ABSTRACT
OBJECTIVE: This study evaluated the construct validity of the Depression Anxiety Stress Scales-21 (DASS-21) for menopausal women in Indonesia. METHODS: This cross-sectional study included 236 women aged 45-60 years and assessed internal consistency using Cronbach's α. The study used convenience sampling. Test-retest reliability was measured twice on an extra 30 women at 1-week and 2-week intervals. Confirmatory factor analysis (CFA) was employed to investigate its structural model fit. RESULTS: The intraclass correlation coefficient for the test-retest reliability ranged between 0.95 and 0.96. The overall Cronbach's α coefficient of the DASS-21 was 0.95. The CFA results indicated that the goodness-of-fit index was 0.85, comparative fit index was 0.95, root-mean-square error of approximation was 0.07, related fit index was 0.91 and normed fit index was 0.92. CONCLUSIONS: This study's results indicated that the DASS-21 has satisfactory validity and reliability for detecting depression, anxiety and stress in menopausal women in Indonesia.
