Cited by 142Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychometric Methodologies and TestingHealth Systems, Economic Evaluations, Quality of Life

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

Zahra, Daniel, Qureshi, Adam, Henley, William, Taylor, Rod, Quinn, Cath, Pooler, Jill, Hardy, Gillian, Newbold, Alexandra, Byng, Richard·2014·International Journal of Psychiatry in Clinical Practice

DOI 10.3109/13651501.2014.894072

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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.

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The PHQ-9: Validity of a brief depression severity measure
Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.2001.016009606.x · Cited by 44,910
A Brief Measure for Assessing Generalized Anxiety Disorder: The GAD-7
Spitzer, R. L., Kroenke, K., Williams, J. B. W., & Löwe, B. (2006) · Archives of Internal Medicine · doi:10.1001/archinte.166.10.1092 · Cited by 31,765
The Work and Social Adjustment Scale: a simple measure of impairment in functioning
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Evaluating patient-based outcome measures for use in clinical trials.
Fitzpatrick, Davey, Buxton, & Jones (1998) · Health Technology Assessment · doi:10.3310/hta2140 · Cited by 1,715
Measuring depression outcome with a brief self-report instrument: sensitivity to change of the Patient Health Questionnaire (PHQ-9)
Löwe, B., Kroenke, K., Herzog, W., & Gräfe, K. (2004) · Journal of Affective Disorders · doi:10.1016/s0165-0327(03)00198-8 · Cited by 1,558 · cited 3×
“However, using Löwe et al. (2004b) criteria with the current sample results in a minimal clinically significant change for the GAD-7 of 3-points.”
Method
The English indices of deprivation 2004
Noble, M., Wright, G., Dibben, C., Smith, G., McLennan, D., Anttila, C., Barnes, H., Mokhtar, C., Noble, S., & Gardner, J. (2004) · Cited by 1,494
Monitoring Depression Treatment Outcomes With the Patient Health Questionnaire-9
L??we, B., Un??tzer, J., Callahan, C. M., Perkins, A. J., & Kroenke, K. (2004) · Medical Care · doi:10.1097/00005650-200412000-00006 · Cited by 1,354
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Fitzpatrick, R. M., Shortall, Sculpher, Murray, Morris, Lodge, Dawson, Carr, Britton, & Briggs, A. H. (1998) · Health Technology Assessment · doi:10.3310/hta2200 · Cited by 969
Health and quality of life outcomes
Jolly, M., Sequeira, W., & Block, J. A. (2014) · Health and Quality of Life Outcomes · doi:10.1186/s12955-014-0173-5 · Cited by 722
The English Indices of Deprivation 2010
McLennan, D., Barnes, H., Noble, M., Davies, J., Garrett, E., & Dibben, C. J. L. (2011) · Cited by 591

Show all 22 references

Research works printed but not linked: 5

Arbuckle JL, 2010, AMOS, v19.0.0 build 1376
Fitzpatrick R, 1998, Health Technol Assess, 2, 1
Department of Health, 2008, Improving access to psychological therapis implementaion plan: National guidlines for regional delivery
Marks I, 1986, Behavioural psychotherapy Bristol: John Wright, now published by I
SPSS, 2010, IBM SPSS Statistics, v19.0.0

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Prompt Mental Health Care (PMHC): work participation and functional status at 12 months post-treatment
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The clinical effectiveness and cost-effectiveness of a ‘stepping into day treatment’ approach versus inpatient treatment as usual for anorexia nervosa in adult specialist eating disorder services (DAISIES trial): a study protocol of a randomised controlled multi-centre open-label parallel group non-inferiority trial
Irish, M., Dalton, B., Potts, L. C., McCombie, C., Shearer, J., Au, K., Kern, N., Clark-Stone, S., Connan, F., Johnston, A. L., et al. (2022) · Trials · doi:10.1186/s13063-022-06386-7 · Cited by 13
Acceptability and Outcomes of Transdiagnostic Guided Self-help Bibliotherapy for Internalizing Disorder Symptoms in Adults: A Fully Remote Nationwide Open Trial
Lorenzo‐Luaces, L., Howard, J., Jesús-Romero, R. D., Peipert, A., Buss, J., Lind, C. M., Botts, K., & Starvaggi, I. (2022) · Cognitive Therapy and Research · doi:10.1007/s10608-022-10338-5 · Cited by 13
“Prior work supports the reliability and validity of the WSAS across various patient populations (Zahra et al., 2014).”
