Please read each statement and circle a number 0, 1, 2 or 3 which indicates how much the statement applied to you over the past week. There are no right or wrong answers. Do not spend too much time on any statement. 请阅读每条陈述并圈出数字 0、1、2 或 3，表示该陈述在过去一周对您的影响程度。答案没有正确或错误之分。不要在任何陈述上花费太多时间。
The rating scale is as follows: 评分标准如下：
0 Did not apply to me at all 0 根本不适用于我
1 Applied to me to some degree, or some of the time 1 在某种程度上或有时适用于我
2 Applied to me to a considerable degree or a good part of time 2 在很大程度上或大部分时间适用于我
3 Applied to me very much or most of the time 3 非常或大部分时间适用于我
1 (s) 1（秒）
I found it hard to wind down 我发现很难放松下来
0
1
2
3
2 (a) 2（一）
I was aware of dryness of my mouth 我意识到我的口干舌燥
0
1
2
3
3 (d) 3（四）
I couldn't seem to experience any positive feeling at all 我似乎根本感受不到任何积极的感觉
0
1
2
3
4 (a) 4（一）
I experienced breathing difficulty (e.g. excessively rapid breathing, breathlessness in the absence of physical exertion) 我经历过呼吸困难（例如呼吸过快、在没有体力活动的情况下呼吸困难）
0
1
2
3
5 (d) 5（四）
I found it difficult to work up the initiative to do things 我发现很难调动做事的主动性
0
1
2
3
6 (s) 6（秒）
I tended to over-react to situations 我倾向于对情况反应过度
0
1
2
3
7 (a) 7（一）
I experienced trembling (e.g. in the hands) 我经历了颤抖（例如手部颤抖）
0
1
2
3
8 (s) 8（秒）
I felt that I was using a lot of nervous energy 我感觉我使用了很多紧张的能量
0
1
2
3
9 (a) 9（一）
I was worried about situations in which I might panic and make a fool of myself 我担心在某些情况下我可能会惊慌失措并出丑
0
1
2
3
10 (d) 10（四）
I felt that I had nothing to look forward to 我觉得我没有什么可期待的
0
1
2
3
11 (s) 11（秒）
I found myself getting agitated 我发现自己变得焦躁不安
0
1
2
3
12 (s) 12（秒）
I found it difficult to relax 我发现很难放松
0
1
2
3
13 (d) 13（四）
I felt down-hearted and blue 我感到沮丧和忧郁
0
1
2
3
14 (s) 14（秒）
I was intolerant of anything that kept me from getting on with what I was doing 我不能容忍任何阻碍我继续我正在做的事情的事情
0
1
2
3
15 (a) 15（一）
I felt I was close to panic 我觉得我已经接近恐慌了
0
1
2
3
16 (d) 16（四）
I was unable to become enthusiastic about anything 我无法对任何事情变得热情
0
1
2
3
17 (d) 17（四）
I felt I wasn't worth much as a person 我觉得我作为一个人没有多大价值
0
1
2
3
18 (s) 18（秒）
I felt that I was rather touchy 我觉得我比较敏感
0
1
2
3
19 (a) 19（一）
I was aware of the action of my heart in the absence of physical exertion (e.g. sense of heart rate increase, heart missing a beat) 在没有体力消耗的情况下，我能意识到心脏的活动（例如心率增加的感觉、心脏缺搏的感觉）
0
1
2
3
20 (a) 20（一）
I felt scared without any good reason 我无缘无故地感到害怕
0
1
2
3
21 (d) 21（四）
I felt that life was meaningless 我觉得人生没有意义
0
1
2
3
1 (s) I found it hard to wind down 0 1 2 3
2 (a) I was aware of dryness of my mouth 0 1 2 3
3 (d) I couldn't seem to experience any positive feeling at all 0 1 2 3
4 (a) I experienced breathing difficulty (e.g. excessively rapid breathing, breathlessness in the absence of physical exertion) 0 1 2 3
5 (d) I found it difficult to work up the initiative to do things 0 1 2 3
6 (s) I tended to over-react to situations 0 1 2 3
7 (a) I experienced trembling (e.g. in the hands) 0 1 2 3
8 (s) I felt that I was using a lot of nervous energy 0 1 2 3
9 (a) I was worried about situations in which I might panic and make a fool of myself 0 1 2 3
10 (d) I felt that I had nothing to look forward to 0 1 2 3
11 (s) I found myself getting agitated 0 1 2 3
12 (s) I found it difficult to relax 0 1 2 3
13 (d) I felt down-hearted and blue 0 1 2 3
14 (s) I was intolerant of anything that kept me from getting on with what I was doing 0 1 2 3
15 (a) I felt I was close to panic 0 1 2 3
16 (d) I was unable to become enthusiastic about anything 0 1 2 3
17 (d) I felt I wasn't worth much as a person 0 1 2 3
18 (s) I felt that I was rather touchy 0 1 2 3
19 (a) I was aware of the action of my heart in the absence of physical exertion (e.g. sense of heart rate increase, heart missing a beat) 0 1 2 3
20 (a) I felt scared without any good reason 0 1 2 3
21 (d) I felt that life was meaningless 0 1 2 3| 1 (s) | I found it hard to wind down | 0 | 1 | 2 | 3 |
| :---: | :---: | :---: | :---: | :---: | :---: |
