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September 1976

Assessment of Social Adjustment by Patient Self-Report

Author Affiliations

From the Department of Psychiatry, Yale University School of Medicine, and the Depression Research Unit, Connecticut Mental Health Center, New Haven.

Arch Gen Psychiatry. 1976;33(9):1111-1115. doi:10.1001/archpsyc.1976.01770090101010

• Current emphasis on early case finding, outpatient care, and on longitudinal studies of asymptomatic patients has focused attention on the community adjustment of psychiatric patients. Thus, simple and inexpensive methods such as self-report scales, which allow the routine assessment of patient adjustment, are potentially useful.

The derivation and testing of such a method, the Social Adjustment Scale Self-Report, is described. This scale covers the patient's role performance, interpersonal relationships, friction, feelings and satisfaction in work, and social and leisure activities with the extended family, as a spouse, parent, and member of a family unit. Self-report results based on 76 depressed outpatients were comparable to those obtained from relatives as well as by a rater who interviewed the patient directly.