Method
The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders compared with diagnosis-specific protocols for anxiety disorders: A three-year follow-up
Bullis, J. R., Eustis, E. H., Curreri, A. J., Cardona, N. D., Woods, B. K., Rosellini, A. J., Barlow, D. H., & Farchione, T. J. (2023) · Journal of Mood and Anxiety Disorders · doi:10.1016/j.xjmad.2023.100024 · Cited by 13
“The WSAS has demonstrated high reliability and sensitivity [44].”
Exploring the mental health of individuals who play fantasy football
Wilkins, L., Dowsett, R., Zaborski, Z., Scoles, L. H., & Allen, P. M. (2021) · Human Behavior and Emerging Technologies · doi:10.1002/hbe2.316 · Cited by 12
Feasibility and acceptability of brief cognitive remediation targeting metacognition in acute inpatients with psychosis: a case series
Tsapekos, D., Taylor, R., & Cella, M. (2017) · Neuropsychological Rehabilitation · doi:10.1080/09602011.2017.1301263 · Cited by 13
“Participants’ functioning was assessed with the Work and Social Adjustment Scale–Revised (WSAS-R; Zahra et al., 2014).”
MethodSelf-citation
Brief psychological interventions for anxiety and depression in a secondary care adult mental health service: an evaluation
Roberts, K., Travers-Hill, E., Coker, S., Troup, J., Casey, S., Parkin, K., & Kim, Y. (2021) · The Cognitive Behaviour Therapist · doi:10.1017/s1754470x21000258 · Cited by 11
Long-term outcomes at 24- and 36-month follow-up in the intervention arm of the randomized controlled trial of Prompt Mental Health Care
Smith, O. R. F., Sæther, S. M. M., Haug, E., & Knapstad, M. (2022) · BMC Psychiatry · doi:10.1186/s12888-022-04227-0 · Cited by 11
“A client was defined as reliably recovered when scoring below threshold on both measures at follow-up and showing reliable improvement on either PHQ-9 or GAD-7.”
MethodInfluential
A pilot randomized controlled trial of online written exposure therapy delivered by peer coaches to veterans with posttraumatic stress disorder
McLean, C. P., Malek, N., & Straud, C. L. (2024) · Journal of Traumatic Stress · doi:10.1002/jts.23020 · Cited by 13
Transcutaneous Auricular Vagus Nerve Stimulation Treatment for Erythematotelangiectatic Rosacea
Li, J., Wei, J., Zhang, M., Kong, M., Xie, L., Wan, M., Pan, Z., Tian, J., Ou, Z., Chen, S., et al. (2025) · JAMA Dermatology · doi:10.1001/jamadermatol.2025.3796 · Cited by 13
Internet-delivered CBT intervention (Space for Sleep) for insomnia in a routine care setting: Results from an open pilot study
Wogan, R., Enrique, Á., Adegoke, A., Earley, C., Sollesse, S., Gale, S., Chellingsworth, M., & Richards, D. (2021) · Internet Interventions · doi:10.1016/j.invent.2021.100443 · Cited by 11
Long-term outcomes of Prompt Mental Health Care: A randomized controlled trial
Sæther, S. M. M., Knapstad, M., Grey, N., Rognerud, M. A., & Smith, O. R. F. (2020) · Behaviour Research and Therapy · doi:10.1016/j.brat.2020.103758 · Cited by 11
Initial evaluation of the Optimal Health Program for people with diabetes: 12-month outcomes of a randomised controlled trial
O’Brien, C. L., Apputhurai, P., Knowles, S. R., Jenkins, Z., Ski, C. F., Thompson, D. R., Moore, G., Ward, G. M., Loh, M., & Castle, D. J. (2022) · Psychology and Health · doi:10.1080/08870446.2022.2060507 · Cited by 10
“The WSAS has demonstrated reliability and validity (Zahra et al., 2014).”
