The Work and Social Adjustment Scale, Youth and Parent Versions: Psychometric Evaluation of a Brief Measure of Functional Impairment in Young People
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Abstract
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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The WSAS-Y is a simple, reliable, valid, and sensitive-to-change measure of functional impairment.
“The WSAS-Y is a simple, reliable, valid, and sensitive-to-change measure of functional impairment [152];”
From Efficacy of a transdiagnostic Internet prevention approach in adolescents (EMPATIA study): study protocol of a randomized controlled trial (2024) · cites this paper as [152]
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Self-citation
- Authors
- Jassi, A., Lenhard, F., Krebs, G., Gumpert, M., Jolstedt, M., Andrén, P., Nord, M., Aspvall, K., Wahlund, T., Volz, C., & Mataix-Cols, D.
- Affiliations
- South London and Maudsley NHS Foundation Trust (GB)
- Region Stockholm (SE)
- King's College London (GB)
- Corresponding author
- Jassi, Amita
- ORCID
- Venue
- Child Psychiatry & Human Development
- Published
- 2020-01-31
- Volume
- 51
- Issue
- 3
- Pages
- 453-460
- ISSN
- 0009-398X (ISSN-L)
- 1573-3327
- PMC
- PMC7235060
- OpenAlex
- W3004191985
- Cited by
- 66
- References
- 28
- Citations by year
- 2026: 10 · 2025: 6 · 2024: 15 · 2023: 4 · 2022: 8 · 2021: 12 · 2020: 8 · 2019: 3
- FWCI
- 3.18
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Child Psychiatry & Human Development (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- PsyArXiv (OSF Preprints) (submittedVersion, cc-by)
- PsyArXiv (OSF Preprints) (submittedVersion)
- Funders
- King's College London
- Medical Research Council (MR/N001400/1)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- Work and Social Adjustment Scale, functional disability, obsessive-compulsive disorder, adolescents, children, psychometric properties, scale adaptation, sensitivity to change, convergent validity, factor structure, treatment outcomes
- MeSH terms
- Psychosocial Functioning, Adolescent, Adult, Child, Female, Humans, Male, Obsessive-Compulsive Disorder, Parents, Psychiatric Status Rating Scales, Psychometrics, Sensitivity and Specificity, Social Adjustment, Reproducibility of Results
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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