Anxiety-Stress-Depression Test

The IDR-ASD&copy is the property of IDR Labs International.

The IDR-ASD&copy is an index and instrument for measuring the negative psychological phenomena of anxiety, stress, and depression. While this test can help you gauge the extent of your scores on the various scales associated with the three negative psychological states of anxiety, stress, and depression, it is important to note that test scores do not necessarily translate into real-world clinical assessments as conducted by certified medical personnel with the respondent physically present and based on extensive interviews with the respondent and reviews of his or her personal and family history, among other things.

Although all are clinically oriented, the IDR-ASD&copy should not be confused with the actual clinical tests designed to measure anxiety, stress, and depression, even though all are professionally-designed personality tests (or inventories) meant for measuring propensities and states related to these negative states. The IDR-ASD&copy is the property of IDR Labs International. The authors of this online personality test are certified in the use of multiple personality tests and have worked professionally with typology and personality testing. The results of our online multidimensional Anxiety-Stress-Depression test are provided “as-is”, and should not be construed as providing professional or certified advice of any kind. For more on our online personality test, please consult our Terms of Service.

This Weird Test Could Predict Anxiety and Depression Before You Experience Symptoms

Take a look at the picture above: Does this woman come across as strong and empowered to you, or does she look angry? Perhaps seeing the photo makes you feel scared-maybe even nervous? Think about it, because scientists are now saying that your instinctual answer matters. In fact, this quick quiz may actually be a depression and anxiety stress test. (Ever Heard of Iceberg Stress? It’s a Sneaky Kind of Stress and Anxiety That Could Be Ruining Your Day-to-Day.)

Recent research published in the journal Neuron revealed that your response to a photo of an angry or fearful face could predict if you’re at an increased risk for depression or anxiety after stressful events. Scientists showed participants photos of faces that had been previously shown to trigger threat-related brain activity, and recorded their fear responses using MRI technology. Those who had a higher level of brain activity in their amygdala-a part of the brain where threat is detected and negative information is stored-self-reported being more likely to experience depression or anxiety after stressful life experiences. And the researchers didn’t stop there: participants continued to fill out surveys every three months to report their mood. After review, the experts found that those who had greater fear response during the initial testing did in fact show greater symtpoms of depression and anxiety in response to stress for up to four years. (By the way, being scared isn’t always a bad thing. Find Out When Being Scared Is a Good Thing.)

These findings are pretty groundbreaking, as they could help predict and even prevent mental illness. What’s more, they may help scientists and doctors develop treatments that target the amygdala. Proof that a picture really is worth a thousand words? We think so. (PS: If You’re Feeling Stressed, Try These Anxiety-Reducing Solutions for Common Worry Traps.)

  • By Sara Angle @saraangle22

Depression and Anxiety: How to Identify and Treat Coexisting Symptoms

In addition to a formal treatment plan from your doctor, these strategies may help you find relief from symptoms. It’s important to know, though, that these tips may not work for everyone, and they may not work each time.

The goal of managing depression and anxiety is to create a series of treatment options that can all work together to help, to some degree, whenever you need to use them.

1. Allow yourself to feel what you’re feeling — and know that it’s not your fault

Depression and anxiety disorders are medical conditions. They aren’t the result of failure or weakness. What you feel is the result of underlying causes and triggers; it’s not the result of something you did or didn’t do.

2. Do something that you have control over, like making your bed or taking out the trash

In the moment, regaining a bit of control or power can help you cope with overwhelming symptoms. Accomplish a task you can manage, such as neatly restacking books or sorting your recycling. Do something to help give yourself a sense of accomplishment and power.

3. You could also create a morning, evening, or even daily routine

Routine is sometimes helpful for people with anxiety and depression. This provides structure and a sense of control. It also allows you to create space in your day for self-care techniques that can help you control symptoms.

4. Do your best to stick to a sleep schedule

Aim for seven to eight hours each night. More or less than that may complicate symptoms of both conditions. Inadequate or poor sleep can cause problems with your cardiovascular, endocrine, immune, and nervous symptoms.