Background
Group intervention for sexual minority adults with common mental health problems: preliminary evaluation
Hambrook, D. G., Aries, D., Benjamin, L., & Rimes, K. A. (2022) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465822000297 · Cited by 10
“1PHQ-9; 2GAD-7; 3WSAS.”
MethodInfluential
Functional impairment: The role of posttraumatic stress disorder symptoms, negative mood regulation, and interpersonal problems.
Silverstein, M. W., Lee, D. J., Seligowski, A. V., & Worley, C. B. (2018) · Traumatology An International Journal · doi:10.1037/trm0000164 · Cited by 9
“The WSAS has demonstrated strong reliability, validity, and responsiveness to treatment across a number of populations (Mataix-Cols et al., 2005; Mundt et al., 2002; Zahra et al., 2014).”
Background
The significance of anxiety symptoms in predicting psychosocial functioning across borderline personality traits
Howard, J., Jesús-Romero, R. D., Peipert, A., Riley, T. N., Rutter, L. A., & Lorenzo‐Luaces, L. (2021) · PLoS ONE · doi:10.1371/journal.pone.0245099 · Cited by 10
“Prior work supports the reliability and validity of WSAS ratings across various patient populations [33, 34].”
Background
Anxiety and functional impairment affects undergraduate psychology students’ learning in remote emergency teaching during the COVID-19 pandemic
de Sá, V. R., Gulá, P. V. S. S., Prizon, T., Falcoski, R. M., Ruggiero, R. N., & Padovan‐Neto, F. E. (2023) · Scientific Reports · doi:10.1038/s41598-023-27845-4 · Cited by 9
The Work and Social Adjustment Scale (WSAS): An investigation of reliability, validity, and associations with clinical characteristics in psychiatric outpatients
Lundqvist, J., Lindberg, M. S., Brattmyr, M., Havnen, A., Hjemdal, O., & Solem, S. (2024) · PLoS ONE · doi:10.1371/journal.pone.0311420 · Cited by 8
Assessing functioning in adolescents with chronic fatigue syndrome: psychometric properties and factor structure of the School and Social Adjustment Scale and the Physical Functioning Subscale of the SF36
Loades, M. E., Vitoratou, S., Rimes, K. A., & Chalder, T. (2020) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465820000193 · Cited by 8
“In adults, the WSAS, from which the SSAS was developed, a distinct social functioning factor has been found (i.e. a 2-factor solution) (Zahra et al., 2014), but this did not appear to be the case for adolescents with CFS in the current study.”
