Evaluation of the Brief Adjustment Scale-6 (BASE-6): A Measure of General Psychological Adjustment for Measurement-Based Care

Rick A. Cruz, A. Paige Peterson, Corey Fagan, Whitney Black, Lee Cooper

Research output: Contribution to journalArticle


The current study evaluated the Brief Adjustment Scale-6 (BASE-6), a measure of general psychological adjustment. The psychometric properties of the BASE-6 are documented using 3 adult samples, including online participants (Sample 1: n = 459), college students (Sample 2: n = 244), and a clinical sample (Sample 3: n = 296). Acceptability ratings comparing the BASE-6 to the Outcome Questionnaire- 45.2 (OQ-45.2; Lambert et al., 1996) are provided. Factor analyses showed the items were well represented by a single factor, indicating a unidimensional factor structure. The BASE-6 demonstrated good internal consistency (α = .87-.93) and there was good test-retest reliability (intraclass correlation = .77) across 1 week. In Samples 1 and 2, there was moderate to high convergent validity with the OQ-45.2 total score (r = .66 -.81, p < .001), and Symptom Distress (r = .66 -.80, p < .001), Interpersonal (r = .54 -.68, p < .001), and Social Role (r = .57-.69, p < .001) subscales. In Sample 3, there was high convergent validity with the Patient Health Questionnaire-9 (r = .80, p < .001) and the Generalized Anxiety Disorder-7 (r = .76, p < .001). BASE-6 item and total scores were generally higher in the clinical sample compared with the nonclinical samples. Participants perceived the BASE-6 as easier to use, and more acceptable on a weekly basis compared with the OQ-45.2. Results provide preliminary evidence that the BASE-6 has acceptable psychometric properties and may show promise in the context of measurement-based care.

Original languageEnglish (US)
JournalPsychological Services
StateAccepted/In press - 2019


  • Assessment
  • Measurement-based care
  • Psychological adjustment
  • Psychometrics
  • Routine outcome monitoring

ASJC Scopus subject areas

  • Clinical Psychology
  • Applied Psychology

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