Establishment of norms for Depression Anxiety and Stress Scale of nurses in tertiary grade-A hospitals

LIU Xin; HU Mengmeng; DI Qing; CHANG Hongjuan

doi:10.16460/j.issn2097-6569.2025.14.013

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Journal of Nursing ›› 2025, Vol. 32 ›› Issue (14) : 13-19. DOI: 10.16460/j.issn2097-6569.2025.14.013

Establishment of norms for Depression Anxiety and Stress Scale of nurses in tertiary grade-A hospitals

LIU Xin¹, HU Mengmeng¹, DI Qing², CHANG Hongjuan¹

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Abstract

Objective To establish standardized norms for Depression Anxiety and Stress Scale of nurses in tertiary grade-A hospitals in China, and to provide reference for evaluating nurses' depression, anxiety and stress. Methods With stratified cluster random sampling, the study selected 3,352 nurses from 18 tertiary grade-A general hospitals from March to April 2024, and the nurses were surveyed using the Depression Anxiety and Stress Scale (simplified Chinese version) developed by Lovibond in 1995 and revised by Gong Xu et al. in 2010. The research established mean norms, percentile norms, classification norms, and demarcation norms. Results The mean norm of the total score for the depression, anxiety stress scales of nurses in tertiary grade-A hospitals in China was 35.97±13.41. Eight categorical factors were identified: age, number of children, years of nursing experience, average monthly income, work intensity, frequency of night shifts, health status, and whether having self-care training or not. The percentile norms for depression, anxiety, and stress subscales and total scale were established at 5% intervals; Using x̅-s, x̅-0.5s, x̅+0.5s and x̅+s as the cut-off points, the depression-anxiety-stress level was categorized into lower, low, medium, higher, and high level. Conclusion This study establishes norms for the depression and anxiety stress scales for nurses nationwide, providing a theoretical foundation for effective evaluation and identification of nurses' depression, anxiety, and stress.

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nurse / Depression Anxiety and Stress Scale / norm / psychological nursing

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LIU Xin, HU Mengmeng, DI Qing, CHANG Hongjuan. Establishment of norms for Depression Anxiety and Stress Scale of nurses in tertiary grade-A hospitals[J]. Journal of Nursing. 2025, 32(14): 13-19 https://doi.org/10.16460/j.issn2097-6569.2025.14.013

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