Background
Narrative Exposure Therapy versus treatment as usual in a sample of trauma survivors who live under ongoing threat of violence in Rio de Janeiro, Brazil: study protocol for a randomised controlled trial
Serpeloni, F., Narrog, J. A., de Assis, S. G., Avanci, J. Q., Carleial, S., & Koebach, A. (2021) · Trials · doi:10.1186/s13063-021-05082-2 · Cited by 8
Psychometric Properties of Chinese Version of Work and Social Adjustment Scale for Outpatients With Common Mental Disorders: Classical Test Theory and Rasch Analysis
Shih, S., Chan, A. S. M., Yeung, E. Y. Y., Tsang, A. M., Chiu, R. L. P., Chu, M. H.-W., & Poon, M. (2021) · East Asian Archives of Psychiatry · doi:10.12809/eaap20101 · Cited by 8
Effectiveness of low-dose amitriptyline and mirtazapine in patients with insomnia disorder and sleep maintenance problems: a randomised, double-blind, placebo-controlled trial in general practice (DREAMING)
Bakker, M. H., Hugtenburg, J. G., Bet, P. M., Twisk, J. W. R., van der Horst, H. E., & Slottje, P. (2025) · British Journal of General Practice · doi:10.3399/bjgp.2024.0173 · Cited by 8
“…and 6 36 ], anxiety and depression [Hospital Anxiety and Depression Scale {HADS}], 37–39 and functioning [Work and Social Adjustment Scale {WSAS} 40,41 and Glasgow Sleep Impact Index {GSII} parts 1, 2, and 3 42 ]); • treatment satisfaction; • treatment sufficiency (additional sleep treatments…”
North American open-label 16-week trial of the MindShift smartphone app for adult anxiety
Rappaport, L. M., Jerome, E., Van Ameringen, M., Whittal, M., & McLean, C. P. (2023) · Journal of Mood & Anxiety Disorders · doi:10.1016/j.xjmad.2023.100036 · Cited by 7
Utility of the Work and Social Adjustment Scale (WSAS) in predicting long-term sick-leave in Danish patients with emotional disorders
Hovmand, O. R., Reinholt, N., Christensen, A. B., Bach, B., Eskildsen, A., Arendt, M. C. B. B., Hvenegaard, M., Poulsen, S., & Arnfred, S. (2023) · Nordic Journal of Psychiatry · doi:10.1080/08039488.2023.2226123 · Cited by 7
“Similar results were observed in other British patients with emotional disorders (alpha = .82) [14], German patients with depression (alpha= .89) [18], and Norwegian outpatients with personality disorders (alpha = .79) [16].”
BackgroundMethodResult
The relationship between posttherapeutic Cognitive Behavior Therapy skills usage and follow‐up outcomes of internet‐delivered Cognitive Behavior Therapy
Eilert, N., Wogan, R., Adegoke, A., Earley, C., Duffy, D. J., Enrique, Á., Palacios, J. E., Timulák, L., & Richards, D. (2022) · Journal of Clinical Psychology · doi:10.1002/jclp.23403 · Cited by 7
“The Work and Social Adjustment Scale (WSAS) is a valid measure of impaired functioning with sensitivity to treatment change and good reliability (Mundt et al., 2002; Zahra et al., 2014).”
Background
Effectiveness of attexis , a digital intervention based on cognitive behavioral therapy for adults with ADHD: a randomized controlled trial
D’Amelio, R., Betz, L. T., Jow, S. M., Retz, W., Philipsen, A., Klein, J. P., Faßbinder, E., Jacob, G. A., & Retz‐Junginger, P. (2026) · Psychological Medicine · doi:10.1017/s0033291726103390 · Cited by 7
“…more participants in the intervention group showed meaningful improvements in work and social functioning (based on an MCID of 8 points [Zahra et al., 2014]; 26.2% vs. 11.6%; χ 2 = 11.9, p < .001; OR = 2.7, 95% CI = [1.5, 4.9]), depression levels (based on an MCID of 5 points [Löwe et…”
Influential
A Pragmatic Randomized Controlled Trial of Stepped Care Cognitive-behavioral Therapy for Internalizing Distress in Adults
Lorenzo‐Luaces, L., Dierckman, C., Lind, C. M., Peipert, A., Jesús-Romero, R. D., Buss, J., Ramírez, I., Starvaggi, I., Adams, S. M., Howard, J., et al. (2024) · Cognitive Therapy and Research · doi:10.1007/s10608-024-10489-7 · Cited by 7
“Prior work supports the reliability and validity of the WSAS across various patient populations (Zahra et al., 2014 ).”
