The Psychometric Properties of the DASS-21 and Its Association with Problematic Internet Use among Chinese College Freshmen

• Published in: Healthcare (Basel) Vol. 11; no. 5; p. 700
• Main Authors: Cao, Cui-Hong, Dang, Chang-Yan, Zheng, Xia, Chen, Wang-Guang, Chen, I-Hua, Gamble, Jeffrey H
• Format: Journal Article
• Language: English
• Published: Switzerland MDPI AG 27.02.2023; MDPI
• Subjects: Analysis; Chinese freshmen; College students; Coronaviruses; COVID-19; COVID-19 pandemic; Health risk assessment; Internet; Mental disorders; Mental illness; Methods; problematic Internet use; Psychological aspects; Psychological research; Psychometrics; Smartphones; Social networks; Surveys; the DASS-21; China; Chinese freshmen; psychometrics; COVID-19 pandemic; problematic Internet use; the DASS-21
• ISSN: 2227-9032; 2227-9032
• DOI: 10.3390/healthcare11050700

During transitional periods, college freshmen may experience mental health issues. The Depression, Anxiety, and Stress Scale-21-item version (DASS-21) is commonly used for mental health assessment in China. However, evidence is lacking regarding its applicability with freshmen as a demographic. Debates also exist regarding its factor structure. This study aimed to evaluate the DASS-21's psychometric properties with Chinese college freshmen and investigate its association with three kinds of problematic Internet use. A convenience sampling method was used to recruit two samples of freshmen-one of 364 (female 248; mean age 18.17 years) and the other of 956 (female 499; mean age 18.38 years) participants. McDonald's ω and confirmatory factor analysis were conducted to evaluate both the scale's internal reliability and construct validity. The results indicated acceptable reliability, with a one-factor structure inferior to a three-factor structure in terms of model fit. Furthermore, it was demonstrated that problematic Internet use was significantly and positively associated with depression, anxiety, and stress among Chinese college freshmen. Based on the prerequisite of measurement equivalence across two samples, the study also found that freshmen's problematic Internet use and psychological distress were likely to be affected by the strict measures put in place during the COVID-19 pandemic.