Work and Social Adjustment Scale (WSAS): psychometric characteristics of a Spanish adaptation in a clinical population.

Abstract

BACKGROUND\nThe Work and Social Adjustment Scale (WSAS) is an instrument that can be easily applied for routine evaluation of the impact of mental disorders on patient functioning. In spite of the interest in its use, there is very little information available on its psychometric characteristics and even less in Spanish.\n\n\nAIMS\nThe objective of this study was to analyse its psychometric characteristics.\n\n\nMETHOD\nThe sample consisted of 441 patients treated in a community mental health unit. They filled out the WSAS and two psychopathology measures, one for anxiety and the other for depression. Fifty-five of them, chosen at random, were asked to fill out the scale again a second time to explore its temporal reliability.\n\n\nRESULTS\nThe scale showed high internal consistency, a single factor that explained 60.4% of the variance, and temporal reliability of .78 for the total score. Significant correlations were found between the WSAS scores and the psychopathological measures, as well as significant differences between those working and those on leave.\n\n\nCONCLUSIONS\nThe results confirm the validity and reliability of the scale and support its possible use for routine evaluation of the functional impact of mental disorders.