Use of the Depression Anxiety Stress Scale-21 in young people with temporomandibular disorders: Reliability and dimensionality.

IF 2 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Cranio-The Journal of Craniomandibular & Sleep Practice Pub Date : 2025-05-01 Epub Date: 2023-01-02 DOI:10.1080/08869634.2022.2158259

Adrian Ujin Yap, Darren Zong Ru Lee

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引用次数: 0

Abstract

Objective: The reliability and dimensionality of the Depression Anxiety Stress Scale-21 (DASS-21) were explored in adolescents/young adults with temporomandibular disorders (TMDs).

Methods: TMD presence was established with the Fonseca Anamnestic Index. Reliability of the DASS-21 for participants with (WT) and without (NT) TMDs was assessed by the Cronbach alpha test, while dimensionality was examined using exploratory factor analysis.

Results: Data from 400 participants (mean age 18.8 ± 1.5 years; 52.2% women) comprising 47.0% with and 53.0% without TMDs were evaluated. Total-DASS and the 3 subscales showed acceptable to high internal consistencies for the WT and NT groups, with alphas of 0.78-0.94 and 0.66-0.92, respectively. Although 3 factors contributed to about half the variance for both groups, scalar and item discrepancies in the primary anxiety-stress factor existed.

Conclusion: The DASS-21 has good reliability but may comprise only 2 dimensions, specifically anxiety-stress and depression, instead of the 3 originally asserted.

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在患有颞下颌关节紊乱症的年轻人中使用抑郁焦虑压力量表-21：可靠性和维度

目的探讨抑郁焦虑压力量表-21（DASS-21）在患有颞下颌关节紊乱症（TMD）的青少年中的可靠性和维度性：方法：使用丰塞卡症状指数确定是否存在 TMD。通过 Cronbach alpha 检验评估了 DASS-21 在患有（WT）和未患有（NT）TMD 的参与者中的可靠性，同时使用探索性因子分析对其维度进行了检验：对 400 名参与者（平均年龄为 18.8 ± 1.5 岁；52.2% 为女性）的数据进行了评估，其中 47.0% 的参与者患有 TMD，53.0% 的参与者未患有 TMD。在 WT 组和 NT 组中，总-DASS 和 3 个分量表显示出可接受到较高的内部一致性，分别为 0.78-0.94 和 0.66-0.92。虽然3个因子对两组的方差都有约一半的贡献，但在焦虑-压力主因子中存在标度和项目差异：结论：DASS-21 具有良好的可靠性，但可能只包括 2 个维度，即焦虑-压力和抑郁，而不是最初断言的 3 个维度。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cranio-The Journal of Craniomandibular & Sleep Practice DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

4.50

自引率

12.50%

发文量

审稿时长

>12 weeks

期刊介绍： CRANIO: The Journal of Craniomandibular & Sleep Practice is the oldest and largest journal in the world devoted to temporomandibular disorders, and now also includes articles on all aspects of sleep medicine. The Journal is multidisciplinary in its scope, with editorial board members from all areas of medicine and dentistry, including general dentists, oral surgeons, orthopaedists, radiologists, chiropractors, professors and behavioural scientists, physical therapists, acupuncturists, osteopathic and ear, nose and throat physicians. CRANIO publishes commendable works from outstanding researchers and clinicians in their respective fields. The multidisciplinary format allows individuals practicing with a TMD emphasis to stay abreast of related disciplines, as each issue presents multiple topics from overlapping areas of interest. CRANIO''s current readership (thousands) is comprised primarily of dentists; however, many physicians, physical therapists, chiropractors, osteopathic physicians and other related specialists subscribe and contribute to the Journal.