Social Adjustment by Self-Report in a Community Sample and in Psychiatric Outpatients

Weissman, Myrna M.; Prusoff, Brigitte A.; Thompson, W.; Harding, Pamela S.; Myers, Jerome K.

doi:10.1097/00005053-197805000-00002

Cited by 517 publications

(319 citation statements)

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“…Quality of life was assessed with the Social Adjustment Scale -Self-Report (SAS-SR) (Weissman and Bothwell, 1976) at baseline and every two weeks throughout treatment. The SAS-SR is a widely used questionnaire with acceptable psychometric properties; it has good test-retest reliability, and its validity has been supported by robust intercorrelations among ratings by participants and interviewers in a wide variety of research and clinical contexts (Weissman et al, 1978;Weissman et al, 1981;Goldman et al, 1992). It measures adjustment and performance over the past 2 weeks in seven major areas of social functioning using seven individual subscales: work, social and leisure activities, relationship with extended family, parental role, marital role as a spouse, membership in the family unit, and financial status (Weissman and Bothwell, 1976).…”

Section: Study Proceduresmentioning

confidence: 99%

“…The following outcome measures were evaluated: (1) rates of cocaine or opiate use during treatment, (2) DSM-IV diagnoses of heroin or cocaine dependence at the end of treatment, (3) quality-of-life measures during treatment, and (4) HIV-risk behaviors during treatment. These outcome measures were assessed with validated instruments (Weissman et al, 1978;Weissman et al, 1981;Goldman et al, 1992). They have been shown to be important indicators of treatment success (Sorensen and Copeland, 2000;Teichner et al, 2001;Hudson et al, 2002;Kampman et al, 2004).…”

Section: Introductionmentioning

confidence: 99%

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Self-report of illicit benzodiazepine use on the Addiction Severity Index predicts treatment outcome

Ghitza

Epstein

Preston

2008

Drug and Alcohol Dependence

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The relationship between pretreatment illicit benzodiazepine use (days of use in the last 30) assessed on the Addiction Severity Index (ASI) and treatment outcome was investigated by retrospective analysis of data from two controlled clinical trials in 361 methadone maintained cocaine/opiate users randomly assigned to 12-week voucher-or prize-based contingency management (CM) or control interventions. Based on screening ASI, participants were identified as nonusers (BZD-N; 0 days of use) or users (BZD-U; >0 days of use). Outcome measures were: urine drug screens (thrice weekly); quality of life and self-reported HIV-risk behaviors (every 2 weeks); and current DSM-IV diagnosis of cocaine and heroin dependence (study exit). In the CM group, BZD-U had significantly worse outcomes on in-treatment cocaine use, quality-of-life scores, needle-sharing behaviors, and current heroin dependence diagnoses at study exit compared to BZD-N. In the control group, BZD-U had significantly higher in-treatment cocaine use but did not differ from BZD-N on psychosocial measures. Thus, in a sample of non-dependent BZD users, self-reported illicit BZD use on the ASI, even at low levels, predicted worse outcome on cocaine use and blunted response to CM.

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Section: Study Proceduresmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Self-report of illicit benzodiazepine use on the Addiction Severity Index predicts treatment outcome

Ghitza

Epstein

Preston

2008

Drug and Alcohol Dependence

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“…The Social Adjustment Scale-Self Report (SAS-SR; [9]) is a 54-item reliable, valid, and widely used self-report measure of current social functioning in the following domains: Primary Relationship (living with a partner), Work (work for pay, school, or housework), Social and Leisure (dating, recreation), Extended Family (relatives), Parental (own children), and Family Unit (partner or children). An Overall Adjustment Score is based on these six domains.…”

Section: Assessmentsmentioning

confidence: 99%

“…To our knowledge, only two studies [4,8] have examined social functioning in BDD using the Social Adjustment Scale-Self Report (SAS-SR; [9]). One study [8] found that depressed patients with comorbid BDD (n=28) had a mean overall social adjustment score of 2.6±0.6, which was 3.1 SD units poorer than community norms, although their SAS-SR scores were comparable to those of depressed subjects without comorbid BDD (n=322).…”

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confidence: 99%

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Social Functioning in Body Dysmorphic Disorder: Assessment Considerations

et al. 2006

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Individuals with body dysmorphic disorder (BDD) have markedly poor social functioning; however, previous reports may underestimate impairment. Scoring on certain functioning measures such as the Social Adjustment Scale-Self Report (SAS-SR) potentially excludes more severely ill individuals from some domains, thereby possibly underestimating functional impairment. To explore this issue, 73 individuals with BDD who reported having no primary relationship (and were therefore excluded from scoring on the SAS-SR Primary Relationship domain) were compared to 58 individuals with BDD who had a primary relationship. Subjects without a primary relationship had significantly poorer global social adjustment on several measures. They also had poorer scores on the Global Assessment of Functioning Scale and greater severity of BDD and depressive symptoms at a trend level. These findings suggest that the SAS-SR may underestimate social impairment. This underestimation may pertain to other domains of functioning, other disorders, and certain other functioning and quality of life measures. KeywordsBody dysmorphic disorder; Dysmorphophobia; Social adjustment; Assessment Body dysmorphic disorder (BDD) is a relatively common disorder that consists of a distressing or impairing preoccupation with an imagined or slight defect in appearance [1]. Individuals with BDD have very poor psychosocial functioning, markedly poor quality of life, and high rates of suicidal ideation poor and attempts [2]. Social impairment, in particular, appears to be nearly universal in BDD [2]. Persons with BDD are often single, avoid dating, have a significant reduction in the quality of their relationships and have high levels of social isolation [3,4]. Despite this disorder's severity, social functioning in BDD has received only limited attention.In a study of 188 individuals with BDD, 99% reported moderate, severe, or extreme lifetime impairment in social functioning [2] To our knowledge, only two studies [4,8] have examined social functioning in BDD using the Social Adjustment Scale-Self Report (SAS-SR; [9]). One study [8] found that depressed patients with comorbid BDD (n=28) had a mean overall social adjustment score of 2.6±0.6, which was 3.1 SD units poorer than community norms, although their SAS-SR scores were comparable to those of depressed subjects without comorbid BDD (n=322). Our group recently found a mean SAS-SR overall social adjustment score of 2.37±.52 in 126 broadly ascertained subjects with BDD [4], which was markedly poorer than community norms. Effect sizes across all SAS-SR domains were very large (d=0.82-2.07). In addition, more severe BDD symptoms were significantly correlated with poorer overall social adjustment (r=.37, p < .0001).Even though SAS-SR scores in these studies were notably poor, these findings may actually underestimate social impairment in BDD. Scoring on the SAS-SR systematically excludes possibly more seriously ill individuals from certain subscales, thereby potentially minimizing impairment in social functi...

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Long-term Outcomes of Disability Benefits in US Veterans With Posttraumatic Stress Disorder

Murdoch¹,

Sayer

Spoont³

et al. 2011

Arch Gen Psychiatry

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Social Adjustment by Self-Report in a Community Sample and in Psychiatric Outpatients

Cited by 517 publications

References 0 publications

Self-report of illicit benzodiazepine use on the Addiction Severity Index predicts treatment outcome

Self-report of illicit benzodiazepine use on the Addiction Severity Index predicts treatment outcome

Social Functioning in Body Dysmorphic Disorder: Assessment Considerations

Long-term Outcomes of Disability Benefits in US Veterans With Posttraumatic Stress Disorder

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