title: Work and social adjustment in patients with anorexia nervosa.
abstract: OBJECTIVE
  The Work and Social Adjustment Scale (WSAS) assesses patients' perceptions of impairment in everyday functioning and has been reported as a simple and reliable self-report measure in different psychiatric disorders. This study compared WSAS data from an anorexia nervosa (AN) patient group with that from healthy controls (HCs) and published data from other patient groups. A total of 160 female participants (AN, 77; HC, 83) completed the WSAS as well as measures of eating disorder symptom severity and brief assessments of anxiety and depression.
  
  
  RESULTS
  Work and Social Adjustment Scale scores for the AN group were found to be in the severely impaired range, whereas the scores for those within the HC group indicated very little, or no impairment. Total WSAS scores in the AN group were significantly correlated with severity of clinical symptoms, and eating disorder-specific symptoms were the best predictor of social and occupational functional impairment. The greatest impairment in the AN group was reported in the realm of social leisure.
  
  
  CONCLUSIONS
  Consistent with reports in other clinical populations, it is suggested that the WSAS could be an extremely useful and meaningful measure to assess social and occupational functioning in people with eating disorders, in addition to eating disorder-specific assessments.
authors.affiliation: King's College London, Division of Psychological Medicine, Institute of Psychiatry, UK. kate.tchanturia@kcl.ac.uk
authors.forename: Kate
authors.initials: K
authors.lastname: Tchanturia
authors.forename: David
authors.initials: D
authors.lastname: Hambrook
authors.forename: Hannah
authors.initials: H
authors.lastname: Curtis
authors.forename: Tamsin
authors.initials: T
authors.lastname: Jones
authors.forename: Naima
authors.initials: N
authors.lastname: Lounes
authors.forename: Kristina
authors.initials: K
authors.lastname: Fenn
authors.forename: Alex
authors.initials: A
authors.lastname: Keyes
authors.forename: Lauren
authors.initials: L
authors.lastname: Stevenson
authors.forename: Helen
authors.initials: H
authors.lastname: Davies
mesh_terms: D000328:Adult; D000856:Anorexia Nervosa / Q000523:psychology*; D016022:Case-Control Studies; D003430:Cross-Sectional Studies; D004651:Employment / Q000523:psychology*; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D007899:Leisure Activities; D057566:Self Report; D012917:Social Adjustment; D011795:Surveys and Questionnaires; D014937:Work / Q000523:psychology*; D055815:Young Adult