Acceptability, feasibility and preliminary efficacy of a compassion‐based cognitive behavioural intervention for low self‐esteem in sexual minority young adults
Bridge, L., Langford, K., McMullen, K., Rai, L., Smith, P. A., & Rimes, K. A. (2023) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2911 · Cited by 8
Is Mild Really Mild?: Generating Longitudinal Profiles of Stroke Survivor Impairment and Impact Using Unsupervised Machine Learning
Adikari, A., Nawaratne, R., Silva, D. D., Carey, D. L., Walsh, A., Baum, C. M., Davis, S. M., Donnan, G. A., Alahakoon, D., & Carey, L. M. (2024) · Applied Sciences · doi:10.3390/app14156800 · Cited by 6
Changes in Posttraumatic Stress Disorder Symptoms With Integrative Psychotherapy for Functional Neurological Symptom Disorder
Calderbank, A., Gray, C., Morgan-Boon, A., & Reuber, M. (2023) · Journal of Neuropsychiatry · doi:10.1176/appi.neuropsych.21070184 · Cited by 5
Emotion Regulation and Mentalization in Patients With Depression and Anxiety
Christensen, A. B., Poulsen, S., Højberg, T. M., Jessen, S. B., Reinholt, N., Hvenegaard, M., Eskildsen, A., Arendt, M. C. B. B., & Arnfred, S. (2024) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2995 · Cited by 5
Protocol for the Work Engagement and Well-being Study (SWELL): a randomised controlled feasibility trial evaluating the effects of mindfulness versus light physical exercise at work
Vainre, M., Galante, J., Watson, P., Dalgleish, T., & Hitchcock, C. (2022) · BMJ Open · doi:10.1136/bmjopen-2021-050951 · Cited by 4
Patient-reported outcome measures in depression
Steig, D. H. Á., Reinholt, N., Christensen, A. B., Pedersen, M. H., & Arnfred, S. (2022) · Nordic Journal of Psychiatry · doi:10.1080/08039488.2022.2074136 · Cited by 6
“It is validated for use across the full spectrum of psychiatric disorders and is used in epidemiological research as well as clinically [18,19].”
Background
A combined individual and group-based stabilization and skill training intervention versus treatment as usual for patients with long lasting posttraumatic reactions receiving outpatient treatment in specialized mental health care – a study protocol for a randomized controlled trial
Holgersen, K. H., Brønstad, I., Jensen, M. P., Brattland, H., Reitan, S. K., Hassel, A. M., Arentz, M., Lara‐Cabrera, M. L., & Skjervold, A. E. (2020) · Trials · doi:10.1186/s13063-020-04297-z · Cited by 6
Eye movement desensitization and reprocessing (EMDR) therapy or supportive counseling prior to exposure therapy in patients with panic disorder: study protocol for a multicenter randomized controlled trial (IMPROVE)
Endhoven, B., De Cort, K., Matthijssen, S. J. M. A., de Jongh, A., van Minnen, A., Duits, P., Schruers, K. R. J., van Dis, E. A. M., Krypotos, A. M., Gerritsen, L., et al. (2023) · BMC Psychiatry · doi:10.1186/s12888-022-04320-4 · Cited by 4
“ASI Anxiety Sensitivity Index ATPTM Attitudes Toward Psychotherapy Treatment Manuals BSQ Bodily Sensation Questionnaire CBT Cognitive behavioral therapy CEQ Dutch credibility and expectancy scale CS Credibility Scale CSQ-8 Client Satisfaction Questionnaire EBPAS Evidence-Based Practice Attitude Scale EMDR Eye movement…”
Background
Contributions of the posterior cerebellum to mentalizing and social functioning: A transdiagnostic investigation
Moe, A. M., Blain, S. D., Kalathil, A., Peltier, S., Colombi, C., Thakkar, K. N., Burton, C. Z., & Tso, I. F. (2025) · Psychological Medicine · doi:10.1017/s003329172500039x · Cited by 4
“Work and Social Adjustment Scale (WSAS; Zahra et al., 2014).”
