title: The Katz Adjustment Scale: modification for use with victims of traumatic brain and spinal injury.
abstract: Although the assessment of the social, emotional and personality sequelae of traumatic injury is of central clinical and medico-legal importance, no satisfactory standard assessment device for this purpose has yet been developed. A multicentered study of a mixed group of head and spinally injured patients is reported. Factor analysis of a modified version of the relatives' form of the Katz Social Adjustment Scale (KAS-R) yielded 30 first-order factors under three main domains of emotional/psychosocial, physical/intellectual and psychiatric changes, together with seven second-order factors which were readily identifiable in terms of syndromes accompanying traumatic injury. Discriminant function analyses indicated that prediction of patient group using KAS-R data was most accurate using the current study's first-order factors as compared with the original factor structure proposed by Katz and Lyerly or the second-order factors from the current analyses. The modified KAS-R shows considerable promise as an instrument for measuring the complex social, emotional and personality changes following traumatic injury, with special significance for assessing brain-injury victims. The representativeness of the current patient sample and implications for future development of the method are discussed.
authors.affiliation: Ashworth Hospital, Maghull, Merseyside, UK.
authors.forename: H F
authors.initials: HF
authors.lastname: Jackson
authors.forename: C A
authors.initials: CA
authors.lastname: Hopewell
authors.forename: C A
authors.initials: CA
authors.lastname: Glass
authors.forename: R
authors.initials: R
authors.lastname: Warburg
authors.forename: M
authors.initials: M
authors.lastname: Dewey
authors.forename: E
authors.initials: E
authors.lastname: Ghadiali
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology; D000647:Amnesia / Q000523:psychology / Q000534:rehabilitation; D001925:Brain Damage, Chronic / Q000523:psychology* / Q000534:rehabilitation; D001930:Brain Injuries / Q000523:psychology* / Q000534:rehabilitation; D005260:Female; D006801:Humans; D008297:Male; D019965:Neurocognitive Disorders / Q000523:psychology / Q000534:rehabilitation; D010147:Pain Measurement; D011569:Psychiatric Status Rating Scales / Q000706:statistics & numerical data*; D011594:Psychometrics; D011788:Quality of Life; D012050:Rehabilitation, Vocational / Q000523:psychology; D012803:Sick Role; D012917:Social Adjustment; D013124:Spinal Injuries / Q000523:psychology* / Q000534:rehabilitation