The Work and Social Adjustment Scale, Youth and Parent Versions: Psychometric Evaluation of a Brief Measure of Functional Impairment in Young People.

Child Psychiatry Hum Dev

Centre for Psychiatry Research, Department of Clinical Neuroscience, CAP Research Centre, Karolinska Institutet, & Stockholm Health Care Services, Stockholm County Council, Gävlegatan 22, 113 30, Stockholm, Sweden.

Published: June 2020

The Work and Social Adjustment Scale (WSAS) is a brief global measure of functional impairment that is widely used in adult health. We have adapted the WSAS for its use in youth, the WSAS-Youth version (WSAS-Y) and WSAS-Parent version (WSAS-P). This study evaluated the psychometric properties of the scale. The internal consistency, factor structure, convergent and divergent validity, test-retest reliability and sensitivity to change of the WSAS-Y/P were studied in 525 children and adolescents with obsessive-compulsive disorder and related disorders receiving treatment. The internal consistency of the WSAS-Y/P was excellent across diagnostic groups and time-points. Exploratory factor analysis extracted a single-factor of functional impairment, explaining in excess of 85% of the variance. The test-retest reliability was adequate. The WSAS-Y/P correlated more strongly with other measures of functional impairment than with measures of symptom severity, indicating good convergent/divergent validity. Finally, the WSAS-Y/P was highly sensitive to change after treatment.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7235060PMC
http://dx.doi.org/10.1007/s10578-020-00956-zDOI Listing

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