Work and social adjustment scale | NURS 6640 – Psychotherapy With Individuals | Walden University

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Work and Social Adjustment Scale

            The Work and Social Adjustment Scale (WSAS) is an assessment completed by the client to measure the degree of functional impairment perceived related to a diagnosed health problem (Thandi & et al., 2017). The WSAS addresses different areas of the client’s life where an impairment would be evident (Pederson & et al., 2017). This assessment is a simple five item scale that is easily administered. “The WSAS assesses the impact of a person’s mental health difficulties on their ability to function in terms of work, home management, social leisure, private leisure and personal or family relationships” (Mundt & et al., 2002). It can be administered to adults in treatment for mental health disorders and can be modified to evaluate psychosocial impairments in the youth population (De Los Reyes & et al., 2019).   

Psychometric Properties

            The assessment has been used widely for adults with mental health disorders, the psychometric properties have been proven to be accurate and consistent across different forms of psychopathology and unexplained medical symptoms (Jassi & et al., 2020). Disorders include obsessive-compulsive disorder (OCD), bipolar disorder, phobic disorders, anxiety and depression, chronic fatigue syndrome, and personality disorders.  “The WSAS is a simple, reliable, and valid measure of impaired functioning; it is a sensitive and useful outcome measure offering the potential for readily interpretable comparisons across studies and disorders” (Mundt & et al., 2002). Studies have proven that the test is reliable and sensitive to treatment related changes, which can evaluate the efficacy of psychotherapy and psychopharmacological approaches.

References

De Los Reyes, A., Makol, B. A., Racz, S. J., Youngstrom, E. A., Lerner, M. D., & Keeley, L. M. (2019). The work and social adjustment scale for youth: A measure for assessing youth psychosocial impairment regardless of mental health status. Journal of Child and Family Studies, 28(1), 1-16.

Jassi, A., Lenhard, F., Krebs, G., Gumpert, M., Jolstedt, M., Andrén, P., … & Mataix-Cols, D. (2020). The work and social adjustment scale, youth and parent versions: psychometric evaluation of a brief measure of functional impairment in young people. Child Psychiatry & Human Development, 1-8.

Mundt, J. C., Marks, I. M., Shear, M. K., & Greist, J. H. (2002). The Work and Social Adjustment Scale: a simple measure of impairment in functioning. The British journal of psychiatry : the journal of mental science, 180, 461–464. https://doi.org/10.1192/bjp.180.5.461

Pedersen, G., Kvarstein, E. H., & Wilberg, T. (2017). The Work and Social Adjustment Scale: Psychometric properties and validity among males and females, and outpatients with and without personality disorders. Personality and mental health, 11(4), 215-228.

Thandi, G., Fear, N. T., & Chalder, T. (2017). A comparison of the Work and Social Adjustment Scale (WSAS) across different patient populations using Rasch analysis and exploratory factor analysis. Journal of Psychosomatic Research, 92, 45–48. https://doi-org.ezp.waldenulibrary.org/10.1016/j.jpsychores.2016.11.009