5. Try to eat something nutritious, like an apple or some nuts, at least once a day

When you’re feeling depressed or anxious, you may reach for comforting foods like pasta and sweets to alleviate some of the tension. However, these foods provide little nutrition. Try to help nourish your body with fruits, vegetables, lean meats, and whole grains.

6. If you’re up for it, go for a walk around the block

Research suggests exercise can be an effective treatment for depression because it’s a natural mood booster and releases feel-good hormones. However, for some people, exercise or a gym can trigger anxiety and fear. If that’s the case for you, look for more natural ways to move, such as walking around your neighborhood or looking for an online exercise video you can do at home.

7. Do something that you know brings you comfort, such as watching a favorite movie or flipping through a magazine

Give yourself time to focus on you and the things you like. Down time is a great way to let your body rest, and it can distract your brain with things that bring you a boost.

8. If you haven’t left the house in a while, consider doing something you find soothing, like getting your nails done or getting a massage

Relaxation techniques can improve your quality of life and may reduce symptoms of depression and anxiety. Find an activity that feels right for you and you can practice regularly, such as:

  • yoga
  • meditation
  • breathing exercises
  • massage

9. Reach out to someone you’re comfortable talking to and talk about whatever you feel like, whether that’s how you’re feeling or something you saw on Twitter

Strong relationships are one of the best ways to help you feel better. Connecting with a friend or family member can provide a natural boost and let you find a reliable source of support and encouragement.

Screening for Depression

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Depression Anxiety Stress Scale

How Strong Is the Evidence?

While RCTs are considered the gold standard by which physicians judge medical interventions, a meta-analysis, which combines the results of several RCTs, might be called the “platinum” standard. Its advantage is that it combines analyses of the individual populations studied in each RCT, thus increasing the sample size that can be evaluated, which in turn can increase statistical and clinical significance. Joseph Firth, with NICM, School of Science and Health, Western Sydney University, Campbelltown, Australia, and his colleagues recently conducted a meta-analysis of smartphone apps designed to treat depression . They were able to combine the results of 18 RCTs on 22 mobile mental health apps that generated outcome data for over 3400 users. They found that overall, the apps significantly reduced depressive symptoms with a moderate positive effect size when compared to inactive control participants (g=.56). Participants who had been classified as inactive had received no intervention during their respective studies, as opposed to active participants, who either used a smartphone app not designed to treat depression, received face-to-face intervention, or had other types of activity. Firth et al. found less impressive differences between subjects who used mental health apps and active controls (g=.22).

A closer look at this meta-analysis, including several subgroup analyses, reveals important insights. The RCTs that looked at smartphone apps lasted from 4 to 24 weeks, and depressive symptoms were measured using a variety of well-documented tools, include the Depression Anxiety Stress Scale, the Patient Health Questionnaire (PHQ-9), and the Beck Depression Inventory II scale. The analysis also found that the mobile apps were only effective in users who had self-reported mild-to-moderate depression. They had no significant impact on patients with major depression, bipolar disorder, or anxiety disorders. Some of the subgroup analyses were unexpected. Apps that did not involve any in-person feedback generated statistically significant moderately positive effects, while those that did include human feedback did not. Apps that delivered their content entirely through a mobile device appear to have been more effective than those that were not self-contained, though the difference was just short of reaching statistical significance (P=.07). Finally, those apps that offered cognitive training had less of an impact on users than those that focused more generally on mental health.

Although Firth et al.’s exhaustive review of mental health apps did not uncover any that had a significant therapeutic effect in patients with major depression, the Patient Health Questionnaire (PHQ-9), designed as a professional assessment tool for major depressive disorder, has been validated as a smartphone app. It is available in Depression Monitor and MoodTools . However, Michael Van Ameringen, MD, with the Department of Psychiatry and Behavioural Neurosciences at McMaster University, and his colleagues did not find any studies validating assessment apps for anxiety disorders, bipolar disorder, or obsessive compulsive disorder in their review of the literature. A mobile version of an assessment tool for posttraumatic stress disorder does exist, called PTSD Checklist-Civilian. It is used in PTSD Coach and PE Coach, both of which were developed by the US Department of Veterans Affairs.

