Deficits in self-and social awareness can impair adjustment following
traumatic brain injury (TBT) and draw into question the accuracy of se
lf-report measures of adjustment. This study evaluates the validity of
Katz Adjustment Scale (KAS) factor components identified by R. J. Fab
iano and D. A. Goran (1992). The KAS is an observer rating scale often
used to assess the social adjustment of people with traumatic brain i
njury. The responses of 105 individuals with TBI to the Symptom Checkl
ist 90-Revised (SCL-90-R; L. R. Derogatis, 1983), a self-report measur
e of distress, were correlated with observer ratings on the KAS. Resul
ts support the use of observer ratings and self-report to assess adjus
tment and social behavior following TBI. Each contributes valuable inf
ormation that can guide treatment and enhance adaptive functioning.