Construct validity of the depression and somatic symptoms scale: Evaluation by Mokken scale analysis

Ya Hsin Chou, Chin Pang Lee, Chia Yih Liu, Ching I. Hung

Research output: Contribution to journalJournal Article peer-review

13 Scopus citations


Objective: Previous studies of the Depression and Somatic Symptoms Scale (DSSS), a free scale, have been based on the classical test theory, and the construct validity and dimensionality of the DSSS are as yet uncertain. The aim of this study was to use Mokken scale analysis (MSA) to assess the dimensionality of the DSSS. Methods: A sample of 214 psychiatric outpatients with mood and anxiety disorders were enrolled at a medical center in Taiwan (age: mean [SD] =38.3 [10.5] years; 63.1% female) and asked to complete the DSSS. MSA was used to assess the dimensionality of the DSSS. Results: All 22 items of the DSSS formed a moderate unidimensional scale (Hs=0.403), supporting its construct validity. The DSSS was divided into 4 subscales (Hs ranged from 0.35 to 0.67), including a general somatic scale (GSS), melancholic scale (MS), muscular pain scale (MPS), and chest symptom scale (CSS). The GSS is a weak reliable Mokken scale; the other 3 scales are strong reliable Mokken scales. Conclusion: The DSSS is a psychometrically sound measure of depression and somatic symptoms in adult psychiatric outpatients with depression or anxiety. The summed score of the DSSS and its 4 subscales are valid statistics. Further research is required for replication of the 4 subscales of the DSSS.

Original languageEnglish
Pages (from-to)205-211
Number of pages7
JournalNeuropsychiatric Disease and Treatment
StatePublished - 23 01 2017

Bibliographical note

Publisher Copyright:
© 2017 Chou et al.


  • Construct validity
  • Depression
  • Item response theory
  • Mokken scale analysis
  • Somatization


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