University Of Tasmania
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Psychometric properties of the Nepali language version of the Depression Anxiety Stress Scales (DASS-21)

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posted on 2023-05-21, 00:13 authored by Thapa, DK, Denis VisentinDenis Visentin, Rachel KornhaberRachel Kornhaber, Cleary, M

Aim: To assess the psychometric properties of the Nepali language version of the Depression Anxiety Stress Scales (DASS-21).

Design: Descriptive, cross-sectional survey.

Methods: The DASS-21 was administered (May-July 2019) among 794 randomly selected older adults aged ≥60 years. Factor structure was evaluated using exploratory and confirmatory factor analyses. Cronbach's alpha was calculated, and correlation analyses with quality of life evaluated convergent validity.

Results: Exploratory factor analysis indicated that the 21 items loaded on three factors, with factor loadings ranging from 0.50-0.88. Confirmatory factor analysis suggested a four-factor model including the three subscales and an additional common 'general distress' factor, which demonstrated a better overall fit. Good reliability was found for each subscale, with Cronbach's alphas 0.79 for Anxiety, 0.91 for Stress, and 0.93 for Depression. The Nepali language version of the DASS-21 satisfied convergent validity with all subscales depicting significant negative correlations with quality of life demonstrating adequate psychometric properties.


Publication title

Nursing Open










School of Health Sciences


John Wiley & Sons, Inc.

Place of publication

United States

Rights statement

© 2021 The Authors. Nursing Open published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) License, ( which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

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  • Open

Socio-economic Objectives

Mental health services

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