TY - JOUR T1 - A pilot study of the depression, anxiety and stress in Greek military personnel during the first year of the COVID-19 pandemic JF - BMJ Military Health JO - BMJ Mil Health DO - 10.1136/bmjmilitary-2021-001874 SP - bmjmilitary-2021-001874 AU - Athanasios S Kotoulas AU - D Karamanavis AU - G Ι Lambrou AU - P Karanikas Y1 - 2021/07/13 UR - http://militaryhealth.bmj.com/content/early/2021/07/13/bmjmilitary-2021-001874.abstract N2 - Introduction The ongoing SARS-CoV-2 pandemic is a global health crisis which poses many psychological research challenges. The objective of this study was to evaluate the responsiveness and validity of depression, anxiety and stress in a representative cohort of Hellenic military personnel using the short version of the Greek military version of the Depression–Anxiety–Stress Scales-21 (DASS-21) questionnaire.Methods A total of 158 participants were voluntarily surveyed using an electronically developed structured questionnaire. The anonymous e-questionnaire included a social demographic section and the DASS-21 scale section. It was distributed in September 2020 to the military personnel of the Hellenic Tactical Air Force Units using an intranet network during government restrictive measures due to the COVID-19 crisis.Results Our DASS-21 survey indicated a positive outcome at the psychometric level of our military sample population. Age, sex and systemic medications were statistically correlated with anxiety. Inter-correlations between the DASS-21 statements showed that individuals with low-level depression also experienced some degree of stress. Factor analysis indicated the reliability and validity of the questionnaire.Conclusions The low levels of depression and stress among our military sample population demonstrate the importance of periodic monitoring of the psychometric items of the DASS-21 subscales to design and implement psychological prevention strategies, especially during the ongoing and future healthcare crises.Data are available upon reasonable request. All data relevant to the study are available upon reasonable request directly by the corresponding author. ER -