scholarly journals The Work and Social Adjustment Scale: a simple measure of impairment in functioning

2002 ◽  
Vol 180 (5) ◽  
pp. 461-464 ◽  
Author(s):  
James C. Mundt ◽  
Isaac M. Marks ◽  
M. Katherine Shear ◽  
John M. Greist
Keyword(s):  
Social Adjustment ◽  
Interactive Voice Response ◽  
Reliability And Validity ◽  
Obsessive Compulsive ◽  
Consistency Test ◽  
Compulsive Disorder ◽  
Impairment In Functioning ◽  
Severity Of Depression ◽  
Internal Scale ◽  
Social Adjustment Scale

BackgroundPatients' perspectives concerning impaired functioning provide important information.AimsTo evaluate the reliability and validity of the Work and Social Adjustment Scale (WSAS).MethodData from two studies were analysed. Reliability analyses included internal scale consistency, test – retest and parallel forms. Convergent and criterion validities were examined with respect to disorder severity.ResultsCronbach's α measure of internal scale consistency ranged from 0.70 to 0.94. Test – retest correlation was 0.73. Interactive voice response administrations of the WSAS gave correlations of 0.81 and 0.86 with clinician interviews. Correlations of WSAS with severity of depression and obsessive–compulsive disorder symptoms were 0.76 and 0.61, respectively. The scores were sensitive to patient differences in disorder severity and treatment-related change.ConclusionsThe 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.

Repeating, counting, and touching to prevent harm

2021 ◽  
pp. 137-142
Author(s):  
Ivana Viani
Keyword(s):  
Gold Standard ◽  
Selective Serotonin Reuptake Inhibitors ◽  
Serotonin Reuptake Inhibitors ◽  
Repetitive Behaviors ◽  
Response Prevention ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Impairment In Functioning ◽  
Clinically Significant ◽  
Mental Acts

Obsessive-compulsive disorder (OCD) is characterized by obsessions and/or compulsions that are time-consuming or cause clinically significant distress or impairment in functioning. Obsessions are recurrent and persistent intrusive, unwanted thoughts, urges, or images that cause marked anxiety or distress. Examples of obsessions include worrying about germs, the feeling things need to be “just right,” worrying about bad things happening, and disturbing thoughts or images about hurting others. Compulsions are repetitive behaviors or mental acts that an individual feels compelled to perform in response to an obsession or according to rules that must be applied rigidly. Examples of compulsions include washing, checking, tapping, ordering, and repeating. Young children may not be able to articulate the aims of these repetitive behaviors or mental acts. Selective serotonin reuptake inhibitors (SSRIs) are the first-line class of medications used to treat OCD in children and adolescents. Exposure and response prevention (ERP) therapy is the gold standard psychotherapy treatment for OCD.

Computer-delivered cognitive-behavioural treatments for obsessive compulsive disorder: preliminary meta-analysis of randomized and non-randomized effectiveness trials

2014 ◽  
Vol 7 ◽  
Author(s):  
Andrea Pozza ◽  
Gerhard Andersson ◽  
Paolo Antonelli ◽  
Davide Dèttore
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Interactive Voice Response ◽  
Meta Analysis ◽  
Analytical Techniques ◽  
Post Treatment ◽  
Depression Symptom ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Cognitive Behavioural ◽  
Interactive Voice Response Systems

AbstractCognitive behavioural treatments (CBTs) are well-established for obsessive compulsive disorder (OCD). However, few patients receive CBT, due to factors like geographical limitations, perceived stigmatization, and lack of CBT services. Some evidence suggests that computer-delivered cognitive-behavioural treatments (CCBTs) could be an effective strategy to improve patients’ access to CBT. To date a meta-analysis on effectiveness of CCBTs for OCD has not been conducted. The present study used meta-analytical techniques to summarize evidence on CCBTs for OCD on OCD and depression symptom outcomes at post-treatment and follow-up. A meta-analysis was conducted according to PRISMA guidelines. Treatments were classified as CCBTs if including evidence-based cognitive-behavioural components for OCD (psychoeducation, exposure and response prevention, cognitive restructuring), delivered through devices like computers, palmtops, telephone-interactive voice-response systems, CD-ROMS, and cell phones. Studies were included if they used validated outcomes for OCD. Eight studies met inclusion criteria (n= 392). A large effect favouring CCBTs over control conditions was found for OCD symptoms at post-treatment (d= 0.82,p= 0.001), but not for depression symptom outcomes (d= 0.15,p= 0.20). Theoretical implications and directions for research are discussed. A larger number of randomized controlled trials is required.