RCTs and meta-analyses give clinicians the most assurance of efficacy, but less rigorous studies should not be ignored when evaluating a mental health app. Consider Mobilyze, for example, an app developed by the Center for Behavioral Intervention Technologies (CBITS), Northwestern Medicine. In a small, controlled trial that evaluated this depression-management tool, seven patients with major depression experienced significant improvements in depressive and anxiety symptoms by the end of the 8-week experiment and no longer met the criteria for depression (PHQ-9 scores had dropped from 17.1 in week one to 3.6 by week 8 P<.0001) . Like many other mental health apps, Mobilyze required patients to log their thoughts, mood, and activities; it also provided reminders to help them cope with their feelings. Equally important, the app provided “context sensing.” With the help of a mobile phone’s GPS, Bluetooth, and accelerator, the app was able to make predictions about a person’s emotional state based on their location, movements, and daily rhythms. While the small number of patients involved in the trial limits its generalizability, the rationale and mechanics of the app are scientifically sound.

Although Mobilyze is no longer available from the App Store or Google Play, Northwestern University and Northwestern Medicine have developed several next generation “intellicare” apps to take its place, including Worry Knot, Boost Me, Thought Challenger, and iCope .

There is little doubt that evidence-based mental health apps can help many patients, but most make the same mistake that health apps focusing on physical disease make. They fail to see the whole person and ignore the fact that psychiatric disease is a systemic problem that requires systemic solutions. These solutions require addressing a long list of contributing causes, including psychosocial stress—which many existing apps do address—and physical stress, dietary deficiencies, sleep deprivation, adverse reactions to medication, genetic predisposition, and lack of physical activity—which they do not. A case in point is vitamin B12 deficiency. A mobile app that teaches patients CBT techniques will have a very limited impact on someone experiencing the psychiatric effects of a cobalamin deficit. By one estimate, the deficiency affects about 12% of older, noninstitutionalized adults . Among vegetarians, the prevalence ranges between 21% and 85% . It can cause a variety of neuropsychiatric signs and symptoms, including cognitive impairment, irritability, peripheral neuropathy—a sensation of pins and needles in the hands and feet—and weakness. Patients taking metformin, one of the most commonly prescribed drugs for type 2 diabetes, are at risk for B12 deficiency, but too few clinicians take the time to order a serum B12 level for patients on the drug to monitor for the problem. How many mental health mobile apps ask providers or patients to consider this problem as they search for solutions?

Similarly, any disorder that causes chronic pain has to be viewed as a potential cause of depression and anxiety. Patients experiencing chronic pain are three times as likely to develop depression or anxiety and a mobile app that does not factor in pain or other physical stressors as triggers does not provide a holistic approach to mental health. The same can be said for insomnia.

As developers embrace the concept of systems biology and take a more holistic approach, it is likely we will gradually see mobile apps to address all these issues and more.

How Do I Feel?

When you’ve been stressed out and not feeling quite like yourself it can be difficult to know what to do.

To help you check your stress levels and see if you might benefit from learning specific tools to improve the way you feel, we have developed this free and anonymous Take a Test Tool.

It will show you whether your feelings of stress, anxiety, or low mood are within a healthy range and make suggestions on a course which may benefit you.

If you’d like to get some guidance on what to do, please complete the first questionnaire, known as the K10, in our Take a Test tool above.

After the K10, you’ll have an option to complete a number of other questionnaires, which measure feelings related to specific mood and anxiety conditions. There are a total of 41 questions that will assist our system in recommending a course of action based on your answers.

We’ve also put together some comprehensive fact sheets in our How Do You Feel section, to help you learn about different mental health conditions and what can be done to ease distress and improve well-being.

Please note: Our Take a Test tool is fully automated and anonymous – your responses are not checked nor monitored. This tool is not intended to be a substitute for professional medical advice and is not a clinically diagnostic tool. The diagnosis of a clinical condition can only be undertaken in person by a qualified healthcare professional. THIS WAY UP courses are designed for adults who are experiencing persistent feelings of anxiety and depression.

