Kerstis Birgitta, Jönsson Peter, Derwig Mariette, Nilsson Kent W, Hallström Inger Kristensson, Lindeberg Sara
Division of Caring Sciences, School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden.
Department of Psychology, Faculty of Education, Kristianstad University, Kristianstad, Sweden.
Child Care Health Dev. 2025 Jul;51(4):e70099. doi: 10.1111/cch.70099.
To investigate the effects of different types of parental health status on child development and health, valid parental distress measurement instruments are needed. The aim was to assess the psychometric measurement properties of the 21-item Depression Anxiety Stress Scales (DASS-21) used during the postnatal year in community samples of Swedish mothers and fathers.
Data were collected at postnatal months 1, 6 and 12 from 66 mothers (mean age 31 years) and 58 fathers (mean age 32 years). Psychometric measurement properties were assessed with interitem analysis and intra-individual measurements cross-correlations. As part of assessing construct validity, the hypotheses that the levels of the different types of postnatal distress as measured by the DASS-21 would be higher in mothers than in fathers were tested.
The DASS-21 internal consistencies were good for both parent groups. The DASS-21 depression scale correlated strongly with the Edinburgh Postnatal Depression Scale (EPDS) in mothers and moderately strongly in fathers at each timepoint. Correlations between the DASS-21 anxiety scale and the EPDS 'anxiety component' were mostly in the low-to-moderate range. The DASS-21 stress scale significantly distinguished parental distress levels in the expected direction, as did the total DASS-21 scale.
Similar DASS-21 psychometric properties to those demonstrated for non-perinatal adult populations were indicated. The results suggest the usefulness of the DASS-21 during the early, middle and late postnatal periods for measuring types of as well as general maternal and paternal distress. Further analysis in larger perinatal parental samples for more conclusive results is warranted.
为了研究不同类型的父母健康状况对儿童发育和健康的影响，需要有效的父母苦恼测量工具。目的是评估瑞典父母社区样本产后一年内使用的21项抑郁焦虑压力量表（DASS-21）的心理测量特性。
在产后第1、6和12个月收集了66名母亲（平均年龄31岁）和58名父亲（平均年龄32岁）的数据。通过项目间分析和个体内测量的交叉相关性评估心理测量特性。作为评估结构效度的一部分，检验了DASS-21测量的不同类型产后苦恼水平母亲高于父亲的假设。
DASS-21在两个父母群体中的内部一致性都很好。DASS-21抑郁量表在每个时间点与母亲的爱丁堡产后抑郁量表（EPDS）相关性很强，与父亲的相关性中等。DASS-21焦虑量表与EPDS“焦虑成分”之间的相关性大多在低到中等范围内。DASS-21压力量表和DASS-21总量表一样，在预期方向上显著区分了父母的苦恼水平。
表明DASS-21具有与非围产期成年人群体相似的心理测量特性。结果表明DASS-21在产后早期、中期和晚期对于测量父母苦恼类型以及一般苦恼情况是有用的。有必要在更大的围产期父母样本中进行进一步分析以获得更确凿的结果。