A Comparative Study of Family-Based and Patient-Based Behavioural Management in Obsessive-Compulsive Disorder

1990 ◽  
Vol 157 (1) ◽  
pp. 133-135 ◽  
Author(s):  
M. Mehta
Keyword(s):  
Social Adjustment ◽  
Obsessive Compulsive ◽  
Similar Treatment ◽  
Compulsive Disorder ◽  
Treatment Conditions ◽  
The Family ◽  
Group A ◽  
Personality Pattern ◽  
Family Based ◽  
Group B

Thirty obsessive-compulsive patients were randomly allocated to two treatment conditions. In group A a significant family member was trained to act as cotherapist at home, whereas in group B, only the patient was seen and given home assignments. All 30 patients received a similar treatment regime of systematic desensitisation, exposure, and response prevention. The family-based approach resulted in greater improvement in anxiety, depression, obsessive symptoms, and in social adjustment in occupational and household responsibilities. The personality pattern of the family members also appeared to influence outcome.

Further Validation of a Chinese Version of the Obsessive-Compulsive Inventory-Revised

2012 ◽  
Vol 41 (2) ◽  
pp. 249-254 ◽  
Author(s):  
Gregory S. Chasson ◽  
Suqin Tang ◽  
Bradley Gray ◽  
Hongwei Sun ◽  
Jianping Wang
Keyword(s):  
Discriminant Validity ◽  
Comparison Group ◽  
Clinical Sample ◽  
Reliability And Validity ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Convergent And Discriminant Validity ◽  
Validity Criterion ◽  
Test Retest Reliability ◽  
Cultural Components

Background: There has been an increased effort to understand the nature of obsessive-compulsive disorder (OCD) in non-Western cultures. In particular, growing research has examined OCD in China, but there are no comprehensive instruments that measure both OCD severity and heterogeneity for characterizing samples. Aims: A validated, comprehensive measure that could be used in China would provide researchers with a useful instrument for evaluating severity and heterogeneity of OCD in a non-Western culture, allowing researchers to better understand the universal and cultural components that play a role in the nature of OCD. Method: The current investigation presents data on the reliability and validity of a Mandarin translation of the Obsessive-Compulsive Inventory-Revised (CH-OCI) using both a student (n = 1950) and clinical sample (n = 50 patients with OCD; n = 50 patients with anxiety as a comparison group). Results: Results support the factor structure, convergent and discriminant validity, criterion-related validity, test-retest reliability, and internal consistency of the CH-OCI. Conclusions: Validation of the instrument permits researchers and clinicians to measure OCD presentation in Mandarin-speaking samples.

Patterns of Reassurance Seeking and Reassurance-Related Behaviours in OCD and Anxiety Disorders

2012 ◽  
Vol 41 (1) ◽  
pp. 1-23 ◽  
Author(s):  
Osamu Kobori ◽  
Paul M. Salkovskis
Keyword(s):  
Panic Disorder ◽  
Anxiety Disorders ◽  
Obsessive Compulsive Disorder ◽  
Reliability And Validity ◽  
The Other ◽  
Self Report ◽  
Healthy Controls ◽  
Obsessive Compulsive ◽  
Reassurance Seeking ◽  
Compulsive Disorder

Background: Reassurance seeking is particularly prominent in obsessive-compulsive disorder (OCD) and may be important in OCD maintenance. Aims: This study used a new self-report questionnaire to measure the range of manifestations of reassurance-seeking behaviours, describing their sources from which they seek, frequency, process (how they seek), and consequences (as opposed to triggers and motivations). This study also attempts to identify the degree to which reassurance is specific to OCD as opposed to panic disorder. Method: Reassurance Seeking Questionnaire (ReSQ) was administered to 153 individuals with OCD, 50 individuals with panic disorder with/without agoraphobia, and 52 healthy controls. The reliability and validity of the measure was evaluated and found to be satisfactory. Results: Reassurance seeking was found to be more frequent in both anxiety disorders relative to healthy controls. Individuals diagnosed with OCD were found to seek reassurance more intensely and carefully, and were more likely to employ “self-reassurance” than the other two groups. Conclusions: Further investigation of reassurance will enable better understanding of its role in the maintenance of anxiety disorders in general and OCD in particular.

Reliability and validity of the Work and Social Adjustment Scale in phobic disorders

2005 ◽  
Vol 46 (3) ◽  
pp. 223-228 ◽  
Author(s):  
David Mataix-Cols ◽  
Amy J. Cowley ◽  
Matthew Hankins ◽  
Andreas Schneider ◽  
Martin Bachofen ◽  
...  
Keyword(s):  
Social Adjustment ◽  
Reliability And Validity ◽  
Phobic Disorders ◽  
Social Adjustment Scale
Sign in / Sign up

Export Citation Format

Share Document