The work and social adjustment scale: Reliability, sensitivity and value

Daniel Zahra; Adam Qureshi; William Henley; Rod Taylor; Cath Quinn; Jill Pooler; Gillian Hardy; Alexandra Newbold; Richard Byng

doi:10.3109/13651501.2014.894072

The work and social adjustment scale: Reliability, sensitivity and value

Daniel Zahra^*
, Adam Qureshi
, William Henley
, Rod Taylor
, Cath Quinn
, Jill Pooler
, Gillian Hardy
, Alexandra Newbold
, Richard Byng

^*Corresponding author for this work

University of Plymouth
University of Exeter
University of Sheffield

Research output: Contribution to journal › Article (journal) › peer-review

116 Citations (Scopus)

Abstract

Objective. To investigate the psychometric properties of the Work and Social Adjustment Scale (WSAS) as an outcome measure for the Improving Access to Psychological Therapy programme, assessing its value as an addition to the Patient Health (PHQ-9) and Generalised Anxiety Disorder questionnaires (GAD-7). Little research has investigated these properties to date. Methods. Reliability and responsiveness to change were assessed using data from 4,835 patients. Principal components analysis was used to determine whether the WSAS measures a factor distinct from the PHQ-9 and GAD-7. Results. The WSAS measures a distinct social functioning factor, has high internal reliability, and is sensitive to treatment effects. Conclusions. The WSAS, PHQ-9 and GAD-7 perform comparably on measures of reliability and sensitivity. The WSAS also measures a distinct social functioning component suggesting it has potential as an additional outcome measure.

Original language	English
Pages (from-to)	131-138
Number of pages	8
Journal	International Journal of Psychiatry in Clinical Practice
Volume	18
Issue number	2
DOIs	https://doi.org/10.3109/13651501.2014.894072
Publication status	Published - 16 Mar 2014

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Anxiety
Depression
IAPT
Social adjustment
WSAS

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10.3109/13651501.2014.894072

Cite this

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title = "The work and social adjustment scale: Reliability, sensitivity and value",

abstract = "Objective. To investigate the psychometric properties of the Work and Social Adjustment Scale (WSAS) as an outcome measure for the Improving Access to Psychological Therapy programme, assessing its value as an addition to the Patient Health (PHQ-9) and Generalised Anxiety Disorder questionnaires (GAD-7). Little research has investigated these properties to date. Methods. Reliability and responsiveness to change were assessed using data from 4,835 patients. Principal components analysis was used to determine whether the WSAS measures a factor distinct from the PHQ-9 and GAD-7. Results. The WSAS measures a distinct social functioning factor, has high internal reliability, and is sensitive to treatment effects. Conclusions. The WSAS, PHQ-9 and GAD-7 perform comparably on measures of reliability and sensitivity. The WSAS also measures a distinct social functioning component suggesting it has potential as an additional outcome measure.",

keywords = "Anxiety, Depression, IAPT, Social adjustment, WSAS",

author = "Daniel Zahra and Adam Qureshi and William Henley and Rod Taylor and Cath Quinn and Jill Pooler and Gillian Hardy and Alexandra Newbold and Richard Byng",

note = "Funding Information: This work was conducted as part of the South West of England IAPT Evaluation Project, commissioned by the South West Strategic Health Authority, with additional contributions from the National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care (CLAHRC) for the South West Peninsula. The views expressed in this paper are those of the authors and not necessarily those of the NHS or the NIHR. The authors would like to thank Katie Denman for her administrative support, Elliot Carter for technical support, and David Fitzpatrick-Cockram, Clinical Lead for Bournemouth and Poole Primary Care Trust. The authors would also like to thank two anonymous reviewers for their comments on an earlier version of this paper which have added to clarity and the interpretation of our results.",

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doi = "10.3109/13651501.2014.894072",

language = "English",

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AU - Zahra, Daniel

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AU - Henley, William

AU - Taylor, Rod

AU - Quinn, Cath

AU - Pooler, Jill

AU - Hardy, Gillian

AU - Newbold, Alexandra

AU - Byng, Richard

N1 - Funding Information: This work was conducted as part of the South West of England IAPT Evaluation Project, commissioned by the South West Strategic Health Authority, with additional contributions from the National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care (CLAHRC) for the South West Peninsula. The views expressed in this paper are those of the authors and not necessarily those of the NHS or the NIHR. The authors would like to thank Katie Denman for her administrative support, Elliot Carter for technical support, and David Fitzpatrick-Cockram, Clinical Lead for Bournemouth and Poole Primary Care Trust. The authors would also like to thank two anonymous reviewers for their comments on an earlier version of this paper which have added to clarity and the interpretation of our results.

PY - 2014/3/16

Y1 - 2014/3/16

N2 - Objective. To investigate the psychometric properties of the Work and Social Adjustment Scale (WSAS) as an outcome measure for the Improving Access to Psychological Therapy programme, assessing its value as an addition to the Patient Health (PHQ-9) and Generalised Anxiety Disorder questionnaires (GAD-7). Little research has investigated these properties to date. Methods. Reliability and responsiveness to change were assessed using data from 4,835 patients. Principal components analysis was used to determine whether the WSAS measures a factor distinct from the PHQ-9 and GAD-7. Results. The WSAS measures a distinct social functioning factor, has high internal reliability, and is sensitive to treatment effects. Conclusions. The WSAS, PHQ-9 and GAD-7 perform comparably on measures of reliability and sensitivity. The WSAS also measures a distinct social functioning component suggesting it has potential as an additional outcome measure.

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The work and social adjustment scale: Reliability, sensitivity and value

Abstract

UN SDGs

Keywords

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