Translation and validation of the Depression Anxiety Stress Scales for menopausal women in Indonesia

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.