Clinical effectiveness and cost-effectiveness of Structured Psychological Support for people with probable personality disorder in mental health services in England: study protocol for a randomised controlled trial
Crawford, M., Leeson, V. C., Evans, R., Goulden, N., Weaver, T. D., Trumm, A., Barrett, B. M., Khun-Thompson, F., Pandya, S. P., Saunders, K. E. A., et al. (2024) · BMJ Open · doi:10.1136/bmjopen-2024-086593 · Cited by 4
Genetic overlap between functional impairment and depression and anxiety symptom severity: evidence from the GLAD Study
Skelton, M., Mundy, J., ter Kuile, A., Adey, B. N., Armour, C., Buckman, J. E. J., Coleman, J. R. I., Davies, M. R., Hirsch, C. R., Hotopf, M. H., et al. (2025) · Psychological Medicine · doi:10.1017/s0033291725101037 · Cited by 3
“Phenotypic correlations were consistent in size and pattern with previous estimates (Kroenke et al., 2001; Spitzer et al., 2006; Zahra et al., 2014) and existing evidence that symptom severity and functional impairment are partially independent.”
Influential
Brief individual psychological intervention for people with probable personality disorder: a multicentre, researcher-masked, randomised, controlled superiority trial in England
Crawford, M. J., Leeson, V. C., Evans, R., Goulden, N., Kuhn-Thompson, F., Pandya, S. P., Trumm, A., Weaver, T. D., Barrett, B. M., Saunders, K., et al. (2026) · The Lancet Psychiatry · doi:10.1016/s2215-0366(25)00372-4 · Cited by 3
Can clinician’s risk assessments distinguish those who disclose suicidal ideation from those who attempt suicide?
Barker, J., Oakes-Rogers, S., Lince, K., Taylor, A., Keddie, R., Bruce, H., Selvarajah, S., Fish, D., Aspen, C., & Leddy, A. (2023) · Death Studies · doi:10.1080/07481187.2023.2192532 · Cited by 3
“The Work and Social Adjustment Scale (WASAS) is evidenced to measure difficulties in daily functioning with excellent psychometric properties (Zahra et al., 2014).”
Background
Perspective taking as a transdiagnostic risk factor for interpersonal dysfunction
Hudson, C. C., Bowers, E. M., Björgvinsson, Þ., & Beard, C. (2024) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2024.05.007 · Cited by 3
The Emotional Resources Group: A Mixed Methods Practice-Based Study of a Transdiagnostic Emotion Regulation Group Intervention
Moore, R., Gillanders, D. T., & Stuart, S. (2022) · Psychiatry International · doi:10.3390/psychiatryint3040024 · Cited by 3
Self-Guided Smartphone App (Vimbo) for the Reduction of Symptoms of Depression and Anxiety in South African Adults: Pilot Quantitative Single-Arm Study
Steyn, S., & Slabbert, M. (2024) · JMIR Formative Research · doi:10.2196/54216 · Cited by 5
“The WSAS, on the other hand, has proven to be a reliable and valid measure of impaired functioning, offering enough sensitivity to be an effective outcome measure [36,37].”
What interventions or best practice are there to support people with Long COVID, or similar post-viral conditions or conditions characterised by fatigue, to return to normal activities: a rapid reviewPreprint
Spencer, L. H., Hendry, A., Makanjuola, A., Anthony, B. F., Davies, J. R., Pisavadia, K., Hughes, D. A., Fitzsimmons, D., Wilkinson, C., Edwards, R. T., et al. (2023) · medRxiv · doi:10.1101/2023.01.24.23284947 · Cited by 3
“Functional impairment was assessed using the Work and Social Adjustment Scale (WSAS), a reliable and valid tool (Zahra et al., 2014).”
