Mataix-Cols David, Cowley Amy J, Hankins Matthew, Schneider Andreas, Bachofen Martin, Kenwright Mark, Gega Lina, Cameron Rachel, Marks Isaac M
Institute of Psychiatry, King's College London, UK.
Compr Psychiatry. 2005 May-Jun;46(3):223-8. doi: 10.1016/j.comppsych.2004.08.007.
The Work and Social Adjustment Scale (WSAS) is a simple widely used 5-item measure of disability whose psychometric properties need more analysis in phobic disorders. The reliability, factor structure, validity, and sensitivity to change of the WSAS were studied in 205 phobic patients (73 agoraphobia, 62 social phobia, and 70 specific phobia) who participated in various open and randomized trials of self-exposure therapy. Internal consistency of the WSAS was excellent in all phobics pooled and in agoraphobics and social phobics separately. Principal components analysis extracted a single general factor of disability. Specific phobics gave less consistent ratings across WSAS items, suggesting that some items were less relevant to their problem. Internal consistency was marginally higher for self-ratings than clinician ratings of the WSAS. Self-ratings and clinician ratings correlated highly though patients tended to rate themselves as more disabled than clinicians did. WSAS total scores reflected differences in phobic severity and improvement with treatment. The WSAS is a valid, reliable, and change-sensitive measure of work/social and other adjustment in phobic disorders, especially in agoraphobia and social phobia.
工作与社会适应量表（WSAS）是一种简单且广泛应用的、用于衡量残疾程度的5项量表，其心理测量特性在恐惧症中尚需更多分析。对205名恐惧症患者（73名广场恐惧症患者、62名社交恐惧症患者和70名特定恐惧症患者）进行了研究，这些患者参与了各种自我暴露疗法的开放和随机试验，研究内容包括WSAS的信度、因子结构、效度以及对变化的敏感性。在所有合并的恐惧症患者以及分别在广场恐惧症患者和社交恐惧症患者中，WSAS的内部一致性都非常好。主成分分析提取出一个单一的总体残疾因子。特定恐惧症患者对WSAS各项目的评分一致性较低，这表明某些项目与其问题的相关性较低。WSAS自我评分的内部一致性略高于临床医生评分。自我评分与临床医生评分高度相关，不过患者倾向于给自己评定的残疾程度高于临床医生。WSAS总分反映了恐惧症严重程度的差异以及治疗后的改善情况。WSAS是一种有效、可靠且对变化敏感的工具，可用于衡量恐惧症，尤其是广场恐惧症和社交恐惧症患者在工作/社会及其他方面的适应情况。
