Taking the Pulse of the Nation: Validating a single-item measure of mental distress

There are occasions when a very short assessment of mental health or distress is needed. Theweekly assessment of distress in Australia during the COVID-19 crisis using the nationallyrepresentative Taking the Pulse of the Nation (TTPN) Survey is one example. This paperassesses the psychometric properties of a single-item measure of mental distress against thewidely used six-item Kessler Psychological Distress Scale (K6). The analysis, based on wave13 of the TTPN survey, considers data from 1,158 respondents selected from across Australia.The new single-item measure was highly correlated with the K6 (rho = 0.82), the area underthe curve (AUC) was 0.93, and at the optimal cut-point the sensitivity was 0.71, the specificitywas 0.93, and the proportion of respondents correctly classified by the single-item measurewas 0.90. The measure of mental distress developed for the TTPN survey provides a validmeasure of population mental distress for circumstances where only a single item can be used.