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Table 3 Operating characteristics of DASS-D, DASS-A and EPDS at various cut-off scores for identifying depression and anxiety against the SCID

From: Reliability and validity of depression anxiety stress scale (DASS)-21 in screening for common mental disorders among postpartum women in Malawi

Cut-point

Sensitivity

Specificity

Youden Index

Correctly Classified

LR + 

LR-

DASS-D (Depression subscale)

   >  = 0

100.00%

0.00%

0%

11.30%

1.0000

 

   >  = 1

69.23%

75.49%

44.72%

74.78%

2.8246

0.4076

   >  = 2

53.85%

89.22%

43.07%

85.22%

4.9930

0.5173

   >  = 3

38.46%

95.10%

33.56%

88.70%

7.8462

0.6471

   >  = 4

30.77%

96.08%

26.85%

88.70%

7.8462

0.7206

   >  = 6

7.69%

99.02%

6.71%

88.7§0%

7.8462

0.9322

   >  = 7

0.00%

99.02%

-0.98%

87.83%

0.0000

1.0099

   >  = 8

0.00%

100.00%

0%

88.70%

 

1.0000

DASS-A (Anxiety subscale)

   >  = 0

100.00%

0.00%

0%

14.78%

1.0000

 

   >  = 1

52.94%

75.51%

28.45%

72.17%

2.1618

0.6232

   >  = 2

23.53%

89.80%

13.33%

80.00%

2.3059

0.8516

   >  = 3

17.65%

96.94%

14.59%

85.22%

5.7647

0.8495

   >  = 5

5.88%

100.00%

5.88%

86.09%

 

0.9412

   >  = 6

0.00%

100.00%

0%

85.22%

 

1.0000

Edinburgh Postpartum Depression Scale (EPDS)

   >  = 0

100.00%

0.00%

0%

11.30%

1.0000

 

   >  = 1

76.92%

66.67%

43.59%

67.83%

2.3077

0.3462

   >  = 2

53.85%

81.37%

35.22%

78.26%

2.8907

0.5672

   >  = 3

30.77%

87.25%

18.02%

80.87%

2.4142

0.7934

   >  = 4

30.77%

94.12%

24.89%

86.96%

5.2308

0.7356

   >  = 5

30.77%

95.10%

25.87%

87.83%

6.2769

0.7280

   >  = 6

30.77%

97.06%

27.83%

89.57%

10.4615

0.7133

   >  = 7

30.77%

98.04%

28.81%

90.43%

15.6923

0.7062

   >  = 8

23.08%

99.02%

22.10%

90.43%

23.5385

0.7768

   >  = 9

15.38%

100.00%

15.38%

90.43%

 

0.8462

   >  = 12

7.69%

100.00%

7.69%

89.57%

 

0.9231

   >  = 13

0.00%

100.00%

0%

88.70%

 

1.0000

  1. LR + Likelihood Ratio Positive, SCID Structured Clinical Interviews for Diagnostic Statistical Manual, LR- Likelihood Ratio Negative