Method
Cognitive behavioural therapy augmented with virtual reality exposure for treatment of social anxiety: A randomised clinical trial
Arnfred, B., Bang, P., Hjorthøj, C., Winding, C., Møller, K., Hvenegaard, M., Gausbøl, U. K., Sø, D., Rosenberg, N., & Nordentoft, M. (2019) · doi:10.21203/rs.2.504/v1 · Cited by 2
“Self-report questionnaires (FNE, CSQ, WAI, WSAS, WHO-5) will be answered by following a link send to the patients email address, which the patients can access either on a personal device or on one of the clinics computers.”
Method
Longitudinal trajectories of psychosocial functioning in patients with pre-existing mental disorders after one year of COVID-19 pandemic
Luciano, M., Carmassi, C., Sampogna, G., Bertelloni, C. A., Daga, G. A., Albert, U., Castellini, G., Rocca, B. D., Fantasia, S., Menchetti, M., et al. (2024) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2024.02.016 · Cited by 4
“It is currently considered one of the most reliable self-reported questionnaires to assess psychosocial functioning, compared to the Social Functioning Questionnaire, WHO-Disability Assessment Schedule (WHODAS) and Short-Form 12-Item Health Survey (Zahra et al., 2014).”
BackgroundMethod
Effectiveness of a guided digital self-help intervention to improve sleep and the biological clock in university students – Study protocol for a randomized controlled trial
Pape, L. M., van Straten, A., Struijs, S. Y., Spinhoven, P., & Antypa, N. (2024) · Internet Interventions · doi:10.1016/j.invent.2024.100763 · Cited by 2
“The WSAS shows high internal reliability and sensitivity to treatment effects (Zahra et al., 2014).”
Background
An evaluation of a pilot high-intensity treatment pathway for prolonged grief reactions in a Devon NHS Talking Therapies service
Goff, S., Carson, J., Ladwa, A., Colletta, M., Topciu, R. A., Shear, K. M., & Dunn, B. D. (2025) · The Cognitive Behaviour Therapist · doi:10.1017/s1754470x25000030 · Cited by 3

Authors: Zahra, D., Qureshi, A., Henley, W., Taylor, R., Quinn, C., Pooler, J., Hardy, G., Newbold, A., & Byng, R.
Affiliations: University of Plymouth (GB)
Edge Hill University (GB)
University of Exeter (GB)
University of Sheffield (GB)
Corresponding author: Zahra, Daniel
ORCID: Zahra, Daniel
Qureshi, Adam
Henley, William
Taylor, Rod
Quinn, Cath
Hardy, Gillian
Newbold, Alexandra
Byng, Richard
Venue: International Journal of Psychiatry in Clinical Practice
Publisher: Informa UK Limited
Published: 2014-03-16
Volume: 18
Issue: 2
Pages: 131-138
ISSN: 1365-1501 (ISSN-L)
1471-1788
DOI: 10.3109/13651501.2014.894072
OpenAlex: W2152311889
Cited by: 141
References: 22
Citations by year: 2026: 14 · 2025: 14 · 2024: 15 · 2023: 25 · 2022: 16 · 2021: 18 · 2020: 9 · 2019: 7 · 2018: 6 · 2017: 8 · 2016: 6 · 2015: 3
FWCI: 7.88
Type: journal article
Language: en
Open access: closed
Locations: International Journal of Psychiatry in Clinical Practice (publishedVersion)
PubMed (publishedVersion)
ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (submittedVersion)
Edge Hill University Research Information Repository (Edge Hill University) (submittedVersion)
Funders: National Institute for Health and Care Research
National Institutes of Health
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
Keywords: Work and Social Adjustment Scale, psychometric properties, reliability statistics, responsiveness to change, social functioning, PHQ-9, GAD-7, Improving Access to Psychological Therapies, outcome measures, depression, generalized anxiety disorder, factor structure
MeSH terms: Adolescent, Adult, Aged, Aged, 80 and over, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Psychometrics, Social Adjustment, Work, Young Adult, Patient Outcome Assessment

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

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