This is a decision support tool regarding which courses you may find suitable, please note some of our courses incur a registration fee.

These courses are not recommended for people who have been diagnosed as having schizophrenia, bipolar disorder, or who are dependent on drugs or alcohol. They are not recommended for people who take sedatives (like valium) daily, or for people who are thinking about committing suicide and could be better being seen by a clinician. All these people should take medical advice before embarking on web-based courses.

Depression Anxiety Stress Scales (DASS)

# See: scale: frequency – {score=0} Never – {score=1} Sometimes – {score=2} Often – {score=3} Almost always l: dass42 t: scale frequency o: width 60% q: Please read each statement and indicate how much the statement applied to you <b>over the past week</b>.<br> There are no right or wrong answers.<br> Do not spend too much time on any statement.<br> The rating scale is as follows: <ul> <li>Did not apply to me at all – NEVER <li>Applied to me to some degree, or some of the time – SOMETIMES <li>Applied to me to a considerable degree, or a good part of time – OFTEN <li>Applied to me very much, or most of the time – ALMOST ALWAYS </ul><br> – I found myself getting upset by quite trivial things – I was aware of dryness of my mouth – I couldn’t seem to experience any positive feeling at all – I experienced breathing difficulty (eg, excessively rapid breathing, breathlessness in the absence of physical exertion) – I just couldn’t seem to get going – I tended to over-react to situations – I had a feeling of shakiness (eg, legs going to give way) – I found it difficult to relax – I found myself in situations that made me so anxious I was most relieved when they ended – I felt that I had nothing to look forward to – I found myself getting upset rather easily – I felt that I was using a lot of nervous energy – I felt sad and depressed – I found myself getting impatient when I was delayed in any way (eg, lifts, traffic lights, being kept waiting) – I had a feeling of faintness – I felt that I had lost interest in just about everything – I felt I wasn’t worth much as a person – I felt that I was rather touchy – I perspired noticeably (eg, hands sweaty) in the absence of high temperatures or physical exertion – I felt scared without any good reason – I felt that life wasn’t worthwhile – I found it hard to wind down – I had difficulty in swallowing – I couldn’t seem to get any enjoyment out of the things I did – I was aware of the action of my heart in the absence of physical exertion (eg, sense of heart rate increase, heart missing a beat) – I felt down-hearted and blue – I found that I was very irritable – I felt I was close to panic – I found it hard to calm down after something upset me – I feared that I would be “thrown” by some trivial but unfamiliar task – I was unable to become enthusiastic about anything – I found it difficult to tolerate interruptions to what I was doing – I was in a state of nervous tension – I felt I was pretty worthless – I was intolerant of anything that kept me from getting on with what I was doing – I felt terrified – I could see nothing in the future to be hopeful about – I felt that life was meaningless – I found myself getting agitated – I was worried about situations in which I might panic and make a fool of myself – I experienced trembling (eg, in the hands) – I found it difficult to work up the initiative to do things l: depression t: set – sum $dass42.3 $dass42.5 $dass42.10 $dass42.13 $dass42.16 $dass42.17 $dass42.21 $dass42.24 $dass42.26 $dass42.31 $dass42.34 $dass42.37 $dass42.38 $dass42.42 l: anxiety t: set – sum $dass42.2 $dass42.4 $dass42.7 $dass42.9 $dass42.15 $dass42.19 $dass42.20 $dass42.23 $dass42.25 $dass42.28 $dass42.30 $dass42.36 $dass42.40 $dass42.41 l: stress t: set – sum $dass42.1 $dass42.6 $dass42.8 $dass42.11 $dass42.12 $dass42.14 $dass42.18 $dass42.22 $dass42.27 $dass42.29 $dass42.32 $dass42.33 $dass42.35 $dass42.39 l: feedback t: info q: Your score on the DASS scale is as follows:<br> Depression: {$depression}<br> Anxiety: {$anxiety}<br> Stress: {$stress}<br> Note: Scores on each scale can run from 0 to 56.<br> Write down this numbers and go back to the survey website to read what they means.

Depression anxiety stress test

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