| 2 (a) | I was aware of dryness of my mouth | 0 | 1 | 2 | 3 |
| 3 (d) | I couldn't seem to experience any positive feeling at all | 0 | 1 | 2 | 3 |
| 4 (a) | I experienced breathing difficulty (e.g. excessively rapid breathing, breathlessness in the absence of physical exertion) | 0 | 1 | 2 | 3 |
| 5 (d) | I found it difficult to work up the initiative to do things | 0 | 1 | 2 | 3 |
| 6 (s) | I tended to over-react to situations | 0 | 1 | 2 | 3 |
| 7 (a) | I experienced trembling (e.g. in the hands) | 0 | 1 | 2 | 3 |
| 8 (s) | I felt that I was using a lot of nervous energy | 0 | 1 | 2 | 3 |
| 9 (a) | I was worried about situations in which I might panic and make a fool of myself | 0 | 1 | 2 | 3 |
| 10 (d) | I felt that I had nothing to look forward to | 0 | 1 | 2 | 3 |
| 11 (s) | I found myself getting agitated | 0 | 1 | 2 | 3 |
| 12 (s) | I found it difficult to relax | 0 | 1 | 2 | 3 |
| 13 (d) | I felt down-hearted and blue | 0 | 1 | 2 | 3 |
| 14 (s) | I was intolerant of anything that kept me from getting on with what I was doing | 0 | 1 | 2 | 3 |
| 15 (a) | I felt I was close to panic | 0 | 1 | 2 | 3 |
| 16 (d) | I was unable to become enthusiastic about anything | 0 | 1 | 2 | 3 |
| 17 (d) | I felt I wasn't worth much as a person | 0 | 1 | 2 | 3 |
| 18 (s) | I felt that I was rather touchy | 0 | 1 | 2 | 3 |
| 19 (a) | I was aware of the action of my heart in the absence of physical exertion (e.g. sense of heart rate increase, heart missing a beat) | 0 | 1 | 2 | 3 |
| 20 (a) | I felt scared without any good reason | 0 | 1 | 2 | 3 |
| 21 (d) | I felt that life was meaningless | 0 | 1 | 2 | 3 |
The DASS-21 should not be used to replace a face to face clinical interview. If you are experiencing significant emotional difficulties you should contact your GP for a referral to a qualified professional. DASS-21 不应用来代替面对面的临床访谈。如果您遇到严重的情绪困难，您应该联系您的全科医生，以将其转介给合格的专业人士。
The Depression, Anxiety and Stress Scale - 21 Items (DASS-21) is a set of three self-report scales designed to measure the emotional states of depression, anxiety and stress. 抑郁、焦虑和压力量表 - 21 项 (DASS-21) 是一组三个自我报告量表，旨在测量抑郁、焦虑和压力的情绪状态。
Each of the three DASS-21 scales contains 7 items, divided into subscales with similar content. The depression scale assesses dysphoria, hopelessness, devaluation of life, self-deprecation, lack of interest / involvement, anhedonia and inertia. The anxiety scale assesses autonomic arousal, skeletal muscle effects, situational anxiety, and subjective experience of anxious affect. The stress scale is sensitive to levels of chronic nonspecific arousal. It assesses difficulty relaxing, nervous arousal, and being easily upset / agitated, irritable / over-reactive and impatient. Scores for depression, anxiety and stress are calculated by summing the scores for the relevant items. 三个 DASS-21 量表各包含 7 个项目，分为内容相似的子量表。抑郁量表评估烦躁、绝望、生活贬值、自嘲、缺乏兴趣/参与、快感缺乏和惰性。焦虑量表评估自主神经唤醒、骨骼肌影响、情境焦虑和焦虑情绪的主观体验。压力量表对慢性非特异性唤醒水平敏感。它评估放松困难、神经兴奋、容易心烦意乱/激动、易怒/反应过度和不耐烦。抑郁、焦虑和压力的分数是通过将相关项目的分数相加来计算的。
The DASS-21 is based on a dimensional rather than a categorical conception of psychological disorder. The assumption on which the DASS-21 development was based (and which was confirmed by the research data) is that the differences between the depression, anxiety and the stress experienced by normal subjects and clinical populations are essentially differences of degree. The DASS-21 therefore has no direct implications for the allocation of patients to discrete diagnostic categories postulated in classificatory systems such as the DSM and ICD. DASS-21 基于心理障碍的维度概念而不是绝对概念。 DASS-21开发所基于的假设（并已被研究数据证实）是正常受试者和临床人群所经历的抑郁、焦虑和压力之间的差异本质上是程度的差异。因此，DASS-21 对于将患者分配到 DSM 和 ICD 等分类系统中假设的离散诊断类别没有直接影响。
Recommended cut-off scores for conventional severity labels (normal, moderate, severe) are as follows: 传统严重程度标签（正常、中度、严重）的推荐截止分数如下：
NB Scores on the DASS-21 will need to be multiplied by 2 to calculate the final score. 注意 DASS-21 上的分数需要乘以 2 才能计算最终分数。