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Hi my name is Chelsea tawny, and I am a student in the doctorate and athletic training program at Indiana State University I also work as the athletic trainer for the cheer and dance teams at Indiana State University today I'm going to be briefly discussing a screening tool that can be used in clinical practice it's a patient outcome measure, so the name of this screening tool is the — 21 this is also known as the depression anxiety stress scale 21 so if we look at the screening tool this is what it looks like there's its a — is a 21 item questionnaire consisting of a depression scale an anxiety scale and stress scale with seven questions specifically tailored to each topic, so the survey is twenty-one continuous questions so that the individual taken the survey does not know the different significance of each question is scored on a four-point Likert scale from 0 to 3 with 0 corresponding to did not apply to me at all and two three with applied to me very much or most of the time as you can see it described in this document right here the higher patient scores in the survey the more often they are experiencing symptoms right so the — should not be used solely as a screening tool as the three subscales that you can see assess dimensional components of the anxiety and depressive disorders as opposed to the entirety of diseases this screening tool would be beneficial to implement and utilize for any individuals that may work or participate in stressful environments this can include firefighters who are actually rated as theme has as having a number one most stressful job in 2015 non-military service personnel pilots police officers and even actors or broadcasters, so it can also vary person a person some people may find their job or sport to be more stressful than their co-worker or teammate feels it to be an utilizing this as a screening tool may be beneficial to recognize this anxiety depression and stress symptoms then later address them and hopefully improve them so the days 21 has been shown to have good internal consistency reliability and same with the high convergent validity when compared to other anxiety and depression skills like the hospital anxiety and depression scale the personal disturbance scale or the positive and negative effect schedule the — 21 is available for free download on the web it only requires the clinician to do short arithmetic discrete survey there's only a nominal cost involved with administering the DES 21 and that's basically just the cost to print the document if you're choosing to use it paper base versus digital and then a pen if you choose to do paper-based again if you would like to look into the DES more you can reference the sources below I have also provided the website to locate the questionnaire thank you for watching you
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