety7Autonomic arousal, skeletal muscle effects, situational anxiety, subjective fear
Stress7Difficulty relaxing, nervous arousal, irritability, over-reactivity, impatience

Scoring

  • Each item is rated on a 4-point Likert scale (0–3):
    • 0 = Did not apply to me at all
    • 1 = Applied to me to some degree / some of the time
    • 2 = Applied to me a considerable degree / good part of the time
    • 3 = Applied to me very much / most of the time
  • Subscale score = sum of the 7 items × 2 (to convert DASS-21 scores to DASS-42 equivalents)

Severity Bands (DASS-21, scores after ×2)

SeverityDepressionAnxietyStress
Normal0–90–70–14
Mild10–138–915–18
Moderate14–2010–1419–25
Severe21–2715–1926–33
Extremely Severe28+20+34+

Key Properties

  • Not diagnostic — measures symptom severity, not DSM/ICD diagnoses
  • Discriminant validity — distinguishes depression from anxiety better than many tools (e.g., HADS, BDI), because it includes a separate Stress subscale
  • Time frame: Refers to the past week
  • Populations: Validated in clinical and community adult samples; versions available for adolescents
  • Free to use — publicly available for non-commercial use

Clinical Uses

  • Screening and monitoring of depression, anxiety, and stress in primary care and mental health settings
  • Research instrument for epidemiological and intervention studies
  • Tracking treatment response over time

Comparison with Other Scales

FeatureDASS-21PHQ-9GAD-7HAM-D
Domains3 (D/A/S)DepressionAnxietyDepression
Items219717
Self-reportYesYesYesClinician
Stress subscaleYesNoNoNo

If you meant a specific aspect of DASS-28 — such as its use in a particular clinical population, psychometric properties, or scoring in a specific context — let me know and I can go deeper.
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